I have chronic dry eyes, I have tried many eye drops, including restasis - nothing has helped?

Complex treatment. See a dry eye specialist if not improving with tears or restasis, also may consider punctal plugs in noninflammatory cases. Treat underlying cause (ie autoimmune disease), check for tear production issues, check for lid position issues (evaporative), check for meibomian gland disease or things that destabilizes tear film, systemic meds, previous corneal surgery/ctl wear, may need tarsorrhaphy...
Dry eye. There are many treatments for dry eye. First line treatments include artificial tears during the day, ointment at night, warm compresses 1-2 times a day, and omega-3 fatty acid supplements. If no improvement or worsening, you should see an eye doctor to consider other prescription therapy. Based on your story, i would recommend considering a topical steroid or punctal plugs.

Related Questions

I have REALY itchy eyes I've tried itchy eye drops but that doesn't help what can I do.? I do have dry eyes I take Restasis. But doesn't help the itch

Allergy and dry eyes. Dry eyes can exacerbate allergic conjunctivitis. You will need to maximize your dry eye treatment (beyond just Restasis). Are you using OTC allergy drops? Prescription- strength allergy drops are much more effective. See your eye MD. . Read more...

What is better for Dry Eyes? Restasis or Lotemax (loteprednol) eye drops?

Both are good. Both medicines are excellent. Treatment would be based on the underlying cause of the dry eyes. I tend to use Restasis before using Lotemax, (loteprednol) but each physician has their own algorithm for treatment. Read more...

Have severe dry eyes (daily restasis + eye drops). Want to wear contacts more often but right eye hurts after 2 hrs. What are my options?

Dry eyes on drops. For severe dry eyes a rheumatologist might help further with systemic medication, punctal plugs to keep eye drops on the surface and gas permeable contacts might help as well. Read more...
Dry eye. If you want to wear contacts, i would consider lower and possibly upper punctal plugs to increase your tear film. I would continue frequent artificial tears and Restasis as well. I would also change to acuvue oasys, proclear, or daily soft contact lenses. Read more...

Dr found dry eyes. Gave Systane Ultra (UD). Are these artificial tears? Dr also gave me Hypromellose Gel 0.03%. Why no Restasis or Lotemax (loteprednol) eye drops?

Most people. with dry eyes do not need anti-inflammatory treatment. They do well with just topical lubricants. Read more...
Yes----first level. Systane is brand of artificial tear, and there are many different brands. Artificial tear Gels are artificial tears as well, but thicker. Not every doctor treats the same way. My first line of treatment for dry eyes is artificial tears and warm compresses. If no improvement, I add restasis and other things afterward. Read more...

What can be done for chronic dry eyes when everything has already been tried? Restasis for 14 weeks, azasis for a month, bottom plugs. Tried steroid drops, antibiotic drops, upper plugs, nothing works. I can barely keep my eyes open for 10 seconds.

1) . 1) take organic coldpress flaxseed oil supplments - whole foods has a brand as well as barleans. 3000mg - 6000mg orally by mouth daily - take for 4-6 weeks to determine if this helps. 2) refresh pm ointment or genteal gel ointment at bedtime, line the just inside the lower eyelid prior to going to bed. 3)warm compresses (warm wash cloth and hold over eyelid 3 minutes) prior to bed, then massage the lower eyelid at base of lashes. This will help increase the natural oils of the eyes and keep the glands open. 4) preservative free artificial tears every 2 hours for 1 week; then 4x's daily there after. Systane, theratears or refresh have good preservative free brand. 5) testoterone compounded cream by prescription, 10% strength - apply 0.05cc on upper eyelid lashes. This should only be tired after trying steps 1-4 for 4-6 weeks without improvement. Disucss this with your eyecare provider - there are several published research articles on this treatment. Read more...
Dry eye treatment. Cyclosporine 1 or 2%, dhea drops, ointment at night, omega-3 fatty acid supplements, warm lid compresses, review and adjustment of systemic meds which may be worsening the issue, diagnosis and treatment of any underlying autoimmune disease, corneoscleral lenses, tarsorrhaphy, good hydration, lacrisert, (hydroxypropyl cellulose) and more. See a corneal specialist for further treatment. Read more...