I had my upper and lower eyelids done about 3 years ago and the plastic surgeon never asked me if I suffered from dry eyes, nor was I aware that this could worsen the condition. I am suffering with excruciating pain at night that wakes me up during/after REM. My eyes are so dry that it feels like someone is scrubbing them with a steel brush. I use Rystasis twice daily, my tear ducts have been plugged, I use Oasis contact lenses (I've been advised against lasic surgery), I lubricate my eyes with Genteal Gel at night, lubricant for contact lense user in the daytime, drink some water (never drank much anyway) and the problem persists. I have been to many dry eye specialists including the Bascom Palmer Eye Institute and it seems that they do not have any more suggestions than what I'm presently doing. What else can I do? Am I running the risk of eye injury due to this? Eyesight loss?