Hi Ryman! I have chronic dry eye, Sjogren’s Syndrome and blepheritis. Add them all together and my eyes are miserable. I had been using Restasis twice a day and a lubricating gel drop four times a day, with no real improvement. About three months ago I had punctal plugs put in both eyes. I believe they may be helping a slight bit. Having them put in was not a big deal and was just done sitting in the ophthalmologist’s office. There was no pain at all, just a bit of pressure. Afterwards it took a couple of weeks for the feeling of something being there to go away. I’d say the worst part is having to be careful to not rub your eyes a lot. Hope this helps!