I have used restasis, xiidra, have punctual plugs in both upper and lower eyelids numerous times, sorry to say did not work, but everyone is different, Recommend you obtain a book called The Dry Eye Remedy, written by Robert Latkany, M.D., he is the founder and director of the Dry Eye Clinic at the New York Eye and Ear Infirmary. One of his chapters, Your Home Eye Spa, advises what you should do to help your dry eyes at home. His offices are located in Manhattan and Purchase N.Y.