Good evening @deannweir, @sue225, I have graduated to Xiidra. It seems to be doing the job as I need less of the artificial tears every day. The ophthalmologist told me that the only way I could escape dry eye with small fiber neuropathy was to move to a rain forest. So far MN has higher humidity and more moisture (rain/snow) than any other place I have lived including Hawaii. It is so good to see folks sharing what works or might work for other members. Thank you everyone.

May you all be free of suffering and the causes of suffering.
Chris