We live in Southeast Georgia where it is very humid. I see my Rheumatologist every 3 mo and go to a ophthalmologist that specializes in dry eye. I also have RA. My right eye keeps getting inflamed and I am currently am using lotemax again to try to calm it down. I have tried restasis , Xiidra, and currently on Cequa, but I am going back to Xiidra after using the lotemax 1 week. I think it is better than Cequa. I am going to keep it in frig to help with burning. The ophthalmologist told me Monday that my tear glands are producing at all and my corneas are severely dry all caused by Sjögren. I ordered the Bruder mask after reading on this site and am hoping it it help. Thanks for reaching out.