I did not originally start this eye drop because I sleep with my eyes open. I’ve had a positive ANA for years and borderline Sjogrens but not elevated enough to get a diagnosis. As I age it has become much worse getting corneal abrasions to frequently. Nothing was working so my eye doctor said you might also sleep with your eyes open. He did a test, I do sleep with them partially open. I now paper tape at night which has helped a lot but far from the cure of this dryness. I’m a moth in about with new serum drops and will hope for the best. They did recommend tubes as well at 3 month visit. I also have dry moth and had swallowing issues. I had an endoscopy to widen esophagus. It has helped and be repeated when needed.
Joanne