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[quote=Anonymous][quote=Anonymous]See an ophthalmologist. Possibly meibomian gland dysfunction (the oil glands in your eyes) that help prevent tears from evaporating too quickly, decreased tear production, a combination of the two, or something else.[/quote]

This.  I had the Lipiflow procedure done for MGD and it was life-changing.  It's in-office, easy, painless, fast.  It has to be done by an MD.  When I had it done, it wasn't covered by my health insurance and cost about $800.  I only needed one treatment 5 years ago.
When I later had to have eye surgery for another issue, every surgeon I consulted said that I would have a faster recovery since I had the Lipiflow procedure done pre-surgery.
If you're wondering whether or not your dry-eye is caused by MGD, they do an imaging test of your meibomium glands first and it's really easy to see how blocked (or not)  they are.  
PS.  My blockage wasn't caused by "tight-lining" my eyes with cosmetics, but it is a cause of MGD.  Eyeliner repeatedly and thickly applied over the glands and inadequately removed, or scrubbed so much as to cause irritation and swelling, is a problem.
You will be able to use eyeliner again but in a way that doesn't cause a problem.  Also, some brands and formulations of eyeliner are less damaging than others.  Since cosmetic companies are constantly changing their formulations,  you have to keep checking on MGD patient forums to find out the latest info about the "good" brands.
Good luck.[/quote]

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