I have had a radial keratotomy in the 1980's. Cataract surgery circa 2017 and some follow up surgery in 2021 (I forget the name, uses a laser to give more light). Also radiation to my head for throat cancer. My whole head is dry as a bone.
Anyway, I've had very dry eyes and have tried a lot of things. I have not tried Xiidra due to the price. I do use a bilberry supplement daily that seems to help temper my dry eyes and then I use an over the counter (varies with my mood). Also, I have a gel mask (for sinus) that I heat up, put over my eyes for 2 minutes a day, and that helps quite a bit - as do hot showers. Off topic from your question, but just my experience. My dry eyes were horrid, now more of a nuisance.
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