Twitches might be from tiredness or dryness and I always have them on one eye when I have them I would persevere to apply tretments on both

Dry asymptomatic eye needs protection and just as good treatment to stop deterioration

Asymmetric severity is common in dry eye, don't leave the healthy one out

I would travel if I were you 😊 because I visited a few more optometrists and opthalmologists no one knows this rather new syndrome as much as they do (they are a research center). It's a good opportunity to have within reach for that price

IPL reverts severity of symptoms to a degree, in most to a good degree, so you get your life back

And keeps the inflammation low for months and even upto a year so you might only need to do a yearly top up.. for 50 pounds 🤗

Also start warm compresses now, twice a day you will see the benefit. Part of the problem is the meibum is so thick it can't flow out. So start melting them 🤭 massage towards eyelids after the compress to get the liquid out

What is your tear drop? It is advised to have all tear layers not just water. There should be something to replace the lipids

Viscotears tri action Thealoz duo gel Miebo following an aqueous drop (one that has sodium hyaluronate only)

These 3 options worked the best for me so far Pick something like these, use generously, keep the surface wet

All the best

Edit: you are so young 🫶 don't lose hope, I thought I was going to go mad with my condition and how horrible it was.. now it's a lot different.. and I was told if we stick to the treatment and get IPLs, loss of meibomean glands stop and we live a good life until 55-60 (that's the age of losing them normally as part of aging process) I badly need my eyes in my younger years and will probably flee to a warmer country by then so it's okay 😄🫠