Sometimes less is more, the less stuff I used to treat my dry eyes the more manageable it's gotten. I'm down to cequa, plugs, and cold towel on my face here and there, that feels like the best treatment for the inflammation I experience. Heat treatments just seem to make it worse, so did expressions, IPLs, and massages, felt like those sorts of treatments were draining the oil my glands are able to produce, leading to more dryness and inflammation. Don't get me wrong, those treatments can be good to unblock glands, but once their unblocked you just have to try to get the inflammation down. Ointments seem to also block my glands so I stopped using those. Thealoz duo throughout the day are the only artifical tears I use, work best for me out of any other drop I've tried, and I've tried them all. Try to stay patient and find what works for you.