After extensive testing (hormonal and auto-immune) came back normal, my doctors can not figure out how a 20 year old can have such sudden severe dry eye. I am on
restasis, have punctal plugs, tried steroid drops, warm compresses, lid massages, and I have not gotten relief. They said my tear break up time is low, but I don't have much meibomitis, my schmimer fluctuates every time (from 4 to 20) so the doctors say is not a really reliable measure.