[foobiekr]

That is a great suggestion IMHO. ASTs are pretty amazing but they're not a cure for everyone.

In the case above, I'm referring to my spouse. Her entire family has this problem - dry eye, frequent / continuous corneal erosions - setting in by their mid-late thirties. These are the people who end up wearing sleeping goggles, ointment, taping their lids shut, etc. It's not a lack of tear production, it's poor corneal basement layer adhesion for some undiagnosed reason and, probably, eyelids drifting open during sleep.

[gdebel]

Ciclosporin 2% eyedrops and/or punctum plugs may be useful. I home she'll get better eventually.

[foobiekr]

she went way past both of those. it was not a fun time getting things compounded.