Tried everything still suffer? Possible causes by Dr Mark Milner

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Maybe someone cares to read this article:

How to Evaluate the Lid and Ocular Surface
Recognizing minor signs of underlying ocular surface or lid disease requires a thorough evaluation. Here’s a guide to a comprehensive exam of the ocular surface.
By Marlon J. Demeritt, OD, and Beata I. Lewandowska, OD, Nov. 20 2018

The ocular surface is comprised of the cornea, conjunctiva, eyelids, eyelashes, tear film, main and accessory lacrimal glands and meibomian glands.

The eyelids play a major role in protecting and spreading the moisture over the ocular surface.

The lower eyelid supports the tear film, and the glands of Zeiss and Moll, as well as the meibomian glands, secrete lipids.

The blinking action stimulates the release of lipids into the tear film as well as moves the tear film towards the puncta. Any disruption in the normal anatomy and physiology of this system can cause the patient to become symptomatic of ocular surface pathology.

more
https://www.reviewofoptometry.com/ar...ocular-surface

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I suspect this might be a masquerader, especially most doctors do not check inflammation, as Dr Toyos says.
Bacterial keratitis and its symptoms may:

• pain in the eye (often sudden, chronic)
• unusual eye redness
• reduced vision
• increased light sensitivity
• excessive tearing
• discharge from your eye

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''Toxic cosmetics exposures abound. Near total MGD loss and the main suspect is daily eye makeup remover loaded with dryeye exacerbating ingredients.
Yes please remove your makeup but not with this ocular Surface unfriendly mix! ...''

This is from dryeyemaster, Dr Periman, if care to view the gland photo,

https://www.instagram.com/p/BrRxBYLF...=16r9su3riksi9

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Just share:

Differentiating ocular pain: Nociceptive or neuropathic
Jan. 2019, Reviewed by Anat Galor, MD, MSPH

''The take-home points are that eye symptoms characterized as “dryness,” “burning,” and “shooting pain” indicate that nerves are firing, she said.

“The important factor is to figure out what is causing the nerves to fire—whether it is due to nociceptive sources of pain or nerve abnormalities (neuropathic pain) or both,” Dr. Galor said.

Not all symptoms of dryness are driven by “dry eye,” i.e., aqueous tear deficiency, she added.

“The key to achieving happy patients is to determine the cause of pain and to treat it appropriately.” Dr. Galor concluded.''

More http://www.ophthalmologytimes.com/cl...athic/page/0/3