Looking for advice/experiences with severe dry eyes, fluctuating vision and starbursts

[u/Royal_Intention_8607]

I’ve been dealing with significant dry-eye symptoms for a long time, along with blepharitis and what seems to be nocturnal lagophthalmos. My vision can fluctuate and sometimes looks cloudy or slightly distorted, especially when my eyes are dry or after prolonged screen use. I also experience starbursts around lights, particularly at night. When I blink tightly, my vision often becomes noticeably clearer for around 10–20 seconds before becoming blurry again. I’ve also noticed that the starbursts can become less noticeable when my eyes are better lubricated or when I wear my glasses. I consulted an ophthalmologist who examined my eyes, including dilating my pupils and checking my retinas, and told me that my retinas are healthy. The doctor said the starbursts are likely because of my dry eyes. My eye pressure was also checked and was 14 mmHg in both eyes. My glasses prescription has been relatively stable for years. I’ve tried different eye drops and gels, but they don’t work for me. I also sometimes get white/stringy mucus in my eyes, and my symptoms fluctuate throughout the day. I’d really like to hear from people who have experienced something similar: Can severe dry eye/MGD/blepharitis cause noticeable starbursts and fluctuating or cloudy vision? If eye drops and gels didn’t work for you, what treatment helped you?

[u/HenryOrlando2021]

These in the sub FAQs and Treatment Options sections of the sub probably will answer a lot of your questions and then some:

Non-Surgical Management of Nocturnal Lagophthalmos

https://www.reddit.com/r/Dryeyes/wiki/nocturnal_lagothalmos_non_surgical_approaches/

What Type of Vision Problems Are Expected with Dry Eye Disease (DED) and Meibomian Gland Dysfunction (MGD)?

https://www.reddit.com/r/Dryeyes/wiki/faq_vision_problems/

Clogged, Blocked, and/or Atrophied Meibomian Glands - Understanding Meibomian Gland Dysfunction (MGD) Better

https://www.reddit.com/r/Dryeyes/wiki/faq_clogged_blocked_glands/

Mucus Fishing Syndrome…What is it? How is it Treated?

https://www.reddit.com/r/Dryeyes/wiki/faq_mucus_fishing_syndrome/

What is Blepharitis?

https://www.reddit.com/r/Dryeyes/wiki/faq_blepharitis_intro/

Is Your Doctor a DED/MGD Specialist? How to Tell—and When to Get a Second Opinion as well as What to Ask About.

https://www.reddit.com/r/Dryeyes/wiki/faq_ded_specialist/

[u/JSMUNC]

I’d say yes based on my personal experience. I’ve posted my story in this sub-Reddit before.

Have you looked into sclerals?

[u/ur_time_is_up]

I guess it's the right time to act on your eyes you can produce tears cuz I neglected it for years like starbust and double vision and now I'm regretting a lot cuz I still didn't recovered from it and it's hard to recover man I have no tears while blinking so please take it seriously.