Hi
@GemmaLeanne
This is my dry eye tale... the bit that I believe you will find encouraging is towards the bottom, but do read the background to my story first...
When you're experiencing TMS symptoms the advice usually is to not medically treat those symptoms in order to tell your brain that you're not being fooled, that you know the symptoms are not physical. However, having experience of and being diagnosed with MGD and dry eye myself (at the world famous Moorfields Eye Hospital in London) I would say that you would be more than wise to continue to do the eyelid margin cleaning to declog your meibomian glands and use daytime drops and nighttime eye ointment (and regularly look away and have breaks from screen use) because when the eyeballs get dry it can actually cause physical damage (I won’t go into the latter because you will, I’m sure, have already read about that)... Whereas, as long as you are not allergic to the drops and ointment, they are not going to do you any harm, nor will doing the eyelid margin warming and cleaning.
My dry eye used to wake me up at night with horrendous burning pain. The brain may cause the symptoms, but the symptoms are
very real and if it's causing your meibomian glands to clog up and your eyeballs to dry (and your eye doctors will have seen evidence of this when they examined you) then it's causing your meibomian glands to clog up and you eyeballs to dry and you need to treat to continue to protect the integrity of your eyes.
My own dry eye was a confusing mix... in part it's due to TMS and in part it's caused by a very rare eye condition with fluctuating symptoms that causes me to blink less than other people do.
Because it's TMS
and due to a (non-TMS) eye condition that fluctuates in its severity, there have been long periods where I do not need the eye drops or nighttime eye ointment…
I used to keep testing out whether I needed those things by intermittently stopping them for a while but after one particularly bad episode of being awoken again in the middle of the night by horrendous burning eye pain, I always use my nighttime eye ointment and I always wear eye masks at night too (one use disposable ones that I make myself) that prevent moisture evaporation (and these days I only use the day time drops when my eyes start to feel a bit gritty or otherwise uncomfortable)…
Of note is that TMS-wise I am still a work in progress and have other TMS symptoms (non-ocular) that I still have to contend with, so I am not fully recovered from TMS (but I have come a long way… from being bedridden for months on end to function pretty well these days)...
However, that said, what I believe you will find very encouraging about my story is that my meibomian glands no longer get clogged. I don't need to do the lid cleaning anymore, so it seems to me that it was my brain (TMSing) that was causing that (as my rare eye condition does not cause meibomian gland dysfunction, it causes dry eye due to reduced blinking).
It may take a while for you to address your TMSing brain to get it to stop TMSing and causing your symptoms.... So, in the meantime, what I'd say to do is to get your eyeballs as comfortable as you possibly can with the topical measures available (perhaps experiment, like I did, if your eye doctors say it's okay to do so, with different types of drops, and if that doesn't work, they can prescribe ones that are for severe to very severe dry eye*) but at the same time believe -- or at least
suspend any disbelief you may have -- that your dry eye is likely to be of mind/body/TMS cause and continue to do 'the work' to reduce your stress, e.g. as has already been mentioned to you, there's the free programme on this Wiki that you could do
https://www.tmswiki.org/ppd/Structured_Educational_Program (Structured Educational Program)
* Also, I found that commercial lid cleaners made my eyes sting badly during and after application, so I just used cooled boiled water (and to reduce all the faff around heating up my eyes lids I used this microwavable beanbag especially designed for the purpose
https://www.youreyehealth.co.uk/products/blephaeyebag?srsltid=AfmBOoo_satZ2p1AMRIa0EuJik8sG2fABJuIR4Kxt16LTkl6j4-TTTzg (Blepha EyeBag® | Dry, Tired & Sore Eye Relief | Thea Shop)... I'm in the UK so if you're in the US or elsewhere in the world you'd need to see if you can get it or something similar in the US if it's of interest to you).