Possible Causes:a. Incomplete Response: Your symptoms may persist if the underlying condition is severe or complex.b. Meibomian Gland Dysfunction: Blocked oil glands can lead to poor tear quality.c. Allergic/Inflammatory Conditions: Persistent discomfort may be due to other inflammations or allergies.d. Environmental Factors: Bright lights, wind, or screen time can exacerbate symptoms.e. Other Eye Conditions: Issues like blepharitis or corneal nerve problems can cause foreign body sensation.

Recommendations:a. Consult an Eye Specialist: A thorough re-evaluation is crucial. Tests like tear film analysis or meibomian gland assessment may be needed.b. Consider Additional Treatments: Warm compresses, eyelid hygiene, omega-3 supplements, or other medications might be beneficial.

Advice:

• Avoid self-medicating and seek professional guidance to tailor your treatment effectively.
• Persistent symptoms should be addressed to prevent impact on quality of life and eye health.