Nikki
                    
                    
                    
                    
                    
                    
                    
                        
                        
                        I had permanent plugs put in 5 1/2 years, they worked great for a couple years. Now once again my eyes are severly dry. There are a few things that can help: Hot compress for 3-5 minutes once per day, Flax Seed Oil (OTC  Dietary Supplement), Celluvisc and Refresh Plus.