I am wondering if anyone has had a low score for basal tear production, but a high score for reflex tear production. If you got plugs, did they help much?

yes but what is your story?

I was diagnosed with dry eyes (aqueous tear defiency) and conjunctivochalasis (Dr Tseng). I have never had laser eye surgery or any previous eye surgery.

I have since had plugs since my original post, but was wondering - if my lacrimal glands are capable of producing tears, but for some reason are not producing enough on a regular basis, what does that mean? Is it just a "lazy" gland or is it something to do with low sensitivity? Are plugs essentially a permanent solution?

My father had such problem. Homoeopathist did help him.