So you've already tried artificial tears, medications, warm compresses, sleep masks/goggles, and you still have wrinkles, I mean dry eye? IPL may be your next step.
IPL uses different wavelengths of light to improve Meibomian Gland Dysfunction (MGD). MGD occurs when oils that's produced by the Meibomian Gland thickens and unable to be expressed. This leaves your eyes vanurable to bacteria. Once bacteria gets a foothold, it snowballs in to all sorts of other problems like eye infections. IPL helps melt these oils and help repair the Meibomian Gland. Skin discoloration, texture, and appearance are also improved during these treatments. Hopefully, you won't mind.
Patience! It takes about 4 treatments to achieve full results with IPL. Periodic maintenance treatments may be necessary.