Hi. I'm online and happy to answer your question today.
ASP is a tried and true treatment for recurrent corneal erosion syndrome, which you may be experiencing with all the flap problems you've had since your lasik. PRK also works for this condition.
I do believe that, from what you have said, it should help you.
You should also consider the possibility that you may have some component of blepharitis contributing to your tear film problems. For this I suggest baby shampoo lid scrubs.
Blepharitis is a condition where glands in the eyelids are not functioning normally. They become plugged and instead of putting out their normal clear, oily secretions, they put out thick, toothpaste like gunk. You may not be able to see this “gunk” yourself, unless it is really bad, but it shows up clearly on slit lamp examination.
The best treatment for this condition daily lid scrubs combined with warm compresses. I like to use baby shampoo for lid scrubs. In the shower, place the shampoo on your index fingers, close your eyes, raise your eyebrows (to stretch the skin on your eyelids) and scrub back and forth along your eyelashes for 3 to 5 minutes. The hot water in the shower helps to soften the plugged oils in the glands while the mechanical scrubbing with your soapy fingers removes the oils.
Does this make sense to you?
And, now, the obligatory word from our sponsors: :o)
I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and press the ACCEPT button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much. Positive Feedback and/or Bonus is welcomed and appreciated.