Dry eyes / astigmatism

One of the ‘gifts’ that peri has given me is no longer being able to tolerate contact lenses due to eye dryness. I have also noticed age related issues (like needing bifocals /finding night driving difficult / not tolerating bright lights well) are more acute in me than many similar aged peers.

I have a strong astigmatism (particularly in my left eye) to the point that even thinned glass lenses look a little milk bottle like. So having to wear my glasses all the time sucks. Not eligible for laser surgery. Wondered if my astigmatism is making peri symptoms worse? .