A 24yr old Bradistani man presents to his GP with a 2-week history of difficulty opening his eyes, particularly in the mornings. He can’t even open his eyes to describe his dream of sending a Honda civic to the moon. He is fully conscious and able to speak, but keeps his eyes shut because they feel uncomfortable and gritty. He describes burning, itching, and intermittent blurred vision that improves with blinking. On examination, there is crusting and erythema along the eyelid margins, with grea