The pain changes all the time. I know exactly what you mean by the little swords. I find the tramadol works well when it feels that way. None of my doctors know why this happened. I was completely fine. Just had an eye exam and the doc told me I could be a fighter pilot. Then I went grocery shopping one evening and suddenly it felt like sharp icicles flying into my eyes. I couldn't stand the lights, wind, dust. I've been tested for every autoimmune. I was diagnosed with Hashimotos thyroiditis years ago. I had a thyroid storm. It's been fine ever since (I get tested every year). I do have raynauds (cold hands+feet). My rheum. says that may be the reason my ANA is high. I do have to say when this all started it was very high, but again, they didn't find anything.