She looked me in my eyes and told me that she was in it for the long haul - no quick fixes - and that her main goal was for me to have my vision for the next fifty years.
I took that as I am going to have these ocular diseases forever and the Retinal Specialist will deal with the symptoms (ex: retinal holes, retinal detachment, etc) as they arise so that I don't experience complete vision loss.
I got the feeling that since I'm only thirty, she didn't want to have me feel like my vision outlook was bleak.
Physicians don't have crystal balls. We cannot foretell the future. We can sometimes say "this is what useally happens" but patients often hear "this is what will happen to you"
Only your eye MD that has looked in your eye and has your history can tell you "what usually happens) or give you odds about future changes.
JCH MD