As background, I have myopia, astigmatism, and presbyopia. The last time I got glasses it appeared that they did not correct my vision. I went to another optometrist and got new glasses but the same thing happened. Then I realized that the problem is my eyes, not the glasses. The optometrist retested me and said I have map dot dystrophy. Then I went to an ophthalmologist (cornea specialty) who so far has tried two conservative treatments: 1) Elestat drops to control eye allergy, and 2) Lotemax drops to try to calm down my changing vision. Neither have worked although the Elestat did appear to fix mucus buildup in my eye.
The ophthalmologist is talking now about doing surgery. He wants me to have cataract surgery, which I believe is just because he sees early stage signs and wants to take care of this while we are doing things to my eyes. More importantly he wants to perform PTK or PTK/PRK to smooth the cornea, eliminate the blurriness, and while we're at it, do refractive correction.
However so far I don't even know what the diagnosis is. I see lots of articles about various dystrophies, but I don't know which one I might have and if this treatment should work. He told me that I do have map dot dystrophy but that this is not causing my problem - it is genetic and I've had it all along.
I am scheduling a second opinion, hopefully from a well-regarded cornea specialist.
Do you have any other suggestions or am I following all the right steps. Thanks for your input.