Just because some of you keep asking. . .
I saw the corneal specialist yesterday. The good news: there's a quick solution to all of this. The bad news: It's PRK laser surgery, which would cost a mere $5000. So if anybody's feeling particularly generous, let me know.
Barring that, there are two options. Glasses, or contacts. I'm borderline for glasses, because, post-surgery, the focal point is fairly different between the two eyes. As in, I'm nearsighted in both, but one focuses about 3 inches out, the other about 12 inches out. And that could make for some issues with fitting glasses that don't look weird or give me headaches on a regular basis.
I'm still not a candidate for a normal contact, because the cornea has some steepening toward my nose. The option left is a lens that's specifically crafted to fit the ridges on my cornea, which theoretically should lock the lens into place. Usually the specialist doesn't like making that kind of lens for a person with a graft, but in my case it seems the best option.
Complicating all of this is the fact that I'm 42, so am right on the cusp of needing reading glasses or bifocals, so no matter what we do now, in another couple years we're back to looking at some sort of glasses. It's all so much juggling of a lot of complicating factors. For now, he's ordering the custom lens and I'll give it a try when it shows up next week, and we'll see how that goes.
One idea he mentioned was to pray I develop cataracts, because then my insurance would pay for the PRK surgery. I'm not sure I'm ready to ask for that yet.