My prescription is still pretty mild, but I'm now officially old. Time for progressive lenses, the new age bifocal.
As to my retinas, they're in fairly decent shape, with the very vaguest beginnings of diabetic damage. He wants to see me every six months from now on to watch the retinas for any further damage, and as a diabetic himself, suggested several ways for me to get the blood sugar down, says that that is my BEST defense for the eyes.
So there we go. Now to order my new glasses.