Don, thank you so much for your response. I am sitting here in despair and it helps so much to connect with a fellow traveller on this difficult and frightening path. Yes, I am thinking of heading to a center of excellence, just don't know which to choose. I’m hoping someone can recommend based on first hand experience. I want to be sure that the trip will be worth it. I want a doctor who will take the time and not be rushed. The trouble is that the distance makes close follow up hard to achieve. I am losing central vision at age 65 and need to be aggressive.