Hi Brian, I wasn't given a level, but it was very mild at first. I didn't know I had the problem until I went for my yearly eye test. Since then, it has become very noticeable, and I often have to close my eye to focus on what I am reading. The specialist said it has not progressed very much since last year. But when I told him about the problems I am having, he said we should do the surgery, and it's better to do it now before it gets worse. He said the surgery is more difficult if the pucker gets more pronounced. The office said face down for 24-48 hours, which is still horrible. There is a lot of contradictory information out there. I don't know what to believe. Some say the face down only happens when you undergo certain kinds of surgery and is not necessary for a pucker, while others the opposite. I have to make up my mind before October, when my surgery is scheduled. Regards, Edale