One thing left out of this discussion is Cataracts. I started getting one in my late 50's.
They can cause the problems discussed here and mimic the red dot issues attributed to astigmatism.
They scatter the light before it can be focused on the retina.
Prescription lenses make sure the focal point is directly on the retina, not in front of or behind, which is the cause of near or farsightedness.
Lenses also can correct the effect of your eye not being perfectly round which causes astigmatism. Problem is even if the light is now directly focused on the retina
as it should be it is diffused by the your cloudy natural lens, i.e. cataract. Your vision will never be sharp and clear, even with the finest glasses on earth.
When I bought my first Eotech (because my vision made iron sights inaccurate) and looked thru it the first time I almost cried.
The dot was blurry with star bursts coming out of it. All that $ basically wasted.
About the same time I went to my optometrist for new glasses. We tried every possible combination of correction but it was never sharp and clear.
She searched my eye with everything she had but could find no reason for it. I decided to visit an ophthalmologist (a medical doctor). They
administer drops that dilate the eye allowing them to truly examine it and see what no optometrist can. He immediately spotted a 1/2 mm
posterior cataract.
Fortunately I now have a nice new clear plastic lens in place of my natural one. My red dot is now clear and sharp as well as the target behind it. My optical scopes reticles are sharp and clear and I can use iron sights again. If you want your eye fully checked for health go to an ophthalmologist. After you have done that and want a prescription for glasses go to an optometrist. This is no knock on optometrists, their job is to refract for lenses and they are very good at it.
Continued on next post, system says I'm too new to make a long post.