Originally Posted by Lobstah

FYI: Dilated eye exam is standard for all eye exams but what is actually checked during this varies by ophthalmologist.
I don't know what yours is actually checking and only you would know if you asked for a complete breakdown, most people never ask.
These tests can include Visual Acuity, Refraction, Visual Field, Slit Lamp, Eye Muscle, Glaucoma, Color, Retinoscopy, Corneal Topography and others.
Ophthalmologists can run an assessment for night vision acuity and for cataracts.
And every person with sight will develop cataracts, the only question is at what age and from there how quickly they will progress.
All 20/20 vison means is you have "normal" human vision, there are people who have a better sight than that.
In addition, 20/20 simple means you do not require the use of vision aids (glasses, contacts, etc.). I have 20/20 with my glasses.
Plus, a person with 20/20 or better vision can still have cataracts and/or poor night vision.
If you are not getting the full examinations, then you do not know your actual night driving ability and have no base comparison for each yearly exam.
I know this as I had Moh's surgery and reconstruction on my lower left eyelid to remove cancer another "fun thing" that happened the year I retired.
Luckily my ophthalmologist discovered this when I went in for what I thought was an ingrown eyelash.
I get multiple tests every year and it requires two appointments as the other tests can only be done without dilation.
I no longer drive at night, because while I too can "drive by starlight" as you typed, I'm nearly blinded by any oncoming traffic headlights.
Granted the rural roads around here have minimal traffic after dark, but I choose not to put the safety of others on the road at risk and keep my vehicles parked.

Originally Posted by schmieg

Having had multiple MOHS surgeries on my face, scalp and ears, I can't imagine having it on an eyelid. Did they put you out for that? I don't think I could hold my eyelid that still long enough.

I've been lucky on the night vision. Glare was one of the things I was worried about after the cataract surgery, but all I experienced was an increase in visual acuity and not seeing everything through a yellow filter.

Originally Posted by Lobstah

I too have had multiple MOHS but that was the first on an eye lid.
No, I was not put out, and it was definitely weird seeing a needle come at my eye. They (doctor and assistant) simply numbed the eyelid, then came at me with a scalpel and cut out about a dime to nickel sized area.
Whole thing including check-in and out, took less than 30 minutes and then my wife had to drive me to the "reconstruction surgeon", as the surgery for that has to be done the same day, and she was based in a hospital (60 miles away).
For that operation they use anesthesia and it took about 3.5 hours. She had to use some 25 sutures to pull everything together and fasten it to the outside corner of my eye lid area.
Felt like my eye had a cinch strap on it; luckily my eye lid looks sort of "ok" and still functions, but it did screw up some face nerves and my eye now "spits" and requires frequently cleaning of my glasses.
But fortunately, it had zero effect on my left eye vision, which you guessed, is my "best" eye.
Seeing how it could've been my whole eye, half my face or even up into my brain I considered myself very lucky.

Originally Posted by Lobstah

Unfortunately, "itching" can be "brain" based only with no real reason to scratch.
Itch runs along a neuronal interstate highway system that links the skin, the spinal cord, and the brain.
It's a misconnection between your nerve cells, spine and brain caused by your surgeries or a host of other possible issues.
You might like this article.
Itch and the Brain | Harvard Medical School