If you read my other post you will have a basic idea of my situation,
but quickly stated:
I have been wearing ortho-k lenses for a few weeks and have excellent
daytime vision, but dim/night conditions are what I would consider to
be very poor.  I see halos around light on dark objects (white on black
writing, white window trim on a brown wall etc) and I see starbursts
around distant lights.   While driving I have an odd combination of
very sharp vision and starbursts that make me feel like I cannot focus.
If I am in "city" conditions with lots of traffic and light around me,
the issue is minimal, but on a fairly empty highway it is very
noticable.  - It is not my vision fading, if I go into a very bright
room I can see perfectly, even late, my vision only fades to about
20/20 by 11pm (20/15 in the mornings).

So far my doctor has used flourescine die with a light slit/keratometer
and a large square "magnifier" type tool to determine centration, but
not a topographer. I asked about a topography but he stated it would
not provide any additional information at this point. He stated that
the flourescine would show centration, even from sleeping.

At my last appointment he did not have anything new to offer, but
suggested I continue using the lenses for another week or two and come
back.  If I am still having issues, then we wil see what we can do.
Unfortunately I have seen no reduction since Tuesday, and am having my
doubts that I will see any additional reduction, so I am looking for
some recommendations here.

One thing I noticed this morning.  Upon waking up I looked at the trim
in the room, as it is white on brown and can produce a pronounced halo
in dim light for me.  Definite halo around all of the trim with the
lenses in.  I proceeded to put a few drops of rewetting solution in my
eyes and napped for about 5 more minutes.  This time when I opened my
eyes up again my lenses were moving freely, where they were not before,
and looked at the trim again.  This time rather than seeing the halo
stay solid, I saw that every time I blinked the halo would come back,
then it would slowly dissapear as the lens moved.  I know for a fact
this was happening as the lens moved because of the visable bottom lens
edge, I cannot look at it directly of course, but I can clearly see it
and watch it move without a mirror.

I don't want to self-diagnose, but does this sound like it is a
centration issue or just an aspect of wearing OK lenses?  Could my
eyelids be moving the lenses off center enough to cause vision issues
during the day? Would my doctor not be able to tell about my night
centration issues using flourescine?

Thanks!

(before the crew goes at it, no the lenses don't hurt, yes my vision is
great in the mornings, no it doesn't fade quickly, no driving isn't
dangerous, no I havent changed my license just yet, no it isn't
annoying to do, yes i can sleep just fine, and no I don't want your
opinions of lasik vs AOK or mumbo jumbo about positive lenses or
whatever.  please don't post in this thread if you are not actually
responding to me about my questions, use my other ortho-k thread for
that)