I appreciate your input, and value your opinion.  I am still very
confused.  The polyopia came on overnight.  After about a month it is
not nearly as bad.  Now there a bunch of images close together and
seem to be more smeared than in good focus.  The vision gets better
and worse.  The Muro drops seems to clear it up sometimes.  I put up a
home eye chart and my vision goes from 20/20 to about 20/50.

The cataract surgeon measured corneal thickness of 645 and guttata of
3+.  He said the Fuchs is fairly well advanced.  How is it determined
how far advanced it is?  I am going for a cell count next month.  Does
that shed any more light on the subject?  He said he has seen too many
people with Fuchs that had bad results with cataract surgery that he
does not recommend operating.  John Hopkins says that it is usually OK
for corneal thickness below 640.  When I get motivated I will shop for
a cornea surgeon.  Do you have any recommendation for a good one in
the pacific northwest?  Or would you recommend a different cataract
surgeon?  

From the John Hopkins site:

http://www.hopkinsmedicine.org/wilmer/conditions/fuchs/treatment/fuchs_cataracts.html

Fuchs Endothelial Corneal Dystrophy (FECD) and Cataracts

Some people with cataracts also have Fuchs Endothelial Corneal
Dystrophy (FECD).  If a Fuchs patient undergoes cataract surgery, the
fragile endothelial cells of the cornea may be damaged.  (The
endothelial cells are those cells at the very back of the cornea.  The
endothelial cells deteriorate in patients with FECD.)  The loss of too
many of these cells can lead to edema (swelling) of the cornea.  This
edema can then sometimes lead to painful corneal bullae (blisters),
deterioration of vision, and eventually, the need for a corneal
transplant.

In summary, in a patient with FECD, a cataract surgery may hasten the
need for a corneal transplant.  Because of this risk, the corneas of
FECD patients are examined carefully before cataract surgery.
Sometimes, the eye doctor will decide that the patient should have
both cataract surgery and a corneal transplant at the same time.  By
doing this, two separate surgeries are combined into one procedure,
and recovery time is greatly reduced.

Recent research has helped doctors figure out when a Fuchs patient can
have simple cataract surgery and when a Fuchs patient should have a
combined surgery (cataract surgery plus corneal transplant).  These
researchers showed that many Fuchs patients with corneas thinner than
640 microns can usually have simple cataract surgery.  (A micron is a
very tiny unit of measurement.  Each micron is 0.00004 inches long.)

Whenever a person with FECD has cataract surgery, the surgeon uses
special jelly-like material called viscoelastic gel.  Viscoelastic gel
is put inside the eye to protect the back of the cornea during the
surgery.  The viscoelastic gel is then taken out again at the end of
the surgery.  This gel has been shown to greatly decrease endothelial
cell loss during cataract surgery.

Ophthalmologic researchers are trying to figure out if there is a
minimum number of endothelial cells that everyone has to have in order
to see properly.  Preliminary research, however, indicates that no
absolute number exists for this threshold value.  Instead, it seems to
vary from patient to patient.