As far as choosing pilot over NFO, any one ever stop to think that some people (like me) have to go NFO because of vision requirements? I don't know, but that could be the case here. Only speculating.
Yes I know about PRK, but my optometrist advised against it.
This just might be a typo, but if not, keep in mind that optometrists are not M.D.s and don't perform surgery. An Ophthalmologist is the one that will actually do the procedure, and if you want an opinion from an M.D. you should see on of these folks.