I should also mention that I really struggle seeing in the dark and have trouble adjusting from light to dark
Yes, if your macular OCT was normal you don't have age related macular degeneration (ARMD). Especially if you are a menopausal or post menopausal female those are symptoms of dry eye (which Eye MDs call ocular surface disorder). There are two types 1. aqueous deficiency, the more severe, no tears, very irritated eye and often dry mouth. 2. Lipid deficiency in which the eyes water all the time. This is a chronic problem that often worsens with time. It can't be cured but can be helped and controlled. you can go on my blog and read extended discussion. Treatment goes: trying lots of artificial tears to find what works best for you; environmental modification (don't sleep with fan in bedroom, don't run AC/heater in face, if that doesn't help discussion of restasis (my favorite) or Xiidra (very expensive). You need to be sure your ophthalmologist is patient, kind and will take an interest in finding what works for you. Not all are. You can always get a second opinion from a different Eye MD ophthalmologist.