I just wanted to follow up that it has been two weeks now and the fatigue has definitely decreased. I am not feeling exhausted in the middle of the day now and don't feel the need to lie down so much.
As for the close-up vision - I am convinced the residual astigmatism has messed me up. I really think I am going to need reading glasses. I CAN read now, but it is still uncomfortable. Not as clear as I would like it to be.