chury,
I see your point about not wanting to forget medicine while in ophtho, but I think you would be surprised about how much medicine works its way into ophtho and ocular defects. Even in the most rural of rural areas I haven't seen an ophtho practicing 'general' medicine. Pretty much restrict themselves to the eye, and even in rural areas it is pretty specialized eye care at that. It seems that optometrists have spread themselves out so that even when ophthos are few and far between in some rural areas, there are OD's in just about every small town doing primary eye care stuff. I understand your outlook, but it probably will change with time. If it doesn't, don't count out a primary care specialty. Family practice docs can take on a bit of outpatient general ocular (medical) problems. If being a generalist is what you want it is a noble field and needs some more good practitioners!