Will get a strong ophtho letter from my PI, not sure if I will get another ophtho letter or not.
Not really feeling so hot this app cycle without aways and my cruddy app. I'm wondering if my step 1 can atleast carry me to match? I've heard that Step 1 isn't really that important for ophtho once you break past the 245 barrier but was advised that a year off would probably be a waste of time.....
If anything this should be a good cycle for you because no one is going to be doing aways and building connections/getting letters. So, step scores will likely hold a lot of weight because that is the main thing PDs can go by.
I know ophtho is sort of its own little world but that sounds like a pretty solid app to me. If taking a research year would be a waste of time (meaning it is not a glaring weakness), and you clearly don't have any other weaknesses in your app, it sounds like you're pretty much ready to go. I would never say anyone is 100% going to match in any specialty, but mine is more competitive than ophtho and I would still give you really strong odds of matching in it.
Your weaknesses are your grades (probably slightly below average) and your school (not a weakness per se, just not a strength). Ophtho tends to not be too elitist with school caliber from my experience. Coming from a top top school will help - just take a look at the top programs and where the students hail from - but many folks match well above their school ranking. Everything else on your app is great.
This process makes us all doubt ourselves. You have a good application. It will be a crapshoot for top programs, but I think you are good for matching. Honor your sub-i and get any last minute research in.