Grainy circle center of vision

About 2 years ago I started noticing grainy spots in both eyes (larger in right) that would form if I strained my eyes and didn't use reading glasses. After I rested my eyes the spots would gradually resolve by getting smaller and more intermittent. Eye Dr did tear test and noted dry eyes and also demodex. Macula and retina are good. Used xdemvy for demodex bruder mask for dry eye. Things were pretty good. Sometimes they would be a little worse. Over the past few weeks, I'm waking up with that grainy speckled circle in the center of my vision in the right eye only. Then after it resolves I'll get a little flash that kinda looks like a small floater but not quite the same. Gel Eye drops have had no effect. I have an appointment tomorrow. Is this going to continue to get worse?