Have to agree, I would say he is just a little cautious! He shot me down for muscle balance. Said I could see the specialist, but it may not give any hope. Saw the specialist, no problems at at all! Renewals are much more straight forward, usually with the application of common sense too, so if the AME can see there are no major problems, your fine! ie if you have got a little thing like the muscle balance, as long as it does not inhibit your vision, its ok.