First of all, I am sorry to hear about the surgery going wrong. I can relate. I just went through my MMRB in July and am now in the MEB process. I had an eye injury early 2010 while in Iraq and had to undergo multiple eye procedures including two laser treatments of PTK... not PRK or LASIK! These procedures did not correct my issues and in fact moved me from 20/20 in my right eye to 20/400 correctable to 20/40. I now wear a hard lens in only the damaged eye, blah, blah, blah. Don't want to bore you. Just wanted to give some background.
If he is on his last temporary profile, he will be required to receive a permanent. If he is coded with 3 or 4 then he may be referred to a MMRB or a MEB. It all depends if he can perform basic soldier tasks. If even one of those tasks are checked, he will proceed directly to a MEB. My temporary profiles stated no PT, No weapon firing, No field exercises, etc....but, when that year was up, my PCM changed the wording of my profile to avoid the MEB. I went to the MMRB but they determined I couldn't continue in my MOS and I couldn't reclassfiy. It sounds like if your husbands new profile is written just the same as his temporary profiles have been written the MMRB will be skipped. Keep in mind though, the MMRB may be a thing of the past by the time the permanent profile is written as units are moving to the MAR2 program. Some posts are only performing the MAR2. You will have to google MAR2 for more info though. I quit my research when I found out the program was delayed once again and the MMRB would in fact occur. If you would like any other info regarding the eye situation since I just went through numerous procedures feel free to PM or reply. I don't think your husband will be screwed though in any way. I had those same worries and am now feeling like the Army and VA will be taking care of me from here on out. I wish you and your husband the best of luck.