I love the dot for carry and competition. My index is plenty good enough and training with the dot has really improved the speed of target visual acquisition. I don't have binocular vision so I can't fuse the dot and my left eye visual field. Not an issue for high contrast targets, but when the RDS field of view overlaps a poor contrast target my accuracy takes a hit since I can't discern the outline of the target. This isn't as such a vision issue, it's the result of viewing the target through the limited transmission of the RDS. Wouldn't be an issue with irons of course. I'd be slower with irons but in a different division (Limited versus Open in Steel Challenge). I'd stick with RDS for carry; my use case is such that target contrast would not be an issue.
I'd be interested if anyone is aware of transmission measurements having been performed on any of the popular RDS. In days of old when aircraft head-up displays used cathode ray tubes the combiner coatings could be tuned to the very narrow phosphor emission spikes to improve see-through. Could be done with an RDS at the expense of battery life since you would have to drive the LED emitter quite a bit harder.