i am in the same boat koffiejunkie, my eyesight is the pits! mine is due to strange astigmatism that likes to change at the drop of a hat. i've noticed though that most of my focus problem has to do with the way my glasses sit with accordance to the viewfinder. when i press my eye to the viewfinder it sits my glass just slightly off which in turn completely funks up my sight which makes it difficult to focus in manual. everyone that wears glasses has a astigmatism, some worse than others, that is why when you get your new glasses made the doctor always does measurements on your eyes, it is to get the correct alignment in the lens for your astigmatism. i have found that if you wear glasses that are more flush with your face it makes it easier to focus through the viewfinder. my regular glasses are small and square shaped and are a pain when it comes to looking through the viewfinder, however my reading glasses are a bit larger and more flush with my face and they work very well with my viewfinder.
there are magnifiers and diopters out there as well as eye cups designed for people who wear specs but i have yet to find a place here in s.a. that sells them. b & h sells them and they are not too pricey at all and people with poor eyesight say they really do work for them so perhaps that might be an option for you, either that or you may want to look at the design of your specs that you wear.