My old eyeballs are delaminating. I have a katzeye-clone screen on my K20D, but find that subjects need to be contrasty and well-lit for it to be useful. So with my (mostly) manual lenses, I depend a great deal on Catch-In-Focus (CIF). I need merely frame the image, hold the shutter down, and twist the focus ring. When focus is achieved, the shutter snaps automagically. This even works well with moving subjects on the street, like grab-shots of passersby. With a fairly wide lens I hardly even need to raise the camera to my eyes. Just aim and twist and shoot. Almost as good as AF, eh?
Yes, a split-image screen can be useful, but not so much with dimmer light and bland subjects. It's great when your subject has sharp features, so you can tell when the split halves align. Some of my manual lenses don't support CIF so I *do* carefully watch those split images. But I keep watch for the green focus-confirmation light too. With either CIF or the split-screen, plus the confirmation light, I find manual focusing to be easy and straightforward. Very few of my MF shots are out-of-focus. Unless I'm sloppy, of course..