Why buy a camera with AF as good as the D200 and worry about manual focus gears? I take the odd image underwater and don't own a single manual focus gear for any of my lenses.
DiveGypsy mentioned a few reasons why manual focus can sometimes be useful. I agree with Alex as far as wide angle is concerned, and don't own any mf gears for any of my wide-angle lenses. But macro can be a different story. A few examples:
1. Shooting a commensal Pandalid shrimp (Miropandalus hardingi) on a bushy black coral on a wall, and unable to lock focus on the shrimp amidst the tangled branches of black coral. It took me awhile to remember this was why why I paid the extra $$ for a manual focus port for my 105. MF worked.
2. Shooting gobies and alpheid shrimp in very shallow water at mid-day, with strong sunlight ripples passing over the sand. The moving bands of shadow and bright sunlight completely confused the auto-focus system. This dive was the reason I subsequently paid the extra $$ to buy a new manual focus port for my 105. Not a single frame in the entire roll was in focus. (This was back in film days - the D2X might have handled the situation better than my old F801s did, but I'm not sure of that.)
3. Shooting picture dragonets in very turbid water at Secret Bay here in Bali. The D2X's AF capabilities are awesome, way beyond any other camera I've ever owned. But I really wanted the camera to focus on the dragonets, not those particles in the water between the dragonet and the lens.
4. Shooting a tiny pearlfish swimming in open water (away from its home hole in the nether regions of a holothurian) on a night dive. I spent several minutes trying to capture this rapidly moving fish with the D2X using autofocus. The dark night time water was also full of weird wriggling thingies, which didn't help the AF. Manual focus worked.
I'd be happy to use AF all the time if I could, but sometimes it just doesn't work. On a night dive with poor viz and/or lots of wriggling thingies attracted to my light, I probably use manual focus at least as much or more than I use AF.
Frogfish