Crystalens HD or Aspheric???

Dear Doctor & patients,

I'm very confused & concerned about getting eye surgery... I'm in my early 50's and can no longer wear my GP contact lenses due to dry eyes.  I had great, crisp correction of astigmatism & severe myopia for many years with my GP contacts, then used reading glasses over them throughout my 40's until I could no longer tolerate my dry eyes...

Now, I am wearing progressive glasses for over 2 years, but  many of my activities are limited, including driving because my vision is not crisp & I do not have the peripheral vision that contact lenses provided.  I've become much less active & it is affecting my work ...

I am a CPA & an avid reader, so my vision is crucial.
With my astigmatism, myopia & presbyobia... what type of implants would you recommend?  I've been told I am not a good candidate for laser surgery, and one surgeon suggested CL HD, followed by yag & then lasix if needed (probably needed...)... meaning 6 total surgeries -- 3 in each eye.

This was from a very high-volume "big name" clinic in Dallas, with little input from the doctor himself -- who briefly looked over my chart after a technician spent considerable time examining my eyes.

Should I get a 2nd (and 3rd opinion)?  I'm concerned about "waxy" vision or ending up with worse dry eye problems, making my vision worse than better.  The information seems very confusing & I'd like more objective information, especially concerning astigmatism & eye surgery...

I've seen some eye docs who prefer aspheric implants vs Crystalens HD, and I am also wondering about the details gearing the procedure more to close (reading) vision versus distant vision.  Is all this considered "wavefront" technology?

And last, but not least, what about significant side effects with the newer implants (like waxy vision, glaring & halos?).  

Thanks so much for your time & any guidance you can provide,

Sincerely,
Dallas CPA

[Ray T Oyakawa, MD]

Please see Dr. Steven Dell.  This doctor is already saying you will need a yag and a LASIK touch up.  

Yag is need very frequently in a Crystalens patients compared to monofocal IOLs.   However, in my hands a LASIK touch up is very rare except in eyes who already had a previous LASIK because the calculations are harder.

Dr. O.

[DallasCPA]

Dr. Dell seems to be very knowledgable about astigmatism correction -- I saw the articles he wrote on LRI.  

My vision is -7.25 with a sphere of about 3.25 at 90 degrees.  Do you think there is a better option foe me (than crystalens HD) and do you think LRi or post-op laser us the best option for the astigmatism?

Many many thanks for so generiuly sharing your wisdom and experience.  It is greatly appreciated and helpful with such a big decision. Thank you once again.

[DallasCPA]

hmmm... so, my understanding of what Dr. Oyakawa is saying is that Crystalens may nor be the best choice  for me? I have never had Lasik or any other surgery to my eyes heretofore due to my perscription... -7.25*3.25*90 degrees.
Rigid gas perm w/2.00 readers until dry eyes 2 yes ago..now in progressives.  May travel to Austin to see Dr Dell, although there are recommendations here for Dr. Herman.  Anyone have any experience a/Dr. Jeffrey Whitman or Dr Bowman @ UTSW?