I'll leave that up to you. But it appears that you're basically on target in the +.25 eye. I agree that the +0.75 eye is a little off target. If you end up having PRK I would insist that it be paid for by the crystalens surgeon.
MJK MD
I'm not an expert, but I do know that some surgeons have micalcuated the power on Crystalens. I was told this by a doctor I saw for a second opinion after dissatisfaction with Crystalens. I can't address the far-sighted error because I don't know specifics. If you wore glasses, would you use bifocals??What scares you about PRK?
I can tell you that the PCO can negatively impact your vision in two ways. First, it is a "secondary cataract" and will cause clouding of vision if not addressed. Second, it is possible that PCO, especially the fibrotic type, will hinder the movement of the IOL, eliminating or reducing the accommodative effect.I quickly developed severe PCO after Crystalens implants. Ultrasound studies show that no movement of the IOLs occur in resonse to contraction of my ciliary muscle. The Yag procedure will remove any clouding, but to will not help the Crystalens to give you better near/intermediate vision, because the Yag affects the center but not the edges of the IOL, where the hinges are.
Having PCO may also make an IOL exchange more difficult, if you are given that option.
If you are sure you would be happy with glasses, I don't think a refund request is unreasonable because the far-sighted error should not have occured. I has to be a mistake by the doctor. I would be persisitant in getting an explanation of why that happened.