ICL and then lenses for HOA?

so a while ago been asked by my lense fitter if I want to be referred for ICL.

initially I said no, because I'd have 3 surgeries in 1 year and I just couldn't face more. but also because we still had alot of options to try. but it's now 8 months in and it feels like we aren't making any more progress.

I've already been docked about by the NHS for 12 months so at this point we are almost at 2 years of unemployment, because the job I was doing was pixel level detail.

I have stage 1 in one I eye and stage 2 in the other but I'd wager stage 2 is on the upper end as the Kmax I saw last was 59.

pretty sure the topo type is more "nipple".

I'm considering just putting in the referral and seeing.

I couldn't tolerate RGPs, sclerals I couldn't insert even after 5 hrs of supervised session, Kerasofts were just a flare ridden mess, the only thing that's half worked is a specialist soft one from a really obscure company and that doesn't fix all my HOAs and makes screens glowy.

so at this point I'm getting frustrated and fed up because I'm consider "mild" and yet here I am 2 years later still not back at work.

I used to swim, snowboard, play tennis, be a musician driving back from gigs at night, and for my job a VFX artist.

so my whole life has been fucked for 2 years waiting for some magic lense that every ones so sure they'll find. but I guess.

I'm wondering if anyone's had any luck pairing ICL for everyday shit, and sports and then got some form of extra correction for HOAs on top.

is that even possible?