I think, based on what you have posted, that you have come up with a very good solution to a complex problem.
The contact should not bother you, especially the gas perm one and as such it might need to be refitted. The gas perm one, of course, needs to be worn on a schedule of longer wear each day to get used to it so intermittent wear might be expected to cause some discomfort.
Putting in an intraocular lens occluder has a number of risks and that is one of the reasons the FDA has not approved it. Will the FDA approve it in the future? Your guess is as good as mine.....
So. What is the take home message?
I don't think I'd change anything at this point unless you wanted to have your doctors in London put in an IOL occluder -- which I can not, at this time recommend.
Does this make sense to you?
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