U can go for phakic IOLs

Cylinders are quite high. Chance of residual cylinders is also high. 6/12 unadded visions are unlikely.

Hello there....., You'll be able to see after surgery, but your vision won't be clear right away. It takes about two to three months after your surgery before your eye heals and your vision stabilizes. Your chances for improved vision are based, in part, on how good your vision was before surgery....Consult Ophthalmologist for further advice....