I am near-sighted in one eye and far-sighted in the other, and have astigmatism to boot. I had a pair made with the middle distance part large, a little distance part at the top and a reading part at the bottom. They were very good, until my eyes changed enough that I needed a new prescription. I get mine made of polycarbonate, so they are safety glasses too. It is still a pain in the shop, and watching TV and reading the paper at the same time.
Getting old is better than the alternative.
Steve