The Eyes Have It
I recently responded to a Redit post on this, so I thought I'd share it here too. The original post is at: Alpine Eyewear.
I use a combination of lenses and prescription glasses and have significant myopia and astigmatism, and need progressives/readers.
I disagree with the 'you don't need Cat 4' comment: why would you take the chance? Yes, Cat 3 are in fact fine most of the time, but play it safe and you never, ever want snow blindness.
Here's what I run: alpine climbing is generally lenses with the exception of overnights. For lenses I have Acuvue Oasys with Hydraclear Plus, and can clean them daily. I like Julbos over that, either a darkening sunglasses (Reactiv, Cat 0-3) or if on glaciers Cat 4s. If it's overnight I'll consider a prescription version of the Julbos, or sometimes bring both.
For rock climbing I prefer prescription progressives, and most often a standard optician sunglass is fine at low elevations, or clear on a gray day, but sometimes the Julbo Reactivs. I can see granular details needed especially when placing trad gear or figuring out footwork.
For backcountry touring, I like lenses, and take tiny folding readers (2 pair, they can get lost...) I like my old Zeal sunglasses or for the down goggles. Same setup for on piste/inbounds skiing. I have used both outfits like SportRx and Julbo to grind high quality lenses and find that Julbo is my first choice, but both are good. In the US SportRx is faster, although Cat 4s take longer. Julbo's US service team is excellent too.