A bit of metaprogramming at least will save you repeat everything for the four operators:
for op in (:+, :-, :*, :/)
opp = Symbol(op, "′")
@eval $opp(a, b) = $op(a, b)
@eval $opp(a::T, b) where T <: MultiLike = $opp.(a, b)
@eval $opp(a, b::T) where T <: MultiLike = $opp.(a, b)
@eval $opp(a::T, b) where T <: Integer = round(T, $op(a, b))
@eval $opp(a, b::T) where T <: Integer = round(T, $op(a, b))
@eval $opp(a, b::Perturbator) = $opp(a, b())
@eval $opp(a::Perturbator, b) = $opp(a(), b)
@eval $opp(a::T, b::Perturbator) where T <: MulitLike = $opp.(a, Ref(b))
@eval $opp(a::Perturbator, b::T) where T <: MultiLike = $opp.(Ref(a), b)
@eval $opp(a::T, b::Perturbator) where T <: Integer = round(T, $op(a, b()))
@eval $opp(a::Perturbator, b::T) where T <: Integer = round(T, $op(a(), b))
end