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eye problem

My kid got following prescription:
Right: SPH +3.00 Cyl --1.25 Axis175
Left: Sph +2.00 Cyl -1.00 Axis 170
ARC is ticked and CR 39


and also i took her to another clinic
there i got the following prescription

Right: SPH +3.00 Cyl --1.00 Axis180
Left: Sph +2.00 Cyl -0.765 Axis 180


IPD -51

kindly advise
.. what is the problem and what to do to rectify?
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177275 tn?1511755244
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Avatar universal
As the doctor notes, the prescriptions aren't different enough to be concerned since vision tests aren't exact measurements that are necessarily the same each time. The two results  fall within the natural variation to be expected. People's vision varies slightly throughout each day, and if their vision is best somewhere in between two test lenses, their vision can change enough to switch which lens is best and lead to a different measurement different times of the same day even by the same doctor. Studies also  show a minor variation in results between doctors testing  the same patients around the same time, partly since people can have a hard time sometimes with two lenses as to which is better  since they may just seem "different" rather than better or worse and so it can depend on the order lenses are tested which result they wind up with.
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177275 tn?1511755244
Your child is farsighted (Sphere) and has astigmatism (Cylinder and Axis). There is no significant difference on the two RXs they are very minor differences. Your child needs these to help the eyes develop properly, prevent amblyopia and squint-strabismus.  What is your child's age and what was the vision with the glasses?

JCH MD
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177275 tn?1511755244
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