I cannot figure out any reason that an optometrist would give specific, restrictive instructions on wearing the glasses Rx you described.
Also, the extensive ocular history for this 9 year old boy, including V pattern strabismus, I have do not know what the optometrist is thinking with the +5.50 bifocal
Bifocals are used in children's glasses for specific reasons such as accommodative esotropia, discomfort with some near tasks (asthenopia)or other eye alignment issues.
None of the problems you listed are treated with bifocal glasses like you listed.
I really think, given all of this child's ocular conditions that he would be much better served being treated by a pediatric ophthalmologist on a routine basis instead of every 2 years with an optometrist "filling in" the middle.
Does this make sense to you?
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