@ensete Have you given Neurolens a try? They unfortunately didn't help me, but the company who makes them gives a full money-back guarantee on the lenses, which is honored by most Doctors. I know you have spent a lot of money on this condition, but given this will not cost, it might be worth a try.
Neurolens can now measure/prescribe with precision of 1/100 of a prism diopter.
If you go, make sure you ask about vertical misalignment. The Neurolens measurement device measured vertical phorias but doesn't prescribe anything; the Doctor needs to write in what to do (since sometimes vertical prism is split between the eyes, or just one eye).
They also collect data from patient outcomes and improve over time (I've been watching their clinical videos).
