I'm at my wits end with the eye doctor.  That's why I've been asking
questions here and fooling around with reading glass diopters, and all
of that other foolishness.

I just noticed today that my new right trifocal lens is about 1/2"
from being centered on the pupil.  The pupil is in the right place
vertically (just above the middle segment) but it's about 1/2" to the
left (nose side) of the horizontal middle segment line.  I haven't
been able to see well at all out of that eye.  I tried moving the
glasses over to see if it helped, but when my pupil is centered
horizontally on the middle segment, my nose is hitting the left half
of the nosepiece.  So the eye is farther away from the lens.

I also determined that the axis written in the prescription is at
least 10 degrees off.  If I rotate the lens 10 degrees clockwise, the
astigmatism improves.  The prescription was written for 160 for that
eye and all of my others were 170 to 180.  So I decided to check it
with an astigmatism wheel and found that it was off.

Both of the above problems are only with the right lens.  The axis in
the left lens is fine and the center of the lens is properly aligned
with the pupil.  I can see fairly well out of the left lens, but
either the cylinder or the sphere are a little off.

I'm farsighted.
The original prescription he wrote a few weeks ago was:
Right: sphere: 2.25, cyl: 1.25, axis 160
Left:                    1.50            1.50           177

Both of these lenses were way off.   So he cut each sphere by .50 but
changed nothing else.

So now the lenses are:
R: 1.75, 1.25, 160 deg.
L: 1.00, 1.50, 177 deg.

As I mentioned, the right lens is 1/2" off center and the axis is over
10 degrees off, and everything is blurry through it.

If I look through the left lens with the right eye, things look very
clear.  But there's a big difference between those 2 lenses!

I'm going back tomorrow :(  Any suggestions?