Sounds like a vision therapy OD. I also can't shake the feeling that mom and dad can't accept the lack of straight A's is something other than effort by adorable Muffy. So we give them glasses to make them smarter.
Here's a thread that also had me scratching my head, but there can be a reason for yoked prism for children. Or so I read. I just never understood the use of a flat top that negated the prism.
https://www.optiboard.com/forums/new...treply&t=74224
Scroll to the bottom to see what may have been involved with an OD practicing vision therapy in very weak powers:
https://www.universityeyecenter.org/services/children/
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