Hello everyone, I'm wondering if I can use everyone's experiences in practice to solve this dilemma.

I have a patient who complained of seeing round objects as ellipses in his previous spectacles (2 years old). He was re examined, new refraction found the same prescription right and left with a small change in axis (give or take 5 degrees) and a slight increase in near add.

On the collection of the new spectacles the same problem was experienced and no improvement after 2/52 of constant wear.
The same lens design and corridor length have been used with no change in centration, base curve, vertex distance, pantoscopic tilt or wrap.

The optometrist is adamant the RX is fine. Should I push for a re-check?

Thanks