Hi everyone I have a patient with the following Rx:

OD: -6.50/-4.00x12 VA 6/7.5
OS: -5.00/-9.25x168.5 VA 6/9

What is the best thing I can do to keep image size as similar as possible?
I have already reduced vertex distance and measured vertical and horizontal centration accounting for pantoscopic tilt.

Thanks in advance