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Can the astigmatism, interpupillary distance and axial position of the glasses already fitted be changed?

The lens is formed in one go, and the power cannot be changed. There is a slight hope for the axial position and interpupillary distance, which is to change to a smaller frame and reposition the lens cutting. However, changing the axial position means rotating the lens angle. Most lenses are long after being cut, and the chance of being able to fit a new frame after being rotated is very small