[ddbach]

Yes, those are very close to the same and should have minimal difference between them. Seeing the numbers though does raise a question. Did they check a vertex distance? That is the distance from your eye to the back face of the lens. In a strong prescription (yours is quite strong) this can affect how well you see. I am still interested in what your old prescription is by comparison not just these two. It maybe where the new frame sits relative to your eyes vs where the old frame sat that is an issue. One mm can make a difference for you. Yes, the +200 is your reading add. They probably said raise prog ht = raise progressive height.

Ask them to do an over refraction, i.e. you wear the new glasses and the phoropter gets put up and they recheck your power.