Hello Utsav. Eye strain ruined my career too, and there are many others suffering similarly. From what you've written, it appears like you finally found a prescription that's comfortable, but you might still be feeling strain due to having a history of strain. I hope you've read what I've written about getting proper sleep, rest and nutrition, and also about the fact that it took many years for my eye strain to reduce, since it had reached a chronic level? Think of it like a fractured leg. Even after you get your leg plastered, it'll take a long time for the bones and tissues to heal, and during that healing period, if you try to walk or run, your legs will pain and it could even damage the healing bone. Same way, if you've suffered for 4 years, I'm assuming your eye muscles and any supporting muscles are already sore and sensitive. It may take many months or years to fully recover, and to my knowledge there is nothing that can speed up recovery, other than a disciplined routine of proper sleep, rest and nutrition. If you are young (25 years or younger), you may recover faster. There are many other details you typically need to mention, like what your prior prescriptions were, whether you had normal sight from childhood, what caused the astigmatism, when you started using spectacles, what kind of job you do, how much sleep you get, what your nutritional profile is, what duration your rest breaks are, what your previous prescriptions were, etc. Anyway, so far I've experienced only -0.25 cyl (as per computerised eye tests), so I don't know if a lower prescription would help you. However, since you mentioned your existing lenses are comfortable, the logical next step is to use those lenses and ensure you don't strain your eyes too much with near work. You need to very strictly follow the procedure of taking breaks by closing your eyes for 5 minutes after 20 minutes of work. I don't think eye exercises will help you. If doctors can't help you, you can still help yourself by trying experiments and checking with doctors if those experiments are safe to try. It helps to note down observations in a diary or in a notepad app on your smartphone, while trying out experiments to see what gives you relief. For example, I experimented with using lower power lenses because I noticed that I felt more relief when I did not wear spectacles. I experimented with natural foods containing tryptophan and melatonin, when I noticed that eating almonds, chicken, curd and milk gave me better sleep. I experimented with work durations to find out what intervals I needed to take rest. I left my job and did a part time course to give my eyes more rest, and it helped me heal. Since your eye muscles will still be sensitive, you'll be able to quickly figure out what gives you relief, versus what does not. You can repeat the experiments under various conditions to confirm your assumptions. Also, in the long run, consider taking up a job that does not require you to strain your eyes too much. To brainstorm for such options, ChatGPT can be of help. Hope to hear back from you eventually, to know what you tried, and to know of your recovery. Wishing you the best, and please protect your friends and family from eye strain.