Extreme cylinder (3)

Again it's the "Judy" glasses with the extreme cylinder in the left lens: -4.00; c+9.00 o.
The effect of the cylinder can be seen in the tilted image of the background.
The right lens is +2.00; c+0.50 h. A very common Rx.
The "h" stands for "horizontal", indicating that the axis of the cylinder is around 90 degrees.