I'm sorry to hear about your being housebound, but it sounds to me
like you may need a new prescription. My prescription is similar to
yours(-3.25 strongest with astigmatism), but my ability to read has
been declining it turns out I've developed presbyopia, which means I
need bifocals or to use reading glasses.
The amount you would need to change your prescription for reading
glasses is whatever is in the ADD box on your glasses prescription.
If your prescription doesn't have anything in that box, then you'll
need to get a new prescription and since you haven't had one in 5
years, it sounds like it's time for new one.
Zenni explains this and about PD in the Your Prescription section
under Info. Wikipedia also has a good article on Pupillary Distance
that explains near and far PD.
http://en.wikipedia.org/wiki/Pupillary_distance
As for being 0.5mm off in each lens, I can't really say. I know
someone who purchased a pair of glasses that had an incorrect PD, with
one lens being off by 3mm, and they had problems in the lens that was
off. She got a Walmart optician to measure the PD for her using a PD
reader that the patient looks into like binocculars, and got
29.5/32.5. She had glasses made from that and in order to see out of
one eye without pain, had to push the glasses toward her nose. I
measured it using a paper ruler printed from one of the glasses sites
and with a PD ruler I found online, and did the measurement multiple
times and got between 58-60, so we went with 59, and her glasses seem
to fine. I'm a bit surprised by that considering I've never worked in
nor do I have any training in the optical field.
I hope this has helped you.
Good luck.
RedStickHam