And as you say, modern tests just aren't calibrated in that way. The WAIS-IV is calibrated for the 70-130 range [0]. It's used to provide broad ranges (e.g. 85-100 vs. 115-130), not to provide useful differentiations on the high end like 158 vs. 159.
In fact, the error increases with the score [1]. There is less certainty for a score of 145 than there is for 115. It's just not designed for separating geniuses from super geniuses or however you want to put it.
[0] https://www.quora.com/Whats-the-highest-IQ-score-you-can-get...
(Not a direct source I'm afraid, but the materials are proprietary.)
[1] https://en.wikipedia.org/wiki/IQ_classification#Giftedness
(There are several citations in this section, pertinent discussion below the table.)
I'm not sure what intellectual performance is even supposed to be implied by any given IQ score, given that the scores commonly used today are just a linear mapping from standard deviations above or below mean.
That said, on the low end at -3σ I would expect a serious deviation from a normal distribution just from the effect of dementia.
(There's a factor of two somewhere in here for the two tailed nature, but the point stands)
https://en.wikipedia.org/wiki/68%E2%80%9395%E2%80%9399.7_rul...