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How To Read Eyeglass Or Contact Lens Prescription

...continued


lasik
Knowing your eyeglass or contact lens prescription is an important part of knowing if Lasik is right for you.

 
  sphere cylinder axis
OD: -2.75 -1.25 x15
OS:

pl

-0.75 x85

This prescription shows that the patient has 2.75 diopters of myopia with 1.25 diopters of astigmatism at an angle of 15 degrees in the right eye, and the left eye is plano with 0.75 diopters of astigmatism at an angle of 85 degrees.

Minus Cylinder or Plus Cylinder

Spectacle prescriptions can be written in two value sets, minus cylinder or plus cylinder, which are mutually exclusive of each other but provide the same information. As a rule, ophthalmologists write scripts in minus cylinder whereas optometrists write scripts in plus cylinder. Why these two professions cannot get together and decide on a common method of reporting refractive error is impossible to explain, but if you have ever had competing siblings in your family, you may get an idea why this has not yet occurred.

To convert a minus cylinder form prescription into plus cylinder, or to convert the plus cylinder form into minus cylinder, do the following:

1) Add the sphere and cylinder powers together; this becomes the new sphere power.
2) Change the sign of the cylinder power, from minus (–) to plus (+) or from plus (+) to minus (–).
3) Change the axis value by 90?, remembering that the axis must be a number from 1 to 180.
The following lens prescriptions, therefore, are equivalent and interchangeable:

style="border-left-style: solid" bordercolor="#C0C0C0"

These two prescriptions are exactly the same
presented in both minus cylinder and plus cylinder form.

  sphere cylinder axis sphere cylinder axis  
OD: -2.75 -1.25 x15 OD: -4.00 +1.25 x105
OS:

pl

-0.75 x85 OS:

-0.75

+0.75 x175
minus cylinder form plus cylinder form

Spherical Equivalent

The spherical equivalent power of a lens prescription is the average of the dioptric powers in all meridians of a lens. To obtain this value, add half of the cylinder power to the sphere power. In other words, do the following:

1) Divide the cylinder power by 2.
2) Add this value to the sphere power; the result is the equivalent sphere power of the lens.

For the glasses prescription...

  sphere cylinder axis
OD: -2.75 -1.25 x15
OS:

pl

-0.75 x85
minus cylinder form

...the equivalent sphere powers of each lens would be calculated as follows:

OD: –2.75 D + (–1.25 D ÷2) = 2.75 D + 0.625 D = –3.375 D
OS: 0.00 D + (–0.75 D ÷2) = 0.00 D + 0.375 D = –0.375 D

Table of Eye Prescription Terms
OD   Right Eye
OS   Left Eye
BC   Inside curve of your contact lens (8.0, 8.1, 8.2, etc.)
Diameter   Size of your contact lens (13.8, 14.0, 14.2, etc.)
Power   [Pow] Strength of your corrective lens (-1.00, -2.75, +2.25, etc.)
Cylinder   [Cyl] Strength of your astigmatism (-0.75, -1.00, -1.25, etc.)
Axis   Orientation of your astigmatism in degrees (170, 160, 090, etc.)
Plano   No refractive error
Pl   No refractive error
Add   Bifocal plus power for near distance (+1.00, +2.00, etc)

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, NearVision CK, RLE, or any refractive surgery procedure, we highly recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Laser Eye Surgery Doctor.

If this article did not fully answer your questions, use our free Ask Lasik Expert patient forum.

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Current Spectacle and Contact Lens Medical Journal News...

Surface Ablation with Iris Recognition and Dynamic Rotational Eye Tracking-Based Tissue Saving Treatment with the Technolas 217z Excimer Laser.

Related Articles

Surface Ablation with Iris Recognition and Dynamic Rotational Eye Tracking-Based Tissue Saving Treatment with the Technolas 217z Excimer Laser.

J Refract Surg. 2010 May 19;:1-9

Authors: Prakash G, Agarwal A, Kumar DA, Jacob S, Agarwal A, Maity A

PURPOSE:To evaluate the visual and refractive outcomes and expected benefits of Tissue Saving Treatment algorithm-guided surface ablation with iris recognition and dynamic rotational eye tracking. METHODS:This prospective, interventional case series comprised 122 eyes (70 patients). Pre- and postoperative assessment included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refraction, and higher order aberrations. All patients underwent Tissue Saving Treatment algorithm-guided surface ablation with iris recognition and dynamic rotational eye tracking using the Technolas 217z 100-Hz excimer platform (Technolas Perfect Vision GmbH). Follow-up was performed up to 6 months postoperatively. Theoretical benefit analysis was performed to evaluate the algorithm's outcomes compared to others. RESULTS:Preoperative spherocylindrical power was sphere -3.62+/-1.60 diopters (D) (range: 0 to -6.75 D), cylinder -1.15+/-1.00 D (range: 0 to -3.50 D), and spherical equivalent -4.19+/-1.60 D (range: -7.75 to -2.00 D). At 6 months, 91% (111/122) of eyes were within +/-0.50 D of attempted correction. Postoperative UDVA was comparable to preoperative CDVA at 1 month (P=.47) and progressively improved at 6 months (P=.004). Two eyes lost one line of CDVA at 6 months. Theoretical benefit analysis revealed that of 101 eyes with astigmatism, 29 would have had cyclotorsion-induced astigmatism of >/=10% if iris recognition and dynamic rotational eye tracking were not used. Furthermore, the mean percentage decrease in maximum depth of ablation by using the Tissue Saving Treatment was 11.8+/-2.9% over Aspheric, 17.8+/-6.2% over Personalized, and 18.2+/-2.8% over Planoscan algorithms. CONCLUSIONS:Tissue saving surface ablation with iris recognition and dynamic rotational eye tracking was safe and effective in this series of eyes.

PMID: 20481413 [PubMed - as supplied by publisher]

 

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Last updated Monday, April 12, 2010

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