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The Act gives consumers certain rights, including increasing their ability to choose where to shop and the right to have a copy of their own contact lens prescription.It also imposed certain responsibilities on lens prescribers and sellers, and required the Federal Trade Commission to develop and enforce implementing rules, which it did in July 2004.
A prescription of −1.00 +0.25 × 180 describes a lens that has a horizontal power of −1.00 D and a vertical power of −0.75 D. Only ophthalmologists write prescriptions in + cylinder. An optometrist would write a prescription in - (minus) cylinder. All spectacle and contact lenses would be made in minus cylinder.
For most people under forty years of age, the NV or near-vision portion of the prescription is blank because a separate correction for near vision is not needed. In younger people, the lens of the eye is still flexible enough to accommodate over a wide range of distances. With age, the lens hardens and becomes less and less able to accommodate.
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People with low near-sightedness can read comfortably without eyeglasses or contact lenses even after age forty, but higher myopes might require two pairs of glasses (one for distance, one for near), bifocal, or progressive lenses. However, their myopia does not disappear and the long-distance visual challenges remain.
Here, lenses are switched in and out of a phoropter and the patient is asked "which looks better" while looking at a chart. This feedback refines the prescription to one which provides the patient with the best vision.
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