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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.
The axis value does not change with vertex distance, so the equivalent prescription for a contact lens (vertex distance, 0 mm) is −7.30 D of sphere, −4.13 D of cylinder with 85° of axis (−7.30 −4.13×85 or about −7.25 −4.25×85).
Dioptres cylinder DNA: Did not attend DOB: Date of birth DS: Dioptres sphere DV: Distance vision DVD: Dissociated vertical deviation EF: Eccentric fixation FB: Foreign body FD: Fixation disparity FF: Foveal fixation FHG: Family history of glaucoma: FMH: Family medical history FOH: Family ocular history F/U: Follow up appointment GH: General ...
3) REFINE CYLINDER AXIS Once again the patient's fixation is directed to a round letter on the chart. The 0.50JCC is presented straddling the axis of the cylinder lens in the trial frames. [6] The patient is shown the lens in both flip positions. Both options may be blurry, the patient is asked to indicate which is clearer of the two. [6]
By measuring this zone, the autorefractor can determine when a patient's eye properly focuses an image. The instrument changes its magnification until the image comes into focus. The process is repeated in at least three meridians of the eye and the autorefractor calculates the refraction of the eye, sphere, cylinder and axis.
Lensmeters can also verify the power of contact lenses, if a special lens support is used. The parameters appraised by a lensmeter are the values specified by an ophthalmologist or optometrist on the patient's prescription: sphere, cylinder, axis, add, and in some cases, prism.
The values indicated in the sphere and cylinder columns of an eyeglass prescription specify the optical power of the lenses in diopters, abbreviated D. The higher the number of diopters, the more the lens refracts or bends light. A diopter is the reciprocal of the focal length in meters.
Typical values for a contact lens are from 8.0 to 10.0 mm. The base curve is the radius of the sphere of the back of the lens that the prescription describes (the lower the number, the steeper the curve of the cornea and the lens, the higher the number, the flatter the curve of the cornea and the lens).