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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).
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.
Contact-lens-associated/induced papillary conjunctivitis CLARE Contact-lens-associated red eye CLPU Contact-lens-associated peripheral ulcer Dk Unit of permeability DW Daily wear EW Extended wear FOZD Front optic zone diameter FVP Front vertex power HEMA Hydroxyethyl methacrylate HT Handling tint HVID Horizontal visible iris diameter K Keratometry
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.