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Glasses and contact lenses correct refractive errors by adding or subtracting focusing power to your cornea and lens. The power needed to focus images directly on your retina is measured in diopters. This measurement is also known as your eyeglass prescription.

 

Glasses and contact lenses correct refractive errors by adding or subtracting focusing power to your cornea and lens. The power needed to focus images directly on your retina is measured in diopters. This measurement is also known as your eyeglass prescription.

If you have myopia

, your cornea and lens have too much focusing power, bending light rays to meet at a point in front of the retina. Glasses and contacts compensate for this condition by subtracting power from the eye's natural focus and allowing light rays to focus further back on the retina. If you have myopia, your prescription will be negative, for example, -4.25 diopters.

If you have hyperopia

, glasses and contacts add focusing power, causing light rays to bend more as they enter the eye. This process moves the focal point back to the retina, allowing for clear vision. If you have hyperopia, your prescription will be positive, for example, +4.25 diopters.

If you have astigmatism, the shape of the glass lens compensates for the uneven corneal curve and focuses the light rays to a single point on the retina.


How to Read Your Eyeglasses Prescription

 
Sphere
Cylinder
Axis
O.D.
+2.50
+1.00
180
O.S.
+1.75
+1.50
180
 
+2.00 add

The prescription above reads, "Right eye, plus two point five zero, plus one point zero zero, axis 180. Left eye, plus one point seven five, plus one point five zero, axis one eighty. Plus two point zero zero add."
The

"Sphere" column indicates how nearsighted or farsighted you are.

"Cylinder" refers to the measurable degree of astigmatism of your central cornea. The cylindrical number describes the dioptric difference between your cornea’s steepest and lowest curves.
If you have astigmatism, your cornea is shaped like the back of a spoon, curved more on one side than the other. The orientation of the spoon shape can differ from person to person, for instance like a spoon standing on end or on it’s side. The

"Axis" column describes the orientation in degrees from horizontal. Most left and right eyes with astigmatism are symmetrical.

What Do the Numbers Mean?

Lens power is measured in units called diopters. Diopters are based on the extent light rays passing through the lens will be bent. As the power of the lens increases, so does the thickness of the lens. There are three different types of lenses:


  • Convex lenses are thicker in the center than at the edges, like a magnifying glass. Light rays are gathered together towards a central point. Convex lenses are used in glasses for farsighted (hyperopic) eyes that can't bend light rays as much as they need to. Convex lenses are indicated with a plus (+) symbol on prescriptions.

  • Concave lenses are thinner at the center than at the edges and spread light rays apart. These lenses are used for eyes that are nearsighted (myopic). Concave lenses are indicated with a minus (-) symbol.

  • Cylindrical lenses are curved more in one direction than the other. To tell if your lenses are cylindrical, hold your glasses at arm's length and sight a straight line through the lens. Rotate the glasses clockwise and counterclockwise. If the line bends, it's a cylindrical lens. Cylindrical lenses, used for astigmatism, are usually part of a prescription for near- or farsightedness.

The prescription below reads, "Right eye, minus one point two five, minus two point five zero, axis ninety. Left eye, minus zero point seven five, minus two point two five, axis eighty-five."

 
Sphere
Cylinder
Axis
O.D.
-1.25
-2.50
90
O.S.
-0.75
-2.25
90
 
+1.50 add

This means the patient’s right eye has 1 ¼ diopters of nearsightedness with 2 1/2 diopters of astigmatism. The axis refers to the orientation of the cylindrical area of the lens. The axis can be anywhere from 1 to 180 degrees, with 90 being the vertical meridians. The left eye has ¾ diopters of nearsightedness, 2 ¼ diopters of astigmatism, axis 90.
Bifocal prescriptions are indicated with numbers such as the "+1.50 add" above. This number indicates the strength of the lens. This patient will need 1 ½ diopters of power for reading.

Where’s the Best Bargain?

Once you do some calling around, it’s likely you’ll find the big chain stores that advertise great savings, such as two pairs of glasses for $39.99, aren’t offering the frames or enhancements that you’re looking for. It’s also likely you won’t get the service you expect either.

How to Read Your Eyeglasses Prescription

The numbers your Eye M.D. jots down during your eye exam describe what you're seeing, and what you're not seeing.

If you know how to read your prescription you can usually comparison shop for glasses over the phone, a good way to get a base price for the glasses of your choice. Don't forget that you will probably want lens enhancements, which will be an additional cost.
Whether your Eye M.D. writes your eye glass prescription on a pre-printed form specifically for eye glasses or on a blank sheet of paper, the numbers will read the same.

O.D. (oculus dextrus) is your right eye

and

O.S. (oculus sinister) is your left.


You might see the abbreviations RE and LE, or possibly no designation at all. If that is the case, you can safely assume that the first set of numbers is for your right eye.

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