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| Contact Lens Prescriptions Explained |
By Donn McCarthy ABOC NCLC |
Published
01/10/2006
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Contact Lenses
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What do all those numbers mean?
Believe it or not there is a difference between a spectacle and contact lens prescription. When a lens is placed on the eye it will most likely need to have its power adjusted. This is more evident in moderate to higher prescriptions. In addition the actual fitting parameters need to be documented. Lets take a look at a sample prescription:O.D. -4.00 8.3 14.4 Brand X O.S. -3.50 8.3 14.4 Brand X Letters and Numbers The first thing we encounter are the initials O.D. and O.S. these are the Latin initials for right eye (Ocular Dexter) and left eye (Ocular Sinister). You may also likely see R right or RE for right eye and L for left and LE for left eye. Next we see -4.00 and -3.50. These tell us the power of a lens. Some people with slightly higher prescriptions may notice that there is a power variance between their spectacle prescription and contact prescription. This is to compensate for something called vertex distance. The closer or further a lens is moved the more the power will change. In the case of an individual with a plus or magnifying lens the closer the lens is moved toward the eye weaker it will become. This individual may require a little more power for their contact lens prescription. In the case of a person who wears a minus of minifying lens the closer the lens is to the eye the stronger it will become so here the wearer would need a little less power. A contact lens wearer with an astigmatism may also notice that their prescription power may differ from their spectacle prescription. Often in the case of small amounts of astigmatism the doctor prescribes a Spherical Equivalent lens. This is where one-half of the astigmatism correction is added to the spherical power. Example:
-1.00 -.50 x 180 becomes -1.25
Additional Parameters In the case of a rigid lens spherical equivalent may not be used. This is due to the lenses ability to retain tears under the lens that will correct for the astigmatism. Soft disposable lenses do not have this feature. They tend to drape over the cornea conforming to its shape. This brings us to the next set of numbers. After the lenses power we come to the Base curve. This number is the measurement of the radius of curvature in millimeters of the inside curve. The doctor does his best to try and match the lens curvature to the corneas. As mentioned earlier a soft lens tends to drape the cornea. Because of their flexible nature soft lenses tend to fit more corneas with the a smaller number of base curves. Often a lens manufacturer will only make a soft lens in a few curves. Rigid lenses on the other hand need to have a more accurate fit. Because of their rigid nature a lens that is too steep or too flat may cause discomfort. After the base curve we come to the lenses diameter in millimeters. Like the base curves soft lenses come in a limited amount of diameters. This is due to their rather forgiving nature when it comes to fitting. Again like base curves the doctor will be more precise in specifying the diameter of a rigid lens. If looked at from a side view we see that the cornea projects further than the rest of the eye. The area were the cornea meets the sclera (the white part) is called the Limbus. As the eye blinks and rotates the contact lens will move. The soft lens well cover the limbus. The lenses movement generally will not cause irritation. With a rigid lens it should be small enough to allow lens movement with out running into the limbus causing irritation. Contact Lens Brands And last we have the brand. The doctor chooses which lens is best for you based on several factors. Some of these being tear quality and quantity, intended wearing schedule, work and hobby conditions and requirements. The lens that has been chosen by your doctor meets your specific requirements. There fore its strongly advisable that you consult your prescribing doctor before attempting to switch brands.
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Believe it or not there is a difference between your spectacle prescription and contact lens prescription. When a lens is placed on the eye it will most likely need to have its power adjusted.
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Comments
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Comment #1
(Posted by Allen Moor)
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This article was very helpful, thank you for a very informative article. I normally do not submit comments, but this article helped me understand contact lens prescriptions so I took the time to submit gratitude.
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Comment #2
(Posted by mahesh morjaria)
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I wish to know what the the numbers 14.4 mean from your example pricription
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Comment #3
(Posted by Rich)
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The 14.4 in the example is the diameter of the lens.
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Comment #4
(Posted by angieniq)
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i wish to know what the word median.. means in the BC section of my precription.. there are no numbers
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Comment #5
(Posted by heather)
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Great Article! Do I need to schedule a contact lens sizing everytime my prescription is updated I went in for an eye exam yesterday (and ordered new glasses) and have to go back on Friday for the "contact lens sizing". Is this necessary if I have the size from my old contacts Does your eye shape change along with your prescription Or could they have just used the data from my eye exam and the sizing from my old contact lens box to order the new ones
Thanks!!!!!!!!!
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Comment #6
(Posted by Steve phil)
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What do the letters "D" at the end of the right lens perscription and "N" at the end of the left lens prescription mean?
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Comment #7
(Posted by sabronx)
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D-stands for Dominant eye
N-stands for non-Dominant eye
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Comment #8
(Posted by an unknown user)
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good article, but how do the power and BC relate to your vision? for example, i have a BC of 8.6 and a power of (Fv)-5.50, does that mean i have worse vision than someone with a power of -4.00? how does it compare to 20/20 vision?
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Comment #9
(Posted by an unknown user)
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This article was very helpful, thank you for a very informative article. I normally do not submit comments, but this article helped me understand contact lens prescriptions so I took the time to submit gratitude.
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Comment #10
(Posted by Steve)
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Question: I was just given a new type of contact to try with 8.5/14.2 however my old box says 8.6/14.0 The article says soft lens' are forgiving. If I decide to try another brand and buy it separately from my eye doctor how much can I veer from those numbers?
I was looking at two types 1: 8.7 or 8.3/14.0 and 2: 8.4/14.0
Thank you for your help!
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Comment #11
(Posted by Brad)
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I would like to know how the vertex and power are figured for contact lenses.My eyeglass prescription is a -10 and vertex 13 but my contact is a -8 This gives me about the same correction?
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Comment #12
(Posted by Craig)
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I've been wearing disposables with BC=8.3 for many years. I recently got a good deal on some with BC=8.8 in the same brand with the same diamater and prescription. The girl at the shop said it shouldn't matter and the article implies the same kind of thing (soft being forgiving), but today I'm wearing them for the first time (always start a new pair on the 1st) and they're definately not as comfortable.
I've used other models before with this brand (i.e. acuvue, acuvue2 & oasis) and never noticed a difference. These new ones are Acuvue clear, girl said they're better for monthly use (which I've always done even on the 2-week ones anyway), but this is the first time I've switched curves. Basically my quesiton is this - do I just need to give it a few days to get used to them, or is that .5mm bigger radius really a significant difference.
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Comment #13
(Posted by pauline)
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i have an rx that reads:
od -6.75 axis 165
os 6.75 axis 015
if i were to get a contact lense would i up the power to -7.0? what about the axis? should it be rounded up as well?
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