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Medical Forum / General / Vision / March 2006

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Prescription Change ?

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nr - 01 Mar 2006 12:43 GMT
I saw an opthamologist yesterday and he gave me a prescription that
differs very much from the one I received a year ago from an
optometrist.  I don't have any problems with my current glasses so I'm
writing to see if anyone could explain the differences (I will call his
office soon).

Here's the new prescription:
SPH   CYL   AXIS
-6.25   1.75   x15
-6.75   2.50   x10

Here's the year old prescription (prior prescriptions were similar to
this one):
-4.50   -1.75   105
-4.00   -2.25   100

Two questions: (1) why would the CYL values change signs, and (2) how
do the axis values relate?

Many thanks for any information.
Mike Tyner - 01 Mar 2006 14:04 GMT
>I saw an opthamologist yesterday and he gave me a prescription that
> differs very much from the one I received a year ago from an
> optometrist.  I don't have any problems with my current glasses so I'm
> writing to see if anyone could explain the differences (I will call his
> office soon).

The two prescriptions are very similar. There are two different conventions
for writing eyeglass prescriptions

-MT
otisbrown@pa.net - 01 Mar 2006 15:03 GMT
Dear NR,

Subject:  To methods of writing a "prescription".

Some write a "plus" and some "minus".

These can be converted to spherical equivalent,
which it to take 1/2 the cylendar power and
add it to the spherical component:

(This ignores the axis.)

Here's the new prescription:

SPH   CYL   AXIS

-6.25   1.75   x15

1.75 =~ 0.85

-6.25 + 0.85 = -5.4 spherical

-6.75   2.50   x10

Here's the year old prescription (prior prescriptions were similar to
this one):

-4.50   -1.75   105

-4.5 - 0.85 = 5.35 spherical equvalent.

-4.00   -2.25   100

Two questions: (1) why would the CYL values change signs, and (2) how
do the axis values relate?

Many thanks for any information.

I am not an optometrist.

Converted to spherical equivalent, the "prescriptions"
show little change.

The two "conventions" do cause concern -- obviously.

Best,

Otis
acemanvx@yahoo.com - 02 Mar 2006 00:48 GMT
"The two prescriptions are very similar. There are two different
conventions
for writing eyeglass prescriptions"

correction, but causes confusion for many. The proper and accepted way
is to write a minus cylindar value since astigmastim is grounded on the
back of glasses.
Ian Hodgson opticians - 02 Mar 2006 09:44 GMT
> "The two prescriptions are very similar. There are two different
> conventions
[quoted text clipped - 3 lines]
> is to write a minus cylindar value since astigmastim is grounded on the
> back of glasses.

Not always: Certain bifocals eg glass solids or fused some plastic bifocals,
where the seg is on the back surface, as well as some of the newer back
surface progressives will have the cyl power on the front surface.

'A little knowledge is a dangerous thing'

Regards

Ian Hodgson  Isle of Man
nr - 02 Mar 2006 11:23 GMT
Many thanks to all who responded.  I've been wearing glasses for many
years and had no idea there were two (possibly more) ways to mark the
prescriptions.  I'm also suprised that this is not standardized, but if
either leads to the same lenses, it works for me.

> > "The two prescriptions are very similar. There are two different
> > conventions
[quoted text clipped - 13 lines]
>
> Ian Hodgson  Isle of Man
Robert Martellaro - 01 Mar 2006 16:11 GMT
>I saw an opthamologist yesterday and he gave me a prescription that
>differs very much from the one I received a year ago from an
[quoted text clipped - 16 lines]
>
>Many thanks for any information.

Here's a link to the FAQ-

http://www.faqs.org/faqs/vision-faq/part2/

Scroll down to

2.2  Why the difference between the way Optometrists and Ophthalmologists
    write the prescription ?

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
robopt@execpc.com
~~~~~~~~~~~~~~~~~~
"An expert is a person who has made all the mistakes that can be made in a very narrow field."
 - Niels Bohr
Sibir - 02 Mar 2006 07:49 GMT
no real change. It's like saying 2+3=5 is different than 5-2=3.

THe cyl signs change when you are going from the most minus to the least
minus as your starting point. The axis has to change by 90 degrees to
accommodate this. (You can't have more than 180 degrees in a half circle. )

Carl

>I saw an opthamologist yesterday and he gave me a prescription that
> differs very much from the one I received a year ago from an
[quoted text clipped - 16 lines]
>
> Many thanks for any information.
 
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