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Medical Forum / General / Vision / May 2007

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How is a "zero" astigmatism written?

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Doug Herr - 23 May 2007 14:43 GMT
My wife wears non-toric contact lenses.

Her RX is:

-6.00 -1.00 x087
-6.00 -0.75 x106

They did tell her that the astigmatism in each eye is small enough that
she does not need toric lenses.

So, would a total lack of astigmatism look like:

-6.00 -1.00 x090
-6.00 -1.00 x090

Or:

-6.00 plano x090
-6.00 plano x090

Or something else?

I understand that there are many ways to write the same thing, but I am
trying to figure out how far she if from not have any astigmatism.

Signature

Doug Herr
doug*at*wombatz*dot*com

Mike Tyner - 23 May 2007 15:37 GMT
> I understand that there are many ways to write the same thing, but I am
> trying to figure out how far she if from not have any astigmatism.

When the cylinder (astigmatism, second number) is zero, it isn't written,
and without cylinder the axis is meaningless so it isn't written either.

When a prescription is written "-6.00" and nothing more, we assume there is
no astigmatism.

More properly, it's written "-6.00 DS" (Diopter Sphere) to imply there is no
DC (Diopter Cylinder).

Machine printouts sometimes report cylinder as "0.00."

-MT
Robert Martellaro - 23 May 2007 22:16 GMT
>> I understand that there are many ways to write the same thing, but I am
>> trying to figure out how far she if from not have any astigmatism.
[quoted text clipped - 4 lines]
>When a prescription is written "-6.00" and nothing more, we assume there is
>no astigmatism.

I like to see some notation that verifies that there's no cylinder, especially
when their old glasses have a cylinder power. If it's a .25 or .50, then it's
safe bet there's no cylinder, but when the old cylinder is .75 or higher, I call
to make sure it wasn't omitted.

>More properly, it's written "-6.00 DS" (Diopter Sphere) to imply there is no
>DC (Diopter Cylinder).

Typically, I see -600 sph, with the decimal point inferred, although I've seen
25 when they meant to write 250.  It's a good idea, if we are not using decimal
points, to put a zero before the quarter, half, and three quarter powers so they
read 025 etc. And for god's sake don't ever use a degree sign after the cylinder
axis!

Regards

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
Wauwatosa Wi.
~~~~~~~~~~~~~~~~~~
"Science is a way of trying not to fool yourself."
- Richard Feynman
p.clarkii@gmail.com - 24 May 2007 04:09 GMT
> My wife wears non-toric contact lenses.
>
[quoted text clipped - 24 lines]
> Doug Herr
> doug*at*wombatz*dot*com

it commonly would be written as:

-6.00

-or-

-6.00 sph

-or-

-6.00 DS

yes-- she has a small amount of astigmatism.  many people with less
than -1.00 diopters of astigmatism usually report their vision to be
very clear with non-toric lenses.  from what you have written your
wife has -1.00 diopters of astigmatism in her right eye (OD) and -0.75
diopters of astigmatism in her left eye (OS).  in my practice I would
generally trial such a patient with non-toric (spherical) lenses first.
 
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