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Medical Forum / General / Vision / July 2007

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Do I have "with-the-rule astigmatism", and what does that mean?

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DarkProtoman - 18 Jul 2007 23:53 GMT
Do I have "with-the-rule astigmatism", and what does that mean?

Hee's my script:

OD: Sph: -3.00; Cyl: Sph; Axis: Balance; Prism: Balance
OS: Sph: -3.75; Cyl: -1.00; Axis: 168; Prism: 0

Also, why does the cylinder component on my OD say "Sph"? And what
does "balance" mean?
Mike Tyner - 19 Jul 2007 00:00 GMT
> Do I have "with-the-rule astigmatism", and what does that mean?

Yes. It just means that most astigmatism clusters around the 180 axis. Mine
is 090, and that's called "against-the-rule".

The majority of astigmatic prescriptions fall within +/- 20 degrees of 180
or 90. The remainder are called "oblique."

> Hee's my script:
>
> OD: Sph: -3.00; Cyl: Sph; Axis: Balance; Prism: Balance
> OS: Sph: -3.75; Cyl: -1.00; Axis: 168; Prism: 0
>
> Also, why does the cylinder component on my OD say "Sph"?

Because your refraction is spherical. There is negligible difference between
the vertical and horizontal meridians.

> And what does "balance" mean?

The meaning of "balance" is not clear in this context. Presumably it means
"no prism".

-MT
DarkProtoman - 19 Jul 2007 16:05 GMT
> > Do I have "with-the-rule astigmatism", and what does that mean?
>
[quoted text clipped - 20 lines]
>
> -MT

Dr. Ryan said I actually needed a -11 lens on my right eye, but since
it's amblyopic, there's no use. So he gave me a -3 lens w/ a balance
for the axis and prism for my right eye.
CatmanX - 22 Jul 2007 03:57 GMT
The right lens should be a sphere of ~-3.00. Don't put cyl in as it
may cause spatial problems.
 
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