Relationship of eyeglass prescription to non-toric contact lens prescription?

Discussion in 'Glasses' started by Guest, Oct 4, 2004.

  1. Guest

    Guest Guest

    Here's the situation - my girlfriend recently had her annual checkup,
    and we
    decided to have her try the Acuvue-2 contact lenses. Her prescription
    (glasses) was -6.0-0.5 and -6.0-1.0. The optometrist fitted her with
    a trial pair of contacts, but did not give her a prescription at the

    Last week, she returned for her follow-up visit. He pronounced the
    fit good, and jotted down the formula for the contacts as -5.5 and
    -5.0 on a new prescription form.

    I had assumed that the spherical and cylindrical corrections were
    somewhat additive, and was surprised to see the opposite. My question
    is, obviously, does this look correct? Could he have actually
    trial-fit her with -6.5 and -7.0, then made a hasty mistake a week
    later when writing the prescription?

    I'd like to feel that this looks normal before ordering a large supply
    of her lenses.

    best regards,

    Guest, Oct 4, 2004
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  2. Guest

    James Smith Guest

    See my thread lower regarding CL powers.

    The power requred for a CL is difference to that required for spectacles due
    to the distance the lens is from the eye. As there is an astigmatism in the
    prescription some compensation needs to be made to the spherical power.

    The exact strength required will depend on a number of factors including
    fit, lens material etc. A optomotrist should therefore fit the lenses and
    check site with the lenses in.

    A quick check with the calculator (you can find online at suggests that the lenses should
    be -5.75 / -6.00. A prescription of -5.50 and -5.00 therefore appears to be
    substantiall different.

    Perhaps you should check with the optomotrist?
    James Smith, Oct 4, 2004
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  3. Guest

    lagniappe Guest

    Yes, I will check. Thanks.

    BTW, that online calculator appears to have a bug in it. When I enter
    -6.0-1.0x180 for spherical lens, it responds with -6.0. When I enter
    -6.0-1.0x0, it changes the "0" axis to "180" (the same as the first
    example), but returns a different answer of -6.5. In one case, the
    text generated says the astigmatism correction is 0.75 diopters, in
    the other case it says it is 1.0 diopters.

    lagniappe, Oct 5, 2004
  4. Guest

    James Smith Guest

    BTW, that online calculator appears to have a bug in it. When I enter
    Ive just tried it and it give -6.00 in both cases with 0.75d astigmatism.
    Perhaps someone qualified can comment?

    Isnt Axis 180 the same as 0?
    James Smith, Oct 5, 2004
  5. Guest

    lagniappe Guest

    Yes, 180 is the same as 0. When I noticed the bug, I emailed the contact on
    the web site and had a response within about 30 minutes from Todd M. Zarwell,
    OD, who said he was working on it. Probably he got it fixed before my
    post on the subject actually appeared.

    lagniappe, Oct 7, 2004
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