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The equivalent prescription at the patient's cornea (say, for a contact lens) can be calculated as follows (this example assumes a negative cylinder sign convention): Power 1 is the spherical value, and power 2 is the steeper power of the astigmatic axis:
Typical values for a contact lens are from 8.0 to 10.0 mm. The base curve is the radius of the sphere of the back of the lens that the prescription describes (the lower the number, the steeper the curve of the cornea and the lens, the higher the number, the flatter the curve of the cornea and the lens).
A prescription of −1.00 +0.25 × 180 describes a lens that has a horizontal power of −1.00 D and a vertical power of −0.75 D. Only ophthalmologists write prescriptions in + cylinder. An optometrist would write a prescription in - (minus) cylinder. All spectacle and contact lenses would be made in minus cylinder.
In glasses with powers beyond ±4.00D, the vertex distance can affect the effective power of the glasses. [4] A shorter vertex distance can expand the field of view, but if the vertex distance is too small, the eyelashes will come into contact with the back of the lens, smudging the lens and causing annoyance for the wearer.
Contact lens wearers can also wear sunglasses, goggles, or other eye wear of their choice without having to fit them with prescription lenses or worry about compatibility with glasses. Additionally, there are conditions such as keratoconus and aniseikonia that are typically corrected better with contact lenses than with glasses. [8]
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