| |
Sphere (SPH) |
Cylinder (CYL) |
Axis (AXI) |
Near addition (ADD) |
|
Right Eye
(OD) |
|
|
|
|
|
Left Eye
(OS) |
|
|
|
|
|
Pupillary Distance
(PD) |
|
If your prescription does not include a PD, please leave the value at
63
for single vision. For bi-focals and progressive lenses, we strongly recommend you have your PD measured. |
|
Near PD |
|
For Bi-focal and Progressive lenses, please provide the Near PD when applicable, otherwise you may choose to leave it at
59
. |
| Any Extra information |
|
| |