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How to read a contact lens prescription

A contact lens prescription looks like a glasses prescription with extra columns. The extra columns are the ones that decide whether the lens fits, and they are not interchangeable between brands.

Field by field

PWR or SPH — power

The corrective power in dioptres, minus for short-sight and plus for long-sight. Not the same number as your glasses if the prescription is strong — see why the two differ.

BC — base curve

The back curvature in millimetres, typically 8.3 to 9.0. Matched to your cornea during the fitting. A brand may only offer one or two base curves.

DIA — diameter

The lens width in millimetres, usually 13.8 to 14.5.

CYL and AXIS — toric lenses only

Astigmatism correction. Available in coarser steps than spectacles, so the values are often rounded to the nearest lens the brand makes.

ADD — multifocal lenses only

Frequently expressed as LOW / MED / HIGH rather than a dioptre value, because each manufacturer designs its own near zones.

Brand, material and replacement schedule

Daily, two-weekly or monthly. Part of the prescription — the fitting was done in that specific lens.

The brand is not a suggestion.  Two lenses labelled 8.6 / 14.2 from different manufacturers do not behave the same on the eye — the geometry between those two figures differs, as does oxygen transmission. Substituting brands on the same numbers is the most common way a comfortable prescription becomes an uncomfortable one.

Expiry

Contact lens prescriptions typically run shorter than spectacle ones — often a year — because the fit and the health of the eye surface need re-checking, not just the vision. An aftercare appointment is what renews it.

Both eyes, always

Lenses are ordered per eye, and the two are frequently different in more than power — base curve can differ too. When you record a contact lens prescription, record it per eye in full; a single line of numbers is not enough to reorder from.

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