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Decoding Eye Prescriptions: A Simple Guide for Contact Lens Wearers

Decoding Eye Prescriptions: A Simple Guide for Contact Lens Wearers

Introduction

Understanding your contact lens prescription is crucial for ensuring optimal vision correction and comfort. This knowledge helps you select the right lenses, maintain eye health, and avoid potential issues. In this guide, we'll break down the key components of a contact lens prescription, explain the differences from eyeglass prescriptions, and highlight the importance of regular eye exams.

What is a Contact Lens Prescription?

A contact lens prescription is a detailed document provided by an eye care professional that outlines the specific vision correction needed for each eye. It includes additional details required for proper lens fitting that are not present in eyeglass prescriptions. Ensuring you have a valid and accurate prescription is essential for optimal vision and eye health.

Differences Between Eyeglass and Contact Lens Prescriptions

Comparison chart of eyeglass and contact lens prescriptions showing differences in Sphere, Cylinder, Axis, Base Curve, and Diameter

Eyeglass and contact lens prescriptions are not interchangeable due to the additional measurements needed for contact lenses. Usually, the sphere power and cylinder are different between the eyeglass and contact lens prescriptions. Since contact lenses sit directly on the eyes, the sphere power will differ, especially for higher power prescriptions. Contact lenses typically have limited cylinder powers, so cylinder power may vary between the eyeglass and contact lens prescriptions. Contact lens prescriptions include the base curve (BC) and diameter (DIA), which are crucial for fitting the lens comfortably on the cornea. Unlike eyeglasses, contact lenses sit directly on your eyes, making these measurements vital for comfort and proper vision correction.

Key Components of a Contact Lens Prescription

Diagram of a typical eye prescription with labels for OD, OS, Sphere, Cylinder, Axis, Add Power, Base Curve, and Diameter.

OD and OS

OD (Oculus Dexter) refers to the right eye, and OS (Oculus Sinister) refers to the left eye. These Latin terms ensure each eye is treated separately, providing precise vision correction for both.

Sphere (SPH)

Sphere (SPH) indicates the lens power needed to correct nearsightedness or farsightedness. A negative (-) value denotes myopia (nearsightedness), while a positive (+) value indicates hyperopia (farsightedness). The SPH value helps determine how strong the lens needs to be to correct your vision.

Cylinder (CYL) and Axis

Cylinder (CYL) corrects astigmatism, which is caused by an irregularly shaped cornea. The CYL value can be minus (-) or plus (+), depending on the type of prescription format used.   Eyeglass prescriptions can be written in either in plus cylinder format or minus cylinder format. Although an eyeglass prescription may look very different in one format versus the other, the two actually represent identical prescriptions.   Contact lenses are always written in minus cylinder form.

Add Power (ADD)

Add Power (ADD) is used in bifocal and multifocal lenses to correct presbyopia, a condition that affects near vision as you age. It indicates the additional magnifying power required for reading and close-up tasks.

Base Curve (BC)

Base Curve (BC) measures the curvature of the central back surface of the contact lens. For eyeglass lenses, the base curve is the curvature of the front surface of a lens. It is crucial for fitting the lens comfortably on the eye and maintaining proper vision correction. The BC value ensures the contact lens conforms to the natural shape of your eye.

Diameter (DIA)

Diameter (DIA) specifies the overall size of the contact lens. The DIA value ensures that the lens covers the cornea adequately for optimal vision correction and comfort. It also helps prevent the lens from shifting on the eye.

Reading Your Eye Prescription

Image of an optometrist conducting an eye exam on a patient, emphasizing the importance of regular eye check-ups.

Interpreting your eye prescription involves understanding each component. Let's break it down step by step:

1. OD and OS: Identify the values for your right and left eyes.

2. Sphere (SPH): Note the SPH value for each eye to understand the degree of nearsightedness or farsightedness.

3. Cylinder (CYL) and Axis: Check the CYL and Axis values if you have astigmatism.

4. Add Power (ADD): Look for the ADD value if you need bifocal or multifocal lenses.

5. Base Curve (BC) and Diameter (DIA): Ensure the BC and DIA values match the specifications for your contact lenses.

Common Abbreviations and Terms

Understanding common abbreviations can make reading your prescription easier:

OD: Right Eye

OS: Left Eye

SPH: Sphere

CYL: Cylinder

AX: Axis

ADD: Add Power

BC: Base Curve

DIA: Diameter

The Process of Getting a Contact Lens Prescription

Comprehensive Eye Exam

A comprehensive eye exam typically includes tests to measure visual acuity, refraction, and an examination of the retina. These tests help determine your prescription for glasses or contact lenses.

Contact Lens Fitting

The fitting process involves determining the eyeglass prescription and measuring the curvature of your cornea. Additional measurements such as assessing the size of your pupil and iris maybe required. Trial lenses are often used to ensure a proper fit. The eye care professional will evaluate how the lenses fit on your eyes and make any necessary adjustments.

Follow-up Appointments

Follow-up appointments are crucial to ensure the lenses fit properly and provide the expected vision correction. They also help address any issues or discomfort you may experience.

Why Regular Eye Exams Are Crucial

Regular eye exams are vital for maintaining accurate prescriptions and overall eye health. During an eye exam, an eye care professional can detect changes in your vision and update your prescription accordingly. Regular check-ups also help identify potential eye conditions early, reducing the risk for severe vision problems.

Common Issues with Contact Lens Prescriptions

Incorrect Fit

An incorrect fit can cause discomfort, blurry vision, and potential damage to your eyes. Ensuring the base curve (BC) and diameter (DIA) values are accurate is essential for a proper fit.

Expired Prescriptions

Using expired prescriptions can lead to outdated vision correction, causing eye strain and discomfort. Always ensure your prescription is up-to-date.

Over-the-Counter Lenses

Purchasing lenses without a proper prescription can be risky. Over-the-counter lenses may not fit correctly or provide the necessary vision correction, leading to potential eye health issues.

Tips for Maintaining Healthy Vision with Contact Lenses

Proper Lens Care

Clean and disinfect your lenses regularly to prevent bacterial buildup. Always follow the recommended cleaning and storage procedures provided by your eye care professional.

Following Replacement Schedules

Adhere to the recommended replacement schedules for your contact lenses. Overwearing lenses can lead to discomfort and potential eye infections.

Recognizing Signs of Discomfort

If you experience any discomfort, redness, or changes in vision while wearing contact lenses, remove them immediately and consult your eye care professional. Prompt attention can prevent serious eye health issues.


Understanding your contact lens prescription is essential for choosing the right lenses and maintaining good vision. Regular eye exams ensure your prescription is up-to-date, providing optimal vision correction and comfort. Explore EyeCandys' range of contact lenses to find options that suit your prescription and enhance your look.

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Contributor

David Jupiter, O.D.

David Jupiter, O.D.

Dr. David Jupiter is a licensed optometrist based in Maryland, United States, with a career spanning over three decades in providing top notch eye care. His professional experience includes working...

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The information in this post and all EyeCandys blog content is intended for informational and marketing purposes only and should not be taken as medical advice. EyeCandys does not offer professional healthcare advice or practice medicine, optometry, or any other healthcare profession. Always consult with your ophthalmologist, optometrist or a qualified healthcare provider for any medical advice, diagnosis, treatment, or questions regarding a medical condition.