Your eyeglass prescription can look confusing at first, with abbreviations, plus and minus signs, and numbers that aren't immediately clear. Each part of your prescription tells your optician how to make lenses that correct your vision.
A better understanding of these numbers can help you feel more informed when choosing new glasses or discussing changes in your vision with your eye doctor.
Eyeglass prescriptions correct refractive errors, which occur when light doesn't focus properly on the retina at the back of your eye. These conditions can affect how clearly you see at different distances.
Myopia makes distant objects appear blurry while nearby objects usually remain clear. It occurs when light focuses in front of the retina rather than directly on it.
Hyperopia can make nearby objects difficult to focus on, although distance vision may also be affected. Some people experience headaches or eye strain, particularly during reading or other close-up activities.
Astigmatism occurs when the cornea or lens has an uneven curvature, causing blurry or distorted vision at near and far distances. It can occur alongside nearsightedness or farsightedness.
Presbyopia is an age-related change in the eye's ability to focus on nearby objects. It typically becomes noticeable after age 40 and may make it harder to read small print or view your phone.
Unlike hyperopia, presbyopia develops as the eye's natural lens becomes less flexible with age. Reading glasses, bifocals, or progressive lenses can help correct near vision.
Your prescription uses measurements called diopters (D) to describe the lens power needed to correct your vision. Generally, the farther a sphere or cylinder value is from zero, the stronger that component of your prescription.
Your right and left eyes may have different prescriptions, which is completely normal.
A prescription might look like this:
| Eye | SPH | CYL | AXIS |
|---|---|---|---|
| OD | -4.00 | -1.50 | 180 |
| OS | +0.50 |
Each column describes a different part of your vision correction.
OD stands for oculus dexter, the Latin term for the right eye, while OS stands for oculus sinister, meaning the left eye.
Some prescriptions also use OU, or oculus uterque, to refer to both eyes.
The SPH value indicates the lens power needed to correct nearsightedness or farsightedness.
A minus sign (-) indicates a prescription for nearsightedness, while a plus sign (+) indicates farsightedness.
For example, a prescription of -4.00 indicates more nearsighted correction than -1.00. A prescription of +2.00 indicates more farsighted correction than +0.50.
The CYL value measures the lens power needed to correct astigmatism.
This number may appear with a plus or minus sign, depending on how your eye doctor writes the prescription. A larger absolute value generally indicates a greater amount of astigmatism correction.
If the CYL field is blank, your prescription doesn't include a cylinder correction.
The axis indicates the orientation of the cylindrical correction needed for astigmatism. It's measured in degrees from 1 to 180.
The axis doesn't describe how strong your prescription is. Instead, it tells the optician how to position the astigmatism correction within your lenses.
An axis value is typically included only when your prescription has a CYL measurement.
Some prescriptions include additional measurements depending on your vision needs and the type of glasses you're getting.
ADD stands for additional lens power. It's commonly used in prescriptions for bifocals, progressive lenses, and certain reading glasses.
This value is usually written as a positive number and indicates the extra power needed for near vision.
For example, an ADD value of +2.00 means your near-vision lens power includes an additional 2.00 diopters beyond the distance prescription.
Pupillary distance (PD) measures the distance between the centers of your pupils, usually in millimeters.
This measurement helps position the optical centers of your lenses correctly in front of your eyes. Your optician may measure it separately during your eyewear fitting, so it doesn't always appear on your prescription.
DV stands for distance vision, while NV stands for near vision.
These abbreviations help distinguish prescriptions for activities like driving and watching television from those for reading or other close-up tasks.
Your prescription can change as you age or as your eyes develop. Nearsightedness may progress during childhood and adolescence, while presbyopia commonly affects near vision beginning in middle age.
A prescription change doesn't always mean something is wrong with your eye health. However, persistent blurry vision, headaches, or difficulty focusing may indicate that your current glasses no longer meet your needs.
Regular eye exams allow your eye doctor to check your prescription and assess your eye health. Sudden vision changes, particularly those accompanied by eye pain, flashes of light, or new floaters, require prompt medical attention.
If you would like to read more about vision and eyewear, browse our eye care articles or see how we fit prescription lenses.
Your eye prescription includes information about how your eyes focus and the correction you need. An accurate prescription and properly fitted lenses can help you see comfortably throughout your day.
At ABUNDO EYE CARE in Midvale, UT, our team can assess your vision, explain your prescription, and help you understand your eyewear options.
Contact ABUNDO EYE CARE at 801-255-8500 to schedule a comprehensive eye exam and get answers to your questions about your vision.
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