Part 04 - A Prior Prescription Exists

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Part 04 - A Prior Prescription Exists

The choice between concave (negative) and convex (positive) cylinder lenses can affect the accuracy of refraction. For example, a prescription written as +1.00 sphere with -1.00 cylinder at 180° partially cancels itself out-making testing less precise.

This prescription is mathematically equivalent to 0.00 sphere with +1.00 cylinder at 90°. In such cases, using convex cylinders simplifies testing and often improves clarity.

The calculations can be done manually:

Manual Polarity Test

Step 1: Add the left and right sphere values together using signed arithmetic.

Step 2: Multiply that result by 2.

Step 3: Then add both the left and right cylinder values.

    If the final sum > 0, use positive (convex) cylinders.

    If the final sum < 0, use negative (concave) cylinders.

Reversing Prescription Polarity

Add the sphere and cylinder values together (signed arithmetic) to determine the new sphere.

Reverse the sign of the cylinder.

Add 90° to the axis. If the new axis exceeds 180°, subtract 180° to bring it back into the 0-180 range.

Proceed to Part 05 - A Prior Prescription Exists, Test One Eye