Eye care professional using a Phoropter on a patient to test their vision.
Eye care professional using a Phoropter on a patient to test their vision.

Initial lens selection

STEP 1: Update spectacle refraction and ADD power

STEP 2: Select contact lens distance prescription based upon spherical equivalent (or toric lens power, for astigmatic patients) from spectacle Rx. Adjust for vertex if necessary and follow ADD guidance

ADD SELECTION

  • SPECTACLE ADD BOTH EYES
  • +0.75D to +1.50D Low ADD
  • +1.75D to +2.50D High ADD

Evaluate the lens for success

  • Allow trial lenses to equilibrate for at least 10 minutes before assessing fit and vision
  • Confirm axis orientation (for astigmatic patients)
  • Evaluate distance and near vision binocularly in normal room illumination

If vision at distance and near are satisfactory, dispense lenses and schedule follow-up exam within 1 to 2 weeks

Refine if needed

  • Confirm axis orientation (for astigmatic patients)
  • Determine eye dominance
  • Follow guidance below
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