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How to read your eyeglasses prescription

You’ve just had an eye exam and your optometrist or ophthalmologist has given you an eyeglass prescription, but what do all those numbers on your eyeglass prescription mean?

And what about all those abbreviated terms, such as OD, OS, SPH and CYL?

This article will help you decipher all parts of your prescription and discuss it knowledgeably with an optician or when you buy eyeglasses online.

What OD and OS mean

The first thing to understand your eyeglass prescription is knowing what “OD” and OS” means. They are abbreviations for oculus dexter and oculus sinister, which are Latin terms for right eye and left eye.

Your eyeglass prescription also may have a column labeled “OU.” This is the abbreviation for the Latin term oculus uterque, which means “both eyes.”

Though the use of these abbreviated Latin terms is traditional for prescriptions written for eyeglasses, contact lenses and eye medicines, some doctors and clinics have opted to modernize their prescriptions and use RE (right eye) and LE (left eye) instead of OD and OS.

On your eyeglasses prescription, the information for your right eye (OD) comes before the information for your left eye (OS). Eye doctors write prescriptions this way because when they come face to face with you, they see your right eye on their left (first) and your left eye on their right (second).

Other terms on your eyeglass prescription

Your eyeglass prescription contains other terms and abbreviations as well. These include:

Sphere (SPH)

Sphere indicates the amount of lens power, measured in diopters (D), prescribed to correct nearsightedness or farsightedness. If the number appearing under this heading has a minus sign (–), you are nearsighted; if the number has a plus sign (+) or is not preceded by a plus sign or a minus sign, you are farsighted.

Cylinder (CYL)

Cylinder indicates the amount of lens power for astigmatism. If nothing appears in this column, either you have no astigmatism, or your astigmatism is so slight that it is not really necessary to correct it with your eyeglass lenses.

The number in the cylinder column may be preceded with a minus sign (for the correction of nearsighted astigmatism) or a plus sign (for farsighted astigmatism). Cylinder power is always written after sphere power in an eyeglass prescription.

Add

Add is the added magnifying power applied to the bottom part of multifocal lenses to correct presbyopia. The number appearing in this section of the prescription is always a “plus” power, even if it is not preceded by a plus sign. Generally, it will range from +0.75 to +3.00 D and will be the same power for both eyes.

Prism

This is the amount of prismatic power, measured in prism diopters (“p.d.” or a superscript triangle when written freehand), prescribed to compensate for eye alignment problems. Only a small percentage of eyeglass prescriptions include prism.

Lens types and coatings 

Your eye doctor also might write specific lens recommendations on your eyeglass prescription — such as anti-reflective coating, photochromic lenses and/or progressive lenses — to give you the most comfortable vision correction possible.

An example of an eyeglass prescription

Did you get confused? Let’s use an example to understand things better.

Here is a sample eyeglass prescription:

OD -2.00 SPH +2.00 add 0.5 p.d.

OS -1.00 -0.50 x 180 +2.00 add 0.5 p.d.

In this case, the eye doctor has prescribed -2.00 D sphere for the correction of myopia in the right eye (OD). There is no astigmatism correction for this eye, so no cylinder power or axis is noted. This doctor has elected to add “SPH,” to confirm the right eye is being prescribed only spherical power. (Some doctors will add “DS” for “diopters sphere;” others will leave this area blank.)

The left eye (OS) is being prescribed -1.00 D sphere for myopia plus -0.50 D cylinder for the correction of astigmatism. The cyl power has its axis at the 180 meridian, meaning the horizontal (180-degree) meridian of the eye has no added power for astigmatism and the vertical (90-degree) meridian gets the added -0.50 D.

Both eyes are being prescribed an “add power” of +2.00 D for the correction of presbyopia, and this eyeglass prescription includes a prismatic correction of 0.5 prism diopter in each eye. In the right eye, the prism is base down (BD); in the left eye, it’s base up (BU).

Now you know the ABCs and the ODs and OSs of your eyeglass prescription, so you can make sense of your eyeglass prescription.

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Interviews

INDIA HAS A HIGHER SKILL SET IN EYE TREATMENTS COMPARED TO OTHER COUNTRIES.

Col. (Retd) M. Deshpande, Chief Medical Director – Poona Blind Men’s Association’s H. V. Desai Hospital – Pune.
He has been on a journey from being a common student like any of us to getting an opportunity to join the Indian Army and later joining the hospital at the early stage when it was just a 2-room hospital to now a renowned hospital.
Below are some Awards/Honours won by him:

  • Vishita Seva Medal (VSM) by President of India in 1992, for high order in eyecare to armed forces
  • Asia Pacific academy Ophthalmologists for outstanding service in prevention of Blindness award, Busan, Korea, 2012
  • Best Clinical Presentation Trophy, 1987
  • TNOA Dr G Venkat Swamy Community Ophthalmology Award, 2015
  • Dhanvantary Award NCP Cell, 2009
  • Maharashtra Ex-serviceman League Award, 1995

He has also been the President of VISION 2020 ‘the right to sight India’ 2011-2014.

H. V. Desai Hospital which is a ONE STOP CENTRE for vision-related treatments.
Having a chance to get into a conversation with Col. (Retd) M. Deshpande, our Editor-in-Chief, Siddharth Salecha tries to know more about Col. Deshpande and also how the hospital has always been a step ahead to prevent blindness and what challenges they have to face.

Interview:

Tell us about the founder and the hospital?

This hospital belongs to Poona Blind Men’s Association which works for the rehabilitation of the blinds for more than 56 years now. One person who should be named here is Mr Niranjan Pandya, was the founder of complete project PBMA as well as the Hospital. He was very passionate about blindness prevention as he himself was complete blind, he was in the 10th grade when he lost his eyes. Preventing blindness had become his only goal to serve and started off with organising eye camps and activities related to preventing blindness in nearby vicinity and villages. When he came across the news of me getting retired from the army, he approached me and we together started the journey since then. Back then the hospital had just 2 beds, and today H.V. Desai Eye Hospital stands as one of the renowned across the country.
Today we do almost 35000 surgeries per year of all types from babies to adult, from cataract to all the major surgeries. Today we are a teaching institute for post graduates and a training centre for Government doctors,
with a centre for various para medical learnings which collaborate with NGO’s to conduct programmes and skill transfers.
Community eye care is one of our paths to great deeds.
Under this we cover all possible districts of Maharashtra i.e. Pune, Solapur,
Kolhapur, Satara, Raigad, Ahmednagar etc. We scan the patients for needed treatments and eye care and we get those patients to our hospitals, screen them and conduct treatments or surgeries whatever is needed on our own cost. This practice is done on a regular basis, till date we have done more than 5 lac such surgeries out of which 3,50,000 surgeries were completely free of cost and rest were charge a minimal fee. Our hospital is facilitated with world class equipment, treatments and surgeries. We also have a branch for eye cancer which is convenient for poor people as all fees are taken care of by authorities.

What made up your mind to join the army and serve our country?

I would say that the opportunity came to me and I grabbed it. When I was studying in the medical college people had a sense of bravado, as that was the year 1962 during the Indo-china war and we all wanted to serve the country. One fine day the Army commission came to our college to interview and recruit students, and many of us got interviewed out only 4 got selected which included me.
I joined the army as soon as I completed my college.

What was your journey like, from being a student to being able to serve the nation?

I joined in 1964, then immediately we faced a war in 1965 with Pakistan and was sent to Western front Pakistan from Pune with the infantry and artillery unit which was a part of the front-line battle. I was in the prepared mindset of “Anything can happen anytime” and continued to serve our injured soldiers, treat them, and send them back to Base for further treatment. On the last of war, it was announced cease fire before scheduled time and a thought came to my mind, I was …. I survived so far but if I die, for whom am I dying? I did not get the answer, but if I must I should die as a part of my duty. Later, in 1971 I was in Poonch- Kashmir, and then came back and did my ophthalmology and was posted in Delhi. I had a very tough boss at that time but today I have his picture in my prayer room as whatever I am today is because of his learnings and discipline. For some years I had taken a study leave to learn more about retina, squint, etc. in Maulana Azad Delhi college and spent 1 year with Dr Patnaik a retina specialist, and then came back as I was to be posted in Delhi or Pune. I have been a part of a commando course too, which was one the toughest course in the army, but I ranked first place.
I also joined the famous 60-para unit of the Indian army which has received many medals. And became para trooper then I was posted to various Army Hospitals as eye surgeon.

How is India coping up with new technologies?

Most important in any industry like ours is MANAGEMENT, and that is documentation that has now come up with electronic medical records as right from the beginning to the end is paperless. Before we used to have big case files for each patient which was a difficult job to maintain and not misplace case files with other patients, but today you can say we just have to manage a small chip for each patient and we can retain it for years. If I have to tell you about India, we are at a level to be compared with foreign countries in terms of technologies as we have a huge experience in comparison to them, particularly in cataract, retina and glaucoma.
We definitely have a higher skill set compared to other countries and so treatments here can be done much efficiently and are cost friendly.

How has COVID-19 affected H.V. Desai hospital?

Covid-19 is a global calamity that will change the world and it may affect the economy. Luckily, for us COVID has changed nothing due to our excellent management headed by Mr. Nitin Desai and come what may we will continue to work and help people and not get affected by the lockdown. Till May we have treated only emergency cases but our hospital was not closed even for a single day. Of course, like everybody our performance is 50%, and our revenue generation would be 65% due to COVID 19, but next year we hope the uncertainty is no more and we perform even better than before.

At what capacity is the hospital running since lockdown? What measures have you been taking?

The hospital currently is running with 50% of people as we have duties in 3 shifts where 1/3 doctors and other staff come in each day but surgery numbers have gone down from 150-200 surgeries daily to 15-20. Hoping to see it rise in coming days. We are taking all necessary precautions like social distancing and temperature scans. All the patients are asked a few questions like their past history to understand the symptoms and accordingly we let them in or guide them to the physicians if any COVID symptoms are reflected. We don’t let more than 2 people stand together in any areas like waiting areas or lobby. We get the eyes checked too if anyone found with red eyes, we guide them to the physicians. If you look back, the 1st patient to die with COVID-19 was an eye surgeon in china. We have to be very careful before touching the eyes of the patients and take full precautions for conducting the above.

What are the famous myths about eye health?

In our country, every other person is an advisor. Hence, take advice from the field expert and follow its treatment rather than taking guidance from those who know nothing about it. There are famous advisories like putting eye drops or solutions in the eye, you shouldn’t do anything without an expert ophthalmologist advice. Eyes naturally have eye cleaner’s tears film present in the form of water, mucus and fat which keeps the integrity of the cornea, and is not a plastic container which requires cleaning…ha-ha.
Such eye drop solutions is nothing but marketing and selling strategies of some companies.
Also, there are famous myths like doing yoga and eye exercises for better vision!
Human eyes move about 100,000 times in a day! What better exercise can heal or give you better vision?
Please DO NOT believe in the myths and rumours around you, instead spend time to search for the right specialist for your problem …

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Blogs

How to get rid of a stye with treatment at home

A stye is a painful red lump in the eyelid (near the base of the eyelashes) caused by infected gland.

Most styes are harmless and will heal on their own in about a week.

Here are two home remedies that may help you get rid of it a little faster — or at least reduce some of the swelling and discomfort caused by it.

Stye treatment 1: Clean your eyelids

  • The first thing you should do if you develop a stye is cleanse your eyelids. You can use diluted baby shampoo on a clean washcloth. Then rinse your eyelids with warm water and gently pat them dry.
  • Also, be sure to wash your hands before and after touching the stye, and don’t share your towels or washcloths with others.
  • Pre-moistened eyelid cleansing pads are another option. You can purchase these in many drugstores.
  • It’s wise to stop wearing eye makeup when you have a stye. Also, discard old makeup or applicators that could be contaminated.
  • If you need vision correction, wear glasses rather than contact lenses until your stye heals.

Stye treatment 2: Apply warm, moist compresses

  • You can help a stye to heal faster by applying warm compresses for 10 to 15 minutes, three or four times a day.
  • To do this, soak a clean washcloth in warm water. Then wring the cloth (so it’s not dripping) and place it over your closed eyelid.
  • Warm compresses will help bring the stye to a head, like you see on a pimple. But do not squeeze or “pop” a stye! Allow the stye to open, drain and heal on its own. Squeezing a stye can cause the infection to spread and worsen.

Ease the discomfort

  • Over-the-counter painkillers like acetaminophen and ibuprofen probably won’t do much to speed healing, but these medications may ease discomfort if a stye is particularly bothersome.
  • Your eye doctor can also address pain associated with styes. Sometimes, your eye doctor may choose to surgically open a large stye to relieve discomfort and prevent a serious infection.

Seek professional help

These tips usually will help most styes clear up fairly quickly. But don’t hesitate to contact your eye doctor for additional advice. Your doctor might prescribe a medicated ointment or other stye treatment to help the condition resolve more quickly.

If your stye worsens, affects your vision or doesn’t go away within a week or so, contact your eye doctor. In some cases, stubborn styes may require surgical treatment by your doctor, followed by application of a prescription medicine.

Preventing future styes

Proper eyelid hygiene can significantly reduce the risk of styes. Clean your eyelids thoroughly before bedtime, especially if you wear eye makeup.

Also, if you sometimes have problems with blepharitis, taking steps to quickly treat this eyelid problem also will help prevent styes.

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Blogs

Dry eye syndrome: Causes, symptoms, treatment and prevention

Dry eyes or dry eye syndrome is a condition in which the eyes do not produce enough tears. It is one of the major reasons people visit an eye doctor. Here’s what you need to know about dry eye syndrome: its causes, symptoms and treatments:

What causes dry eyes?

An adequate and consistent layer of tears on the surface of the eye is essential to keep your eyes healthy, comfortable and well. Dry eye syndrome is caused by a chronic lack of sufficient lubrication and moisture on the surface of the eye. Consequences of dry eyes range from subtle but constant eye irritation to significant inflammation and even scarring of the front surface of the eye.

Dry eyes can become red and irritated, causing a feeling of scratchiness.

Dry eye symptoms

Symptoms of dry eyes and dry eye syndrome include:

  • Burning sensation
  • Itchy eyes
  • Aching sensations
  • Heavy eyes
  • Fatigued eyes
  • Sore eyes
  • Dryness sensation
  • Red eyes
  • Photophobia
  • Blurred vision

Another common symptom is a foreign body sensation — the feeling that grit or some other object or material is “in” your eye.

And as odd as it may sound, watery eyes also can be a symptom of dry eye syndrome. This is because dryness on the eye’s surface sometimes will over-stimulate production of the watery component of your tears as a protective mechanism. But this “reflex tearing” does not stay on the eye long enough to correct the underlying dry eye condition.

In addition to these symptoms, dry eyes can cause inflammation and (sometimes permanent) damage to the surface of the eye.

Dry eye syndrome also can affect the outcomes of LASIK and cataract surgery.

Dry eye treatment and prevention

Thankfully, there are effective treatment options if you suffer from chronic dry eye.

In many cases, routine use of artificial tears and minor behavioral modifications (taking frequent breaks during computer use, for example) can significantly reduce dry eye symptoms.

In other cases, your eye doctor might recommend prescription eye medications to help your body create and secrete more tears and to decrease eye irritation and inflammation