The Sphere column in your prescription (sometimes abbreviated to SPH) refers to spherical correction – the lens power needed to correct your vision across the curve of your eye, which should be the same all the way around if you don’t have astigmatism.
Sometimes, people’s eyes are irregularly shaped. This is called astigmatism. If you have this condition, your ophthalmologist will record a cylinder measurement (sometimes noted down with the abbreviation CYL). This will have a plus or minus sign in front of it, depending on whether you are also long- or short-sighted. You will need special cylindrical lenses in order to correct your vision.
Axis is another metric relating to astigmatism, so this part won’t be filled in for every prescription. For those with the condition, the axis column describes the angle or direction of your astigmatism. Your eyes are shaped like a rugby ball rather than a regular sphere, so there’s a position on your cornea where your cylindrical lens should be placed in order to provide vision correction. The axis measurement describes this spot in degrees, so it will be a number between 1 and 180.
Will you need reading glasses or bifocals in addition to your regular specs? The ADD part of your prescription will tell you this. ‘ADD’ simply refers to any ‘added’ lens power that you may need in order to focus on close objects, such as when you read a book or look at a computer screen. The numbers here range from +0.75 to +3.00D.
In rare cases, the right eye and the left eye don’t work well together, which can lead to problems focusing. If you have a number in the Prism column of your eye prescription, it means you need special prism lenses which bend light to correct the problem. The prism base is the direction in which the prism will need to be aligned.
Even with an understanding of the basics, prescriptions can be hard to follow if they include abbreviations. Optometrists and ophthalmologists sometimes use abbreviations such as:
Even though they are designed to correct the same visual problems, contact lens prescriptions vary slightly from glasses prescriptions. That’s partly because of the way they are worn: while spectacles are positioned some distance away from the eye, contacts cover the surface up close, so they’ll need to be designed differently in order to help you see. Contact lens prescriptions also require a little more information, such as measurements of the curve and diameter of your eye.
Your prescription will tell you if you have an eye condition that requires correction. Find out more about the main types of visual conditions and how they can be treated to restore your sight.