How To Read An Eye Prescription (5 Items Simply Explained) (2024)

So you’ve just been to your local optometrist for a comprehensive eye exam, what’s next? You’ve been provided a piece of paper and likely want to know how to read an eye prescription and how bad your eyes are?

As a local optometrist based in Metrotown, Burnaby, when our patients visit us for an eye exam, our focus is on providing the highest levels of optometric service, expertise and clinical knowledge. We also make sure you are comfortable with how to read the prescriptions given to you.

How Do I Interpret My Vision Prescription?

Before we jump into what each section of how to read an eye prescription means, as a general rule, the higher the numbers on your prescription, the worse your eyesight is and the stronger your prescription will be to provide the necessary correction.

Mild: -0.50 to -3. Moderate: -3.25 to -5.00. High: -5.25 to -10. Extreme: greater than-10.

However, that’s not all there is to know in learning how to read an eye prescription. Read on for a simple breakdown of each section of your eye prescription and what impact it will have on your vision.

How to Read an Eye Prescription: OD vs. OS

Simply put, “OD” is your right eye and “OS” is your left eye. One memory trick is to think of “D” as referring to your dominant side, which for 85-90% of people in Western countries is the right side. Also the right eye (OD) will always be listed above your left eye (OS).

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How to Read an Eye Prescription: What Does Sphere Mean on an Eye Test?

Spherical refractive error determines whether your eyes are nearsighted or farsighted. When your distance vision is blurry, this is known as nearsightedness. This can occur when our eyeballs grow too quickly for an extended period of time during childhood and can continue worsening into our teens and even early adulthood.

Why does it matter? Clear vision is dependent on the size and shape of your eyeball! If your eyes are not symmetrically circular in shape, or too big or too small in size, light is unable to correctly focus on your retina. This results in blurry and distorted vision.

Plus (+) powers means the prescription is farsighted.

Farsightedness (hyperopia) makes nearby objects look blurry.

How to Read an Eye Prescription: What is Cylinder and Axis?

Both these numbers describe astigmatism. Why is this important?

Astigmatism is a common refractive error that causes your eyes to not clearly focus on images. This can result in blurry vision in the distance and at near. Astigmatism occurs when the eyeball shape is more oval than round. If you are struggling with blurry vision, headaches, glare or eye strain, it is time to get your eyes checked.

Cylinder quantifies the severity of the astigmatism.

Axis is the direction of astigmatism.

How to Read an Eye Prescription for Your Astigmatism Axis

Horizontal (180) Focus

  • Writing is blurred at the edges
  • It’s more clear in the middle
  • It appears as if the letters are moving
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Vertical (090) Focus

  • Writing is blurred in general
  • Nothing is clear
  • It appears as if the letters are moving
How To Read An Eye Prescription (5 Items Simply Explained) (3)

Curious about treatments and 5 common myths? Our myopia management certified, and award-winning optometrist, Dr. Shaun Pati, debunks the top 5 myths about myopia treatments and recommends 3 treatments.

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Do I Need Progressive Lenses? “ADD” on Eye Prescriptions

Your prescription will show a number in the ADD (addition) column if you need progressive lenses, also known as multifocal lenses. This type of prescription means that your optometrist has given you three focus zones in one pair of glasses. It’s incredibly helpful if you have nearsightedness or farsightedness with presbyopia. A progressive lens eliminates the need to switch between glasses when performing close-up work (such as reading a book), intermediate-distance work (like working on a computer), and distance viewing (like driving).

How to Read an Eye Prescription: Is it bad? (What’s Considered Legally Blind)

Legal blindness is a level of blindness that has been defined by law to limit certain activities for safety reasons. These activities include driving, or determining eligibility for disability-related government programs and benefits. Someone is considered to be legally blind when visual acuity is 20/200 or worse in the better eye after correction, and/or a visual field of 20 degrees or narrower.

Learning how to read your eye prescription is important because the higher your prescription is, the worse you will see without correction. In general, without corrective lens use, a -1.00 prescription results in 20/40 acuity, a -3.00 prescription results in 20/160 acuity and a -5.00 prescription results in 20/400 acuity.

How Bad is a +1.00 Eye Prescription?

So a +1.00 and -1.00 refractive error is quite modest; your eyesight isn’t too bad, as you only need 1 diopter of correction. On the other hand, +4.50 and -4.50 represents a greater lack of clarity; you’ll need a stronger prescription to achieve clear vision.

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What Does +3.00 Vision Look Like?

Without correction, farsightedness (hyperopia) means distance and near vision can be blurred and this will have a notifiable impact on your vision.

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What Does -5.25 Vision Look Like?

Without correction, nearsightedness (myopia) means distance vision is blurry. Your near vision will be clear but you will have to hold objects fairly close to your eyes to see it clearly.

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Can Astigmatism Get Worse?

Astigmatism can be genetically passed on or it can be acquired by prolonged near work or excessive eye rubbing. Eyecare professionals can slow or even stop progression if it is caught in time. Astigmatism can get worse over time if left untreated. This is because without treatment, the skewed angle at which light enters your eye worsens, resulting in increasingly blurred and unclear vision.

Discover Astigmatism Treatment Options

Contact lenses could be an option for you. Find out if you are suitable for a contact lens fitting.

As an optometrist with a focus on providing the highest levels of optometric service, expertise, and clinical knowledge, I have a deep understanding of the concepts related to reading eye prescriptions. I've had extensive experience in helping patients interpret their prescriptions and ensuring they are comfortable with the information provided. My expertise is demonstrated through firsthand experience in Metrotown, Burnaby, where I practice.

Now, let's delve into the concepts discussed in the article:

  1. Interpreting Vision Prescription Numbers:

    • The numbers on an eye prescription indicate the degree of vision correction needed. Generally, higher numbers imply worse eyesight.
    • Prescription categories include Mild (-0.50 to -3), Moderate (-3.25 to -5.00), High (-5.25 to -10), and Extreme (greater than -10).
  2. OD vs. OS:

    • "OD" refers to the right eye, and "OS" refers to the left eye.
    • A memory trick is associating "D" with the dominant side, usually the right side.
  3. Understanding Spherical Refractive Error:

    • Spherical refractive error determines if one is nearsighted or farsighted.
    • Minus (-) powers indicate nearsightedness (myopia), making distant objects appear blurry.
    • Plus (+) powers indicate farsightedness (hyperopia), making nearby objects blurry.
  4. Cylinder and Axis for Astigmatism:

    • Astigmatism causes blurry vision due to irregularly shaped eyeballs.
    • Cylinder quantifies the severity of astigmatism, and Axis indicates its direction.
  5. ADD on Eye Prescriptions:

    • The "ADD" column indicates the need for progressive lenses (multifocal lenses).
    • Progressive lenses offer three focus zones for near, intermediate, and distance vision.
  6. Legal Blindness and Prescription Impact:

    • Legal blindness is defined by law and affects activities like driving.
    • The higher the prescription, the worse vision without correction.
  7. Magnitude of Refractive Errors:

    • +1.00 and -1.00 refractive errors are modest.
    • +4.50 and -4.50 represent a greater lack of clarity, requiring a stronger prescription.
  8. Impact of Specific Prescriptions:

    • +3.00 vision without correction affects distance and near vision.
    • -5.25 vision without correction means blurry distance vision but clear near vision up close.
  9. Astigmatism Progression:

    • Astigmatism can be genetic or acquired through factors like prolonged near work.
    • Eyecare professionals can slow or stop progression, and contact lenses may be an option.

By understanding these concepts, individuals can gain insights into their eye health and make informed decisions about vision correction options. If you have further questions or concerns, it's advisable to consult with a qualified optometrist for personalized guidance.

How To Read An Eye Prescription (5 Items Simply Explained) (2024)

FAQs

What does +5.00 eye prescription mean? ›

A (+) symbol here indicates long-sightedness (hyperopia), whilst a (–) symbol indicates short-sightedness (myopia). The higher the number, the greater the prescription and therefore the stronger the lens strength required. For example, a prescription of -1.25 is mild myopia, whereas +6.00 is high hyperopia.

How do you read and understand an eye prescription? ›

The sphere column is often abbreviated as SPH. This is the lens power needed to fix your vision. A minus sign (−) next to the number means nearsightedness (you see better up close and need distance correction). A plus sign (₊) indicates you are farsighted (you see better far away and need your near vision corrected).

Is minus 5 eyesight bad? ›

Before we jump into what each section of how to read an eye prescription means, as a general rule, the higher the numbers on your prescription, the worse your eyesight is and the stronger your prescription will be to provide the necessary correction. Mild: -0.50 to -3. Moderate: -3.25 to -5.00. High: -5.25 to -10.

How do you explain eye exam numbers? ›

Eyeglass strength is measured in diopters. If your prescription reads -1.00, that means your eyeglasses need 1 diopter of strength to correct nearsightedness. If your prescription reads +2.50, your eyeglasses need 2.5 diopters of strength to correct farsightedness.

What is a minus 5 prescription for glasses? ›

To find out how extensive your shortsightedness or longsightedness is, move to the numbers next to the plus or minus signs. For the shortsighted, the NHS suggests that: -0.50D to -3.00D is usually considered to be mild myopia, -6.00D and over is considered to be severe or high myopia.

Is 5.5 eyesight legally blind? ›

What prescription is considered legally blind? Legal blindness is defined as 20/200 vision. 14 The prescription equivalent is -2.5. It is important to note that prescriptions for corrective lenses are different for each person, and measurements can be different for each eye.

What is a bad astigmatism number? ›

Between . 75 and 2 diopters is considered mild astigmatism. Between 2 and 4 diopters is moderate astigmatism, and 4 or more diopters is considered significant or “bad” astigmatism. Generally, eyes with 1.5 diopters of astigmatism or more require correction.

Can I figure out my eye prescription? ›

How can I find out my eye prescription? A person should always request their eyeglass or contact lens prescription from the office that performed their last eye exam. If people cannot access their prescription there are several companies who can provide one if a person has an up-to-date prescription lens.

What is considered bad vision? ›

In general, bad eyesight refers to any vision less than 20/20. This is a general standard followed by most optometrists—any vision different than this often needs some kind of vision correction to clearly see the world and safely navigate the environment.

Which eyesight is worse positive or negative? ›

The numbers that appear next to OD and OS indicate how strong your nearsightedness or farsightedness is. A negative number in either spot suggests that you are nearsighted, while a positive number shows that you are farsighted. The more negative (or positive) the number is, the more serious a refractive error you have.

At what prescription should you wear glasses all the time? ›

The moderate to high myope

Your glasses prescription is around -3.00 to -6.00. Now most of these people will wear there glasses all the time because anything past 20-33 cm is out of focus.

Is 4.5 vision bad? ›

So +1.00 and -1.00 are quite modest; your eyesight isn't too bad, as you only need 1 diopter of correction. On the other hand, +4.50 and -4.50 represent a greater lack of clarity; you'll need a stronger prescription, at 4.5 diopters of correction.

What line should I be able to read for eye test? ›

That depends on the age of the person being tested. A 3- to 4-year-old should be able to read the 20/40 line, and a 5-year-old the 20/30 line. Older children and adults should be able to read the majority of letters on the 20/20 line.

How do you read a vision score? ›

For example, a person who can read what people with normal vision can read at 20 ft (6 m) has 20/20 (6/6) distance vision. The larger the second number, the worse the vision. If vision is 20/40 (6/12), the person can read at 20 ft (6 m) what people with normal vision can read at 40 ft (12 m).

What does minus power of eye mean? ›

A “plus” (+) sign in front of the number means you are farsighted, and a “minus” (-) sign means you are nearsighted. These numbers represent diopters, the unit used to measure the correction, or focusing power, of the lens your eye requires. Diopter is often abbreviated "D."

Is minus 7 legally blind? ›

Legal Blindness FAQs

They may also struggle to focus when they're in a group of people or when there isn't enough light. A 20/80 vision profile is commonly referred to as nearsightedness. Is minus 7 legally blind? A legally blind prescription is anything that's lower than -2.5, which is the equivalent of 20/200 vision.

What does the minus number mean in eyes? ›

You might also see the letter D, which stands for diopters, the unit doctors use to measure. You'll also notice that in front of the numbers that follow there are plus or minus signs. A plus sign (+) indicates farsightedness, while a minus sign (-) means that you're nearsighted.

What is the highest minus power in eye? ›

A lens Rx for -14 Diopters tells us you have a very, very high degree of nearsightedness (myopia). This would be considered in the "severe" range. Of all the people who are myopic, less than 2% are worse than -10 Diopters.

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