Right Eye (OD) - Sphere* Please select +6.00 +5.75 +5.50 +5.25 +5.00 +4.75 +4.50 +4.25 +4.00 +3.75 +3.50 +3.25 +3.00 +2.75 +2.50 +2.25 +2.00 +1.75 +1.50 +1.25 +1.00 +0.75 +0.50 +0.25 0.00 -0.25 -0.50 -0.75 -1.00 -1.25 -1.50 -1.75 -2.00 -2.25 -2.50 -2.75 -3.00 -3.25 -3.50 -3.75 -4.00 -4.25 -4.50 -4.75 -5.00 -5.25 -5.50 -5.75 -6.00 BAL
Right Eye (OD) - Cyl* Please select +2.00 +1.75 +1.50 +1.25 +1.00 +0.75 +0.50 +0.25 0.00 -0.25 -0.50 -0.75 -1.00 -1.25 -1.50 -1.75 -2.00
Left Eye (OD) - Sphere* Please select +6.00 +5.75 +5.50 +5.25 +5.00 +4.75 +4.50 +4.25 +4.00 +3.75 +3.50 +3.25 +3.00 +2.75 +2.50 +2.25 +2.00 +1.75 +1.50 +1.25 +1.00 +0.75 +0.50 +0.25 0.00 -0.25 -0.50 -0.75 -1.00 -1.25 -1.50 -1.75 -2.00 -2.25 -2.50 -2.75 -3.00 -3.25 -3.50 -3.75 -4.00 -4.25 -4.50 -4.75 -5.00 -5.25 -5.50 -5.75 -6.00 BAL
Left Eye (OD) - Cyl* Please select +2.00 +1.75 +1.50 +1.25 +1.00 +0.75 +0.50 +0.25 0.00 -0.25 -0.50 -0.75 -1.00 -1.25 -1.50 -1.75 -2.00
Lens required: Distance or reading* Please select Distance Reading
Reading add:* Please select +4.00 +3.75 +3.50 +3.25 +3.00 +2.75 +2.50 +2.25 +2.00 +1.75 +1.50 +1.25 +1.00 +0.75 +0.50 +0.25 None
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