Independent eye health educationWestern Australia

Ross Littlewood

How to Read an Eye Prescription

A beginner-friendly explanation of sphere, cylinder, axis and add values on a spectacle prescription.

Vision Basics6 min read
How to Read an Eye Prescription

A spectacle prescription can look like a row of unfamiliar abbreviations. Each value describes an optical correction, but the numbers are only one part of comfortable vision.

Sphere and the sign

Sphere describes the main focusing power in dioptres. A minus sign commonly indicates short-sighted correction and a plus sign commonly indicates long-sighted correction. Right and left eyes may have different values.

Cylinder and axis

Cylinder describes the amount of astigmatism correction. Axis, measured from 1 to 180 degrees, states its orientation; it is not a strength. If no cylinder is required, an axis may not be listed.

Add and other measurements

An add value supplies extra plus power for near tasks in multifocal or reading lenses. Prism, pupillary distance and fitting measurements may also appear. Do not compare prescriptions without considering the examination, visual needs and lens design.

General information only: This article cannot account for your individual eye health or medical history. Seek personalised advice from a registered health professional.

A clear next step

Write down what you have noticed, when it began and which activities are affected. That simple record can make a professional conversation more focused and useful.