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Question
Hello. I read records and prepare the attorneys for mediation. I have a set of records in my hand, wherein this patient went for an eye exam. The physician's diagnoses are as follows:
"OD +225" Prism: "1 1/2"
"OS +55 degrees; Axis: 165; Prism: 1 1/2"

I have looked all over the internet to try to interpret what this eye exam and diagnoses mean. I cannot find anything except explanations for "OS or OD." Can you please give me this patient's diagnoses in laymen's terms? I would be so grateful.

Sherri

Answer
Sherri,

Thank you for the question. I'm am hear to help you as long as is needed to figure this out.

The prescription that you supplied is incomplete. It does have O.S. and O.D. which you have discovered is left and right, but neither contain all the information in a format I have ever seen, and I have filled Rx's from all over the world.

The Rx should be written In the following order. I'm using my phone to reply so it may not come out exactly as intended if not I will resend it tonight.

O.D. Sphere.  Cylinder.  Axis.  Add. Prism & Direction. Notes

O.S. Same as above

As an example would be

(+ or -) 2.25 (+ or -) 175 X (axis) 121 (0-180) add +2.50 Prism 3 diopters out and up (prism from .50 to 6 or more diopters is not uncommon. Directions for can be up, down, in or out or a logical combination of them.

As I though about it the sphere correction could be OD + 2.25 sph OS +5.50 sph. Sometime a doctor will abbreviate like that and while it can cause confusion they still do it. But that would still be only part of the answer as we still don't know where the prism goes or what the axis in the left is for.

Right eye +2.25 sph (the same as an over the counter reader) with one and a half diopters of prism.

Left eye One and a half diopters of prism
I have no idea what "+" 55 degrees means as degrees are neither plus or minus and tell you what direction the cylinder is to be placed in.

Can you email me a PDF of the document so I can look it over to see if I can better sort it out? As written it looks incomplete, I could not fill it as written and would call the doctor to verify it if it was given to me to fill.

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Robert Sobotor LDO

Expertise

Eye Glasses: fit, adjustment, and function Frames and Lenses: materials, benefits, limitations,progressive vs. bi-focal and adaptation Contact Lenses: tips on wearing, insertion and removal, comfort and proper cleaning and care Visual Complaints: Whether you have a history of unresolved visual complaints, never had a pair of glasses “feel right” or “I saw better out of my old pair” I can help troubleshoot visual complaints resulting from new glasses by determining, based on your observations and feelings, what the likely causes are and explaining them to you in a way that gives you a clear understanding and a shorter adaptation period. Contact lens Care: Tips and suggestions that I have used to teach first time contact lens wearers, even pre-teen and adolescent children, to quickly give them the skills and confidence to put in and remove their contact lenses. Tips on getting them in fast in the morning and out quickly at night without having that itchy feeling when you remove them. I can explain to you the makeup of the tear layer and how it can directly affect the comfort of your contacts based on little thing like computer use, heating and air in the car and office, that cloudy afternoon vision or dry feeling later in the day. Lens Recommendation: Based on your prescription I can advise what lens materials and designs are best suited to your needs and which ones to avoid as well as direction on frames designs that would complement the selection. Proper Frame Adjustment: I can help identify the problems associated with painful glasses that pinch, or squeeze. I can help you avoid getting a pair of glasses that constantly slide down your nose no matter how many times you get them adjusted. I can teach you what to look for in a frame that is right for you. I can explain how to look for a good quality frame that is not the most expensive in the room. I cannot diagnosis disease, prescribe or offer price specific advice or information.

Experience

My background is as a Licensed Optician with over twenty years experience. I have had industry-specific work published and held management positions with the largest optical retailing companies. I have had operational oversight of the dispensaries of both Ophthalmologists and Optometrists I have also held management positions in optical manufacturing to include specialty design RGP's and surface manufacturing, lens coating, and edging of spectacle lenses. My bench work, adjustment and repair, is in the tradition of the Guild opticians - focused on quality. I am proficient in all facets of eyewear, spectacle and Rigid Gas Permeable contact lens manufacture and modification. I provide an extension of the doctor’s standard of care throughout the entire dispensing process as I work with the patient to understand their diagnosis and develop the best solution toward remediation.

Publications
Eye Care Professional Magazine The Price Bluff- Relationship based business http://www.ecpmag.com/1webmagazine/2008/01jan/content/independent-ECP-pricing.asp Size Matters- The application of ANSI standards http://www.ecpmag.com/1webmagazine/2007/10oct/content/size-matters.asp

Education/Credentials
Licensed Dispensing Optician 1991 The American Board of Opticianry (ABO) certified 1990 National Contact Lens Examiners (NCLE) certificated 1991 Georgia State University 87-88 Oglethorpe University 03-04

Awards and Honors
Lens Crafters Presidents Pin for outstanding customer service

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