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How Do You Read a Glasses Prescription?

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Tortoiseshell eyeglasses resting on a wooden table in a blurred waiting room with chairs and large windows in the background.

Key Takeaways

  • OD refers to your right eye, and OS refers to your left eye on any glasses prescription.
  • Numbers closer to zero mean a milder prescription; higher numbers mean stronger correction.
  • ADD is extra power for close-up or reading vision, which is more common after age 40.
  • Glasses and contact lens prescriptions are different and cannot be used interchangeably.

You leave your eye exam with a small slip of paper covered in abbreviations and numbers, and at first, it makes no sense at all. It’s completely normal not to understand what your glasses prescription means, but our team at Insight Eyecare is here to help make sense of those numbers, so you feel confident and informed.

A glasses prescription is a set of measurements that tells a lens maker exactly how to correct your vision, with specific numbers for each eye based on what the eye doctor found during your comprehensive eye exam. Once you know what each part means, it becomes a lot easier to read.

What the Letters on Your Prescription Mean

The first thing you’ll notice on your prescription is two abbreviations down the left side. OD stands for the Latin term for the right eye, and OS stands for the left eye. Each row of numbers beside those abbreviations applies only to that specific eye.

Your two eyes don’t always need the same correction. One eye might be more nearsighted than the other, or only one eye might have astigmatism. That’s why your prescription has a separate row for each eye rather than a single set of numbers for both.

What the ADD Number Means

Not every prescription has an ADD number. When it does appear, it means your lenses need extra power in a specific zone to help you see things up close, like reading a menu or a phone screen.

You’ll find ADD on prescriptions for bifocal or progressive lenses. It’s common for people over 40, since the eye’s natural focusing ability tends to shift with age. ADD is typically listed as a positive value and indicates the additional lens power needed for near vision.

Smiling adult wearing glasses and a green cardigan standing near a window in a room with exposed brick walls.

Is Your Prescription Strong or Mild?

How to Read Your Numbers

The closer your SPH number is to zero, the milder your prescription. A number like +0.50 or -0.75 means your eyes need only a small amount of correction.

The farther the SPH number is from zero, the greater the amount of spherical correction. For example, -6.00 represents more correction than -1.00.

What a Low Number Like +0.25 or -0.75 Means

A small prescription generally means you need a relatively small amount of refractive correction. Some people with low prescriptions notice little difference without glasses, while others may notice blur or visual discomfort during specific tasks.

If you’ve recently picked up new glasses and things still look a bit off, the typical adjustment timeline for new glasses can help you know what to expect.

Glasses vs. Contact Lens Prescriptions

If you’re thinking about switching between glasses and contacts, it’s worth knowing that the two prescriptions are not the same thing. A contact lens prescription includes additional measurements for fit and size, since the lens sits directly on your eye rather than in a frame in front of it. Using one in place of the other won’t give you the correct correction.

Book Your Eye Exam

Our optometrists in South Surrey and White Rock can walk you through your prescription and help you understand exactly what each number means for your eyes. If anything on your prescription still feels confusing, our team at Insight Eyecare is happy to explain it in plain language and help you find the right option for how you live and see. Ready to update your prescription? Book your eye exam today.

Written by Dr. Karen Sahota

Dr. Karen Sahota is originally from Maple Ridge, BC. She received her undergraduate degree in Biology from the University of British Columbia. She then went to Pacific University of College of Optometry, where she received her Doctor of Optometry degree (with distinction) in 2008. She and her husband, Dr. Avi Sahota, started Insight Eyecare – Doctors of Optometry in 2010. Dr. Sahota is a member of the Beta Sigma Kappa International Optometric Honour Society, BC Doctors of Optometry, and the Canadian Association of Optometrists. Besides giving exceptional optometric exams for general eye health and vision correction, Dr. Sahota also specializes in contact lens fittings and diagnosis of early glaucoma, cataracts, and retinal pathologies. She is very experienced in pediatrics, infant vision, and pre- and post-operative LASIK and cataract surgery through her training in the United States at the Spokane VA Eye Clinic, Eugene Oregon Eye Care Centre, and the Oak Harbor Naval Hospital. Dr. Sahota is also fluent in Punjabi. She is dedicated to educating her patients and increasing public awareness about the importance of regular eye health check-ups and providing her patients with the utmost best care possible. Currently, Dr. Sahota resides in South Surrey with her husband, Dr. Avi Sahota and her two sons, Kai and Luka. In her free time, she enjoys spending time with her family, travelling, and reading.
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