Spectacle Add +0.75 to +1.50D:

Lens Choice: Low ADD OU

Spectacle Add +1.75 to +2.50D:

Lens Choice: High ADD OU

Troubleshooting Poor Distance Vision

If patient is wearing two Low ADD lenses:

Add –0.25D to the dominant eye.

If patient is wearing two High ADD lenses:

Add –0.25D to the dominant eye.

Use a Low ADD in the dominant eye and a High ADD in the non-dominant eye.

Troubleshooting Poor Near Vision

If patient is wearing two Low ADD lenses:

Add +0.25D to the non-dominant eye.

Use a Low ADD in dominant eye and High ADD in non-dominant eye.

If near vision is still not acceptable, use High ADD in both eyes.

If patient is wearing two High ADD lenses:

Add +0.25D to non-dominant eye.