What You Need to Know: 5 Quick Takeaways
- OD means right eye. OS means left eye. These are Latin abbreviations.
- A minus (-) SPH number means nearsighted. A plus (+) SPH number means farsighted.
- If CYL and AXIS are blank or show ‘PL/DS,’ you have no astigmatism — that’s perfectly normal.
- The ADD column indicates presbyopia (age-related reading difficulty) and is used for bifocal or progressive lenses.
- An eyeglass prescription cannot be used to order contact lenses — they require a separate fitting and prescription.
From OD to PD: A Doctor’s Guide to Understanding Your Eyeglass Prescription
After your eye exam, you’re handed a piece of paper filled with abbreviations, numbers and plus and minus signs. It’s your key to clear vision, but it can feel like you need a secret decoder ring to understand it.
Don’t worry. It’s much simpler than it looks. At Berkeley Eye Center, we believe in empowering our patients with clear information. This guide walks you through every part of your prescription so you know exactly what it says about your unique vision.
Quick Reference: What Every Abbreviation Means
|
Abbreviation |
Stands For |
What It Means |
|---|---|---|
|
OD |
Oculus Dexter |
Your right eye. |
|
OS |
Oculus Sinister |
Your left eye. |
|
OU |
Oculus Uterque |
Both eyes together. |
|
SPH |
Sphere |
Main lens power for nearsightedness (minus) or farsightedness (plus), measured in diopters. |
|
CYL |
Cylinder |
Amount of astigmatism correction needed. Blank or ‘PL/DS’ means no astigmatism. |
|
AXIS |
Axis |
The angle of astigmatism correction, from 1–180 degrees. |
|
ADD |
Addition |
Extra magnifying power for reading (presbyopia). Used in bifocal and progressive lenses. |
|
PD |
Pupillary Distance |
Distance in mm between your pupils. Ensures lenses are centered over your eyes. |
|
PL / DS |
Plano / Diopters Sphere |
Zero — no correction needed in that column. |
|
Prism |
Prism |
Corrects double vision or eye alignment issues. Less common. |
OD and OS: Your Right Eye and Left Eye
OD stands for Oculus Dexter, Latin for right eye. OS stands for Oculus Sinister, Latin for left eye. You may also see OU (Oculus Uterque), which means both eyes. Your prescription is organized in rows by eye, with each column showing a different type of correction.
SPH (Sphere): Your Main Lens Power
SPH, or Sphere, is the primary number on your prescription. It corrects nearsightedness or farsightedness and is measured in units called diopters.
- A minus sign (−) means you are nearsighted (myopic). You see clearly up close but have difficulty with distance.
- A plus sign (+) means you are farsighted (hyperopic). While many farsighted patients can see relatively well at both distances — especially when younger — vision may be blurry at near, far or both distances depending on the degree of correction needed.
- The further the number is from zero, the stronger the prescription.
If SPH reads Plano (PL) or DS, it simply means no sphere correction is needed for that eye — this is completely normal.

CYL (Cylinder) and AXIS: Your Astigmatism Correction
These two numbers always work together. If you have values in these columns, it means you have astigmatism — a very common condition.
CYL (Cylinder): This number represents the amount of astigmatism correction needed. Astigmatism occurs when the eye, typically the cornea or the lens inside the eye, is not perfectly round, causing blurry or distorted vision. A common way to think of it: a normal eye is shaped like a basketball; an eye with astigmatism is shaped more like a football.
AXIS: This number, ranging from 1 to 180, indicates the angle or orientation of the astigmatism. It tells the lens lab exactly where to place the cylinder correction so it aligns with your eye.
If CYL and AXIS are blank, or if CYL reads ‘PL,’ ‘DS,’ or ‘0.00,’ it means you have no astigmatism in that eye. Many patients have no astigmatism, so blank fields in these columns are not a cause for concern.
ADD (Addition): Your Reading Power
If you see a number in the ADD column, it means you have presbyopia — the age-related loss of near focusing ability that typically begins in the early to mid-40s.
The ADD value is the extra magnifying power needed in the lower portion of your lenses to help you see clearly for reading, using a phone, or other close-up tasks. It is used to make bifocal, trifocal or progressive lenses. In most cases this number is the same for both eyes, though your doctor may occasionally prescribe slightly different ADD values for each eye.
Prism and Base: Eye Alignment Correction
Prism and Base are less common fields. Prism correction is used to help patients who experience double vision or eye alignment issues (such as strabismus). The Base value indicates the direction of the prism. Most prescriptions will have nothing in these columns.
PD (Pupillary Distance): The Fitting Measurement
PD is the distance in millimeters between the centers of your pupils. This measurement is critical because it ensures the optical center of each lens is positioned directly in front of your eye, which affects both clarity and comfort.
You may see your PD listed as a single number (binocular PD, measured across both eyes) or as two separate numbers (monocular PD, measured from the center of each pupil to the bridge of the nose). Both formats are correct; two numbers are increasingly common, especially if you are purchasing glasses online. Our opticians take this measurement in-person when you order frames to ensure the highest accuracy.
Putting It All Together: A Sample Prescription
|
SPH |
CYL |
AXIS |
ADD |
|
|---|---|---|---|---|
|
OD (Right) |
-2.50 |
-1.00 |
090 |
+2.00 |
|
OS (Left) |
-2.75 |
PL / DS |
— |
+2.00 |
How to read this sample:
- Right Eye (OD): Nearsighted (−2.50), with astigmatism (−1.00 CYL at 090 degrees), plus +2.00 ADD power for reading.
- Left Eye (OS): Nearsighted (−2.75), with no astigmatism (PL/DS in CYL column, no AXIS needed), plus +2.00 ADD power for reading.
Notice that the left eye shows ‘PL/DS’ in the CYL column and a dash for AXIS. This is standard notation for no astigmatism — nothing is missing from the prescription.
Why Your Prescription Is Only Half the Story
Your prescription contains the essential optical numbers, but turning those numbers into the perfect pair of glasses takes the skill of a licensed optician. Our opticians take additional measurements, recommend the best lens materials, coatings, and frame styles for your lifestyle, and ensure your finished glasses are not only optically precise but also comfortable to wear all day.
Frequently Asked Questions
Ready to Turn Your Prescription Into the Perfect Pair of Glasses?
Now that you understand what every number means, our expert opticians are ready to bring your prescription to life. Visit any Berkeley Eye Center Optical location to explore our designer frame collections, advanced lens options, and personalized fitting experience.