Prism calculations for optical practice — fast, clear and clinically meaningful.
Enter the Rx once and reuse it across the toolkit. Prism is recorded separately as horizontal and vertical components.
Transposition changes only sphere, cylinder and axis notation. Prism values are preserved.
Calculate induced prism from Rx power in the relevant meridian and optical-centre displacement.
Work backwards from desired prism to the required optical-centre displacement.
Combine horizontal and vertical prism components while retaining the clinically useful component notation.
Split a binocular prism requirement between the two eyes. Horizontal prism keeps the same BI/BO base in each eye; vertical prism is split with opposite bases so the required vertical imbalance is preserved.
A 50/50 split is the usual starting point, but the balance can be shifted between eyes where dispensing or clinical considerations require it.
Calculate the vertical prism induced in each eye when viewing above or below the optical centres, then determine the net binocular vertical imbalance.
For a conventional near-vision imbalance check, leave “include prescribed vertical prism” unticked. The tool reports each eye separately and expresses the relative imbalance explicitly.
Calculate near vertical imbalance and show the two single-lens compensation options: conventional slab-off (BU) and reverse slab-off (BD).
Conventional slab-off adds BU prism to the more-minus/less-plus lens in the 90° meridian. Reverse slab-off adds BD prism to the more-plus/less-minus lens. The tool reports both mathematically equivalent routes; final lens design and manufacturability remain a dispensing/laboratory decision.