Ophthalmology · Optics and Refraction (Myopia, Hypermetropia, Astigmatism)

A prescription written as -3.00DS / -2.00DC × 180 (negative cylinder form) is transposed to its positive cylinder equivalent. What is the correct positive cylinder form?

  • A +2.00DS / -2.00DC × 90
  • B -5.00DS / +2.00DC × 90
  • C -1.00DS / +2.00DC × 90
  • D +1.00DS / +2.00DC × 180
Correct answer: B. -5.00DS / +2.00DC × 90

Explanation

Transposition rule: new sphere = algebraic sum of old sphere and old cylinder (-3.00 + (-2.00) = -5.00DS); new cylinder = same magnitude, sign reversed (+2.00DC); new axis = old axis ± 90° (180° - 90° = 90°). Result: -5.00DS / +2.00DC × 90. This represents the identical optical power expressed with a plus cylinder. This transposition skill is important for converting prescriptions between the forms used by different practitioners and for spectacle lens verification with a lensometer.

Reference: Khurana Comprehensive Ophthalmology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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