Correcting for Vertex Distance
Why Vertex Distance Matters
Vertex distance, typically ranging from 12-14 mm, is the measurement from the spectacle lens to the corneal surface. At the corneal plane, high minus lenses become less minus and high plus lenses become more plus. Ignoring this shift at powers around ±4.00 D (and always ≥ ±6.00 D) risks blur, headaches, and poor adaptation when moving from glasses to contacts.
When and How to Correct
Begin compensating near ±4.00 D and always compensate at or beyond ±6.00 D. Use Fc = F / (1 - dF)
(F in diopters, d in meters). For cylinders, vertex each principal meridian separately, then recombine or transpose. Round to available 0.25 D steps after the math.
Clinical Impact of Getting It Right
Proper vertexing preserves acuity, reduces eyestrain, and smooths the SRx→CLRx transition. It also cuts remake rates and reinforces patient confidence in your precision. Document the assumed vertex so future refits remain consistent.
Vertex Power Chart (~12 mm)
Use the chart below for quick estimates.
Spec Power | CL Power | Spec Power | CL Power |
---|---|---|---|
-4.00 | -3.75 | +4.00 | +4.25 |
-5.00 | -4.50 | +5.00 | +5.50 |
-6.00 | -5.25 | +6.00 | +6.50 |
-8.00 | -6.75 | +8.00 | +8.75 |
-10.00 | -8.25 | +10.00 | +10.75 |