The method: add the cylinders as power vectors
A cylinder cannot be added to another at a different axis by simple arithmetic. Split each one into a spherical part and two astigmatic parts, add those, and rebuild:
M = C ÷ 2
J0 = −(C ÷ 2) × cos 2α
J45 = −(C ÷ 2) × sin 2α
- C, α
- Each cylinder's power and axis. Work out M, J0 and J45 for both and add them.
- Cylinder
- −2 × √(J0² + J45²), in minus-cylinder form.
- Sphere
- M − cylinder ÷ 2.
- Axis
- ½ × arctan(J45 ÷ J0). If J0 is negative, add 180° to the arctan before halving; add 180° to a negative axis.
Worked example: over-refraction
A wearer's glasses are plano −2.00 × 180. Over them, −0.50 × 30 gives the best vision. Worked by hand:
| M | J0 | J45 | |
|---|---|---|---|
| −2.00 × 180 | −1.00 | +1.00 | 0.00 |
| −0.50 × 30 | −0.25 | +0.125 | +0.217 |
| Sum | −1.25 | +1.125 | +0.217 |
Cylinder = −2 × √(1.125² + 0.217²) = −2.29. Sphere = −1.25 + 1.146 = −0.10. Axis = ½ × arctan(0.217 ÷ 1.125) = 5°. The new prescription is −0.10 −2.29 × 5, ordered in quarter steps as plano −2.25 × 005.
The calculator gives its result in the same minus-cylinder form. For these inputs it shows -0.10 D, -2.29 D and 5°. In plus-cylinder form the same lens is −2.40 +2.29 × 95 (see the plus to minus cyl converter).
Two checks worth knowing
- Equal cylinders 90° apart make a sphere: −1.00 × 180 with −1.00 × 90 is −1.00 D with no cylinder. The calculator shows -1.00 D with a cylinder of 0.00 D and no axis.
- Cylinders at the same axis simply add: −1.00 × 180 with −0.50 × 180 is plano −1.50 × 180. The calculator shows 0.00 D, -1.50 D and 180°.
Where it is used
- Over-refraction over existing spectacles or a toric contact lens, as in the example.
- Working out the residual astigmatism when a toric contact lens settles at the wrong axis.
Confirm any combined prescription by refraction before it is ordered; see the medical disclaimer.
Questions
Why does combining two cylinders produce a sphere?
Along every meridian each cylinder adds some power. The part that both share in all meridians acts as a sphere; only the remainder is left as cylinder.