A patient has a distance Rx of -2.75 -1.25 x 180 with an ADD of +2.00. What is the near Rx?

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Multiple Choice

A patient has a distance Rx of -2.75 -1.25 x 180 with an ADD of +2.00. What is the near Rx?

Explanation:
Adding a near ADD increases focusing power uniformly in all meridians for near tasks. Start with the distance prescription: spherical -2.75, cylinder -1.25 at axis 180. Applying the near addition of +2.00 adds the same amount to the powers in both principal meridians, so the sphere becomes -2.75 + 2.00 = -0.75. The cylinder power stays the same (-1.25) and the axis remains 180. This yields near prescription: -0.75 -1.25 x 180. The other options would require changing the cylinder magnitude or the axis, which isn’t how the near add is applied.

Adding a near ADD increases focusing power uniformly in all meridians for near tasks. Start with the distance prescription: spherical -2.75, cylinder -1.25 at axis 180. Applying the near addition of +2.00 adds the same amount to the powers in both principal meridians, so the sphere becomes -2.75 + 2.00 = -0.75. The cylinder power stays the same (-1.25) and the axis remains 180. This yields near prescription: -0.75 -1.25 x 180. The other options would require changing the cylinder magnitude or the axis, which isn’t how the near add is applied.

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