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ADD precautions
① Empirical formula method: ADD = (age - 30) / 10
② Near vision method: ADD = near vision - distance vision
③ FCC precision method: ADD = 1/2 (NRA + PRA) + FCC
FCC: binocular fusion cross cylinder test
NRA/PRA: binocular positive and negative relative accommodation measurement.

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Of course, the results of measuring ADD are not the end, we still need to pay attention to some small details:
① According to the patient's near reading needs, use a ruler to mark the habitual working distance (33cm or 40cm)
② For patients with weak eye downward rotation ability, the ADD can be appropriately increased
③ In principle, the ADD of both eyes should be kept consistent as much as possible. In special cases, try not to exceed +0.50
④ In principle, if the ADD value is between +1.75-+2.00DS, the comfort is the best.

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When the ADD value is higher than +2.00DS, everyone must be careful, and the patient needs some time to adapt.
If the ADD value is higher than +3.00, the success rate will decrease, the comfort level will be poor, and the adaptation period will be long.
⑤ When the ADD is relatively large, you can choose a long-channel progressive lens.
⑥ When the patient mainly uses it near, in principle, the ADD should be appropriately increased by +0.25DS

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Post time: Jun-07-2024