The Lens Ordering Process
Lens ordering is where the optician translates all the clinical decisions made during the exam and dispensing process into a precise set of instructions for the optical laboratory. Every detail matters because the lab fabricates the lenses based solely on the information you provide. Missing or incorrect data results in wrong lenses, remakes, delays, and unhappy patients.
Prescription Specifications
The foundation of every lab order is the prescription (Rx). You must specify:
- Sphere power: The base refractive correction for each eye
- Cylinder power and axis: Astigmatism correction, specified in minus or plus cylinder form depending on lab preference
- Add power: For bifocal and progressive lenses, the additional plus power for near vision
- Prism: Amount in prism diopters and base direction, if prescribed
Double-check every value against the written prescription before submitting. Transposition errors (accidentally swapping sphere and cylinder, or misreading the axis) are among the most common ordering mistakes.
Lens Specifications
Beyond the prescription, you must specify the physical characteristics of the lens:
Lens Material
Choose based on the patient's prescription, lifestyle, and budget:
- CR-39: Standard plastic, good optics, economical
- Polycarbonate: Impact-resistant, thin, required for children and safety
- Trivex: Lightweight, excellent optics, impact-resistant
- High-index (1.60, 1.67, 1.74): Thinner for high prescriptions
Lens Design
For multifocal prescriptions, specify the exact design:
- Progressive design name: Manufacturer and specific product (e.g., Varilux Comfort, Shamir Autograph)
- Bifocal segment type and width: FT-28, FT-35, round, executive
- Occupational lens type: If ordering a specialty design for computer or workspace use
Coatings and Treatments
- Anti-reflective (AR) coating: Specify the tier (basic, premium, super-premium) and any brand-specific product name
- Scratch-resistant coating: Standard on most lenses, but verify
- UV treatment: Built into some materials, added to others
- Photochromic treatment: Specify brand and color (e.g., Transitions Signature, grey)
- Polarization: For sun lenses
- Tint: Color and density percentage
- Blue light filter: If requested by the patient
Measurement Data
Accurate measurements are essential for proper lens fabrication:
- Pupillary distance (PD): Binocular or monocular, for distance
- Segment height: For bifocals and progressives, measured from the lowest groove point
- Fitting height: For progressives, the fitting cross position
- Optical center height: For single vision lenses when non-standard placement is needed
- Vertex distance: For high prescriptions (+/-4.00D or greater)
- Pantoscopic tilt and wrap angle: For digitally surfaced progressives
Frame Information
The lab needs frame details to cut the lenses correctly:
- Frame trace: Digital shape data captured by a tracer (most accurate)
- Physical frame: Ship the actual frame to the lab for tracing
- Frame brand and model: Some labs stock popular frame shapes digitally
- A, B, ED, and DBL measurements: Boxing system dimensions
Reading the Lab Confirmation
After placing an order, review the lab confirmation (or order acknowledgment) to verify that the lab received and interpreted your order correctly. Check:
- Prescription values match what you submitted
- Lens material and design are correct
- Coatings match the order
- Measurements (PD, seg height, fitting height) are accurate
- Estimated completion date aligns with your patient promise
Catching errors at the confirmation stage prevents costly remakes and patient delays.
Managing Turnaround Time
Turnaround time varies based on lens complexity:
| Lens Type | Typical Turnaround |
|---|---|
| Stock single vision (in-stock Rx range) | 1-3 business days |
| Surfaced single vision | 3-5 business days |
| Standard progressive | 5-7 business days |
| Free-form progressive | 5-10 business days |
| Specialty (prism, high Rx, special coatings) | 7-14 business days |
Set patient expectations accurately based on the specific order. Underpromise and overdeliver: quote the longer end of the range so early completion is a pleasant surprise rather than a late delivery causing frustration.
Key Takeaways
- Verify every prescription value against the written Rx before submitting the order
- Specify all lens details: material, design, coatings, and treatments
- Provide complete measurements including PD, seg height, and fitting height
- For free-form progressives, include vertex distance, tilt, and wrap angle
- Review lab confirmations immediately to catch errors before fabrication
- Set realistic turnaround expectations based on lens complexity