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A-Z Glossary

Table of Contents

Oculus Sinister

Vasudha Rao
Written byVasudha Rao
Vasudha Rao
Vasudha Rao4th Year Optometry Student, UC BerkeleyBerkeley, CA

Bio

Vasudha Rao is a fourth-year optometry student at the UC Berkeley School of Optometry with aspirations of specializing in ocular disease or community care. She is currently on clinical rotations. She enjoyed serving veterans at the Miami Veterans Affairs Hospital and learning from renowned clinicians at the Bascom Palmer Eye Institute as a part of her clinical training. Vasudha is passionate about helping underserved communities receive optometric care, and actively volunteers to provide vision screenings to those in need. In her spare time she enjoys partaking in a game of Scrabble, enhancing her cooking skills, and sharing her clinical cases on her Instagram page @visions.of.vasudha.

  • Last updated December 15, 2022

What Is Oculus Sinister?

OS or Oculus Sinister is the Latin term that means left eye. An eyeglasses prescription usually has three important medical abbreviations: OS (Oculus Sinister), OD (Oculus Dexter), and OU (Oculus Uterque). The Latin term oculus means eye in English, and sinister means left. 

Key Points

  • OS or Oculus Sinister is the Latin term that translates to left eye. It is often used to denote the left eye’s glasses prescription.
  • If the OS numerical value has a minus sign (e.g. -2.00) then the person is nearsighted in the left eye. 
  • If the OS numerical value has a plus sign (e.g. +2.00) the person is farsighted in the left eye. If there are three numerical values (e.g. +2.00 -1.00 x180) the person also has astigmatism in the left eye. 
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Understanding Oculus Sinister

OS is an acronym for Oculus Sinister, used widely by ophthalmology and optometry professionals. Most notably, OS is a term written in the glasses prescription indicating the prescription for the left eye. The OS value in a glasses prescription is the amount of lens power. It is measured in diopters, the correction for nearsightedness or farsightedness. 

Diopters

Generally, the strength of eyeglasses is measured in terms of diopters (D). The dioptric power is the refractive power, which is the extent that a lens refracts light. A lens that has 5.00 D, or five diopters of refractive power, bends light more than a 1.00 D lens, or one diopter of refractive power. The amount of diopters is essentially the amount that a lens bends light in order to create a clear image on the retina. A lens that has a negative dioptric power (-4.00 D) diverges light, whereas a lens with a positive dioptric power (+4.00 D) converges light.

Optically, a diopter is also the inverse of the focal length in meters. If the Oculus Sinister, or left eye’s prescription, is “-2.00 D” the lens has a focal length of 1/-2.00, or -0.50 meters. The notation “-2.00 D”, means two diopters of nearsightedness. This means that an eye with a prescription of -2.00 D can see clearly at 50 centimeters from the eye without any glasses correction. Wearing a higher diopter power lens allows for sharp vision closer to the eyes. 

Farsightedness

Farsightedness, also known as hyperopia, is a refractive error where parallel rays of light from a distant object enter the eye and focus behind the retina, instead of directly onto the retina. This problem occurs when the eye is too short in length.

A plus-powered convex lens in glasses will correct hyperopia, or farsightedness. Farsightedness makes a person have trouble viewing close-up objects, such as phones or books. Most children are farsighted because their eyes are still growing and their eyeballs are short. However, children with farsightedness may not have blurry vision because they have strong focusing systems.

Symptoms of farsightedness may include headaches or eye strain after long periods of reading. Farsighted children often have problems in school. 

Nearsightedness

Nearsightedness, also known as myopia, is the most common refractive disorder. In this case, parallel rays of light from a distant object enter the eye and focus in front of the retina, instead of directly onto the retina. This problem occurs when the eye is too long in length. A minus-powered concave lens will correct myopia, or nearsightedness. 

Nearsightedness results in blurred distance vision, such as trouble seeing the television subtitles or signs on the highway. Symptoms of myopia may include the need to squint to see clearly, blurred vision that’s worse at night, or eye strain after long periods of doing distance tasks such as driving.

A high amount of nearsightedness can be detrimental to the eye’s health and has an increased risk of eye diseases such as glaucoma, retinal detachment, and retinal thinning. 

Presbyopia

The word presbyopia stems from the Greek medical terminology of presbys, meaning elderly, and opis, meaning eye. Presbyopia is defined as the loss of focusing ability. This occurs normally with age. At birth, the lens inside of the eye is flexible and is able to move forward and backwards effortlessly to focus on objects up close.

As humans age, the lens loses its elasticity, and it becomes thicker and denser over time. Eventually, the lens has minimal focusing power as it is unable to change its shape. Presbyopia results in the decreased ability to see clearly at near. 

Presbyopia often starts at forty years of age and stabilizes at sixty years of age. Symptoms of presbyopia can manifest as eye strain or headaches after reading, having to hold items further away to see them, or trouble reading in dim light. 

If your eye doctor determines you have presbyopia, they will include an ‘ADD’ magnifying value in the glasses prescription to assist with reading. The magnifying power is applied to the bottom of the multifocal lenses. Multifocal lenses, such as progressive lenses or bifocals, are prescribed for patients with presbyopia. These lenses have two or more powers. The top of the lens is used for distance viewing and the bottom for reading.

Astigmatism

Astigmatism is defined as an irregularly shaped cornea. This irregularly shaped cornea bends the light that enters the eye differently so that light cannot focus on a single point. Because the corneal curvature is not perfectly round with astigmatism, there are different refractive powers in different meridians, and the prescription in one meridian is different than the other. This requires the glasses prescription to have two powers and a direction of astigmatism, such as “-1.00 +1.00 x010”.  

Astigmatism will cause blur with both near and distant objects, as well as image distortion. 

Symptoms of astigmatism may manifest as ghost images or double vision with one eye closed, eye strain, headaches, or the need to squint. Astigmatism is a common refractive error, and about 40% of Americans have this condition. It is a benign condition that is corrected with glasses, similar to nearsightedness and farsightedness.

Bibliography

  1. “Reading Your Eyeglass Prescription.” WebMD, www.webmd.com/eye-health/how-read-eye-glass-prescription, Accessed 3 Aug. 2022.
  2. “How to Read Your Prescription (RX) | 20/20 Image Eye Centers.” 2020 Image Eye Centers, 2020image.com/eye-health/how-to-read-your-rx/. Accessed 3 Aug. 2022.
  3. “Eye Terminology for Eye Technicians | Allergan TechAlliance.” www.allergantechalliance.com/Eye-Conditions/EyeCare-Terminology
  4. https://www.merriam-webster.com/dictionary/diopter

Related Terms

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Drusen

is an accumulation of cellular debris underneath the retina

Uvea

is a highly vascular layer that lines the sclera, and its primary function is to provide nutrition to the eye

Aqueous Humor

is the fluid that fills up the front of the eye. It is a clear fluid that keeps the eye nourished and inflated

Geographic Atrophy

is an advanced form of age-related macular degeneration that leads to progressive and irreversible loss of vision

Zyl

is a type of material that is used to make frames for eyeglasses

Bowman’s Layer

is the second layer of the cornea, which is the clear outer covering of the eye

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