Documenting Contact Lens Wearing Prescriptions in the iPad App

Document the wearing prescription of the lenses the patient came in with. What do you want to do?

  1. Open the Vision Exam screen. To learn how, go to Opening the Vision Exam Screen in the iPad App.
  2. Tap Wearing (WRx).

  3. Tap Add Soft CL.

    The Soft CL screen opens. Continue documenting the wearing prescription.

  1. Tap View/Import Refraction Hx and select the refraction you want to import, or enter the details for the patient’s contact lenses.

    Document the wearing prescription values on the following tabs:

    • Refractions. Select the Contact Usage from the drop-down menus. Select the Product Manufacturer and Series. Select the values for the Contacts Prescription from the drop-down menus.
    • Visual Acuities. Select the patient’s Distance Vision and Near Vision from the drop-down menus. You can tap the 20/20 OU link to populate the Visual Acuities. You can tap the arrow to select the Glare, BAT, PAM, and RAM.
    • Assessment. If the test result was normal, tap Mark as Normal. Select the patient’s Torics Rotated Right and Left, the Movement, Centration, Vision, Comfort and Torics Right.
    • Over Refraction. Select the patient’s Sphere, Cylinder, Axis, Distance Visual Acuity and Near Visual Acuity.
    • CL Regimen. Select the Wearing Schedule, Replenishment, and Disinfecting information. Enter any Special Instructions.
  2. Tap Save.
  1. Open the Vision Exam screen. To learn how, go to Opening the Vision Exam Screen in the iPad App.
  2. Tap Wearing (WRx).

  3. Tap Add Specialty CL.

    The Specialty CL screen opens. Continue documenting the wearing prescription.

  1. Open the Specialty Contact Lens screen. To learn how, go to
  2. Tap the Additional Fields button.

    The Additional Fields window opens.

  3. Depending on your needs, take the following actions:
    • Tap the (plus) to make a field visible.
    • Tap the (minus) to hide a field.
    • Tap and drag the (bars) to change the order.
  4. Tap Done to save your changes.

The Specialty Lens Prescription screen updates to reflect the changes you made.

When you hide a field, that filed will not appear on new prescriptions. Encompass will always show fields that have values recorded. If you hide a field and import a specialty contact lens prescript that has a value recorded in that field, the field will be visible and editable in that prescription.

The changes you make here only apply to you and are reflected on the web and iPad app. Other providers in your practice can customize these fields according to their own prescribing practices.

The Specialty Lens feature in Encompass give you the flexibility to add or remove fields according to your prescribing preferences. Tap the Additional Fields button to customize which fields you see. The following table describes the fields that can be shown or hidden.

Field Definition Notes
Axis 2 Secondary axis or oblique axis, measured in degrees This value may have different names depending on manufacturer or product
Base Curve 2 Secondary curve, peripheral curve, landing curve, intermediate curve, or alignment curve This value may have different names depending on manufacturer or product
Blend The smoothness of the transition between different curves on a contact lens  
Center Thickness The thickness of the lens at its center, which can impact oxygen permeability and comfort  
Cylinder 2 Secondary cylinder or peripheral cylinder This value may have different names depending on manufacturer or product
Edge Thickness The thickness of the lens at its edge, affecting comfort and lens movement  
HVID Horizontal Visible Iris Diameter, the measurement of the iris from one side to the other  
Material The type of material used to make the contact lens, influencing oxygen permeability and comfort
OAD Overall Diameter, the total diameter of the contact lens  
Optical Zone The central area of the lens that provides the prescribed vision correction  
PCR Peripheral Curve Radius, the curvature of the outer edge of the lens  
Prism A lens feature used to correct double vision or to stabilize the lens on the eye  
Radius 2 Secondary radius, intermediate curve, or first peripheral curve This value may have different names depending on manufacturer or product
Radius 3 Tertiary radius, landing curve, or second peripheral curve This value may have different names depending on manufacturer or product
SAG Sagittal Depth, the distance from the back surface of the lens to the front surface at the center  
Segment Height The height of the bifocal or multifocal segment in the lens  
Skirt The outer portion of a hybrid lens that rests on the sclera  
Sphere 2 Secondary sphere This value may have different names depending on manufacturer or product
Tint Color intensity and type of color added to the lenses  
Width 2 Secondary width, first peripheral curve width, or intermediate zone width This value may have different names depending on manufacturer or product
Width 3 Tertiary width, landing zone width, or second peripheral curve width This value may have different names depending on manufacturer or product

Want to watch a video tutorial on documenting the vision exam? Check out our series on Pretesting and Creating Prescriptions (iPad).