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Left Eye SPH:

Right Eye SPH:

Left CYL (Optional):

Right CYL (Optional):

Left AXIS (Optional):

Right AXIS (Optional):

Left Pupillary Distance (PD):

Right Pupillary Distance (PD):

Left Eye SPH:

Right Eye SPH:

Left CYL (Optional):

Right CYL (Optional):

Left AXIS (Optional):

Right AXIS (Optional):

Left Pupillary Distance (PD):

Right Pupillary Distance (PD):

Left Eye SPH:

Right Eye SPH:

Left CYL (Optional):

Right CYL (Optional):

Left AXIS (Optional):

Right AXIS (Optional):

Left Pupillary Distance (PD):

Right Pupillary Distance (PD):