Toric-aware meridional prism analysis — dual eye with binocular imbalance check
+ = nasal/in
+ = superior
+ = nasal/in
+ = superior
Significantly over tolerance by 1.13Δ. Must recut or regrind with compensating prism. Do not dispense.
Within ANSI tolerance. No correction required.
Exceeds tolerance by 0.54Δ. Remount with corrected horizontal centering. Symptomatic risk moderate.
Marginally over tolerance (0.17Δ). Re-verify seg height or OC placement. Patient may adapt.
Horizontal (Monocular)
≤6.50D: ±0.67Δ
>6.50D: ±0.25Δ/D
Vertical (Monocular)
≤6.50D: ±0.33Δ
>6.50D: ±0.25Δ/D
Vertical (Binocular)
≤0.33Δ imbalance between eyes
Primary diplopia risk factor
Reference: ANSI Z80.1-2020 §5.3 — Prism Imbalance Tolerances. Tolerances apply to finished prescription lenses measured at the optical center. Toric lenses: tolerance applied per principal meridian.