The three moves

  1. Add. New sphere = old sphere + old cylinder, signs respected. For -2.00 -1.50 x 180: new sphere = -2.00 + (-1.50) = -3.50.
  2. Flip. New cylinder = old cylinder with the sign changed. -1.50 becomes +1.50.
  3. Rotate. New axis = old axis + 90, wrapped onto the 1 to 180 scale. 180 + 90 = 270, minus 180 = 90. Result: -3.50 +1.50 x 090.

The axis wrap

If adding 90 pushes the axis past 180, subtract 180. Axis 120 becomes 30; axis 95 becomes 5. By convention the horizontal meridian is written 180 and never 0, so a wrap that lands on 0 is written 180.

Edge cases the exam likes

Self-check

Both forms must give the same power in every meridian: F = S + C x sin^2(theta - axis). The quickest check is the two principal meridians: sphere along the axis, sphere plus cylinder 90 degrees away. Run any example through the meridian power tool in both forms and the numbers match.

Now drill it: the transposition calculator and drill generates unlimited problems in both directions with the steps written out.

Frequently asked questions

What is the fastest way to transpose an Rx?

Say it as a chant: add, flip, rotate. Add sphere and cylinder for the new sphere, flip the cylinder sign, rotate the axis 90 degrees keeping it between 1 and 180.

How do I check a transposition?

Compute the power in any meridian in both forms; they must match exactly. The two principal meridians are the quickest: sphere along the axis, sphere plus cylinder perpendicular to it.