Are Contact Lenses the Same Prescription as Glasses?

If you’ve ever wondered whether you can simply use your eyeglasses prescription to order contact lenses, you’re not alone. Many patients assume that vision correction prescriptions are interchangeable, but this common misconception can lead to discomfort, poor vision, and even eye health complications.

While both prescriptions typically correct the same refractive errors, they differ significantly in their measurements, parameters, and how they interact with your eyes. Understanding these differences is crucial for maintaining eye health and achieving the clearest vision possible.

A glasses prescription isn’t just a few numbers on paper—it’s the result of precise measurements tailored to how your frames sit on your face. At our practice, we emphasize that getting a proper fit is just as important as the prescription itself. Ordering glasses online often overlooks this step, which can lead to less-than-optimal vision.

We use Optikam technology to ensure every pair of glasses is measured and fitted for you—not just your prescription. This instrument assesses 10 different parameters of fit, including:

• Monocular PD
• Near PD
• Seg height
• Pantoscopic tilt
• Face-form
• Rear-vertex distance
• Frame geometry (A, B, ED, and DBL)

By gathering as-worn/position-of-wear data, we can tailor the lenses so they work with the exact position your frames sit on your face, ensuring optimal clarity and comfort. Just as glasses require precise fitting for the best results, contact lenses need their own specialized measurements and adjustments to provide clear, comfortable vision.

While both contact lenses and glasses work to correct your vision, they do so in slightly different ways, requiring different prescriptions. 

Distance from Your Eyes

The most fundamental difference lies in the position of each type of correction relative to your eyes. Glasses lenses are positioned approximately 12 millimeters away from your eyes, while contact lenses sit directly on the cornea, separated only by a thin layer of the tear film.

This distance difference significantly affects how light enters your eye and requires different prescription strengths to achieve the same visual clarity. The closer the corrective lens is to your eye, the less power is needed to correct refractive errors.

Power Adjustments

Because of the distance difference, contact lens prescriptions typically require power adjustments compared to glasses prescriptions. For mild prescriptions (usually under ±4.00 diopters), the difference may be minimal. However, stronger prescriptions typically require more significant adjustments.

For higher prescriptions, contacts often need less minus power (for nearsightedness) or less plus power (for farsightedness) compared to glasses. These calculations allow for consistent vision correction, whether the lens sits on your eye or in front of it.

Additional Parameters for Contact Lenses

Contact lens prescriptions include several measurements that glasses prescriptions don’t require, including:

• Base curve (BC): This measurement indicates the curvature of the contact lens back surface, typically ranging from 8.0–10.0 mm. The base curve must match your cornea’s curvature for proper fit and comfort.
• Diameter (DIA): This measures the width of the contact lens from edge to edge, usually between 13.5 and 15.0 mm. The diameter affects how the lens centers on your eye and influences comfort and vision quality.
• Brand and material: Contact lens prescriptions specify the exact brand and material type, as different manufacturers use varying designs and materials that can significantly impact fit and comfort.

Simply converting your glasses prescription isn’t sufficient for contact lens wear. A comprehensive contact lens fitting evaluates multiple factors specific to your eyes.

Corneal Measurements

During a contact lens fitting, we will measure your cornea’s curvature using a keratometer or corneal topographer. These measurements help the contact lens base curve match your eye’s natural shape, preventing discomfort and maintaining proper lens movement.

Eye Health Assessment

Contact lenses directly touch your eyes, making a thorough eye health evaluation essential. We can examine your tear film quality, check for dry eye conditions, and assess whether your eyes are suitable for contact lens wear.

Lifestyle Considerations

Your daily activities, work environment, and personal preferences all influence contact lens selection. Someone who works long hours at a computer may benefit from different lens materials or wearing schedules compared to an active athlete.

The Importance of Professional Fitting

Attempting to self-convert prescriptions or ordering contacts without proper fitting can result in:

• Discomfort and irritation from poorly fitting lenses
• Blurred or fluctuating vision from incorrect power or unstable lens position
• Eye health complications, including infections, corneal abrasions, or chronic inflammation
• Reduced wearing time due to discomfort

At Fuquay Eye Care, our comprehensive contact lens fittings facilitate comfort, vision, and eye health. We take the time to properly measure your eyes, discuss your lifestyle needs, and find the perfect lens for your unique requirements.

When you get your prescription for eyeglasses or contact lenses, you may not know what it means. Here are some components you may see on a prescription: 

Glasses Prescription Components

A typical glasses prescription includes:

• Sphere (SPH): Corrects nearsightedness or farsightedness
• Cylinder (CYL): Corrects astigmatism
• Axis: Indicates astigmatism orientation
• Add power: For bifocal or progressive lenses
• Pupillary distance (PD): Distance between your pupils

Contact Lens Prescription Additions

Contact lens prescriptions contain all the glasses prescription information plus:

• Base curve (BC)
• Diameter (DIA)
• Brand/material specification
• Wearing schedule recommendations
• Replacement frequency

Both glasses and contact lenses offer excellent vision correction when properly prescribed and fitted. The choice between them often depends on personal preference, lifestyle factors, and eye health considerations.

Contact lenses provide a wider field of view, don’t fog up in weather changes, and offer freedom during physical activities. Glasses, however, require less maintenance and don’t carry the same infection risks associated with contact lens wear.

Understanding that contact lens and glasses prescriptions aren’t interchangeable is the first step toward making informed decisions about your vision correction. 

At Fuquay Eye Care, we’re committed to providing personalized vision solutions that fit your needs. Our experienced team will work with you to provide proper fitting for comfort and clarity. Schedule a comprehensive eye exam and contact lens consultation to explore your options and find the perfect solution for your visual needs.