Affordable and stylish optical frame paired with high-quality single vision lenses. Comes with an anti-reflection coating to reduce glare and improve visual clarity—perfect for everyday comfort and sharp vision

Please fill up the manual Rx form BELOW. Double check and click SUBMIT. Note that this will be sent separately for checking and confirmation from our dedicated Optometrist.

RIGHT EYE (SPHERE) *

Please make sure to indicate the sign - minus or no sign for plus) ex. -1.00 or 1.00 For those who doesn't have any power, please write 0.

RIGHT EYE (CYLINDER) *

Please make sure to indicate the sign - minus or no sign for plus) ex. -1.00 or 1.00 For those who doesn't have any power, please write 0.

RIGHT EYE (AXIS) *

For those who doesn't have astigmatism / cyl, please write 0.

down preference RIGHT

LEFT EYE (SPHERE) *

Please make sure to indicate the sign - minus or no sign for plus) ex. -1.00 or 1.00 For those who doesn't have any power, please write 0.

LEFT EYE (CYLINDER) *

Please make sure to indicate the sign - minus or no sign for plus) ex. -1.00 or 1.00 For those who doesn't have any power, please write 0.

LEFT EYE (AXIS) *

For those who doesn't have astigmatism / cyl, please write 0.

ADD *

Applicable for Progressive Lenses ONLY. For single vision wearer, please choose +0.00.

PUPILLARY DISTANCE *

SEGMENT HEIGHT *

Applicable for Progressive Lenses ONLY. For single vision wearer, please write 0.

COLOR *

Photochromic lenses (Brown and Gray Options) / Clear

Name *

First

Last

Email *

Mobile *

Your requirements ( write down your preference ) *

color	gold/black/clear
size	53
bridge	18
temple size	143

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Affordable Frame / OH-95282

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