Lens ordering platform

CLIENT CODE(*)
E-MAIL (*)
PATIENT REFERENCE (*)

Please remember that your Patient´s name will be printed in the Lens pack (except Xtensa). If you prefer not to print it, just tick this box:
NEW PATIENT? (*)

CHOOSE THE EYE
Right eye

Left eye

CHOOSE YOUR LENS
CHOOSE YOUR GEOMETRY

DOMINANT?

NoneRight eyeLeft eye
Right eye

Left eye

HVID
K-READINGS
K1Axis
K2Axis

K1Axis
K2Axis
ECCENTRICITY
Right eye

Left eye

SPHERE
CYLINDER
AXIS
ADDITION
VERTEX DISTANCE
Right eye

Left eye

TOPOMAP IMAGE
Max file size: 1Mb
Format: .jpg & .png


ORDER TYPE

CHOOSE YOUR EYE
Right eye
Left eye
WHAT DO YOU WANT TO CHANGE?
DIAMETER
BASE CURVE
OVER REFRACTION

SPH

CYL

AXES

SPH

CYL

AXES

AXIS LOCATION

ADDITIONAL INFO


CHOOSE YOUR EYE
Right eye

Left eye

PACK TYPE
INFORMATION ABOUT PACK

In order to specify the Lens parameter you would like to use, please input the date you either received or ordered the successful trial Lens.

ORDER DATE

RECEIVED DATE

You are repeating your last revenue order in our system for this patient.

In order to specify the Lens parameter you would like to use, please input the date you either received or ordered the successful trial Lens.

ORDER DATE

RECEIVED DATE

You are repeating your last revenue order in our system for this patient.

FIRST PACK DATE

Type any question or doubt here…

FINAL COMMENTS
(*) - Mandatory fields