| 28663-3 | Right eye Sphere far (phoropter) |
| 28668-2 | Left eye Sphere far (phoropter) |
| 28780-5 | Right corrective lens Sphere far (lensmeter) |
| 28826-6 | Right glasses lens prescription Sphere far |
| 28842-3 | Left glasses lens prescription Sphere far |
| 55977-3 | Left corrective lens Sphere far (lensmeter) |
| 96053-4 | Corrective lens Sphere far (lensmeter) |