E-mail:
*
Compañia
*
Nombre
*
Edad
*
Dirección de Envio
*
Calle, Número, Colonia, Ciudad
Código Postal
*
Telefono de Contacto
*
Modelo
*
Salvus
Ojo Derecho
*
Esfera
*
Ninguno
+5.00
+4.75
+4.50
+4.25
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+0.75
+0.50
+0.25
0.00
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
-6.25
-6.50
-6.75
-7.00
-7.25
-7.50
-7.75
-8.00
Cilindro
*
Ninguno
0.00
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
Eje
*
Ninguno
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
105
110
115
120
125
130
135
140
145
150
155
160
165
170
175
180
Ojo Izquierdo
*
Esfera
*
Ninguno
+5.00
+4.75
+4.50
+4.25
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+0.75
+0.50
+0.25
0.00
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
-6.25
-6.50
-6.75
-7.00
-7.25
-7.50
-7.75
-8.00
Cilindro
*
Ninguno
0.00
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
Eje
*
Ninguno
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
105
110
115
120
125
130
135
140
145
150
155
160
165
170
175
180
Material
*
Monofocal CR39
Bifocal Flat Top 28
Distancia Interpupilar
Adicion
Altura
Comentarios
*
Requerido
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