Eyeglass Selection

Eyeglass selection begins not with choosing frames, but with a precise understanding of how the eye focuses images. Errors in refraction, lens alignment, or frame fit can cause strain, headaches, and rapid visual fatigue.

At K+31, we select glasses after a diagnosis to take into account not only the prescription but also the patient's actual visual load.

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When you need professional eyeglass fitting

The reason may be a clear deterioration in vision, but the complaints may not be too severe. A person can see a chart adequately, but quickly tires of looking at a screen, squints while driving, or removes old lenses when reading.

Here, an examination helps determine whether glasses are needed and what parameters are safe.

Signs that your current glasses are not suitable

A previous prescription for glasses may be outdated. The eye begins to focus images differently, so the old pair no longer completely relieves visual strain. The patient may notice:

  • Headache
  • Double vision
  • Fuzzy letters

You may feel as if you have to search for text at a comfortable distance. If these complaints are accompanied by pain, stinging, redness, nausea, or flashes before the eyes, an in-person examination is necessary.

When should you avoid buying ready-made glasses?

Ready-made optics are designed for average values. They do not take into account astigmatism, lens alignment, or facial fit. For children, elderly patients, people with nearsightedness, farsightedness, or different eye strengths, it is better to choose glasses after an in-person examination by an ophthalmologist.

When you need professional eyeglass fitting

General information

How We Select Glasses

At "K+31," the appointment follows a clear process. We clarify complaints, previous correction experience, screen time, driving, and reading. The doctor then takes measurements and checks the patient's tolerance to the selected parameters.

Before prescribing, we evaluate the following data that influence the outcome:

  • Visual acuity
  • Refraction
  • Interpupillary distance
  • Frame position on the face
  • Visual strain and use scenarios

After the examination, the doctor explains the data. If prescription glasses are needed, the patient receives recommendations on lenses, frames, wearing schedule, and adaptations.

Vision and refraction check

Refraction measures how the eye refracts light. Using this measurement, the doctor determines the diopter, cylinder, and cylinder axis. The doctor also checks the diopters in a trial frame.

  • When nearsightedness is present, distance vision is impaired.
  • When farsightedness is present, the strain often increases at close range.

We don't limit ourselves to automatic measurements. The doctor compares the device data with a trial correction. With astigmatism, the cylinder and cylinder axis are particularly important: inaccurate selection of these parameters can result in blurry letters, lines, and outlines.

Determining the interpupillary distance and frame fit.

The optical center of the lens should be positioned opposite the pupil. To achieve this, the doctor accurately measures the interpupillary distance and takes into account the fit of the future glasses on the face. If the lens is centered incorrectly, the gaze passes through the wrong area of ​​the lens, which can cause:

  • Eyestrain
  • Emergency fatigue
  • Discomfort when reading or working at a screen

Therefore, an ophthalmologist's selection of glasses includes not only refraction but also manufacturing parameters.

We also evaluate the fit of the frame.

The seat height, frame tilt, bridge width, temple length, and distance from the lens to the surface of the eye are all important.

Even precisely calculated lenses can be uncomfortable if the frame shifts, puts pressure, or changes the position of the optical zone when moving the head.

Choosing glasses lenses for your lifestyle and visual strain

The same refraction does not mean the same prescription. Drivers, schoolchildren, accountants, and office workers use their vision differently. Therefore, we consider:

  • Distance
  • Lighting
  • Duration of vision and habits

The doctor helps select glasses for the specific task. One patient needs glasses for daily wear, another a pair for the computer, and a third needs progressive correction.

If presbyopia is present, options for near and intermediate distances are discussed.

How We Select Glasses

Which eyeglass lenses do we recommend?

Lenses are selected after a diagnosis. We consider the prescription, refractive error type, tolerance to the correction, the weight of the pair, and the mode of use. Choosing the right lenses for your glasses helps you see clearly without strain.

Lens Type Who They're Suitable For Main Benefits
Single Vision For One Distance Clear Design, Accessibility, Adaptability
Office For Computer and Documents Convenience in the Office and When Reading
Progressive For Different Distances One Pair for Different Distances

The table helps you compare options. The doctor makes a decision after a trial correction and tolerability assessment.

Single-vision lenses

Have a single optical power. They are prescribed for distance vision, reading, computer use, or as full-time glasses if one correction mode is suitable for the patient. This solution is suitable for stable visual tasks.

Office and progressive lenses

Office lenses are convenient for working with a screen, documents, and people at a medium distance. Progressive contact lenses are used if you have presbyopia and a single power is no longer sufficient for different distances. They require adaptation, so we explain in advance how to see through different zones.

Photochromic lenses and coatings for comfort

Photochromic lenses darken outdoors and lighten indoors. Anti-reflective coating reduces reflections, while hardening coating helps preserve the surface.

We explain when anti-reflective coating is useful and when lens material, thickness, or design are more important.

Which eyeglass lenses do we recommend?

How to Choose Eyeglass Frames

The frame affects the position of the lenses in front of the eye, the overall weight of the pair, and stability when moving the head. It is selected based on the prescription, especially for high powers, cylinder, or progressive lenses.

We evaluate the frame along with refraction, centering, and fit parameters, because even precise lenses can perform worse if they are incorrectly positioned on the face.

Face Shape, Frame Weight, and Frame Material

We consider the width of the face, the bridge of the nose, the height of the light opening, and the fit behind the ears. For high prescriptions, a frame that is too large can add weight to the pair and increase the thickness of the edge. The material should be:

  • Comfortable
  • Durable
  • Compatible with the selected lenses

What's Important for Daily Wear

Patients wear glasses for hours on end. Therefore, not only the optical power of the lenses is important, but also the weight, fit, field of view, lens material, frame stability, and the absence of pressure on the bridge of the nose.

Wearing comfort depends on these details. Therefore, we discuss them in advance—before ordering and manufacturing the glasses.

How the Frame Should Fit Properly

A properly selected frame will not slip when tilting the head, will not put pressure on the bridge of the nose, and will not leave visible marks. The temples hold the pair in place without squeezing, and the lenses sit at the correct height relative to the pupils.

If the fit is off, even precise prescription glasses can cause fatigue.

How to Choose Eyeglass Frames

Why patients choose K+31

Patients come to K+31 when they need glasses based on medical parameters, not subjective clarity. We evaluate:

  • Vision
  • Refraction
  • Tolerance of correction
  • Frame fit
  • The conditions under which the person will wear the glasses every day

This route is especially important for complex refractions, different optical powers in the right and left eyes, rapid visual fatigue, and discomfort with previous correction.

Accurate diagnosis

Doctor's quote:

"We always start our glasses selection with diagnostics." "She helps choose a solution for everyday use and familiar visual tasks," says an ophthalmologist at K+31.

Individualized selection for the patient's needs

We help select glasses for work, reading, driving, school, and active daily activities. If the patient needs glasses for the first time, the doctor explains the sphere, cylinder, and axis of the cylinder, as well as the risk of spontaneous replacement. When returning for a follow-up appointment, we compare the new data with the previous one.

Post-fitting support and adaptation recommendations

Adaptation may be necessary when changing power, cylinder, or switching to progressive or office lenses. We explain what sensations are acceptable during the first few days and when to return for a follow-up appointment.

If glasses are made according to the prescription but discomfort persists, the fit, centering, and compliance with the prescription are checked.

Why patients choose K+31

Frequently Asked Questions

Before making an appointment, patients often want to understand how the appointment will work and whether they can use their old prescription. We'll give you short and to the point answers.

How does a glasses fitting process work?

First, the doctor clarifies the patient's complaints, then conducts a vision test, a refractive assessment, and a trial correction. Fitting parameters are then measured, lenses are selected, and a suitable frame is discussed. Finally, the patient receives recommendations on wearing, care, and follow-up appointments.

Can glasses be fitted without a prescription?

For an accurate result, it's best to have a physical examination. Old data may not account for refractive changes, hidden visual fatigue, or new eye strain. If a prescription is required, it is issued after an in-person examination.

What should I do if my new glasses are uncomfortable?

Return for a consultation if you experience headaches, double vision, nausea, severe strain, or spatial distortion. The doctor will check the fit, alignment, compliance with the prescription, and tolerability of the lenses. It's not recommended to wear uncomfortable corrections permanently.

How does a custom fit differ from off-the-shelf glasses?

A custom-fitted lens fit takes into account each eye's strength, cylinder, axis, fit, visual tasks, and tolerance. A ready-to-wear pair is designed for average parameters and standard centration. With regular use, this may increase fatigue.

Make an appointment with a doctor

If your vision has become less clear or you need glasses for a specific task, start with a consultation: it's best to choose glasses after a checkup. At K+31, we'll evaluate your refraction, explain the results, and help you choose the right correction.

You can schedule a fitting appointment in advance, choosing a convenient time.

Consultation and Diagnostics

During the appointment, the doctor allows time for complaints, measurements, and explanations. The patient understands what parameters are already known, what needs to be checked further, and which correction options are suitable for their regimen.

If complaints go beyond the scope of a standard optical problem, additional examinations are scheduled.

Finding a solution tailored to your needs

During the consultation, we immediately discuss how the patient will use the glasses: all day, only at the computer, reading, driving, or in several modes. This determines not only the lens strength but also the ease of transitioning to a new correction. If you need lenses for the first time, the doctor will explain:

  • How to read a prescription
  • Why individual parameters are needed
  • Why it's important to evaluate the sensations during the first few days after fitting

Glasses fitting at "K+31" provides the patient with a clear path—from examination to a safe transition to a new pair of lenses.

Our doctors

Batalina Larisa Vladimirovna
Experience 33 years
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Batalina
Larisa Vladimirovna
Deputy chief physician for ophthalmology, ophthalmic surgeon, leading specialist in laser vision correction
Amiryan Anush Gamletovna
Experience 28 years
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Amiryan
Anush Gamletovna
Ophthalmic oncologist surgeon
Medvedev Yulia Alexandrovna
Experience 11 years
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Medvedev
Yulia Alexandrovna
Ophthalmologist, Laser Surgeon
Rudkovskaya Elena Mikhailovna
Experience 38 years
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Rudkovskaya
Elena Mikhailovna
Ophthalmologist
Tegniryadnova Ekaterina Valerievna
Experience 20 years
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Tegniryadnova
Ekaterina Valerievna
Ophthalmologist, laser surgeon
Fadeeva Victoria Anatolievna
Experience 13 years
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Fadeeva
Victoria Anatolievna
Doctor ophthalmologist, laser surgeon
Shamsetdinova Leila Tagirovna
Experience 17 years
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Shamsetdinova
Leila Tagirovna
Pediatric ophthalmologist
Gavrilina Polina Dmitrievna
Experience 8 years
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Gavrilina
Polina Dmitrievna
Ophthalmologist, laser surgeon
Kovaleva Olesya Alexandrovna
Experience 7 years
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Kovaleva
Olesya Alexandrovna
Ophthalmologist, laser surgeon
Sugonyaeva Olga Yurievna
Experience 26 years
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Sugonyaeva
Olga Yurievna
Ophthalmologist, laser surgeon
Khlunovskaya Anna Nikolaevna
Experience 8 years
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Khlunovskaya
Anna Nikolaevna
Ophthalmologist
Akhiyarova Azalia Azatovna
Experience 4 years
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Akhiyarova
Azalia Azatovna
Ophthalmologist
Putintseva Polina Andreevna
Experience 6 years
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Putintseva
Polina Andreevna
Ophthalmologist
Agafonova Oksana Sergeevna
Experience 21 year
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Agafonova
Oksana Sergeevna
Ophthalmologist, pediatric
Kazennov Alexey Nikolaevich
Experience 19 years
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Kazennov
Alexey Nikolaevich
Ophthalmologist, ophthalmologist-surgeon
Petrova Maria Grigorievna
Experience 14 years
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Petrova
Maria Grigorievna
Ophthalmologist, ophthalmic surgeon
Mazmanyan Karen Akopovich
Experience 28 years
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Mazmanyan
Karen Akopovich
Ophthalmic surgeon
Suchkova Valeria Alekseevna
Experience 6 years
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Suchkova
Valeria Alekseevna
Ophthalmologist
Khubieva Salima Aslanbievna
Experience 7 years
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Khubieva
Salima Aslanbievna
Ophthalmologist, laser surgeon
Rytik Nina Petrovna
Experience 15 years
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Rytik
Nina Petrovna
Ophthalmologist
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Our doctors are laureates of the ProDoctors Award
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The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

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Initial Ophthalmologist Appointment
from 6 450 ₽
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from 52 500 ₽
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from 200 000 ₽

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Laser vision correction Phacoemulsification of cataract with IOL implantation of any complexity Vitreoretinal surgeries of any complexity (vitrectomy) Laser photocoagulation of the retina during tears and degenerative changes in the retina Laser photocoagulation for diabetic retinopathy Intravitreal administration of Anti-VEGF drugs, hormonal implants Antiglaucomatous operations using various drains YAG laser dissection of the posterior capsule for secondary cataract Cataract treatment Treatment of glaucoma Retinal dystrophic changes Vitreous pathology Injury to the eye Post-traumatic and postoperative complications Myopia treatment Farsightedness Treatment of astigmatism Retinal disinsertion Non-contact laser procedure SMARTSURFACE Keratoplasty Femto SUPER LASIK Laser coagulation of the retina of the eye treatment on Ellex Integre Pro Scan Treatment of the retina with the Navilas laser system Femtolaser Cataract Removal Selection of children's night lenses Laser vision correction Clear Офтальмолог-онколог в Москве Treatment of keratoconus Laser coagulation of the retina Refractometry Retrobulbar injections Restoration of vision Lacrimal ducts Eye wash Synoptophore Forbis ESOM Pediatric ophthalmologist Ophthalmologist Biomicroscopy Night lenses Photo of an eye Eyelid suturing Selection of lenses Retinal laser Vision test Vitrectomy Vitrectomy Vitrectomy Eye pressure Ophthalmoscopy Fundus Gonioscopy Discision Orbitotomy Ophthalmodiagnostics OCT of the optic disc Keratoplasty Crystalline lens replacement Lacrimal duct Eye biometrics Angle of strabismus Lacrimal point IOL implantation Heterophoria Refraction Needling pillows Sclerectomy Micropulse laser Eyelid massage Intravitreal injections Iridoplasty Accommodation Bacterial culture Ophthalmology Cyclophotocoagulation Laser trabeculoplasty Laser stimulation Makdel Iridotomy Goniopuncture Corneal crosslinking Perimetry Pachymetry Tubular test
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Reviews

The Miracle Doctor
24.06.2026
Anush D.
I underwent preoperative preparation before laser correction at Azaliya Azatovna, I was satisfied! A very sensitive and understanding doctor. I drew schematically how the operation would take place, it was interesting and the fear went away. She also performed postoperative examinations. I wish you grateful patients and success in carrying out laser corrections. I will recommend it to my friends and family.
23.06.2026
Ekaterina Sh.
A very qualified doctor! Attentive and caring!
20.06.2026
Olga Ch.
Olesya Alexandrovna is an excellent specialist, listened attentively and carried out the necessary diagnostics, answered all questions in detail and kindly and gave recommendations. I plan to see Dr. Kovaleva in the future.
18.06.2026
Anton Sh.
A great doctor, explained everything, checked everything. I highly recommend a high-level specialist.
13.06.2026
Matvey S.
Everything is fine, thanks again.
09.06.2026
Vladimir S.
A great doctor!!!
03.06.2026
Darya N.
We are patients of the clinic aged K+31, 89 and 85. The YUI clinic recommended cataract surgery. Of course, unrest and fears began. Everything started well and correctly with a call to Diana, the manager of the ophthalmology department. In a soft, calm voice, Diana explained everything clearly and provided real help and support when arranging medical services. Diana's attention and, one might say, her care have been very supportive. Diana made an appointment for YUI with a very good doctor Petrova Maria Grigoryevna. We are grateful to Diana for this attitude and her clear work!
01.06.2026
Yuriy B.
Tegniryadnova is an excellent doctor, we have done a lot of research, but the clinic is cold and uncomfortable
27.05.2026
Yu. Mir.
Excellent doctor Podshchekoldina E.N., Tegniryadnova E.V. the best ophthalmologist
Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and Max.

Our clinics

Address K+31 Lobachevskogo 2

st. Lobachevskogo, 42/7

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Weekend: 09:00 – 19:00

Address K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Weekend: 09:00 – 19:00

Address K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00

Address K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 18:00
K+31 on Lobachevskogo
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