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  1. #1
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    ou

    Long story short, have a patient who's been visiting me weekly to discuss her glasses with prism, and today she came in accusing our practice of writing her rx incorrectly. A discount optical located in a department store told her that we wrote her rx with Base out prism, not base in. Thankfully, I was able to print out her rx, and it said:

    3D BI OU

    She was told by the person at the optical that the OU meant out. She has been wearing them since February.

    All the gals here were pretty shocked, had never heard of anything like that. Just had to share, because it's the first thing that's shocked me in a while.

  2. #2
    ABOM Wes's Avatar
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    Do you know if the person was a licensed optician or a frame stylist?
    Wesley S. Scott, MBA, MIS, ABOM, NCLE-AC, LDO - SC & GA

    “As our circle of knowledge expands, so does the circumference of darkness surrounding it.” -Albert Einstein

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    Rising Star NUECoptical's Avatar
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    Quote Originally Posted by optilady1 View Post
    She was told by the person at the optical that the OU meant out. She has been wearing them since February.
    Dang! I wonder how long the other person has been working in optical? I'm trying to think of how they could get that OU stands for Base out!?! haha!

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    Whether it is BI or BO, writing OU with regard to prism is not technically correct. It is ambiguous. OU literally means each eye OR either eye, so one could interpret your Rx to mean 1.5 in each eye so there would be 3 total...OR...3 in each eye for a total of 6. The proper way to write it is" 1.5D BO OD and 1.5D BO OS...OR...3.0D OD and 3.0D OS.

    If someone came in to me with an Rx 3BO OU, I would call the practitioner and ask what they really mean.

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    I was once an untrained shmuck off the street who tried to fill an "OU" RX as out, that didn't work out well for the patient...

    If I had not been left in the situation to fill that RX without an experienced optician near by to answer my questions it would have never happened.

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    ABOM Wes's Avatar
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    Quote Originally Posted by Tallboy View Post
    I was once an untrained shmuck off the street who tried to fill an "OU" RX as out, that didn't work out well for the patient...

    If I had not been left in the situation to fill that RX without an experienced optician near by to answer my questions it would have never happened.
    Unfortunately this is the norm for American opticianry.
    Wesley S. Scott, MBA, MIS, ABOM, NCLE-AC, LDO - SC & GA

    “As our circle of knowledge expands, so does the circumference of darkness surrounding it.” -Albert Einstein

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    Quote Originally Posted by fjpod View Post
    Whether it is BI or BO, writing OU with regard to prism is not technically correct. It is ambiguous. OU literally means each eye OR either eye, so one could interpret your Rx to mean 1.5 in each eye so there would be 3 total...OR...3 in each eye for a total of 6. The proper way to write it is" 1.5D BO OD and 1.5D BO OS...OR...3.0D OD and 3.0D OS.

    If someone came in to me with an Rx 3BO OU, I would call the practitioner and ask what they really mean.
    I was taught (Norm Ross) that OU is "Oculus Unitas" in Latin. The literal translation being "both eyes".

    My 15 year old, a 2nd year Latin student, tells me that unitas means "unite" or "together".

    I have never heard of unitas meaning "either".
    Last edited by Johns; 11-20-2012 at 10:18 AM.
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    ABOM Wes's Avatar
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    I was taught it stood for oculus uterque, but apparently it can also mean oculus or oculi unitas and more.

    oculus uterque (OU)

    Latin term for "each eye," used in vision correction prescriptions to indicate both eyes. Also an abbreviation for "oculi unitas" or "oculi uniter," meaning both eyes working simultaneously together.
    http://medical-dictionary.thefreedic...oculus+uterque
    http://acronyms.thefreedictionary.co...oculus+uterque
    http://www.termwiki.com/EN:oculus_uterque_(OU)
    Wesley S. Scott, MBA, MIS, ABOM, NCLE-AC, LDO - SC & GA

    “As our circle of knowledge expands, so does the circumference of darkness surrounding it.” -Albert Einstein

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    Quote Originally Posted by Wes View Post
    I was taught it stood for oculus uterque, but apparently it can also mean oculus or oculi unitas and more.

    oculus uterque (OU)

    Latin term for "each eye," used in vision correction prescriptions to indicate both eyes. Also an abbreviation for "oculi unitas" or "oculi uniter," meaning both eyes working simultaneously together.
    http://medical-dictionary.thefreedic...oculus+uterque
    http://acronyms.thefreedictionary.co...oculus+uterque
    http://www.termwiki.com/EN:oculus_uterque_(OU)
    Sounds like the only PROPER way is to write out either "Unitas" or "Uterque"!!
    Ophthalmic Optician, Society to Advance Opticianry

  10. #10
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    Quote Originally Posted by fjpod View Post
    Whether it is BI or BO, writing OU with regard to prism is not technically correct. It is ambiguous. OU literally means each eye OR either eye, so one could interpret your Rx to mean 1.5 in each eye so there would be 3 total...OR...3 in each eye for a total of 6. The proper way to write it is" 1.5D BO OD and 1.5D BO OS...OR...3.0D OD and 3.0D OS.

    If someone came in to me with an Rx 3BO OU, I would call the practitioner and ask what they really mean.
    O.U. could also be Oculi Unitas or Uniter, meaning both eyes working together, hence the potential confusion with the degree, but not the direction of the prism. OMD maybe?
    Last edited by Robert Martellaro; 12-04-2012 at 09:51 AM.
    Science is a way of trying not to fool yourself. - Richard P. Feynman

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  11. #11
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    As I indicated earlier...OU can be interpreted two ways. So, write it OD and OS.

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    Quote Originally Posted by Wes View Post
    Unfortunately this is the norm for American opticianry.
    Except the part with the experienced optician near by

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    I'm not an optometrist, and I agree that everything should be written as clear as possible, but I think that most opticians would interpret 3D BI OU as 3 diopters Base IN OU. I Can understand, the question of is it 1.5 in each eye. But what else would BI stand for? Especially when everything is prefaced with an all caps bold faced PRISM .

    Besides, when all else fails, call the stinking doctor. But I'm sure who ever this was filled the rx on a saturday night or something. It may have been a mistake to begin with, and the guy who worked with her recently was trying to come up with a reason for the mistake. But come on, OU never means out.
    Last edited by optilady1; 11-20-2012 at 05:46 AM. Reason: baaaad grammar at 5:47 am

  14. #14
    ABOM Wes's Avatar
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    Most people just don't start wearing that much prism out of the blue. The previous pair probably had a good deal of prism base in and should have been a clue.
    Wesley S. Scott, MBA, MIS, ABOM, NCLE-AC, LDO - SC & GA

    “As our circle of knowledge expands, so does the circumference of darkness surrounding it.” -Albert Einstein

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    The very fact that ANY Optician had difficulty understanding this clear Rx draws even greater clarity on the need for education and training. We continue to dumb ourselves down with each new generation. OU has been aptly described by Wes above, and I will not go into it further, but this was not complicated........if you knew what you were doing. You may even find a variety of meanings from the Latin, as described by our OD friend above.........but as long as I can remember, any Optician could have understood this Rx. We are taught (if we are taught at all in these silly "apprenticeships") that OU is both eyes. The key here is the word taught, which is the problem we face in Opticianry.

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    Okaaaaaaaaaaaaaaaaay...if OU is supposed to mean "out", then what does the BI mean? Enquiring minds wish to know ROFL!!

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    Quote Originally Posted by MikeAurelius View Post
    Okaaaaaaaaaaaaaaaaay...if OU is supposed to mean "out", then what does the BI mean? Enquiring minds wish to know ROFL!!

    I know mike, that's what everyone was asking me last night.

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    Quote Originally Posted by MikeAurelius View Post
    Okaaaaaaaaaaaaaaaaay...if OU is supposed to mean "out", then what does the BI mean?
    It means the prism goes both ways..........Duh!

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    Quote Originally Posted by fezz View Post
    it means the prism goes both ways..........duh!
    roflmao!!

    +∞

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    Quote Originally Posted by Fezz View Post
    It means the prism goes both ways..........Duh!
    Too funny, and accurate!
    Wesley S. Scott, MBA, MIS, ABOM, NCLE-AC, LDO - SC & GA

    “As our circle of knowledge expands, so does the circumference of darkness surrounding it.” -Albert Einstein

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    Quote Originally Posted by Fezz View Post
    It means the prism goes both ways..........Duh!
    Do you mean "either" way?
    Ophthalmic Optician, Society to Advance Opticianry

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    Quote Originally Posted by Johns View Post
    I was taught (Norm Ross) that OU is "Oculus Unitas" in Latin. The literal translation being "both eyes".

    My 15 year old, a 2nd year Latin student, tells me that unitas means "unite" or "together".

    I have never heard of unitas meaning "either".
    I was taught O.U. stood for oculus unisis(sp?) but this was a long time ago and my google search comes up with most often oculus uterque so go figure!

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    Quote Originally Posted by optilady1 View Post
    Long story short, have a patient who's been visiting me weekly to discuss her glasses with prism, and today she came in accusing our practice of writing her rx incorrectly. A discount optical located in a department store told her that we wrote her rx with Base out prism, not base in. Thankfully, I was able to print out her rx, and it said:

    3D BI OU

    She was told by the person at the optical that the OU meant out. She has been wearing them since February.

    All the gals here were pretty shocked, had never heard of anything like that. Just had to share, because it's the first thing that's shocked me in a while.
    You're lucky that the filler of the Rx didn't interpret the Dr's Rx as: Ohhhhhhh, YOU!!!! Could have evolved into some unwanted attention!
    Eyes wide open

  24. #24
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    O.U. Oculi Uterque; Latin for both eyes.

    --Courtesy of the Dictionary of Ophthalmic Optics

  25. #25
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    Quote Originally Posted by Fezz View Post
    It means the prism goes both ways..........Duh!
    Love.


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