CK18108 - 001

*Scegli opzione preferita:

• Montatura con Lenti
• Solo Montatura

*1. Come userai i tuoi occhiali?

• LONTANO
• VICINO
• MULTIFOCALI
• NEUTRE/PC

*2. Scegli il tipo delle lenti

• COMFORT
• COMFORT +€140.00
• COMFORT PLUS +€15.00
• COMFORT PLUS +€179.00
• PREMIUM +€50.00
• PREMIUM +€299.00
• TOP +€140.00
• TOP +€359.00

3. Vuoi aggiungere ulteriori trattamenti?

• HMC +€10.00
• Performance 400 +€40.00
• Chroma +€55.00
• HMC +€10.00
• Performance 400 +€40.00
• Chroma +€55.00
• HMC +€10.00
• Performance 400 +€50.00
• Chroma +€65.00
• Performance 400 +€30.00
• Chroma +€45.00
• Chroma +€15.00
• Chroma +€15.00
• Chroma +€29.00

*4. Ti ricordi la tua prescrizione delle lenti?

• Sì, riempi i dati sotto
• Preferisco caricare la foto della mia ricetta oculistica
• Preferisco contattarvi via mail o whatsapp

*Sfera (occhio destro)

-- Please Select ---6.00 -5.75 -5.50 -5.25 -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

*Sfera (occhio sinistro)

-- Please Select ---6.00 -5.75 -5.50 -5.25 -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

*Cilindro (occhio destro)

-- Please Select ---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

*Cilindro (occhio sinistro)

-- Please Select ---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

*Asse (occhio destro)

-- Please Select --0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180

*Asse (occhio sinistro)

-- Please Select --0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180

*Addizione (occhio destro)

-- Please Select --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

*Addizione (occhio sinistro)

-- Please Select --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

*Distanza Interpupillare (occhio destro)

-- Please Select --25.00 25.50 26.00 26.50 27.00 27.50 28.00 28.50 29.00 29.50 30.00 30.50 31.00 31.50 32.00 32.50 33.00 33.50 34.00 34.50 35.00 35.50 36.00 36.50 37.00 37.50 38.00

*Distanza Interpupillare (occhio sinistro)

-- Please Select --25.00 25.50 26.00 26.50 27.00 27.50 28.00 28.50 29.00 29.50 30.00 30.50 31.00 31.50 32.00 32.50 33.00 33.50 34.00 34.50 35.00 35.50 36.00 36.50 37.00 37.50 38.00

*Sfera (occhio destro)

-- Please Select ---8.00 -7.75 -7.50 -7.25 -7.00 -6.75 -6.50 -6.25 -6.00 -5.75 -5.50 -5.25 -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

*Sfera (occhio sinistro)

-- Please Select ---8.00 -7.75 -7.50 -7.25 -7.00 -6.75 -6.50 -6.25 -6.00 -5.75 -5.50 -5.25 -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

*Cilindro (occhio destro)

-- Please Select ---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

*Cilindro (occhio sinistro)

-- Please Select ---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

*Asse (occhio destro)

-- Please Select --0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180

*Asse (occhio sinistro)

-- Please Select --0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180

*Addizione (occhio destro)

-- Please Select --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

*Addizione (occhio sinistro)

-- Please Select --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

*Distanza Interpupillare (occhio destro)

-- Please Select --25.00 25.50 26.00 26.50 27.00 27.50 28.00 28.50 29.00 29.50 30.00 30.50 31.00 31.50 32.00 32.50 33.00 33.50 34.00 34.50 35.00 35.50 36.00 36.50 37.00 37.50 38.00

*Distanza Interpupillare (occhio sinistro)

-- Please Select --25.00 25.50 26.00 26.50 27.00 27.50 28.00 28.50 29.00 29.50 30.00 30.50 31.00 31.50 32.00 32.50 33.00 33.50 34.00 34.50 35.00 35.50 36.00 36.50 37.00 37.50 38.00

*Sfera (occhio destro)

-- Please Select ---10.00 -9.75 -9.50 -9.25 -9.00 -8.75 -8.50 -8.25 -8.00 -7.75 -7.50 -7.25 -7.00 -6.75 -6.50 -6.25 -6.00 -5.75 -5.50 -5.25 -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

*Sfera (occhio sinistro)

-- Please Select ---10.00 -9.75 -9.50 -9.25 -9.00 -8.75 -8.50 -8.25 -8.00 -7.75 -7.50 -7.25 -7.00 -6.75 -6.50 -6.25 -6.00 -5.75 -5.50 -5.25 -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

*Cilindro (occhio destro)

-- Please Select ---2.00 -1.75 -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00

*Cilindro (occhio sinistro)

-- Please Select ---2.00 -1.75 -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00

*Asse (occhio destro)

-- Please Select --0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180

*Asse (occhio sinistro)

-- Please Select --0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180

*Addizione (occhio destro)

-- Please Select --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

*Addizione (occhio sinistro)

-- Please Select --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

*Distanza Interpupillare (occhio destro)

-- Please Select --25.00 25.50 26.50 27.00 27.50 28.00 28.50 29.00 29.50 30.00 30.50 31.00 31.50 32.00 32.50 33.00 33.50 34.00 34.50 35.00 35.50 36.00 36.50 37.00 37.50 38.00

*Distanza Interpupillare (occhio sinistro)

-- Please Select --25.00 25.50 26.00 26.50 27.00 27.50 28.00 28.50 29.00 29.50 30.00 30.50 31.00 31.50 32.00 32.50 33.00 33.50 34.00 34.50 35.00 35.50 36.00 36.50 37.00 37.50 38.00

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