3 BU OD 3 BD OS - Add 3 clicks plus - Ask pt if letters are equal. IF THEY ARE NOT.. - Add plus to the one which is clearer - If bottom is clearer, add 1 click plus to the BU (OD) - If top is clearer, add 1 click plus to BD (OS) Then, flip back the prisms, add 3 clicks up and refract sphere OU