VG-XL012 - Custom

Custom Model

Size

Eye size - bridge (model). *** = standard size for this model.

Front Color

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Front Finishing

Hinge Type

Hinge Color

Temple Material

Temple Color

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Length

Finishing

Nose Pads

Lens Type

Front

0/10

Right Temple

0/25

Left Temple

0/25

Patient Name / Special Instructions

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