Higher prescriptions are where monocular centration earns its place. Induced prism grows with lens power, so a millimetre of decentration that is harmless at low powers becomes measurable as the prescription rises.
Anisometropia benefits directly, since the two eyes carry different powers and any decentration produces unequal prism between them, which is exactly what a binocular assessment is trying to detect.
Facial asymmetry is common enough that a practice sees it daily, and setting each eye independently stops the refraction absorbing an error the patient's anatomy introduced.
Progressive and high-index lens refractions suit a frame set to monocular PDs, since those are the figures that will be specified in the final spectacle order.
Cylinder work benefits from the printed calibration and full 360° rotation, letting the axis be set and read rather than estimated.
Teaching clinics can use the independent adjustment to show students what monocular PD means and why a total distance can mislead.
Routine low-power refraction gains little from monocular adjustment, and a simpler frame will serve.
Children are outside the stated adult range, with a lower limit that will not reach most young patients.



