The process integrates OPD-Scan III wavefront data with TRS-5100 digital refractions. Optical Path Diagnostics describe the characteristics of the physiological optical system, including alignment, providing for objective refractive triage and rapid discernment of the patient’s qualification for a Wavefront Optimized Refraction. A decision tree separates patients requiring minor refinements, or full refractions, to achieve 20/20 vision. It further delineates who will not achieve 20/20 vision- and exactly why not. The OPD-Scan III sends a battery of useful diagnostic metrics to the TRS-5100 digital refractor, while establishing the refractive starting point. The TRS completes the exam with either minor refinements (WF patients), or full refractions (AR patients). Prescriptions are validated by the nearly simultaneous comparison with other options, including the old RX, objective measurement, or unaided, leading to the best final prescription according to the professional judgment of the doctor. KNOWLEDGE – Superior data collection and integration for rapid understanding and assessment of patients’ complete optical pathway in a fraction of the time. SPEED – Reduce exam times (5-7 min), and maximize patient flow (adding 4-6 exams/day), Optical revenue (increases up 15-20%), and overall productivity/ ROI. IMPACT – Gain enhanced patient understanding, validation of new Rx, superior outcomes, shorter visits, and greater satisfaction…while increasing practice profitability. The XFRACTION process can be implemented in the traditional lane or at the EPIC refractive workstation.