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This kind of product is widely used for many microsurgery,operations of dentistry,nerve and heart disease etc...and also the loupe is widely used for the eletronical industry,precise manufacture,textile facture and researcher or engineer who require the precise observation in Optical Magnification. The pupillary distance can be adjusted by one center axis,it is very simple and convenient for user. 4 kinds of working distance : S(340mm) ,R(420mm) ,L(500mm) ,XL(550mm) . Please choose your working distance when you will purchase ours loupes. Each Loupe Set is complete with headlamp clip, locking lanyard, microfiber lens cleaning cloth, screwdriver and padded case.