A system and method for prescribing and/or dispensing ophthalmic lenses for a wearer. The method includes determining at least the wearer's individual visual behavioural patterns in terms of head movement and/or eye movement, processing those patterns with respect to a predetermined relationship between known head movements and/or eye movement characteristics and available ophthalmic lenses, such that the processing categorises wearers into a head movement or eye movement category that can then be used to produce a recommendation for an ophthalmic lens for the wearer. The system includes a transmitter unit (10), receivers on the user (12, 14) providing data to the interface (16). During a test a standard set of frames (18) are used, as are near (20) and intermediate (22) distance reading planes.