Sorry to reply only now but there are a few adjustments that can be done. First of all, you can adjust the nosepads by making them wider or narrower to to lower or raise the image accordingly. This is to accomodate for different nose profiles and eye positions vs. the nose bridge. Secondly, you can ajust the horizontal angle of the image (right to left) by adjusting the light guide. The light guide pivots slightly on the Z axis to adjust the horizontal angle in case you don't see the whole image (left or right side cutting off). There's an instruction sheet that is sent with each ORA-2 that explains this in better detail.