KERATOMETER MEASURING TECHNIQUE Focusing the Mires The headrest can be moved forward or backward with the small knob just below the patient's chin. Turn the knob clockwise to move the patient's head back (when the focus control was all the way back towards the examiner and the mires still not in focus) and counter-clockwise to bring the forehead forward towards the instrument (when the focus control was all the way forward and the mires were still not in focus).