The use of computerized corneal videokeratography is one of the most exciting advances in the fitting of rigid contact lenses today. Traditional RGP fitting methods and our understanding of physiological and contact lens optics dictates that power should be determined by comparing lens lens base curve to the central three millimeter zone flat keratometric reading, and apply SAMFAP to compensate for lacrimal lens effects. This study addresses the Issue that since the Mastervue lens fitting software selects lens base curve determined using a more peripheral corneal zone, clinically, how and where should lens power be determined? Twenty-eight subjects were fit with rigid gas permeable lenses generated by the Mastervue corneal topographer fitting software. Accurate monocular over-refractions were performed and compared to the predicted over-refractions determined using the simulated keratometric values at each the three millimeter and six millimeter corneal zones. From this data it can be shown which simulated keratometric readings should be used to determine the clinically most accurate contact lens power. The data showed that it did not matter which corneal zone SAMFAP is applied to when determining contact lens power. Through the interpretation of these results, it can be deduced that the Mastervue fitting software is effective in suggesting an initial RGP to be dispensed, however, trial fitting with an over-refraction is still the most accurate way of determining final lens power.
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