Aim-To form a database of videokeratography patterns and quantitative
indices describing normal human corneas using the absolute scale. Meth
ods-Both eyes of 195 normal subjects were examined with a TMS-1 videok
eratoscope. Videokeratographs were divided into 10 categories based on
a classification scheme devised from the absolute scale and analysed
with 10 quantitative indices devised to describe phenotypic features o
f keratoconus videokeratographs. Correlations were sought between vide
okeratograph patterns and quantitative indices. Additionally, data wer
e analysed for differences in age, sex, and ethnicity. Results-For sym
metric videokeratography patterns, analysis in the absolute scale was
similar to a previous study done in the normalised scale. In the asymm
etric categories, analyses differed markedly. Using the absolute scale
and our classification scheme more variation in normal videokeratogra
phy patterns could be appreciated. There was good correlation between
quantitative indices and videokeratography patterns. Neither videokera
tography patterns nor indices differed significantly between sex, ethn
ic groups, or age using two way analysis of variance. Conclusions-Patt
ern analysis of videokeratographs in the absolute scale using, a stand
ard classification scheme, may be more useful in trying to determine w
hether a cornea is normal or represents subtle early disease than anal
ysis in the normalised scale. Quantitative indices could remove the su
bjectivity from the decision making process thus facilitating universa
l reproducibility of videokeratography data interpretation.