Purpose. To assess whether the contact lens to cornea-bearing relation
ship, as determined from the fluorescein pattern, can be predicted fro
m videokeratography, Methods. Nineteen non-rigid gas permeable (RGP) l
ens wearers were each tested for fluorescein patterns with a series of
seven RGP contact lenses of different base curves, and compared to a
theoretical estimate of the fitting relationship from videokeratograph
y. The experimentally determined alignment lens was then compared to t
he theoretical alignment (TA) value as determined from the central cur
vature and eccentricity. Results. The mean difference in lens choice b
etween the TA and experimental alignment (EA) values was -0.01 +/- 0.0
4 mm and between the simulated keratometric (KA) readings and the EA c
hoice was 0.11 +/- 0.05 mm, Conclusion. A knowledge of the eccentricit
y value from videokeratography allowed a better prediction of the base
curve to cornea relationship than was provided by only a central corn
eal measurement.