The application of a computerised videokeratography (CVK) based contact lens fitting software programme on irregularly shaped corneal surfaces.
OBJECTIVE
To explore the success of the application of a computerised videokeratography (CVK) software system for the fitting of rigid gas permeable (RGP) contact lenses (CLs) on irregular corneal surfaces and compare it to the standard diagnostic fitting procedure.


METHODS
This was a comparative prospective study, over a 1-year period (2004-2005). It included 41 RGP CL wearers (68 eyes) with irregular corneal surfaces. Of these, 51 (75%) had keratoconus, 7 (10%) corneal scarring (infectious or traumatic), 6 (6.82%) corneal transplants, 2 (2.9%) astigmatism, and 2 (2.9%) aphakia. Each eye was being re-fitted with a new RGP CL based on a topographical measurement in conjunction with a CL fitting software programme. The performance of the CLs was evaluated regarding visual outcome, fitting characteristics, and efficiency of the fitting procedure.


RESULTS
Of the 68 eyes, 53 (77.94%) chose the CL fitted using the CVK software system, 9 (13.24%) chose the CL fitted using the standard procedure, and 6 (8.82%) showed no preference for either CL. There was a statistically significant improvement regarding visual outcome [contrast sensitivity at the spatial frequencies of 0.66 (p=0.029), 3.40 (p=0.008), and 17 (p=0.032), subjective vision (p=0.009)], fitting characteristics [grading scale (p=0.00), lens comfort (p=0.00) and daily wearing time (p=0.002)], and efficiency [number of trial lenses required (p=0.00)] with the CL fitted using the CVK software system. Correlating factors for the likely preference for the CL fitted using the CVK software system were subjective vision (p=0.004), lens comfort (p=0.009), and convenience of the fitting procedure (p=0.023).


CONCLUSIONS
The application of a CVK software system for the fitting procedure of RGP CLs on irregular corneal surfaces was a safe procedure and shown to be more successful and efficient than the standard diagnostic fitting method.
Nosch
Daniela S
DS
Sussex Eye Hospital, Brighton and Sussex University Hospital, Brighton, UK. daniela@nosch.co.uk
Ong
Gek L
GL
Mavrikakis
Ioannis
I
Morris
Judith
J
D000328:Adult; D000869:Anterior Eye Segment; D003261:Contact Lenses; D003315:Cornea / Q000473:pathology*; D003316:Corneal Diseases / Q000150:complications / Q000473:pathology; D019781:Corneal Topography; D003936:Diagnosis, Computer-Assisted; D005128:Eye Diseases / Q000150:complications / Q000473:pathology; D005260:Female; D005740:Gases; D006801:Humans; D008297:Male; D008875:Middle Aged; D010539:Permeability; D011446:Prospective Studies; D017755:Prosthesis Fitting / Q000379:methods* / Q000592:standards; D012984:Software; D014786:Vision Disorders / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D014785:Vision, Ocular
D005740:Gases