What prescription would be ordered for gas permeable lenses to fit on K's of 43.00 @ 180 and 44.00 @ 90 with RX -3.00 +1.00 X 90?

To determine the appropriate prescription for gas permeable lenses based on the corneal curvature (K values) of 43.00 @ 180 and 44.00 @ 90 with a provided refraction of -3.00 +1.00 X 90, it is essential to consider how the curvature of the cornea influences lens fitting.

Gas permeable lenses are designed to rest on the cornea, and the curvature of the lens should ideally mimic that of the cornea to provide a good fit and optimal visual acuity. The K readings indicate a slightly astigmatic cornea, suggesting that the lenses need to account for both the spherical and cylindrical components of the prescription.

The K values indicate a flatter curvature in the horizontal meridian (43.00 D) and a steeper curvature in the vertical meridian (44.00 D). When fitting lenses, it’s common to select a base curve that corresponds closely to the corneal curvature for the respective meridians to ensure proper alignment and comfort.

In this scenario, a prescription of -2.00 is a viable choice as it accounts for the refraction and, based on typical calculations for gas permeable lens fitting, supports adaptation and optimal visual correction given the