The way base curves are selected for current Rx's is based on an assumption of a spherical corneal surface (which we should all know is not true). So best form curves make an assumption of spherical curves, if you were to use a cornela topographer and get an average eccentricity value for the cornea this data along with the Rx could theoretically be provided to a lab with FF or even different aspheric blanks to have ground with the true corrected form. I believe this may be an option for future lens options and would be far easier to implement than a varying index wafer pancaked within the substrate, the fact that the lens is stationary while the eye rotates makes the wafers effects moot at any point except straight ahead focus.
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