Correlation between iris-registered static and dynamic cyclotorsions with preoperative refractive astigmatism in PRK candidates

Abstract

Purpose

To evaluate static and dynamic cyclotorsions during photorefractive keratotomy (PRK) surgery in refractive surgery candidates and their correlations with preoperative factors.

Methods

This cross-sectional case series was performed in 138 eyes of 77 patients who underwent PRK surgery by Technolas 217z100. Iris registration was used to evaluate the degree of static and dynamic cyclotorsion. Wavefront measurements were performed in sitting position using Zywave (versions 3.1 and 3.2, Bausch & Lomb) Hartmann Shack aberrometer (Bausch & Lomb), and the cyclotorsion from upright to supine position was measured using iris image comparison. Dynamic cyclotorsions were measured by Advanced Cyclotorsional Eye Tracker (ACE) mounted on Excimer laser machine Technolas 217z100 during surgery.

Results

The mean absolute static cyclotorsion that was captured in surgery time was 3.37 ± 2.38° (range, 0.00 to 11.30), and the mean absolute dynamic cyclotorsion was 2.54 ± 2.50° (range, 0.00 to 13.60). There was a significant correlation between dynamic cyclotorsions and static cyclotorsions ( P < 0.001 and R = 0.704). There was a strong association between preoperative refractive astigmatism and range dynamic cyclotorsion. Total pulses ( P = 0.009), ablation depth ( P = 0.012), gender ( P = 0.008) had significant correlations with cyclotorsional movements.

Conclusion

The measurements of static and dynamic cyclotorsions are highly recommended for refractive surgery candidates with significant preoperative refractive astigmatism.