151. Assessment of posture-induced cyclotorsion during cataract surgery using the Verion image-guided system
- Author
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Dubbaka Srujana, Rajesh Sinha, Jeewan S Titiyal, and Reena Singh
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Supine position ,genetic structures ,business.industry ,medicine.medical_treatment ,030106 microbiology ,Mean age ,Intraocular lens ,General Medicine ,Phacoemulsification ,Cataract surgery ,Astigmatism ,Sitting ,medicine.disease ,eye diseases ,03 medical and health sciences ,0302 clinical medicine ,Ophthalmology ,medicine ,In patient ,Original Article ,030212 general & internal medicine ,sense organs ,business - Abstract
Background The purpose of this prospective observational study is to analyse posture-induced cyclotorsion in eyes undergoing conventional phacoemulsification with toric intraocular lens (IOL) implantation and femtolaser-assisted cataract surgery (FLACS) using the Verion image-guided system. Methods Cyclotorsion was assessed in patients who underwent conventional phacoemulsification with toric IOL implantation and FLACS between June 2017 and November 2017 with registration of iris architecture, limbal and bulbar conjunctival blood vessels acquired preoperatively using the Verion Reference Unit (the patient in sitting position) and intraoperatively under the microscope using the digital marker of the Verion image-guided system with the patient in supine position. Results Forty-four eyes of 30 patients (21 men and 9 women) were included with the mean age of 56.5 ± 17.1 (range, 19–89; median, 62) years. The mean cyclotorsion induced by change in posture from sitting to supine position was 5.84 ± 3.25° (range, 1–17; median, 5). Overall, clockwise (CW) rotation (59.1%) was noted to be more common than counter clockwise (CCW) rotation (40.9%). Furthermore, CW rotation was more common in men than in women, and CCW rotation was significantly more common in women. Patients who underwent bilateral sequential cataract surgery show similar cyclorotation (CW or CCW) in both eyes more often than mixed rotation (85.7% vs 14.3%). Conclusion Significant cyclotorsion can occur in supine position during cataract surgery. Accurate assessment of the amount and direction of cyclotorsion aids in appropriate alignment of the toric IOL for optimal visual outcomes.
- Published
- 2020