J Korean Ophthalmol Soc.  2005 Jan;46(1):111-116.

Position-induced Cyclotorsion under Monocular Fixation

Affiliations
  • 1Department of Ophthalmology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Korea. huhdalwoong@hanmail.net

Abstract

PURPOSE
To determine whether cyclotorsion occurs when a patient moves from the seating to supine position fixating with one eye. METHODS: The axis of astigmatism was measured with the handheld automated refractometer (Retinomax K-plus, Nikon, Japan) in 33 eyes having more than -1.0D cylinder in seated and supine positions under monocular fixation. RESULTS: There was a cyclotorsional deviation in 30 eyes (90.90%). Excyclotorsion was shown in 22 eyes (66.67%) and incyclotorsion in 8 (24.24%). Seventeen eyes (51.50%) had a torsional deviation less than 4 degrees, 5 eyes (15.15%) from 5 to 6 degrees, 7 eyes (21.21%) from 7 to 14 degrees and one eye greater than 15 degrees. CONCLUSIONS: Positionally induced cyclotorsion occurs under fixation with one eye simulating refractive surgery. Surgeons should therefore make an effort to align the wavefront measurement to the ablation onto the cornea.

Keyword

Positionally induced cyclotorsion; Retinomax K-plus; Wave-front

MeSH Terms

Astigmatism
Axis, Cervical Vertebra
Cornea
Humans
Refractive Surgical Procedures
Supine Position
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