The VISX
Star Iris Registration System (IR) is the latest step
in CustomVue technology pioneered by VISX. The idea
is to insure the best alignment of the laser treatment
pattern possible. The eye tends to rotate when a person
changes from a seated to the lying position. This is
often a fairly small amount of true rotation but is
clinically significant when applying a laser vision
correction application. In the past, registration marks
would be applied to the eye by the surgeon before surgery
and then compensated for under the laser manually.
It was the surgeon's responsibility to adjust the patient's
head position to compensate and correct for the ocular
rotation. If this was not perfectly performed, it could
result in misalignment of the laser treatment pattern.
While the surgeon must always be prepared to make any
necessary adjustments, the IR system aids the surgeon
in this task by a computerized matching technique.

Rotation can occur when the patient changes from the seated to the
lying position. This can result in misalignment of the laser treatment
pattern.
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How
Does Iris Registration Work?
It starts
at the examination, when an infrared image of the iris
is obtained in the seated position and analyzed for
the various characteristic features of the individuals'
iris. At the time of the surgery, another infrared
image is taken when the patient is lying down under
the laser and these images are compared and superimposed.
Any recognized rotation is then compensated for by
the laser rotating the treatment plan using sophisticated
software. This all occurs prior to initiation of the
treatment pattern. The Iris Registration system recognizes
and corrects any misalignment in the laser treatment
pattern. The better the alignment of the laser treatment,
the higher is the quality of the surgical result.
In addition
to the rotational capabilities of the Visx IR system,
the final benefit is achieved by precisely centering
the laser application. This is referred to as "pupil
centroid shift", which is a compensating technique
unique to the Visx IR system. When the rotation alignment
and pupil centroid shift systems are used, aberrations
are reduced, and clinical studies have shown visual
results are improved.

VISX Iris Registration (IR) System recognizes and corrects any misalignment
in the laser treatment pattern.
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