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EyeSys System 2000 Software Operator`s Manual

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1. aris ops Be sure to pivot back the plastic protective cover which flips over to the back side of the object If present remove the clear plastic shipping cover System settings 3 Raise or lower the chin rest until the small hole in the stem of the chin rest is aligned with the lower edge of the forehead rest ring Screen 7 1 System Utilities 7 2 EyeSys Corneal Analysis System Calibration 4 Click on the Calibration button The Calibration Menu appears 5 You can proceed to Verifying the Calibration or Calibrating the System below Calibration Menu Verify calibration 9 Screen 7 2 Calibration M enu Verifying the Calibration This procedure describes how to verify that the calibration is precise The actual calibration procedure follows later in this chapter 1 From the Calibration Menu click on Calibration Verification Verify Calibration The Calibration Verification Instructions screen appears Press Center ssd Then Align MU with 55 06 D z lan Sener 2 Observe the instructions on the screen and click on Continue The Calibration Verification Live Image screen appears Screen 7 3 Calibration Verification Instructions EyeSys Corneal Analysis System 73 Chapter 7 3 Align the 55 06 diopter 6 13 mm calibration sphere Using the joystick adjust the image until it is centered in the centering box 4 When the calibration sphere is centered pres
2. 7 Click on Import The patient and exams are imported Taking the Patient s Photo ID You may take a patient s photo ID from the Patient File Management screen This photo will appear whenever you select that patient throughout the System 2000 Software If a photo already exists the new photo will replace the old photo Follow the procedures below to capture and save the photo ID 1 From the Patient File Management screen select the patient by last name or ID number Refer to the Selecting EyeSys Patients section 2 Insert the Patient Photo Adapter into the center of the Videokeratoscope and position the patient facing the photo adapter The patient s image will appear on the Patient Photo Capture screen 3 Using the joystick bring the patient s face into focus and press the acquisition button on top of the joystick The patient s photo will be captured and the Patient Photo Save screen appears Screen 8 5 Patient Photo Capture 8 6 EyeSys Corneal Analysis System Patient File Management 4 If the patient s photo is acceptable click on the Save Image button The Patient File Management screen reappears If the photo needs to be re captured click on the Retake button and repeat steps 3 and 4 Screen 8 6 Patient Photo Save Deleting Patient Records WARNING Once a patient s records are deleted you cannot undo the deletion Verify that this is what you want to do You can delete entir
3. Delete an exam protocol Click on the exam The exam protocol is protocol you want to deleted delete and click Delete The Reprocess protocol cannot be deleted Modify an exam Click on the exam The selected exam protocol protocol you want to protocol appears for modify and click you to modify Continue Modify with step 3 Create a new custom Click on New The Examination protocol Protocol Options screen appears as shown below Continue with step 3 11 6 EyeSys Corneal Analysis System Diagnostic Tool Design Examination Protocol Options 3 Select which optional steps you want Peston sth seen Partam ate map wenn to perform during the patient BP ine or sad dis pariet Rave amw dete examination M Tae e photo ID BAJE av Erem comment The table below defines the steps you may select Beet a olem dopey Mare of single eye anger D Ji Ware of Dea eye iolay r Ja r Nasse of protocol Protocol bulon mate re Meier Screen 11 8 Examination Protocol Options Optional Step Find or Add a Patient to This option includes the Patient Directory screen in the Database the examination process Refer to Beginning the Exam in Chapter 4 for more information about the Patient Directory screen Take a Photo ID This option includes the Capture Photo ID screen in the examination Refer to Adding a New Patient in Chapter 4 for more information about the Capture Ph
4. For new computer users this chapter is especially helpful to get you going quickly on your new system This chapter includes the following information Your EyeSys software Using the Screens and Commands Using Your Keyboard Powering the System On and Off Using a Pointing Device Printing Using a Joystick Your EyeSys Software When started the software is automatically configured to perform the full functioning System 2000 or the viewing only Viewstation The difference between the two is immediately noticeable as shown by the Main menus below System 2000 Main Menu View Station Main Menu Patient Examination Display Patient Data O Display Patient Data 3 System Utilities System Utilities Data Manager amp Data Manager amp Communication Communication Ye D IS UE des Z ERIS AIESTA Screen 3 1 System 2000 and Viewstation M ain M enus Refer to Appendix for installation instructions EyeSys Corneal Analysis System 3 1 Chapter 3 The EyeSys software operates within the Microsoft Windows environment It is designed to minimize your need for software knowledge so you can concentrate on your patients while performing examinations This is accomplished by providing four natural paths to the operation you want to perform The four main operations are outlined below Patient Examination The Patient Examination software provides you with all the necessary functionality to perform the followin
5. L Screen 3 7 EyeSys System 2000 Program Group EyeSys Corneal Analysis System 3 7 Chapter 3 Windows 95 To start the software in Windows 95 double click on the System 2000 icon located on the desktop as shown below rm dd System 2000 V4 0 Screen 3 8 EyeSys System 2000 Icon Powering the System Off To turn OFF the system power follow these steps 1 Save any files and exams and exit the EyeSys software by returning to the Main Menu 2 From the Main Menu click Exit to return to Windows If you are using Windows 3 1 click File in the upper left corner then click Exit If you are using Windows 95 click Start and then Shut Down Select Shut down the Computer and then click OK 3 Remove and safely store any floppy diskettes from the system Removable hard and optical disks should remain in the system 4 Move the power switch on the computer to the OFF position Move the transformer power switch to the OFF position 6 Move the printer power switch to the OFF position 3 8 EyeSys Corneal Analysis System Patient Examination Chapter 4 After you have turned on the power to the System 2000 and let it warm up for five minutes you are ready to perform an examination The patient should be present throughout the examination process in case you need to retake the eye image With a properly calibrated machine and a little practice the exam process takes only a few minutes This chapter takes y
6. Rings The boundaries of the placido mires reflecting off the cornea are indicated by red and yellow rings Side View Image The digitized side view image of the patient s cornea with reflections of the placido mires B 2 EyeSys Corneal Analysis System Technical Information Data Map Types Absolute Map The Absolute Map is a standard topographic map of corneal curvature derived using an axial sagittal radius of curvature The map is created by combining colors and patterns to represent corneal curvature This map provides the user with a method for performing color coded diagnosis and comparison between the patient s cornea and the population average Screen B 1 Absolute Scale Map Tip If there is a large area of 52 0 diopter red or 35 0 diopter blue it is very likely the absolute map is saturated Another method such as the Axial Map should be used to obtain greater detail Axial Map The Axial Map is an adjustable map that uses color to depict corneal curvature It is derived using an axial sagittal radius of curvature Tip Pay close attention to the color scale s middle value and step size when evaluating a cornea The normalized scale can sometimes cause extreme corneas to look normal and normal to look extreme Screen B 2 Axial Map EyeSys Corneal Analysis System B 3 Appendix B Eye Image Map This map is a reproduction of the original video image of the patient s eye An important
7. The following options are available by clicking the Options button Toggle between a Profile Difference or Z Elevation Map This is a transient option e Refractive Map can be toggled between a standard auto or user defined scale This is a transient option e Radius Map can be displayed using a standard auto or user defined scale This is a transient option e Z Elevation Map Flattest Refractive Power Step Size Optic Zone and Max Value can be changed Max Value changes are transient To print the Holladay Diagnostic Summary click on Print and follow the procedures in Printing the Display in Chapter 7 To go back to the Select Display screen click on Done The Select Display screen reappears You cannot change map options for the Holladay Diagnostic Summary STARS Display The Standard Topographical Analysis for Refractive Surgery STARS display provides a retrospective view of the cornea and helps analyze surgical results while tracking the healing process To view a STARS display you must select a pre op post op and a follow up exam Screen B 12 STARS Display EyeSys Corneal Analysis System B 11 Appendix B The STARS display shows the pre op post op and follow up data maps at the top and the Surgical Change and Healing Change difference maps at the bottom The Surgical Change map is derived by a subtractive analysis of the 1st and 2nd exams The Healing Change map is derived by a subtrac
8. eere 6 9 Fitting Soft Lenses N 6 10 Selecting a Wearing Option sseeeeeeeeeeeereenn nennen een 6 11 Selecting aA Soft LenS m 6 12 Performing Trial Fit uiui i e s e d defen 6 13 Viewing Lens Information esee 6 14 Ordering Soft Lenses ys rit rei eerte eke eg eke es GR ees Re eh g chains 6 18 Fitting ROP Lenses E 6 19 Selecting an RGP Lens cree E e dd deed eda 6 20 Using the Simulated Fluorescein Screen sees ee ee Re 6 22 Modiiying an RGP Lens rre ee ke RR Ska EN ee GE GE ee 6 27 Ordering RGP Lenses ese ee ee ee ee 6 28 Tracking Soft Lens Usage sssrinin ee de is 6 29 Clinic Name Address and Telephone Number sesse ee 6 31 CHAPTER 7 CALIBRATION Loaisesstivitsipnuibbittui xut DEMNM NM 7 1 Calibration Sch dule ood c e re d ed 7 1 Calibration Guidelines us ss SES ESE EES GEE GEES SEE EES DEEL Ge tie ete eee ete bee 7 2 Starting the Calibration eid rotta ees ks Slegs ka eb eee eb aestas tatnen tet 7 2 Verifying the Calibration sees ee ee ee Re ee 7 3 Calibratins the Systetni ote d de pp de Gee Eed 7 5 Changing Image Processing Options eene 7 8 Changing Display OPHONS sees sees ee Re ee de 7 10 EyeSys Corneal Analysis System ix Table of Contents CHAPTER 8 PATIENT FILE MANAGEMENT ees ees se ee ese eke ee eee enn 8 1 Sorting the Patient Directory sesse ee se Re ee Re ee 8 3 Selecting EyeSys Patients ee
9. 1 JDosp Tosph radis SCS jrodies ospr tospro O A 4 D Exem From 0228 95 Exam 2 From 07 29 85 Son F kepies 44 62 0 1007 amp 87 on Smk openi 4625 0 173 VLEIS Smt mn 255 68100 7E DOU Eam K er 7T 28 8 1737 712208 Coree Eccen DEZ ComealEccan 65 Spectacle Rx Sphere Oylieder Noas Ade pw ps JE e ji Spectacle Rx Sphere Cylinder Axis Wear Add Ge Jes J De ms IE venes zen s Vickis Dia 1700 2 Veras zo 3 Vis Iris Dia zo JE One 1 75 x 0 O Soft 1 59 x tn Salt Todo 1 05 x ti ORAP Toe Pee eee Coke dietum os Rem eke oe ee To E TURA etim Type Near es dati Dui bee ee et G Distance Moaovision Bitoceil N moe 00 oos ofNearAdd in Leng se nine ee Ji Screen 6 1 Patient Evaluation Updating the Contact Lens Database When the Patient Evaluation screen is first displayed the contact lens database version source and whether it is current is shown near the bottom of the screen You can use the Subscription Info button to provide information about acquiring or updating the database The Subscription Information screen Screen 6 2 shown below displays a list of distributors for each country 6 4 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting ts Your Contact Lens Data Current beste Fine at Salina ie dimid Tet ans wall Pre Fike yum Cds Loma aiioa The Vos Fe dra me a vec sogiekie by bestes Pad mine t qut cttm To determine your distributor use
10. CUSTOMER MAY ALSO HAVE OTHER RIGHTS WHICH VARY FROM STATE TO STATE 5 TERMINATION This Agreement is effective until terminated Customer may terminate this Agreement upon notice to EyeSys at any time by removing from Customer s system and destroying all copies of the Licensed Software Unauthorized copying of the Software or the accompanying documentation or otherwise failing to comply with the terms and conditions of this Agreement will result in automatic termination of this license and will make available to EyeSys other legal remedies Upon termination of this Agreement the license granted herein will terminate and Customer must immediately destroy the Licensed Software and all copies thereof 6 EXPORT RESTRICTION Customer agrees that Customer will not export or reexport the Software in any form without the appropriate United States and foreign government licenses Customer s failure to comply with this provision is a material breach of this Agreement the U S GOVERNMENT RESTRICTED RIGHTS The Licensed Software is provided with RESTRICTED RIGHTS Use duplication or disclosure by the Government is subject to restrictions as set forth in subparagraph c 1 ii of the Rights in Technical Data and Computer Software clause at DFARS 252 227 7013 or in subparagraphs c 1 and 2 of the Commercial Computer Software Restricted Rights at 48 CFR 52 227 19 as applicable Contractor Manufacturer is EyeSys Technologies Inc 2776 Bingle H
11. pre enhance post enhance pre suture rem post suture rem Procedure Performed RK AK RK AK Cataract PKP PRK RGP SCL Corneal Scar Continued on the next page 4 10 EyeSys Corneal Analysis System Patient Examination Comment Type Refraction Types Man Rx Cyclo Rx Spec Rx Auto Rx Refraction Rx Sphere 20 0 to 20 0 Measurements Rx Cylinder 20 0 to 20 0 Rx Axis 0 to 180 Vertex Distance 7 mm to 19 5 mm Visual Acquity 20 10 to 20 400 HM LP 20 10 to 20 400 HM LP These comments may be customized refer to Chapter 11 2 To delete comments do one of the following e Place the cursor at the beginning of the data to be deleted and drag the cursor to the end of the data to be deleted and press Delete e Click Erase at any time to clear the comments box When the comments are acceptable click on the Save amp Continue The Capture Eye Image screen appears Keyboard M ethod To enter comments by typing do the following 1 Click within the comments box and type the desired comments 2 To erase comments use the BACKSPACE key to delete information or click on the Erase button to clear the comments box and start over When the comments are acceptable click on the Save amp Continue The Capture Eye Image screen appears Proceed to Capturing the Patient s Eye Image below EyeSys Corneal Analysis System 4411 Chapter 4 Capturing the Patient s Eye Image Note Inse
12. 10 Click on the Finish button 11 You now need to create a shortcut for the System 2000 application WW EXE This assumes that you have already installed the main System 2000 software on your server See Main System 2000 Installation above 12 To create the shortcut right click on the desktop click New and then click Shortcut The Create Shortcut screen appears EyeSys Corneal Analysis System A 9 Appendix A Create Shortcut Type the location and name of the item you want to create a shortcut to Or search for the item by clicking Browse Command line M1 Browse Screen A 14 Create Shortcut Screen 13 Click on the Browse button The standard Windows 95 File browsing window displays Select the mapped server drive on which you installed the main System 2000 software Double click on WW EXE from the installation directory 14 Click the Next button The Select Title screen appears as shown below Select a Title for the Program Select a name for the shortcut lt Back Cancel Screen A 15 Select Title Screen A 10 EyeSys Corneal Analysis System Installation Instructions 15 Replace the displayed WW EXE shortcut name with EyeSys System 2000 Client V4 16 Click the Finish button The System 2000 icon appears on the desktop Screen A 16 System 2000 Icon 17 You are now ready to run the software by double clicking on the System 2000 icon Upgrading Windows 95 S
13. 2 Locate the power switch for the printer and move it to the ON position 3 Locate the power switch on the transformer and move it to the ON position The transformer is a multi outlet square box that the System 2000 IAU computer and monitor are plugged into It provides the equipment with isolation protection from power surges 3 6 EyeSys Corneal Analysis System Learning the Basics 4 Locate the power switch on the computer and move it to the ON position 5 Allow the system to warm up for five minutes before examining patients This ensures that the videokeratoscope s camera is ready Starting the Software After powering the system ON the computer will start either Microsoft Windows 3 1 or Windows 95 If you installed the EyeSys software to automatically run when Windows starts the software will start and display the Main Menu To begin examining patients proceed to Chapter 4 Patient Examination If you installed the EyeSys software to NOT automatically run when Windows starts follow the instructions below for the operating system you are using After the software starts the Main Menu will be displayed To begin examining patients proceed to Chapter 4 Patient Examination Window 3 1 To start the software in Windows 3 1 double click on the EyeSys System 2000 icon in the EyeSys System 2000 Program Group as shown below EyeSys System 2000 EE of Eye Software Syste Configuration 2000 Utility
14. 4 Changing Data Storage and Backup Options essssss 10 4 X EyeSys Corneal Analysis System Table of Contents CHAPTER 11 DIAGNOSTIC TOOL DESIGN esee 11 1 Designing Custom Display iese ees ee ee de 11 2 Designing Custom Exam Protocols se sesse ss ee esse ee ee ee 11 5 Designing Custom Comments sees ee ee de 11 8 APPENDIX A INSTALLATION INSTRUCTIONS se see se se ee ge Ge ee Re Be Ee Re Be ee Ge ge es A 1 System Requir ments nonet teet GEGEE EE See ee EDGE e Le Ge a PR De ee A 1 Main System 2000 Installation eene A 2 APPENDIX B DATA MAPS AND DISPLAYS esee B 1 Data Map Interpretation Tools ee eeeessnceceeeeeeeeeeenaeeeeeeeeeeeeeenaeees B 1 Map Tay E ce ooo eene Deme SR de dO B 2 Data Map Lypes roter eot EE B 3 MIS PLAYS eee UU EUER B 9 APPENDIX C REMOVABLE DISK OPERATIONS seen C 1 Formatting a Floppy Diskette sesse ee ee ee Re Re ee C 1 Formatting a Removable Hard Disk eene C 5 Formatting an Optical Disk csse C 7 Changing a Disk Volume Label see Re ee C 8 Checking Disk Space with Windows 95 esee C 11 APPENDIX D TABLE OF SCREENS sieur eien REM b HN aa E Oe ON D 1 GLOSSARY INDEX EyeSys Corneal Analysis System xi Chapter 1 Introduction Congratulations on acquiring your new advanced EyeSys System 2000 We know you are ready to
15. 9 I Identity Setup 9 2 Image Acquisition Assembly 2 3 3 5 Image Processing Options 7 8 Image Processing Options screen 7 10 incomplete rings 4 17 Install Disks A 1 Installation Welcome screen 5 3 Internet 9 1 Internet Service Provider 9 2 interpolate 5 9 Interpolate 4 22 J join patient records 8 9 Join Patient screen 8 9 joystick 3 5 calibration 7 4 operations 3 5 K Keratometric B 2 Keratometric Map B 4 keyboard 3 3 adjustment 3 4 main keys 3 3 L landscape printing 4 23 5 11 Layers 4 21 Lens Order Form 6 18 6 27 4 limbal line 4 17 locate patient 4 7 5 2 8 3 8 4 M Mail Server 9 2 map axis 4 22 Map Buttons Setup screen 5 5 map layers 5 9 Angle Scale B 2 descriptions B 2 Eyelmage B 2 Grid B 2 Keratometric B 2 Pupil Contour B 2 Rings B 2 Side View Image B 2 map options change 58 select 4 22 Map Options screen 4 21 5 9 11 5 map type 5 9 Map Type 4 21 Microsoft Windows 3 2 Microsoft Windows Program Manager C 1 C 7 C 8 Middle Value box 5 9 MIME 9 1 Minimum Arc Length 7 8 modify a display 11 3 monitor 2 3 monovision 6 9 mouse 3 4 move patient exams 8 10 Moving Patient Exams screen 8 10 N networked 2 1 new patients 4 1 Numerical Map B 7 EyeSys Corneal Analysis System O optical disk format C 7 optical stage manipulator 2 3 ordering soft lenses 6 18 other patient types 5 3 overview 3 2 P pan positioning controls 6 24 PATDATA ZIP 9 7 patient add
16. Corneal Analysis System B 9 Appendix B Z Elevation Map This map shows the difference in sagittal height between the current cornea and an aspheric reference surface Distortion Map The Distortion Map measures the optical quality of the corneal surface in Snellan equivalent values and predicts your patient s visual acuity relative to the cornea as the limiting factor Local ROC Map This map displays the local radius of curvature information Corneal Parameters The following corneal parameters are listed at the bottom of the display Meridional refractive powers RP true corneal power values Simulated keratometric values Sim K s standard K values Pupilary measurements measurements of decentration and size Asphericity Q corneal shape factor Corneal Uniformity Index uniformity of the cornea optical quality Predicted Corneal Acuity PCA predicts corneal acuity LS Value Rabinowitz McDonnell dioptric power calculation of the difference between the average inferior power and the average superior power of the cornea The standard deviation of this value is 0 78 Any value greater that two times the standard deviation 1 56 is abnormal and suspicious of keratoconus B 10 EyeSys Corneal Analysis System Technical Information User Options Some of the options are persistent they stay active beyond the current display Some of the options are transient they remain active only for the current display
17. Directory below ene If you do not need to sort the II directory you may proceed to TIT Selecting EyeSys Patients in this Dnm ip Da T tere Comuere E mum chapter Esport Em Dwwi trem nt ep rem pert Prin amp import Paters amp Exam Rearen t Fio Maragerert DT Screen 8 3 Patient File Management Sorting the Patient Directory You may want to sort the Patient Directory to help you find the desired patient You can sort by the following attributes Patient s last name Patient s ID number Group Date of last exam To sort follow these procedures 1 On the Patient File Management screen locate the Sort box and the down arrow button next to it Click the down arrow A list of attributes appears 2 Click on the desired attribute The system re sorts the Patient Directory using the sort key you selected EyeSys Corneal Analysis System 8 3 Chapter 8 Selecting EyeSys Patients An EyeSys patient is a patient whose examination data was saved on the System 2000 storage drive To perform file management on exported patient data or on patient data saved by a previous software version skip to Importing Other Patient Data Types Note Insert the proper disk containing the patient exam data files before starting this procedure When performing File Management procedures you need to locate a patient to work with before proceeding You can locate a patient by entering the l
18. Floppy Diskette The system floppy drive uses 32 inch 1 44 megabyte floppy m diskettes which can store two patient eye images The diskettes must if be formatted before use Refer to Formatting Floppy Diskettes in Appendix C System Data Storage The System 2000 and ViewStation software stores information on the storage drive of the System 2000 computer This could be the internal hard drive removable disk or floppy diskette This table lists the information stored on the system disks Internal Hard Drive Contents Storage Drive Contents System 2000 software Patient Exam Data Files Microsoft Windows software Patient Photo Patient Directory Eye Image Patient Personal Data Pupil data e Name ID Sex DOB Curvature data e Physician Diagnosis Side View Eye Image e Referring Party Group Patient Exam Data e Exam Eye Date Time e Volume Comments You can change the drive location of the Storage Drive by referring to Changing Data Storage and Backup Options in Chapter 8 Normally the Storage Drive is either the internal drive or a removable hard or optical disk because these drives are capable of storing the large amounts of data required by the patient exam data files You can however set the Storage Drive to be a floppy diskette if this fits your requirements 2 4 EyeSys Corneal Analysis System Getting to Know Your System Important When you perform the various operations in the System 2000 sof
19. If you are viewing a multi map display and click Options the first screen to appear is the Display Options screen This screen is used to select which map you want to change If you are viewing a single map display the first screen to appear is the Map Options screen Proceed to step 2 below The procedures below describe how to change map options for a Four Map Overview display After clicking Options from the Four Map Overview display the Four Map Display Options screen appears 1 Click on the Options button next to Four Map Display the map you want to change The Map Options screen appears Screen 5 6 Four Map Display 5 8 EyeSys Corneal Analysis System Display Patient Data 2 Select a Map Type by clicking within the small circle next to the name you want Map types are described in Appendix B Topographic Data Displays 3 Select one or more Map Layers by clicking within the small box next to the name you want Screen 5 7 Map Options Map layers are described in Appendix B Topographic Data Displays Click on the square box next to Interpolate if you want the system to fill in black areas or holes in the color map display The system will interpolate across areas of missing data However the system will not display areas that are not surrounded by data Click on the square box next to Smooth Pattern if you want to view the color maps with less resolution This will help extract
20. Map button 2 Map button 3 Map button 4 Map button 5 TIT T E Map button 3 Map button 4 i7 xum Lu QOO VERS OF UK IPL AIO Rs CoU DURO n EA yc per ayy CD oy eT Screen 54 Map Buttons Setup 3 Determine which map button you want to change Click on the corresponding down arrow button A window of different map types appears Click on the Map Type you desire 4 Repeat step 2 to change another button When finished changing buttons click on Return to Select Display Menu The Select Display screen reappears with the buttons reassigned Continue with Displaying Patient Exam Data below EyeSys Corneal Analysis System 55 Chapter 5 Displaying Patient Exam Data On Exam Displays that contain a map image a special function is available to help you examine the data This special function Crosshair Data is described below Crosshair Data You will notice a cross located at the detected center of the eye and a box of data in the lower right of the screen The data corresponds to the center of the cross as follows Power PWR in diopters Radius RAD in millimeters Distance to the center DIS in millimeters Axis in degrees You can move the cross to examine data in different parts of the image as described below 1 Point to the cross and drag the pointing device 2 While holding the button down move the cross to the desired position in th
21. Patient File Management screen Screen 8 3 when you perform file management Bottom of the exam data displays The comments are a good tool to help you quickly locate a particular exam for a patient This section describes how to enter exam comments Note You can enter exam comments later if desired Refer to Edit Patient Exam Data in Chapter 8 Exam Comments If you do not want to add Ce NE ee comments now click on the Skip THE This Step button and continue with E Capturing the Patient s Eye Image eed below ne m The Exam Comments screen provides two methods for entering comments Screen 4 8 Exam Comments Point and click default EyeSys provides built in comments you can point to with your pointing device and click to enter automatically Keyboard method Type your own comments EyeSys Corneal Analysis System 4 9 Chapter 4 Note You can design your own custom comments that use the point and click method Refer to Designing Custom Comments in Chapter 11 Point and Click Default To enter default comments provided by EyeSys using the point and click method follow these steps 1 Click on the desired options to enter information in the comments box A table of default comments and corresponding ranges follows Comment Type Time Period days 0 to 999 weeks 0 to 999 months 0 to 999 years 0 to 999 Procedure Descriptor pre op post op
22. Surface Curvature To change these options follow these procedures 1 From the Main Menu click on System Utilities The System Utilities Menu appears 7 8 EyeSys Corneal Analysis System Calibration 2 Click on System Settings The System Settings Menu appears System Utilities Calibration System settings aes IS LIV LISS FAIS LY ILS EQUI RI CIS SILI SAI TLIS 7 Me rs re Rg Te en tne etre Ar Screen 7 10 System Utilities i 3 Click on Image Processing Options POR Sones MET The Image Processing Options Image processing options Screen appears T Display options Data storage and backup options the Custom dispiay design Custom exam protocol design N Custom comment design mf iy a a MERE Age d Return to Utilities Menu Screen 7 11 System Settings M enu EyeSys Corneal Analysis System 19 Chapter 7 4 Click within the data field you want Image processing options to change and type in the new values Arc gap length Center threchobl 5 Click on Save Edge threshold 7 i To exit without saving your changes click on Cancel Pinsemum arc length EI Surface curvature Concave OConvex Eos IS SPIT AIF SAID nw Uus Ter ag ally ways Rye RR wor qas EU E US ADU RU Vae VOUS BEE SP es TE Lid Y Screen 7 12 Image Processing Options Changing Display Options This operation all
23. When an eye exam is initially captured and processed the curvature calculations are based on the calibration file and the pixel mm magnification of the camera in use at that time If the eye image is reprocessed on another system or on the same system with a different calibration file or pixel mm setting the curvature calculation could be different The calibration file and pixel mm setting change whenever the system is calibrated T CAUTION Changes in the calibration file or the pixel mm setting can have adverse effects on image reprocessing You may reprocess an eye image as follows and then cancel it if the results are not acceptable 1 Select the patient by last name or ID number Refer to the Selecting EyeSys Patients section in this chapter 2 Selecta single exam You cannot reprocess more than one exam at a time Refer to Selecting Patient Exams in this chapter 3 Click on Reprocess One of two responses occur EyeSys Corneal Analysis System 8 13 Chapter 8 e The system checks the exam and calibration date and displays a warning if the system was calibrated after the exam was processed You may proceed or cancel the reprocessing e The system reprocesses the eye image and detects the apex and displays it on the Apex Verification screen Please read the following notice IMPORTANT Reprocessing eye image data follows the same path as described in Chapter 4 starting with Examining the Apex excep
24. You can design your own or modify and delete any existing protocol by following the steps in the section Designing Custom Exam Protocols in Chapter 10 4 Click on the exam protocol you desire The Patient Directory screen appears Proceed to Entering New Patients or Locating Existing Patients below If the protocol name you want is not on one of the protocol buttons go to Protocol Button Assignment below Note The protocol you selected may require you to Select an Existing Patient Add a New Patient or take a Photo ID EyeSys Corneal Analysis System 43 Chapter 4 Protocol Button Assignment Each of the four protocol buttons can be assigned a particular protocol If you have designed custom exam protocols and want to assign them to the protocol buttons or if you want to assign different protocols to the buttons proceed with the following steps 1 From the Examination Protocol Selection screen click on Modify Protocol Buttons The Protocol Buttons Setup screen appears This screen shows Capture Buttons 1 4 The buttons are located on the Examination Protocol Selection screen Capture button 1 Screen 5 2 as follows Capture button Apa Pramas t Capture button 1 Capture button 2 Capture button 3 hen Prose 2 Capture button 4 Capture button 3 Protocol Buttons Setup Screen 4 3 Protocol Buttons Setup 2 Click on the down arrow next t
25. calibration spheres by wiping them with a clean soft lint free cloth that has been slightly dampened with alcohol e Check the lighting conditions Ensure that no bright lights are reflecting off the calibration spheres e Check the image processing parameters in the section Changing Image Processing Options below The default values for these options are listed e Verify that the chin rest is positioned high enough so that the lower spheres are available during the calibration process e Verify that there is nothing covering the spheres such as the clear plastic shield or the bubble like shipping cover This completes Calibrating the System EyeSys Corneal Analysis System 7 7 Chapter 7 Changing Image Processing Options Image Processing options are defined as follows Processing Option Arc Gap Length The maximum number of missing pixels the system will fill in when detecting ring edges Default value 20 Center Threshold The maximum number of missing data points allowed on the center ring before invoking center editing Default value 20 Edge Threshold The minimum amount of contrast that the system recognizes as a ring edge Default value 4 Minimum Arc Length The minimum arc length that the system will accept as a ring Default value 45 Pixels per millimeter The pixels mm of magnification of the system s camera This value is factory set and cannot be changed Default value 365
26. delete Click Edit and then Delete Folder Default folders cannot be deleted Empty the Trash Folder Click Edit and then Empty Trash Folder Move E mail Highlight the E mail you want to move and drag it to the new folder You cannot move E mail into the Inbox Outbox and Sent folders Sort E mail Click Message Sort By and then choose one of the sorting criteria Alternatively you can click on the title bars above the list of E mails Delete E mail Highlight the E mail you want to delete and then click the Delete button type Delete on your keyboard click Message then Delete Message or right click on the E mail and select Delete EyeSys Corneal Analysis System 9 9 Chapter 10 Patient Directory Management The patient directory is an index stored on your internal hard drive to help you locate a particular patient or exam The patient directory does not contain the actual patient exam data files Refer to System Data Storage in Chapter 2 for more information on where data is stored In this chapter you will learn how to perform these patient directory management functions Back up the patient directory from your internal hard drive to a removable disk Change Data Storage and Backup options Restore the patient directory from a disk to the internal hard drive This table provides a recommended schedule for performing these procedures What to Perform When to Perform Back up the patient directory On a daily
27. eds 4 18 Viewing the Exam Display ure tree trie tette trente ee de 4 20 Changing Map Options eseeeeeeeeeeeeeereenn nennen nnne nnne 4 21 Printing the Display esce ere ai rp ter Else se id 4 23 Completing the Exam see sesse ee ee ee eene nne 4 24 CHAPTER 5 DISPLAY PATIENT DATA tiesecciecsieexteeko reste so ese ie Res e skies Ee Ee ERGE ER 5 1 Selecting EyeSys Patients eese nere nennen 5 1 Selecting Other Patient Data Types esee 5 3 Selecting Exams 2 erret EE RE e 5 4 Selecting an Exam Display esee een 5 4 Modifying Display Button Titles eene 5 5 Displaying Patient Exam Data 5 6 Changing Map Options wis esse Ee SE EES tete reete ete DEEL Ge GEE ee GES PL EE ees 5 8 Printing the Display asiento Ee 5 10 STARS Displayer EE SeER iA 5 11 Ditteretnice Display 5er eee eie e ieu Ripe Lebe aeuo abs 5 13 Fout Map Trend Display 2 barre terere tete tete ee Ded 5 13 3D Cornea Studio Display esee 5 14 viii EyeSys Corneal Analysis System Table of Contents CHAPTER 6 PRO FIT CONTACT LENS FITTING see 6 1 Accessing Contact Lens Fitting 6 1 Starting Contact Lens Fitting eene 6 3 Selecting a Fitting Protocol esses 6 5 Entering the Spectacle Refraction eeeeene 6 8 Selecting the Lens and Correction Type
28. eyes you may copy the lens information to the other eye by clicking the copy OD 05 button If you want to use the RGP lens preferences from the il Fitting Protocol you used click on the AutoFill button shown to the right Manufacturer Lenses Manufacturer stock designs are comprised of proprietary information that may not be disclosed to the general public To select a manufacturer lens follow these procedures 1 Click on the arrow next to the Name box and select a lens name To view detailed information about the lens you chose click on Show More Lens Detail and go to Viewing Lens Information above 2 Click on the arrow next to the Diameter box and select a diameter 3 Click on the arrow next to the Material box and select a material 4 Click on the arrow next to the Color box and select a color Proceed to Using the Simulated Fluorescein Screen below Custom Fit Lenses Custom fit lenses are based on the Fitting Protocol s Back Surface Design The peripheral curve corneal edge clearance is calculated to achieve as close to 0 08 mm as allowed by each patient s topographical information To specify a custom fit lens follow these procedures Click on the arrow next to the Diameter box and select a diameter 2 Click on the arrow next to the Material box and select a material To view detailed information about the lens you chose click on Show More Lens Detail and go to Viewing Lens Informati
29. failure to implement all Releases and updates to the Licensed Software ii Customer s use of the Licensed Software with Hardware not obtained from EyeSys iii any alterations of or additions to the licensed Software by parties other than EyeSys iv use of the Licensed Software in a manner for which it was not designed v use of the Licensed Software in a manner or with hardware for which it was not designed vi accident negligence or misuse of the Licensed Software vii interconnection of the Licensed Software with other software products not supplied by EyeSys or viii inaccuracy in data entry In addition EyeSys obligation to provide Maintenance Services shall be contingent upon Customer providing EyeSys reasonable access to all necessary personnel to answer questions about any problems reported by Customer regarding the Licensed Software 4 LIMITED WARRANTY 4 1 Warranty a Hardware EyeSys hereby warrants that the Hardware will be free from defects in materials and workmanship under normal use for a period of twelve 12 months from the Effective Date or with respect to any repaired reconditioned or replaced part ninety 90 days from the date of delivery of such to Customer b Software EyeSys hereby warrants that the media or which the Licensed Software is recorded will be free from defects under normal use for a period of ninety 90 days from the date of delivery to Customer Customer s and exclusive remedy and EyeSys
30. only select it then click the OK button Follow the instructions on the screen as you may have to reboot your system depending on which version of Window 95 you are running If neither entries are available then your system does not have the capability to operate in any mode higher than the standard 256 color mode Click on the Cancel button A 12 EyeSys Corneal Analysis System Appendix B Data Maps and Displays This appendix describes data map types and map layers Data Map Interpretation Tools Before proceeding to the descriptions of each data map you should review the following common interpretation tools Color Scale The color scale on the left side is normalized by setting the middle value represented by green to the average curvature The color scale defaults to 0 5 diopter steps but if 98 of the data is greater than 8 diopters the step size will increase to 1 0 diopter You can use Map Options to change the middle value and step size Crosshair Data You will notice a cross located at the detected center of the eye and a box of data in the lower right of the screen The data corresponds to the center of the cross as follows Power PWR in diopters Radius RAD in millimeters Distance to the center DIS in millimeters Axis in degrees You can move the cross to examine data in different parts of the image as described below 1 Point to the cross and drag the pointing device 2 While holding t
31. quality maintenance feature is that the individual placido rings are included in this display Screen B 3 Eye Image Map Keratometric Map This map displays information similar to that provided by a Keratometer The System 2000 Software analyzes data from the patient s cornea examination to provide simulated Keratometric Semimeridian and Astigmatic data The top part of the screen displays Keratometric data for a zone that is approximately 3 mm in diameter Screen B4 Keratometric Map This zone is calibrated to 3 mm for a 42 5 diopter spherical surface It will vary slightly for surfaces with different curvatures All meridian data points in the zone are averaged to find the steepest meridian The flat meridian is the one found to exist at a 90 separation The steep and flat meridians are displayed in red and blue text respectively and are described by power diopters radius of curvature mm and axis The astigmatism or AK for the zone is calculated by subtracting the flat meridian from the steep meridian and is displayed in green text below the primary Meridians B 4 EyeSys Corneal Analysis System Technical Information The Semimeridian Data describes the patient s Central ParaCentral and Peripheral zones using semimeridians half meridians These zone diameters are also calibrated for a 42 5 diopter spherical surface and will vary slightly for surfaces with different curvatures The system identifies a particular zon
32. relationships in microns Move ihe Choice wi be copted to Custom Designed Lentes horizontal side control toward Natter or steeper the 3 Sagittal depth value and fluorescein display will change Q Asphoric Bose with 1 Sphercel Poxiphorel Curve to reflaci your personal filling preferences Pro Fit tm Aspheric Base with 1 Aspheric Peripheral Curve will then produce lens design parameters as close as Q Spherical Baze with 1 Aspheric Peripheral Curve Fees eee O Spherical Base with 2 Spherical Pesipheral Curves Spherical Base with 2 Sphesical Peripheral Curves Rehiactive Cylinder Minus O Plur M Radus imm O Diopterz ons Type Prefewed Mfars Stock O Custom ens Defaults Lustem Lens Dismeler Coena Use Cortar Dimata O Specify mm less thar HUID Custer AGP Constant Diameter s Stock RGP pese aer IEB JR Lens Cornea Relationship TROP WP TE TE IT ME Pas ao Py at Pv et Maot Da i Maat Myos 8 Sagittal Tear Depth in micron 20 wa Lr A Steoper Sy25y33 3y25V32 Zy Screen 6 3 Customized Fitting Specification 2 Enter a new Fitting Protocol name or select an existing Fitting Protocol 3 Select one of the five RGP Back Surface Designs This data is used later during Selecting an RGP Lens 4 Select the format you want to use for refraction data Plus or Minus Cylinder 5 Select the units you want to use for Base Curves Millimeters of Radius or Diopters 6 S
33. represents the sagittal height difference between the cornea and a standard aspheric surface an elliptical surface where N XOX BC BC BC 1 E E X X When this data is first displayed the base curve of the reference surface is made equal to the cornea s central curvature on the first ring at the zero degree meridian and its eccentricity is set to that of the cornea s horizontal semi meridian The user can alter the Base curve and eccentricity of the reference surface via the spinner arrow controls The user can also alter the scale factor in the Z direction via the Z scale slider control This helps magnify the Surface Detail by scaling the data in the Z direction with a scale factor that is proportionately larger than in the X Y directions This relative scale factor is the number displayed above the slider control This is called asnisotropic plotting For Example If the scale factor is 10 then the data is amplified by a factor of 10 along the Z dimension with respect to the X Y dimensions so that 1mm in the X or Y dimension grid square corresponds to 0 1mm in the Z direction Note that a positive delta Sag value at a particular point in the corneal vertex plane means that the corneal surface is above the reference surface EyeSys Corneal Analysis System 5 17 Chapter 5 Setting Program Options This dialog is invoked with a right mouse click and allows the user to permanently alter the following
34. start using your new system If you are an experienced computer user you may want to go directly to Chapter 4 of this manual to learn how to start the examination process If you have little or no experience with computers we urge you to read the next two chapters to learn about your system Chapter 2 acquaints you with your system s hardware the videokeratoscope the computer and printer Chapter 3 covers the basics of using your system from powering on to using your EyeSys software and working with screens If you using Windows 95 and need to install the EyeSys software on your system proceed to Appendix A for detailed installation instructions Although the software will run with either Windows 95 or Windows 3 1 EyeSys recommends Windows 95 due to its capability to run 32 bit applications If you are using Windows 3 1 two functions 3D Cornea Studio and DirectNet will not be available because these are 32 bit applications If you are using Windows 3 1 contact EyeSys Customer Support for installation instructions Getting Help W hen You Need It EyeSys is committed to providing you with help when you need it There are three places you can turn for fast access to information Online help is available from virtually every screen in your system This EyeSys System 2000 Operator s Manual provides step by step instructions on each task The EyeSys Technical Support Hotline offers knowledgeable qualified professionals rea
35. the System 2000 Main menu click on the Data Manager amp Communication button The Patient File Management screen appears 2 From the Patient File Management screen click on the the patients and exams you want to send You can select multiple patients and exams 3 Click Export Patients amp Exams The Export Patients and Exams screen appears 4 Select Internet under Destination and if desired select Eye Images Click Send DirectNet loads and displays the Message Sender screen as shown below Screen 9 4 Message Sender EyeSys Corneal Analysis System 9 5 Chapter 9 6 Click Mail To The Address Book appears 7 Highlight the name of the recipient and click Mail To The recipient is entered in the Mail To field of the Message Sender If you want to copy the patient exam to other recipients click Cc select a recipient and then click Add Cc Repeat this process for each recipient you want to copy If you want to add a note to the patient exam click within the message area and enter your message If you want to attach a file to the patient exam click Attach select the file you want to send and then click Open 8 Ifyou want the patient exam to be sent immediately click Send Now The patient exams are sent and placed in the Sent folder If you want the patient exam to be sent later click Send Later The patient exams are queued and placed in the Outbox folder When you are ready to send the patient exa
36. the next page displays the following information Patient name ID number and current date Exam number date and vertex distance Simulated Keratomy data in diopters and millimeters Visible Iris Diameter Bifocal add power and corneal eccentricity The simulated keratomy data and corneal eccentricity are derived from the captured eye image data Proceed to Selecting a Wearing Option below 6 10 EyeSys Corneal Analysis System Filtar Lans Listings to Show OD Een t3 GE Vee 12 SmKID 4452610 norum VD 1200 Sm K ne 75 f 100 2 600 Add 050 ComeaEccen 062 Spherical Rx Asalysis Sph cy Avis Spectacle Fix 3 00 0 50 180 User Selected Power 0 0 00 ooo Sim Over Rotrecton 6 00 0 50 160 1 Bok manbai girde moved ia suggested Suggested Power sphere power for spherios ou valet 2 Suggested Sphere schumtedfor Omm Venec wem earum Ji tee None erar sepe Iti oe Ce P Es JA Es OB H e Screen 6 8 Soft Lens Selection Selecting a W earing Option Pro Fit Contact Lens Fitting ID 4 9375834 Todays Date 8 22 1885 Da DEER Vetma 12 MKD 595 178 45 3008 MD 1200 Bb Kid 7301737 712 9 068 A 50 Comes Eooen 0 65 Spherical Fix Analyses Sph Oy Sp ectecia Rx 30 as User Selected Power 3 00 so Sim Over Aatraction EE as 1 T2 el mardest col nicer mavedto suggedad Seqggested Power sphere power for spherical egures end 2 Suggerad Sphere ad udud for 12rmm Vertex wo
37. to display Selecting exam displays Changing data map options Printing the display Selecting EyeSys Patients An EyeSys patient is a patient whose examination data was saved in the System 2000 Software patient exam data files To view patient exam data files saved by a previous software version or any exported exam data files skip to Selecting Other Patient Data Types Note Make sure you insert the proper disk containing the patient exam data files before starting this procedure 1 From the Main Menu click on Display Patient Data The Patient Locator screen D appears EyeSys Corneal Analysis System 5 1 Chapter 5 PATIENT LOCATOR 2 Select a patient from the Patient Erie egens Vt sare E feet Yu patesrs D Locator screen or locate a patient using one of the methods below When a patient is selected a list of the patient s exams appears at the bottom of the screen If the patient s photo ID was previously captured it will be displayed Screen 5 1 Patient Locator To Locate a Patient by Last Name 3 On the Patient Locator screen enter the patient s last name As you type the system highlights the first name in the list that matches what you type 4 If you have a large database you may have to scroll through the list of names before locating the desired patient When the patient is highlighted a list of the patient s exams appears at the bottom of the screen and the p
38. vei ya 371274573242 3 32 y Sy Eye Eye Sy 32 25 327 25 TER Screen 6 13 Manufacturer Information If you want to view the Fitting Guide for a soft toric lens click on Fitting Guide The Fitting Guide screen appears WET N IG Ge MRM 152222102442 3592 19 124 108021 GUIDE TO FITTING CSP TORIC crofikun A SOFT CONTACT LENSES 51 m FITTING Correa Par ape 23y32 42922922732 23y 324 ee fa j y229293432923y32723y32g23 ewe aa JE jyizys3yizy23yi2y33yiZy2 PUE yizya3j12y23y12 43 1242 ET EE EI 9 2 5 3572 573723735292 573272 y23y32yssy3s 225 32y23 33 y23ya2y25y32y2a5 y312y23y32y93y312y9 3y32y423y Eye Sy Eye Sy Eye t y293y35y23y32je3y33ye3y33ye 9y 32ye 3y 3E ye y vizvejviZye vi Eyes SyIEye SyIEys Sys ys Sy IE ye SIE ys SyIZ ys Sy IE ye dy IE ye Screen 6 14 Fitting Guide EyeSys Corneal Analysis System 6 17 Chapter 6 2 If you did not change the soft lens parameters go back to step 2 of Selecting a Soft Lens on page 6 12 If you changed the lens soft parameters go back to step 5 of Selecting a Soft Lens on page 6 12 If you are fitting manufactured RGP lenses go back to step 2 of Manufactured Lenses in the Selecting an RGP Lens section on page 6 20 If you are fitting custom RGP lenses go back to step 3 of Custom Lenses in the Selecting an RGP Lens section on page 6 20 Ordering Soft Lenses When you click on Lens Order Form from the Soft Lens Select
39. warranty 4 4 Inspection and Testing Charge In the event EyeSys inspection and testing discloses that the returned Product is not defective within the terms of this warranty the Product will be subject to a fifty dollar 50 00 testing charge EyeSys Corneal Analysis System 4 5 Stored Data Customer will be responsible for saving or backing up data contained in any Product returned to EyeSys for in warranty or out of warranty repairs or service EYESYS WILL HAVE NO RESPONSIBILITY FOR SUCH DATA AND WILL HAVE NO LIABILITY ARISING OUT OF DAMAGE TO OR LOSS OF SUCH DATA WHILE THE PRODUCT IS IN EYESYS POSSESSION 4 6 Disclaimer EXCEPT FOR THE ABOVE EXPRESSED LIMITED WARRANTY SET FORTH IN SECTION 4 1 ABOVE EYESYS MAKES AND CUSTOMER RECEIVES NO WARRANTIES OR CONDITIONS ON THE PRODUCTS EXPRESS IMPLIED STATUTORY OR IN ANY OTHER PROVISION OF THIS AGREEMENT OR COMMUNICATION WITH CUSTOMER AND EYESYS SPECIFICALLY DISCLAIMS ANY IMPLIED WARRANTY OF MERCHANTABILITY NONINFRINGEMENT OR FITNESS FOR A PARTICULAR PURPOSE EYESYS DOES NOT WARRANT THAT THE LICENSED SOFTWARE WILL MEET CUSTOMER S REQUIREMENTS OR THAT THE OPERATION OF THE LICENSED SOFTWARE WILL BE UNINTERRUPTED OR ERROR FREE CUSTOMER ASSUMES THAT RESPONSIBILITY FOR THE INSTALLATION USE AND RESULTS OBTAINED FROM THE LICENSED SOFTWARE SOME STATES DO NOT ALLOW THE EXCLUSION OF IMPLIED WARRANTIES SO THE ABOVE EXCLUSIONS MAY NOT APPLY TO CUSTOMER THIS LICENSE GIVES CUSTOMER SPECIFIC LEGAL RIGHTS
40. 11 7 addinga new 4 4 deleting records 8 7 file management 81 find 11 7 locate 5 2 83 84 positioning for eyecapture 4 12 patient data exported patients 5 3 patient directory backup 10 3 management 10 1 restore 10 1 10 4 Patient Directory backup 10 1 backup interval 10 4 edit exam data 8 12 join records 8 9 sort 8 3 Patient Directory Management Menu 10 2 Patient Directory screen 4 5 4 8 patient exam data 5 4 patient exam review 5 1 Patient Examination 3 2 patient exams copy 8 11 delete 8 12 EyeSys Corneal Analysis System Index edit 8 12 export 811 move 810 selecting 8 5 Patient exams sending over internet 9 5 Patient File Management Menu 8 5 Patient File Management screen 8 3 Patient History Software option 4 1 patient ID locate patient 5 2 Patient ID 4 5 Patient Information screen 4 6 8 8 Patient Locator screen 5 1 5 2 patient personal data edit 8 8 Patient Photo Capture screen 4 7 Patient Photo Save screen 8 7 Patient Photo screen 4 6 8 6 Patient Type Selection screen 5 3 patients converting 8 5 pen mouse 3 4 photo adapter 4 7 photo ID 4 8 5 2 Photo ID 8 6 11 7 Pixels per millimeter 7 8 point 3 5 pointing device 3 4 terms 3 4 POP3 9 1 portrait printing 4 23 5 11 Position Control 6 24 power switch 3 6 powering off 3 8 powering on 3 6 Predicted Residual Astigmatism 6 9 Primary Functions 2 2 print exam displays 5 1 Print Map 11 8 Print Options screen 4 23 5 10 print t
41. 2 23y22y23y32j23y32423y329223y32y23 y3Zy23yiZy12y3zZy23y3Zy22yiZys2yzZys2yiEys 2y95y35y93y32y23y12y923y3Ey23y Eye 5y 12 y 9 2 u32925732 23 32922932925y32j23y32y232y32y 3 3y 32 ys 3y3Z ys 2y32y 2 2y3 y Screen 6 11 Lens Information If you want to view customizing information click on Custom Info The Custom Information screen appears EyeSys Corneal Analysis System 6 15 Chapter 6 PAR promot opicah Lt rero dmn eg pa Ls m power 12 fe 9613499 B Tan n op L4 i wee Jd Vo be ei del gs bon ss dele Ep Ey Ep ma a 332 y23y35 y23y y3zy2a3yizys Pia y 3zy2 ees V erae aera i EL G yiz mm EL EERS 2531523425 Bye BUS tr oe Jiu 32y259y12j23y32y23y3Zy23y3Zys2y 1iZy3 3y 3 yt J23y33y23y33ye3y3Zy9 2y33je 3y33ye 3y 32 ye dy EET Zy23y33y23y3 Bys3y32y23y32y23y32 23322 3128 Screen 6 12 Custom Information If you want to view the manufacturer information click on Manufacturer Info The Manufacturer Information screen appears 6 16 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting Fu CEREREM PD o eye hese iy NEE WERE Moewoctecer iiim ote Nar Boesch amp Lomb Aw o S Profe ven udine UE City Bam Poorer der Pastai Een fae 2j23y32 23 22 223922 223 3272 y32g223y32y22y32y232y32ys5 3y33ye3y33yo 9y3Zye3y3zye y3dj23y32y23y32y23y3Xy2 3j d 3j32423 32 4234322332 yu zy23y32j23y32j23y3 REN Y wat ase aera Zj33yi12y32y12y33giZEy Gey aye DE Eye My pe sy Eye YJEVE SY Ba 033
42. 3 1 or Window 95 below Window 3 1 1 Follow the table below Click or double click as indicated Fromthe Clickon Result Menu Bar A window appears with a Window Window Menu Main The Main Program Group peu N ar ITO Main Program Group Note Double click The File Manager appears File Manager File Manager Note Click on the drive The tree and directory of you want to change the drive selected appears AE Continued on the next page C 8 EyeSys Corneal Analysis System Removable Disk Operations File Manager Note Click on the drive The tree and directory of you want to change EET the drive selected appears File Manager Menu The Disk Menu appears Disk ee mu Pee From the Disk Menu Label Disk The Label Disk window opens 2 Type a volume label of your choice and then click OK 3 Double click on the Menu Control Box of the File Manager to close it The Program Manager appears 4 Double click on the EyeSys System 2000 Software icon The EyeSys System 2000 Software will reload If the EyeSys System 2000 Software icon is not visible click on Window from the Program Manager Menu Bar and then click on EyeSys System 2000 Software CAUTION Do not change the volume label of a disk that contains patient exam files The EyeSys System 2000 software uses the volume label when it searches for exams EyeSys Corneal Analysis System C 9 Ap
43. 5 9 SMTP 9 1 Snell s Law B 8 B 9 soft lens fitting 6 10 order form 6 18 select manufacturer 6 12 toriclens 6 13 trial fitfor toriclens 6 13 usage 6 28 viewing information 6 14 wearing option 6 11 soft lens fitting guide 6 17 software 3 2 sort EyeSys Corneal Analysis System Patient Directory 8 3 Sorting E mail 91 spectacle refraction data 6 8 Spectacle Rx 6 12 standalone 2 1 STARS display 5 11 B 11 Step Size box 5 9 storage devices floppy diskette 2 4 storage drive 8 4 contents of 2 4 definition 2 4 designating 10 4 Suggested CL Power 6 12 6 13 Surface Curvature 7 8 SyQuest Utility Program Group C 5 System 2000 icon A 6 System 2000 Software icon C 2 C 9 System Calibration screen 7 6 System Requirements A 1 system utilities 8 1 System Utilities 3 3 System Utilities Menu 7 9 7 11 8 2 10 1 11 1 System Utilities screen 7 2 Systems Settings Menu 7 9 7 11 11 2 T Tabular Map B 6 change map axis 4 22 taking photo ID 8 6 Tangential Map B 8 EyeSys Corneal Analysis System Index Tear Depth Profile Plot 6 23 telephone numbers 1 2 Three Map Display screen 11 4 Threshold Map B 7 change thresholds 4 22 tilt positioning controls 6 24 Topographer A 2 trackball 3 4 turning off 3 8 turning on 3 6 V verify calibration 7 3 video camera 2 3 videokeratoscope 2 3 4 4 4 7 adapter 4 4 Viewing the Exam Display 4 20 Viewstation Main menu 3 1 Viewstation software 2 1 visible iris diameter 6 8 volume lab
44. A 6 00AM 5 00PM Pacific Time 714 859 0656 Elsewhere in the USA 1 800 553 0302 1 2 EyeSys Corneal Analysis System Chapter 1 Introduction Transportation In the event the system is to be shipped to another location this does not include moving within the facility the system must be disassembled and stored in the appropriate shipping cartons Follow these procedures 1 Turn the power on switch to the OFF position and unplug the unit from the wall AC outlet 2 Disconnect all interconnecting cables 3 Carefully repack the Base and Manipulator into the appropriate shipping cartons and include all interconnecting cables 4 Never allow the system to be exposed to temperatures above 58 C Caution This equipment weighs more than 20kg Make sure that you have the proper personnel available to package or move the system to another location The system must be properly lifted to avoid personal injury EyeSys System 2000 Software 1 3 Chapter 2 Getting to Know Your System EyeSys offers two versions of accurate and reliable corneal topography examination and viewing software The System 2000 software is used for examinations and viewing while the ViewStation software is used for viewing only Both versions of the software can operate in a standalone or networked environment A standalone system would consist of a single computer running the System 2000 or ViewStation software A networked system as shown bel
45. Entering the Spectacle Refraction To enter the patient s latest spectacle refraction data on the Patient Evaluation screen follow these steps 1 Use the table below to enter spectacle refraction data Spectacle Rx Sphere Cyliader Axis Near Add ba feo jie Eer id Vartex 3 Vis Irie Dia 3 Screen 64 Spectacle Refraction Sphere Enter the patient s spherical refraction in diopters If the spherical value is plano then 0 00 must be entered or press the TAB key Cylinder Enter the patient s cylindrical refraction in diopters If the patient s prescription is spherical only 0 00 must be entered or press the TAB key Enter the cylinder axis in degrees If the patient s prescription is spherical only 0 00 must be entered or press the TAB key 2 You may need to enter the following optional information in the Spherical Rx box Vertex Enter the vertex distance of refraction The system uses 12 00 mm as a default Vis Iris Dia Enter the diameter of the visible iris The system uses 12 00 mm as a default Near Add Enter the bifocal add power Go to the next section to select the lens type 6 8 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting Selecting the Lens and Correction Type Follow these steps to select the lens and correction type After entering the spectacle refraction the Predicted Residual Astigmatism PRA is calculated and displayed for each lens type on the Patient Evaluati
46. EyeSys System 2000 Software Operator s Manual EyeSys SOFTWARE Part No OT G 0007 Rev This document is published by EyeSys Premier Windows 3 1 and Windows 95 are registered trademarks of Microsoft Corporation Other product trade names mentioned herein may be trademarks or registered trademarks of their respective companies The information in this manual is subject to change without notice EYESYS PREMIER SHALL NOT BE LIABLE FOR TECHNICAL OR EDITORIAL ERRORS OR OMMISSIONS CONTAINED HEREIN Copyright 1998 EyeSys Premier All rights reserved Printed in the U S A Software License and Warranty Statement 1 DEFINITIONS 1 1 Licensed Software shall mean the EyeSys System 2000 software in machine readable object code form along with any accompanying documentation and including any Releases as defined in Section 3 1 thereto delivered by EyeSys to Customer 12 Hardware shall mean EyeSys equipment and other hardware to be delivered pursuant to this Agreement as set forth in Exhibit A 1 3 CT System shall mean the EyeSys corneal topography system including both the Licensed Software and the Hardware or any component thereof as identified in Exhibit A listed below 2 SOFTWARE LICENSE Subject to the terms and conditions of this Agreement EyeSys hereby grants to Customer a nontransferable and nonexclusive license to use the Licensed Software solely as part of the CT system Customer may make two 2 but not more t
47. ION ssss I 6 20 SCREEN 6 17 SIMULATED FLUORESCEIN PATTERN IH 6 22 SCREEN 6 18 SAGITTAL MERIDIAN PLOT se IH 6 23 SCREEN 6 19 LENS POSITIONING CONTROLS ee ee ee ee ee ee ee ee ee 6 24 SCREEN 6 20 CONTACT LENS PARAMETERS ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 6 25 SEREEN 6 2 1 COLOR MAP sie ee SEE Gee Ge Ee Ge DEE Se EE GED EE GE De GE DEE Ge EE GE DEE Ge ee Ss 6 26 SCREEN 6 22 RGP LENS ORDER FORM cccccccccccccecececcccccecccceceeceecceceecceeeeeeeeeeeeeeeeeeess 6 27 SCREEN 6 23 SOFT LENSUSAGE ee ee III HH Hee Hee eene eene eene enne eene 6 29 SCREEN 7 1 SYSTEM UTILITIES cccccccssssseecccccccessseeeccceeeeeaeeseeccceesseaaeeeeeccesesaaaaeeeeeees 7 2 SCREEN 7 2 CALIBRATION MENU exe eer eee ea duos Fera due Ue sex Pe eee A Ere a ope dee Kok be EUN See Fue 7 3 SCREEN 7 3 CALIBRATION VERIFICATION INSTRUCTIONS sssssecccceeecesseeeccceesseaseeeeeeees 7 3 SCREEN 7 4 CALIBRATION VERIFICATION LIVE IMAGE eene 7 4 SCREEN 7 5 CALIBRATION VERIFICATION RINGS LOCATED eene 7 4 SCREEN 7 6 CALIBRATION VERIFICATION COLOR MAP ee ee ee ee ee ee ee ee ee ee ee ee 7 5 SCREEN 7 7 AUTOMATIC CALIBRATION SCREEN eeue sesse ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 7 6 SCREEN 7 8 SYSTEM CALIBRATION eise sees ee ese ee ee ee see ee ee ee ee ee ee ee ee na ee ee ee ee ee ee ee 7 6 SCREEN 7 9 CALIBRATION COMPLETED esse esse ee e
48. Level This adjustment changes the value of the edge threshold located on the Image Processing Options screen Screen 8 12 3 After adjusting the contrast level click on OK The Capture Eye Image screen reappears 4 Repeat Capturing the Patient s Eye Image Examining the Apex and Verifying Focusing and Processing 4 16 EyeSys Corneal Analysis System Patient Examination Verifying the Rings 1 Examine the rings on the Focusing and Processing Verification screen Look for any of these conditions e Check if any rings or data points extend into areas of brow or nasal shadow These may need to be removed e Check for a limbal line If the system picked up a limbal line it will appear as a ring detected at the outer edge of the eye image This is not a valid ring and should be removed e Check for critically incomplete rings These should be reconstructed 2 If the rings need editing continue with step 3 If these visual checks are acceptable you do not need to edit the rings Click on Accept The system reprocesses the eye image and displays the pupil on the Pupil Verification screen Go to the next section Examining the Pupil 3 Click Edit on the Focusing and Processing Verification screen The Processed Ring Editor screen appears RE bent 4 To add ring data points with the arrow tip point to where ring points should be added and drag the pointing device To erase po
49. S Important If you are changing the LM patient s group be sure to insert the nu 2 disk containing the patient exam data files prior to changing the Screen 8 7 Patient Information group 8 8 EyeSys Corneal Analysis System Patient File Management EE EE to Enter Sx M M male or F female 000 or F female Birth date Enter the birth date in the same format as the Current Date on the screen 5 When finished click on Save The patient s personal data in the Patient Directory is updated and saved J oining Patient Records In the event that a patient was inadvertently entered twice into the Patient Directory database follow these steps to join the patient s records into one 1 Click on Join Patient The Join Patient screen appears i 2 In the Drive box enter the proper 3 ed drive letter where the data is stored 3 In the Select Patient to Keep box enter the patient s last name or ID number The screen displays a list of patients with the first name on the list matching the entered last name Screen 8 8 J oin Patient 4 If the desired patient is not highlighted click on the correct patient The patient to keep is highlighted 5 Repeat steps 3 4 for the box labeled Select Patient to Join to First Patient EyeSys Corneal Analysis System 8 9 Chapter 8 6 Click on Join The patient s records are joined and saved in the Patient Directory under the selected patient
50. S SCREEN ees sesse sees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee A 12 SCREEN B 1 ABSOLUTE SCALE MAP iese ees ee ese ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee B 3 SCREEN B 2 AXTAT MAP dee eo eee De De ev ee bun ee ee T ee eae Ee ee Ee e ve CIN Vee ce B 3 SCREEN B 3 EYE IMAGE MAP ese ee ee ese ee see ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee sensa ee ee ee B 4 SCREEN B 4 KERATOMETRIC MAP cssseseeccceeecesesssecccceeecaueseeeccceeseaueseeececesesaanneeeeeees B 4 SCREEN B 5 PROFILE MAP sccccccccccccssssesecccceeeeuseeecccceeeeuaeseeeccceessauaseeececeesseaaneeeeeees B 5 SEREEN BO TABULAR MAP id Gee EE GEE EE Ge DEE eee eue ee Ea eo GEE Ua eue Ee DEE Pee ea eue ee E eo Ge eue eo B 6 SCREEN B 7 THRESHOLD MAP cccccccsssssseccceecccessssecccceeceaseseeecccesseusaneececeesseaaneeeeeees B 7 SCREEN B 8 NUMERICAL MAP cccccccccsssseeeccceececessseecccceeecuanseeecccesseuaeseeececeessaaaeeeeeeees B 7 SCREEN B 9 REFRACTIVE MAP si cessssesccs ccecessveseecciscuevessesvescdeccsvvessveceteteedseseveeatatevsesesvess B 8 SCREEN B 10 TANGENTIAL MAP iese sesse esse ee see ee ee ee ee ee see ee ee ee ee ee ee Re ee ee ee ee ee ee ee ee B 8 SCREEN B 11 HOLLADAY DIAGNOSTIC SUMMARY 2000 sees B 9 SCREEN B 12 STARS DISPLAV esse ee ese ee ee ee ee ee ee ee ee ee RR ee ee ee ee ee sana ee B 11 SCREEN B 13 DIFFERENCE DISPLAY esse
51. The list of soft lenses is sorted according to your selection To reset the soft lens usage data click on Reset AII to Zero The soft lens usage data is reset Note If you change manufacturers or lens preferences it could take time for new usage data to move to the top of the list In this case you might consider resetting the soft lens usage data 3 When finished viewing the soft lens usage data click on Done EyeSys Corneal Analysis System 6 29 Chapter 6 Clinic Name Address and Telephone Number To have your clinic name address and telephone number appears on your printed output follow these steps 1 From the Patient Evaluation screen click on Defaults The Soft Lens Usage screen Screen 6 23 appears as shown earlier 2 Click within the clinic name address and phone fields to enter your clinic s information 3 When finished entering the information click on Accept If you changed the data a message window appears confirming your intention 6 30 EyeSys Corneal Analysis System Chapter 7 Calibration Calibrating your system is simple takes only a few minutes and ensures the accuracy and repeatability of your data This chapter provides a recommended calibration schedule and describes the following procedures Starting the calibration Verifying the calibration of the Videokeratoscope Calibrating the Videokeratoscope and imaging processing electronics To insure the same
52. a An example of the 3D Cornea Studio displaying a 3D wire frame of sagittal height difference from an aspherical reference surface is shown below 3D Comes Studio tdv Patient Astigmatism Patient ID UUQUUUU D Corto irregular after PK 3 1997 EyeSys Technologies Ver 4 0 Screen 5 12 3D Cornea Studio 3D Cornea Studio Main Screen Controls You can use the following controls to change the way corneal data is displayed on the 3D Cornea Studio display Each control is explained below 3D Position Controls Located in the upper right of the display these controls allow the user to position the cornea in any spatial orientation There are two types of controls buttons and spinners The spinners allow direct specification of the display orientation angles in 5 degree increments The range is 90 to 90 degrees in each direction The buttons allow viewing the cornea in the following pre determined positions EyeSys Corneal Analysis System 5 15 Chapter 5 FRONTAL presents the data in frontal view SLANT presents the data in a slanted view Hor Prof presents the data from the side with the cornea pointing upwards in sag view In delta sag view the plot points upward if the cornea is steeper than the reference surface and downwards otherwise Vert Prof presents the data from the side with the cornea pointing to the right in sag view In delta sag view the plot points to the right if the c
53. accuracy of data collection for all of your patients follow these procedures exactly and on a timely basis Calibration Schedule To determine when to verify the calibration or calibrate the system follow this table What to Perform When to Perform Verify Calibration On a weekly basis and after every calibration Calibrate On a monthly basis or Whenever the system is moved or Whenever the lighting conditions change EyeSys Corneal Analysis System 7 1 Chapter 7 Calibration Guidelines When performing either of the calibration procedures ensure the following guidelines are met Make sure the table is stationary Use the same lighting conditions as when taking an exam Make sure no bright lights are reflecting off the calibration spheres Power on the Videokeratoscope and the computer at least 5 minutes before beginning to ensure the cameras are stabilized Make sure the calibration object is free from dust and fingerprints To clean the calibration object use alcohol and wipe with a clean soft lint free cloth Starting the Calibration To start either of the calibration procedures follow these steps 1 From the Main Menu click on the System Utilities button The System Utilities Menu appears 2 Place the stem of the calibration object in the hole in the center of the chin rest The guides ensure that the Calibration calibration spheres are squarely facing the placido dish System Utilities
54. am data files 1 From the Main Menu click on Display Patient Data The Patient Locator Screen appears 2 Click on Other EyeSys Patient Types The Other EyeSys Patient and Exams screen appears as shown in Other yeSys Patients and Exams 2 Click within the radio button next to NEL erf Source Disk Drive A black dot on appears indicating that the source is nic i He a local or networked drive 3 Click within the Disk Drive box and p EE Na then click on the drive letter you want from the drop down menu that appears Patients from the drive you Foe bate EE umm eed Er selected are listed under Patient and Exam Data on the right hand side Screen 5 2 Other EyeSys Patients and Exams 4 Click on the desired patient The patient s exams are displayed in the exam box at the bottom of the screen Continue with Selecting Exams below EyeSys Corneal Analysis System 53 Chapter 5 Selecting Exams When you locate a patient a list of exams appear You can select either a single exam or group of exams to review 1 Click on each exam you desire Each exam you click on will stay highlighted You can select up to four exams If you need to deselect an exam click on the highlighted exam 2 Verify that the Drive box contains the correct drive letter i e floppy diskette removable hard disk internal hard disk or optical disk for the exams you selected If it does not click on the correct driv
55. ast name or patient ID To Locate a Patient by Last Name 1 On the Patient File Management screen enter the patient s last name As you type the system highlights the first name in the list that matches what you type 2 If you have a large database you may have to scroll through the list of names before locating the desired patient When the patient is highlighted a list of the patient s exams appears at the bottom of the screen and the photo ID appears if it were previously captured Go to the section below that you want to perform To Locate a Patient by Patient ID On the Patient File Management screen enter the patient s ID number As you type the system displays patient data and highlights the first number that matches what you type 3 If the desired patient is not displayed repeat step 1 or try to locate the patient by last name When the patient is highlighted a list of patient exams appears at the bottom of the screen and the photo ID appears if it was previously captured Go to the section below that you want to perform Selecting Patient Exams 8 4 EyeSys Corneal Analysis System Patient File Management After selecting the patient you may need to select the exams desired To select exams click on each exam you want As you click the exams will stay highlighted To de select an exam click on the highlighted exam Importing Other Patient Data Types To perform File Management on exported pati
56. ays 11 2 Custom Exam Comments screen 11 9 custom exam protocols 11 5 Custom Exam screen 11 6 custom exams 11 5 custom map display 11 3 customer support 1 2 D Data Manager amp Communication 3 3 data map types Absolute Scale Map B 3 color map B 3 descriptions B 1 EyelmageMap B 4 Keratometric Map B 4 Numerical Map B 7 Profile Map B 5 Refractive Map B 8 2 Tabular Map B 6 Tangential Map B 8 Threshold Map B 7 Data Maps B 1 Data Storage and Backup screen 10 5 data storage options 10 4 default exam protocols 4 3 delete a display 11 3 delete patient exams 8 12 delete patient records 8 7 Designing Custom Comments 11 8 Designing Custom Displays 11 2 Designing Custom Exams 11 5 Destination Directory A 3 Dial Up Connection 9 3 Dial Up Server 9 2 Difference Display 5 13 B 13 difference map B 13 difference map scales 5 12 B 12 DirectNet 9 1 Configuration 9 2 Help 94 setup 9 2 Starting 93 disk volume label C 8 change C 8 diskette format floppy C 1 Display Curvature Scale 7 10 7 12 Display Options change 7 10 Display Options screen 5 8 7 12 Display Patient Data 3 2 5 1 Distortion Map B 10 drag 3 5 E Edge Threshold 7 8 7 12 Edit Exam Information screen 8 13 edit patient personal data 8 8 E mail 9 1 EyeSys Corneal Analysis System forwarding 98 replyingto 98 retrieving 96 sending 9 5 using other software 9 7 E mail folders organizing 9 8 entering exam comments 4 9 exam comments design
57. basis Restore the patient directory If the hard drive or patient directory is corrupted You can have the system prompt you to perform the backup on a regular basis and you can change the disk drive letter used to backup and restore the patient directory Refer to Changing Data Storage and Backup Options later in this chapter Follow these steps to start the backup or restore procedures 1 From the Main Menu click on the System Utilities button The System Utilities Menu appears EyeSys Corneal Analysis System 104 Chapter 10 System Utilities i Calibration SRLS Sera EFS CLOS RIGS APSE DEQ Sh eh Rm ma rte rh nt el at Sa a A Screen 10 1 System Utilities FILE MANAGEMENT B dT Screen 10 2 File Management 10 2 2 Click on File Management The File Management Menu appears 3 Click on Patient Directory Files The Patient Directory Management Menu appears EyeSys Corneal Analysis System Patient Directory Management From this menu you can Back up or Patient Directory Management Restore the patient directory To perform these operations go to the Back up patient directory i corresponding section below Restore patient directory Rebuild patient directory Screen 10 3 Patient Directory Management Backing Up the Patient Directory This function backs up the patient and exam directory from the internal hard drive to a removable hard disk or optical
58. cation unit 2 847 total allocation units on disk 12FF 211C serial number Screen C 3 Format Results Screen C 4 EyeSys Corneal Analysis System Removable Disk Operations From the Format Results screen click Close The Format screen reappears From the Format screen click Close The Program Group reappears Close the Program Group by clicking on the X in the upper right DR AT Double click on the EyeSys System 2000 Software icon The EyeSys System 2000 Software reloads Formatting a Removable Hard Disk Follow these steps to format a SyQuest removable hard disk and enter the volume label If you have another brand of hard disk refer to your user s guide for formatting and labeling instructions 1 From the Windows Program Manager locate the SyQuest Utility Program Group If you cannot locate the SyQuest Utility Program Group click on Window from the Program Manager Menu Bar Highlight SyQuest Utility and click on OK The SyQuest Utility Program Group appears 2 From the SyQuest Utility Program Group double click on the Format SyQuest Cartridge icon The SyQuest Format window appears Screen C4 SyQuest Utility Program Group EyeSys Corneal Analysis System C5 Appendix C 3 From the SyQuest Format window select SCSI or Parallel Port SCSI and click OK The DOS program Select Device type SQPREP starts RSCH or Paralel Port 3C51 rali t ATID Screen C 5 SyQuest Format Wi
59. ccccsssesecccceeecsuscecccceeeeaaeeeeececeessaaaeeeeeees A 4 SCREEN A 5 INSERT NEW DISK SCREEN cccccccccesssesecccceeecaseceecccceeseuaaseeececesesaaaeeeeeees A 5 SCREEN A 6 INSTALLATION COMPLETED SCREEN ccccccccecceccececcccccccecccccececececececeeeeeees A 5 SCREEN A 7 RESTART WINDOWS 95 SCREEN ees sees sees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee A 6 SCREEN A 8 SYSTEM 2000 ICON ee esse ese ee ee ee ee ee ee ee ee Re ee ee ee ee ee ee ee ee ee ee ee ee ee A 6 SCREEN A 9 RUN SCREEN eee de GEES Deed eve Reeves eie ee Ee OG Ge Ed ESE Ge e E EET E REY EUG A 7 SCREEN A 10 WELCOME SCREEN iese esse esse ee see ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee A 7 SCREEN A 11 INSTALLATION PROGRESS SCREEN ssccccecccsssseecccceeeeuaeeeececeessuaaeeeeeees A 8 SCREEN A 12 INSERT NEW SCREEN sssssseccccecccessssecccceeecaussseeccceeseeaaseeecceeessaaaneeeeeees A 8 SCREEN A 13 INSTALLATION COMPLETED SCREEN cccccccccsssseeeccceeeceeeseeeccceeesaaeeeeeeeees A 9 EyeSys Corneal Analysis System D 3 Appendix D SCREEN A 14 CREATE SHORTCUT SCREEN ii sesse ee see ee ee ee see ee see ee ee ee ee ee ee ee ee ee ee ee ee ee A 10 SCREEN A 15 SELECT TITLE SCREEN iis e devi heres ee eb SONS Beneke Re bed Ge Ge Se bees De ee ee A 10 SCREEN A 16 SYSTEM 2000 ITCON ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee A 11 SCREEN A 17 DISPLAY PROPERTIE
60. ck on Recall the previous Suggested CL Power Suggested Power data Reset your lens choice Reset Lens Parameters Perform a trial fit of the soft toric lenses Trial Fit and go to Performing a Trial Fit below Order lenses Click on Lens Order Form and go to Ordering Soft Lenses later in this chapter View detailed information about the lens Click on Show More Lens Detail and go you chose to Viewing Lens Information later in this chapter Performing a Trial Fit If you selected a toric soft lens for your patient you have the option of performing a trial fit using the manufacturer trial lens set or the actual lens dispensed to the patient To perform a trial fit follow these procedures EyeSys Corneal Analysis System 6 13 Chapter 6 1 Select a lens from the manufacturer trial lens set closest to the refractive axis of the patient or use the lens dispensed to the patient Note Make a note the Lens Rotation and Orientation of the scribe marks as if you were looking directly at the patient 2 Click on the arrows next to Lens naing Sat etes lo we Rein AA Di Us pascat Bele Rotation and Orientation and enter Lene Potes va e aed riestas od te cuo De eet the lens data Twee Ihrer 3 Click on OK tese tame ar ig RT 4 Place the lens on the patient s eye and refract again Cancel f oK 5 Change the lens fitting Screen 6 10 Trial Fit specifications if necessary When you have finished w
61. creen Color mode Depending on the capabilities of your display card and your monitor you may be able to run Windows 95 in High color or True color mode rather than the standard 256 color mode This results in better color rendition of application background and screen colors but does not alter system functionality in any way To find out whether you can run at the higher color resolution perform the following 1 Click the right mouse button anywhere on the Windows 95 desktop 2 Click on Properties The Display Properties screen appears EyeSys Corneal Analysis System A 11 Appendix A Display Properties Background Screen Saver Appearance Settings m Color palette Desktop area gt 256 Color Less More pop 800 by 600 pixels High Color 16 bit True Color 32 bit Normal size 96 dpi IV Show settings icon on task bar Advanced Properties Screen A 17 Display Properties Screen 3 Click on the Settings tab 4 If the Color Palette list box entry reads High Color 16 bit or True Color 24 bit you are already running a high color resolution mode Click on the Cancel button 5 If the Color Palette list box entry reads 256 Color then click on the down arrow 6 If the list box contains both the High Color 16 bit the True Color 24 bit entry select the latter Otherwise if the list box contains the High Color 16 bit entry
62. creen appears with the date of the last backup displayed on the screen 2 Click within the Backup Interval box and type the number of days shpdwe Suapdie desired in between backups of the Select drive to use fer ope cree fiw Patient Directory Data Storage and Backup Bschupimevat day gees ave aes z 3 Inthe Backup Drive box click on the disk drive letter used to back up the Patient Directory from the hard drive 4 Inthe Storage Drive box click on the disk drive letter used to store patient exam data files Screen 10 4 Data Storage and Backup 5 Click on Save If you want to perform an actual backup of the Patient Directory refer to Backing Up the Patient Directory earlier in this chapter No backup of patient exam data files is available however you can Export the patient exam data files to make a copy of them Refer to Exporting Patient Exams in Chapter 8 1 0 EyeSys Corneal Analysis System 10 5 Chapter 11 Diagnostic Tool Design In this chapter you will learn how to change existing diagnostic tools or design your own The following procedures are included Designing Custom Displays Designing Custom Exam Protocols Designing Custom Comments To start any of these procedures follow these steps 1 From the Main Menu click on System Utilities The System Utilities Menu appears 2 Click on System Settings The Spem Uum System Setti
63. d utilizes 0 5 diopter steps An example of the Difference Display follows Patient RKE Patient I0 000101 U Weeks Postop 1834 ByeSys Technologies Versien 3 1 Screen 5 10 Difference Display Four Map Trend Display The Four Map Trend Display shows a historical sequence of patient exams using color maps Four sequential exams of one eye or two exams of each eye can be shown An example of a Four Map Trend Display is shown below EyeSys Corneal Analysis System 5 13 Chapter 5 Pationt Excimer Patient I 000102 d uk 1 081 Ha Case 1 Preap w Oftmder Case 13 Spherical Preop Hes ier Ma MAAS dd i s ram dsos 42 50 Case 1 One Month Postop wi Oylmde Case One Month Pastop 6 biopter 1804 ByeSys Technologies Version 2 4 me E sore 2 Screen 5 11 Four Map Trend Display 3D Cornea Studio Display The 3D Cornea Studio Display displays the Corneal data in a variety of 2 dimensional 2D and 3 dimensional 3D views Dragging the mouse over the data yields local numeric information about the cornea such as curvature sagittal height and semi meridian eccentricity values In 3D view the cornea can be rotated via on screen controls In both 2D and 3D views the following maps and corresponding numeric legends can be viewed e Axial Radius of Curvature e Sagittal Height e Sagittal Height Difference from a Reference Surface 5 14 EyeSys Corneal Analysis System Display Patient Dat
64. d return to the Import Patients and Exams screen Retrieved E Mail is listed The i icon next to a listed E mail indicates that an exam is present Highlight an E mail The E mail message appears in the box below If the E mail has a patient exam attached patient and exam information is displayed in the boxes to the right You can import the patient by clicking Import or Display the exam data by clicking Display If you import the data be sure you select the Destination drive you want steps 1 Start your E mail program check and read your mail Any patient exams sent to you will be attached to your E mail as a file with the filename PATDATA ZIP 2 From the System 2000 Main menu click on the Data Manager amp Communication button The Patient File Management screen appears 3 From the Patient File Management screen click Import Patients and Exams The Import Patients and Exams screen appears 4 Select Other E mail Software under Source and then click Browse The Open File screen appears 5 Locate the directory where your E mail software places attached files highlight the PATDATA ZIP file and then click Open The Import Patients and Exams screen reappears with the patient and exam information displayed in the boxes to the right You can import the patient by clicking Import or Display the exam data by clicking Display If you import the data be sure you select the Destination drive you want EyeSys Corneal Analysis Syste
65. disk It does not back up your actual patient exam data files The Patient Directory listings are only locators used to find the actual data files stored on the removable disks 1 0 It is a good idea to back up the Patient Directory daily This precaution will provide you with a current copy of your Patient Directory should anything happen to the existing directory on your hard drive The backup requires a minimum of 5 megabytes For this reason a standard floppy diskette cannot be used It is recommended that you back up to a removable hard disk If your system does not have a removable hard disk you will have to backup to the internal hard drive This procedure requires that you do the following before you begin Format a removable disk using DBBACKUP as the label refer to Appendix C for formatting instructions Specify the disk drive letter on the Data Storage and Backup Menu refer to Changing Data Storage and Backup Options later in this chapter Most systems default to drive E EyeSys Corneal Analysis System 103 Chapter 10 Follow this step to back up the Patient Directory 1 Place a formatted disk into the Backup Drive and from the Patient Directory Management Menu click on Back up Patient Directory The system backs up or saves the Patient Directory onto the disk Restoring the Patient Directory This operation restores a backed up patient and exam directory to the internal hard drive This operation shou
66. display options such as map types map layers Go to Changing Map Options below If you are finished viewing the display click on Done Save Print The Print Options screen appears From the Print Options screen you have the option of printing the display or skipping the printing process entirely Go to Printing the Exam below 4 20 EyeSys Corneal Analysis System Patient Examination Note The system saves the exam data and eye image when you click Done Save Print Changing Map Options Follow these procedures to select map options for customizing the Exam Display 1 From the Exam Display click the Options button The Map Options screen appears 2 Click the desired Map Type If you change your mind just click on another Map Type Only one Map Type can be selected at a time For descriptions of Map Types refer to Appendix B Meade Value as c i Celer tp iie fas eer Eoo yy Eyes ae re ny L S WO E TEE RPP d yw gu LIVE dy LE MYNS SYM UR YWISADEYRA 05 PS RSS SU EUR SIS DIS SY ES A IS BIAS E Screen 4 18 Map Options 3 Select each Layer you want to display on the Data Map Multiple layers can be displayed concurrently For descriptions of Map Layers refer to Appendix B EyeSys Corneal Analysis System 421 Chapter 4 4 Click on the square box next to Interpolate if you want the system to fill in black areas or holes in the Axial Map Display The system will interpolate across areas
67. dy to answer technical questions EyeSys Corneal Analysis System 1 1 Chapter 1 Online Help Located on each screen you will find a button with a question mark on it This is the Help button You can click on it anytime to look up information 9p about the screen you are using a command or a task you want to perform Follow these instructions 1 Click on A pop up Help window appears You may click anywhere outside the window to cancel 2 Click on Index The Help Index window appears The pointing device arrow turns into a hand when you move over topics in the index 3 Click on the topic you are interested in A Topic window appears on top of the Index window 4 When you are finished reading the topic click anywhere on the screen The Topic window closes revealing the Index window 5 You may click on Quit to close the Index window or you may choose another topic to review Customer Support Before calling customer support make sure you know the version number of the software you are using The version number is displayed on the bottom of every exam display Eyesys Premier trained service technicians or anyone trained in an Eyesys Premier Systems course should contact Customer Support for circuit diagrams component parts lists or other documentation to service those parts of the System 2000 Topographer designated as reparable The customer support telephone numbers are as follows Locally or outside the US
68. e Done Save Print button The Print Options screen appears From the Print Options screen you have the option of printing the display or skipping the printing process entirely Go to Printing the Exam below If the Exam Display is unacceptable and you want to perform a new examination click Cancel The current data will not be saved and you will need to repeat the examination process The Exam Complete screen appears Go to Completing the Exam below 4 22 EyeSys Corneal Analysis System Patient Examination Printing the Display Use the Print Options screen to print a hard copy of the exam display or to copy the exam display to a file If you copy to a file the data normally sent to the printer will be stored in the disk drive and filename you provide The file will be stored in BMP bitmap format 1 Select Printer or Print to a File in Print Options the Print To box Print to If you do not want to print at this girrister time deselect both Printer and File in the Print To box Screen 4 19 Print Options 2 Click on Printer Setup to select the printer or paper size source and orientation Portrait provides a vertical page orientation Landscape provides a horizontal page orientation N EyeSys EyeSys Y Portrait Landscape Click on OK The Print Options screen reappears 4 Click on Done The exam display is printed sent to a file or saved with no print action taken After the chose
69. e M D and Robert T Spector M D in conjunction with EyeSys Technologies Storage Drive The disk drive that the system uses to store patient exam data files SyQuest Drive A removable hard drive whose media is removable Videokeratoscope A conical shaped structure with placido mires that is used to record the reflected placido mires off a cornea It is backlit and fitted with high resolution CCD video cameras G 6 EyeSys Corneal Analysis System Glossary VK Axis The located center of the rings also know as the fixation point Volume Label The user defined name for a floppy diskette internal hard disk or removable disk The volume label is written to the disk Z Elevation Map Shows the difference in sagittal height between the current cornea and an aspheric reference surface EyeSys Corneal Analysis System G 7 3 3D Cornea Studio 5 14 B 14 A Absolute Scale Map B 3 adding a patient 4 4 Address book 9 1 Adjustment Calibration screen 7 6 Angle Scale B 2 Apex Verification screen 4 14 Arc Gap Length 7 8 7 12 Attachment 9 1 AutoFill button 6 21 axial sagittal radius B 2 B back up patient directory 10 1 10 3 backlit conical placido disk 2 3 backup Backup Interval 10 4 designating drive 10 4 options 10 4 schedule 10 1 Beginning the Exam 4 2 bifocal add power 6 8 bitmap 4 23 5 10 C Calibrating the System 7 5 calibration 7 1 automatic process 7 5 guidelines 7 2 problems 7 7 EyeSy
70. e be GR GER ees ede eed dee EE ee ee Ge ee Deeg eee dese ee E EN 4 21 SCREEN 4 19 PRINT OPTIONS ccccccccccesssseccccceccesssseecccceeeaesseccceceeeaueesececeeessaaneeeecees 4 23 SCREEN 4 20 EXAM COMPLETE ccccccccssssseccccceecsasseeeccceeeeausseeeccceessaaaseeeecceeeeaaaaeeeeeees 4 24 SCREEN 5 1 PATIENT LOCATOR ccccccccsssseeecccccccaesseecceceseuaueseeccceeeesaaeseeccessesauaaeeeeeees 5 2 SCREEN 5 2 OTHER EYES YS PATIENTS AND EXAMS sees sesse esse ee ee ee ee ee Henne ee ee ee ee ee 5 3 SCREEN 5 3 SELECT DISPLAY c 0sseessceccseecnsessscccccennestecssecctececvesssessoccnanoseesssesceceneessessece 5 4 SCREEN 5 4 MAP BUTTONS SETUP cccccssesseecccceecessseecccceeseasseeeccccesecaaeseeeecessesaaaneeeeeees 5 5 SCREEN 5 5 FOUR MAP OVERVIEW DISPLAY cccccsssseeeccccecccssseecccceeecuanseeeccesssseaaeeeeeeees 5 7 SCREEN 2 6 FOUR MAP DISPLAY 5 oes ge ERE A EN VR UESTRAE VESPERE See UNS 5 8 SCREEN 9 MAP OPTIONS oer renia ee Ee tox Soa beck tee EINE dee ae ex EU CE e LEE xd 5 0 EyeSys Corneal Analysis System D 1 Appendix D SCREEN 5 8 PRINT OPTIONS ssssseccccccccessseeeceecasccaeseeecccceeseaueeeecccesusseeeceeecceeeseaanness 5 10 SCREEN 5 97 STARS DISPLAY gite tee rte ee CE e estet ve ie Cen 5 12 SCREEN 5 10 DIFFERENCE DISPLAY ccccccsssssecccceecceeescceeeeeasecesseeeccceessaaeseeecssaaaeeeeeeees 5 13 SCREEN 5 11 FOUR MAP TREND DISPLAY ccccccccccssssseeccceeeueeeccceeecae
71. e eye image As you move the cross the data in the lower right of the screen changes to reflect measurements at the new location Display Patient Data To display patient exam data follow the procedures below 1 Click on a display name from the Select Display screen The selected display appears Example If you select Four Map Overview from the Select Display screen you can see four maps at once An example of a Four Map Overview is shown 5 6 EyeSys Corneal Analysis System Display Patient Data Karato Conus Patient Hx 709 aiso LE sose So De FINI 2 00 Options vy 1584 EyeSys Teshnolegies Version 3 1 Pane mens ME Screen 5 5 Four Map Overview Display 2 After viewing the display choose an action from the following table If you want to Change map Click on Options The Display Options options Go to Changing Map Screen 6 6 or the Map Options below Options Screen 6 7 screen appears Print the Click on Print The Print Options display Go to Printing the Display screen appears Screen in this chapter 6 8 Click on Done The Select Display Select another display or exit screen reappears to the Main Menu Screen 6 3 EyeSys Corneal Analysis System 5 7 Chapter 5 Changing Map Options You can change map options such as map types map layers or exams for each map on the display Refer to Appendix B for detailed information about map types and layers
72. e letter 3 Click Display The Select Display screen appears 4 Goto Selecting an Exam Display below Selecting an Exam Display Exam displays are a convenient way of showing patient exam data on one or more data maps There may be up to five data maps on each display Each data map can be a particular type with different layers turned on or off EyeSys provides fourteen default displays for you to work with This procedure begins at the Select Display menu which appears after locating the patient and selecting one to four exams Select Display From the Select Display menu you can I EG cr e Display patient exam data e Modify button titles to change the EE ee type of display activated kos Be eso e Start contact lens design Screen 5 3 Select Display 5 4 EyeSys Corneal Analysis System Display Patient Data To display patient exam data go to Displaying Patient Exam Data below To modify which displays are activated by the buttons follow the procedures in the next section M odifying Display Button Titles The Select Display screen shows six Map buttons You can change which displays are activated by these buttons by following this procedure 1 From the Select Display screen click on Modify Map Buttons The Map Buttons Setup screen appears 2 The map button numbers on this screen correspond to the map buttons on the Select Display screen as follows Map Buttons Setup Map button 1
73. e patient records using the Patient File Management screen If you want to delete individual exams refer to Deleting Patient Exams Note Insert the proper disk containing the patient exam data files before starting this procedure 1 Select the patient by last name or ID number Refer to Selecting EyeSys Patients earlier in this chapter 2 Click on Delete Patient A confirmation window appears 3 Click on Delete again This deletes the selected patient s exam records from the System 2000 EyeSys Corneal Analysis System 8 7 Chapter 8 Editing Patient s Personal Data The Patient File Management screen allows you to edit the following patient personal data in the Patient Directory Name and ID Number Sex and Date of Birth Physician and Diagnosis Referring Party and Group Note If you want to edit patient exam data go to Editing Patient Exam Data on page 9 16 Follow this procedure to edit a patient s personal data 1 Select the patient by last name or ID number Refer to the Selecting EyeSys Patients section 2 Click on Edit Patient The Patient Information screen appears 3 To change required information Patient information click within the appropriate box and ER ee edit the Patient s Last Name First Name Middle Initial or ID Number 4 Select from the table below to St ntt sis Leer change or add optional data Date ef Meen
74. e s steepest semimeridian by examining data points of the ring closest to the zone boundary The system then examines the data points in the other half of the zone to find the next steepest semimeridian This process is repeated for the flattest and next flattest semimeridian These semimeridians are also described by power radius and axis The steep and flat semimeridians are displayed using red and blue respectively and appear in order from steepest to flattest in each of the zones The system will not display a semimeridian for a particular zone if more than 20 of ring data is missing from the ring closest to the zone boundary Profile Map This map plots diopter changes over the cornea surface The upper part of the graph shows the diopter changes for the absolute steepest meridian and the absolute flattest meridian These two plots differ from Keratometric Map plots in that the Keratometric plots assume a 90 separation between axes and this map calculates the absolute steepest and flattest meridians Screen B 5 Profile Map The vertical axis represents diopters and the horizontal axis represents corneal zone diameters The lower part of the map is the astigmatism plot It displays the difference between the steepest and flattest meridians The astigmatism value AK for the 3 mm zone is displayed in the center of the graph The legend for this graph is in the upper left corner The steepest and flattest meridians are shown
75. e table on page 6 8 to determine your next action Printing the Display You can print a hard copy of the display data or print to a file If you print to a file the data normally sent to the printer will be stored on the disk drive in a filename you provide The file will be stored in BMP bitmap format To print the display currently being viewed follow these procedures Print Options Print to Printer Printor Setup OFile ETE LIV ARCU SRI PIS RIO C2 IIIS aS tle Ee o0 2 yv Sys IR d d UY kgs vy pol ayy yyy Screen 5 8 Print Options 1 From the Map Display screen click on Print The Print Options screen appears Select Print to the Printer or Print to a File If you do not want to print at this time deselect both Printer and File in the Print to box EyeSys Corneal Analysis System 6 Display Patient Data Click on Printer Setup to select the printer or paper size source and orientation Portrait provides a vertical page orientation Landscape provides a horizontal page orientation N EyeSys EyeSys Y Portrait Landscape Click on OK The Print Options screen reappears Click on Done The Display screen reappears and the exam display is printed or sent to a file Go back to the table on page 6 8 to determine your next action STARS Display The Standard Topographical Analysis for Refractive Surgery STARS display provides a retrospective view of the cornea and helps in analyzi
76. e to another site for review or study It is not intended for backup 5 Select the patient by last name or ID number Refer to the Selecting EyeSys Patients section 6 Select the exams you want to export Refer to Selecting Patient Exams 7 Click on Export Exam The Exporting Patient Exams screen appears Note If exporting exams to a floppy diskette make sure that the diskette has an appropriately descriptive volume label Refer to Changing a Disk Volume Label in Appendix C Export Patients and Exams 8 Verify or enter the source drive in kel Sita MAU Mi the Source From Drive box and PUN mus verify or click on the destination drive in the Destination To Drive box 9 Click on Send The selected patient exam data files are copied to the destination drive or Internet and remain intact on the source drive Screen 8 10 Exporting Patient Exams EyeSys Corneal Analysis System 8 11 Chapter 8 Deleting Patient Exams WARNING Once a patient s exams are deleted you cannot undo the deletion Verify that this is what you want to do You can delete patient exam data files from the System 2000 without disturbing the patient s personal data by following these procedures 1 Select the patient by last name or ID number Refer to the Selecting EyeSys Patients section 2 Select the exams you want to delete Refer to Selecting Patient Exams 3 Click on Delete Exam A confirmati
77. eSys Corneal Analysis System Removable Disk Operations Windows 95 1 Follow the table below and perform the action indicated Desktop Double click A program group appears My Computer Program Group Right click A drop down menu appears as shown below Open Explore Find Copy Disk System Information h Norton Copy Disk Norton File Manager Add to Zip Format Paste Create Shortcut Properties Screen C 1 31 2 Floppy Drop Down M enu 2 From the drop down menu click on Format The Format screen appears as shown below EyeSys Corneal Analysis System C3 Appendix C Format 312 Floppy A Capacity 1 44 Mb 3 5 ad Start r Format type Quick erase C Ful C Copy system files only Other options Label e No label v Display summary when finished Copy system files Screen C 2 Format Screen 3 Use the Capacity down arrow to select either 1 44M or 720K 4 Select Full Format type and enter a Label name Refer to Changing a Disk Volume Label in this appendix for information about labels however do not follow the steps 5 Click Start The disk is formatted After formatting the Format Results screen appears as shown below Format Results 324 Floppy A Fa 1 457 664 bytes total disk space O bytes used by system files 0 bytes in bad sectors 1 457 664 bytes available on disk 512 bytes in each allo
78. eans for selecting patients exams and commands Figure 3 3 Mouse As you become proficient with the software you will find yourself effortlessly switching back and forth between the pointing device and keyboard Figure 3 4 Trackball As you move the pointing device a corresponding movement of an arrow or cursor occurs on your screen The following terms are used to instruct the use of the pointing device 3 4 EyeSys Corneal Analysis System Learning the Basics Point means to move the pointing device until the arrow is on top of the item you want to select Click means to point to the item you want to select and then press and release the left pointing device button Drag means to point to the item you want to select press and hold the left button move the pointing device horizontally or vertically to select additional adjacent items and then release the left button Figure 3 5 Pen Mouse Double Click means to press and release the left mouse button twice in rapid succession Using a J oystick The joystick is used to operate the motorized positioning mechanisms of the Image Acquisition Unit when capturing a patient s photo ID or eye image You can perform four operations by moving the joystick The joystick is spring loaded to return it to the center position when you let go A description of each operation follows Figure 3 6 J oystick To move the image left or right move the joystic
79. earance Fitting One of three methods of fitting contact lenses that the program uses It fits a standard spherical tri curve design and relies on fitting a contact lens steeper than K to provide some apical clearance Archive Drive The disk drive the system uses to back up or restore the patient directory Aspherical Fitting One of three methods of fitting contact lenses that the program uses If fits an aspheric base curve lens with one spheric peripheral and relies on an estimation of the corneal eccentricity from the topography data to compute the contact lens eccentricity Autotracking The action of the system controlling the optical stage manipulator to automatically center focus and capture an eye image Calibration A procedure that must be performed on a regular basis to ensure continued measurement accuracy of the videokeratoscope EyeSys Corneal Analysis System G 1 Glossary CCD Charge Coupled Device A semiconductor device with an array of cells that transform light energy into electrical energy Click A term used for the pointing device It means press and release to position the cursor or make a screen selection When using a mouse the left mouse button is used to click Color Map A map of the eye in which color is used to depict curvature data Cursor The pointer on a screen or menu usually in the shape of an arrow The cursor is used to indicate your position on a screen Data Map A re
80. ee ee ee 10 5 SCREEN 11 1 SYSTEM UTILITIES 4 5 2 3 e EDGE EE ecu SE DS Ge SEE Se ee AED Eee PEE ES De DES ES EE Seed 11 1 SCREEN 11 2 SYSTEM SETTINGS MENU sesse ee esse ee ee ee ee ees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 11 2 SCREEN 11 3 CUSTOM DISPLAY ccccccccssssscccccceccsssseeccceceesasseeecccesseeaeseeeeceeesseaaneeeeeees 11 3 SCREEN 11 4 CUSTOM DISPLAY CREATION iese sees sees ee ees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 11 4 SCREEN 11 5 THREE MAP DISPLAY ee esse sesse soe ee ee ees sesse ee ese dees ees see esse ee ese ee AT E ee ee 11 4 SCREEN 11 6 MAP OPTIONS ee ee ee ee 11 5 SCREEN 11 7 CUSTOM EXAM ees sesse ee ese ee ee ee ee ee ee ee ee ee ee ee ee RE ee ee ee ee ee ee ee ee ee ee ee ee 11 6 SCREEN 11 8 EXAMINATION PROTOCOL OPTIONS esse ees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 11 7 SCREEN 11 9 CUSTOM EXAM COMMENTS ccccccssssssecccceeecessececccceeeceasseeeecceessaaaneeeeeees 11 9 SCREEN 11 10 EXAM COMMENTS ccccsssesccccccecceessecccceeeeeaeseeeccceeseaseeeceecesesseaaneeeseees 11 9 SCREEN A 1 RUN SCREEN sssssccccceccccssseeecccceceauseeecccceeecsueeeeecceesesaaaeeececeessaaaneeeeeees A 2 SCREEN A 2 SYSTEM 2000 WELCOME SCREEN sssscccceeccssseseeccceeeeaaseeeececeeeseaaeeeeeees A 3 SCREEN A 3 SELECT DESTINATION DIRECTORY SCREEN sesse ee ee ee see ee ee ee ee ee ee ee ee ee A 3 SCREEN A 4 READY TO INSTALL SCREEN ccccc
81. ee ee ee see ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 8 8 SEREEN 8 8 JOIN PATIENT 5245 52555526 EUREN DE DER pee Dee GR DEE SEE ER TR RUE De E ERE EUR ee 8 9 SCREEN 8 9 MOVING PATIENT EXAMS i e sees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 8 10 SCREEN 8 10 EXPORTING PATIENT EXAMS iese esse esse ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 8 11 SCREEN 8 11 EDIT EXAM INFORMATION esse ees ee ee ee ee ee ees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 8 13 SCREEN 9 1 MAIL SERVER amp IDENTITY SETUP SCREEN ees sesse sesse ees ee ee ee ee ee ee ee ee ee ee ee ee 9 2 SCREEN 9 2 DIAL UP SERVER SETUP SCREEN ees sees sees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 9 3 SCREEN 9 3 DIRECTNET MAIN SCREEN uses esse ee ee ee see ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 9 4 SCREEN 9 4 MESSAGE SENDER ccccccccccsssssseeccceeeceseseeeccceesecauseeeecccesscuaseeecceessseaaneeeeeees 9 5 SCREEN 0 1 SYSTEM UTIILTEIES 42063205536 xc nr ere eo Ee ee ee ee EUR dees des cones EUREN US des Senco ee Keep 10 2 SCREEN 10 2 FILE MANAGEMENT ees esse ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 10 2 SCREEN 10 3 PATIENT DIRECTORY MANAGEMENT esse ee ee ee ese ee ee ee ee ee ee ee ee ee ee ese ee ee ee ee 10 3 SCREEN 10 4 DATA STORAGE AND BACKUP ees sees see ee ee ees ee ee ee ee ee ee ee ee ee ee ee
82. el change C 8 W WW EXE A 11 Z Z Elevation Map B 11 Zoom button 6 23
83. elect as your general preference the RGP lens type you want to use Manufacturer Stock or Custom This data is used later during Selecting an RGP Lens 6 6 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting 7 Inthe Lens Defaults window at the bottom left of the Fitting Protocol screen select the e RGP Custom Lens Diameter Criteria Constant Diameter or Millimeters less than the Horizontal Visible Iris Diameter e RGP Custom Lens Name and Diameter Use the scroll bar and click on your selection e RGP Manufacturer Stock Lens Name and Diameter Use the scroll bar and click on your selection This data is used later during Selecting an RGP Lens 8 On the bottom right of the Fitting Protocol screen set the sagittal tear depth of the RGP lens cornea relationship The sagittal tear depth can be varied from 0 to 60 microns If you want to increase the sagittal tear depth click on the Steeper arrow or move the sliding button to the right and click on Recalculate Fluorescein If you want to decrease the sagittal tear depth click on the Flatter arrow or move the sliding button to the left and click on Recalculate Fluorescein 9 Click on Save The new or changed protocol is saved Continue with step 2 of Selecting a Fitting Protocol above Note If you want to delete a Fitting Protocol perform steps 1 and 2 above and then click on Delete EyeSys Corneal Analysis System 6 7 Chapter 6
84. ent data or on patient data that was saved to a disk drive with a previous EyeSys software version EyeCon EyeSys DOS or EyeCon they will have to be added to the System 2000 You can also import patient files over the Internet from another System 2000 or Viewstation computers To import patient files over the Internet refer to Chapter 9 Note Insert the proper disk containing the patient exam data files before starting this procedure To import patients and exam data files to the System 2000 from a local or networked disk drive follow these procedures 1 From the Patient File Management screen click on Import Patients and Exams The Import Patients and Exams screen appears 2 Click within the radio button next to Impon Patients and Exams Bi ence Source Disk Drive A black dot Gas EE Pama ae appears indicating that the source is a local or networked drive ban Ie atyn zz 3 Click within the Disk Drive box and then click on the drive letter you want from the drop down menu that oM o e appears Patients from the drive you Raan Pata Morse selected are listed under Patient and Screen 8 4 Other EyeSys Patients and Exam Data on the right hand side Exams 5 Click on the desired patient The patient s exams are displayed in the exam box at the bottom of the screen EyeSys Corneal Analysis System 8 5 Chapter 8 6 Select the exams you want to import Refer to Selecting Patient Exams
85. ential radius of curvature can provide a more accurate shape analysis for peripheral corneal powers and is therefore best for keratoconus contact lens wearers and irregular or post surgical corneas B 8 EyeSys Corneal Analysis System Technical Information Displays Holladay Diagnostic Summary 2000 H lladay Dlagnentis Sunar 2000 The Holladay Diagnostic Summary GSUmI I ER anes 2000 provides a comprehensive view of the cornea s power shape elevation and optical quality This is achieved by combining four maps of your patient s exam into a single informative display Screen B 11 Holladay Diagnostic Summary 2000 Definitions for each of the data maps follow Refractive Map Standard Scale This map uses Snell s Law to provide true corneal power information The standard scale provides simple color coded diagnoses Refractive Map Auto Scale This map uses Snell s Law The auto scale provides a more detailed analysis of corneal power Refractive Map User Defined Scale This map uses Snell s Law The user defined scale allows the user to directly define the middle value and the step size of the color legend display Profile Difference Map The Profile Difference Map generates a normal asphere custom tailored to your patient s central cornea Sophisticated algorithms depict your patient s corneal shape as power differences from the generated normal Q 26 aspheric shape EyeSys
86. es JE od em A Sa When you choose an wearing option the software limits the manufacturers and lenses to those that meet the option you selected You may choose from the following wear options Daily Extended Flex Both Daily and Extended Flex To choose a wearing option use the following procedure 1 Select which wearing option you desire by clicking within the button next to your choice at the top of the screen Proceed to Selecting a Soft Lens EyeSys Corneal Analysis System 6 11 Chapter 6 Selecting a Soft Lens The following information is displayed in the Lens Analysis area of the Soft Lens Selection screen to help you select a soft lens Daa Defnitim Spectacle Rx These values are the same values entered on the Patient Evaluation screen Suggested CL Power A spherical equivalent calculation that is compensated for vertex distance and or monovision when applicable Simulated Over Refraction The predicted phoropter over refraction for optimum distance acuity You may select a lens by specifying the manufacturer and then the lens name or you may specify the lens name In this case the manufacturer will be filled in automatically You may view detailed information about each lens to help you make your selection To select a soft lens follow these procedures Made By Bascht orm OUOU 2 Click on the arrow next to Made By Lus Meme 84 or Lens Na
87. ess ENTER Type cformat and press ENTER The formatting screen appears and prompts you for formatting information Enter the following information when the prompt appears and press ENTER after each gt Select Format Option format media gt Select Drive e gt DOS and OS 2 Compatibility DOS compatibility only gt Confirm Low Level Format begin low level format gt Select Cartridge compatibility option ms pe dos 4 x 5 x dr dos 5 and os 2 but not dos3 x gt Choose Volumes 1 gt Size millions 483 gt Cluster Size 16384 gt Sector Size 1024 gt Ready to Begin High Level Format begin high level format process gt Abort to Begin High Level Format is this OK Yes gt Select Format Option Exit EyeSys Corneal Analysis System C 7 Appendix C Changing a Disk Volume Label The EyeSys System 2000 Software uses volume labels to identify disks that have patient exam data files stored on them When you add or change a volume label be thoughtful about the label you choose Meaningful volume labels are an excellent tool for maintaining patient files Follow these steps to change a disk volume label 1 From the Main Menu click on Exit If you are using Windows 3 1 the Microsoft Windows Program Manager appears If you are using Windows 95 the Microsoft Windows Desktop appears 2 Insert the diskette in the floppy drive A with the metal end first and the label side up 3 Follow the step below under Windows
88. exams of one eye or two exams of each eye can be shown Cum ae Meurs Pee AT ETE T NIET mm ndis emen tona om o a Screen B 14 Four Map Trend Display EyeSys Corneal Analysis System B 13 Appendix B 3D Cornea Studio Display The Four Map Trend Display displays the Corneal data in a variety of 2D and 3D views Dragging the mouse over the data yields local numeric information about the cornea such as curvature sagittal height and semi meridian eccentricity value In 3D view the cornea can be rotated via on screen controls Screen B 15 3D Cornea Studio Display In both 2D and 3D views the following maps and corresponding numeric legends can be viewed e Axial Radius of Curvature e Sagittal Height e Sagittal Height Difference from a Reference Surface B 14 EyeSys Corneal Analysis System Appendix C Removable Disk Operations This appendix provides the steps to do the following Format a 3 inch floppy diskette Format a removable hard disk Format an optical disk Change a disk volume label Formatting a Floppy Diskette Before performing these procedures make sure that you have a 3 2 inch double sided high density diskette A high density diskette can be identified by the two small square holes at the bottom If you purchase diskettes that are already formatted in the IBM format you do not need to perform this procedure To formata diskette 1 Insert the diskette in the flo
89. from the desktop you will not be able to send patient exams To start DirectNet from the Windows 95 desktop follow this instruction 1 Double click the DirectNet icon DirectNet loads and displays the DirectNet Main screen as shown below Refer to this screen when instructed by topics below to perform operations from the DirectNet Main screen EyeSys Corneal Analysis System 9 3 Chapter 9 EyeSys System 2000 DirectNet e x File Edit View Message Option Address Help For Help press Fi Screen 9 3 DirectNet M ain Screen To start DirectNet from within the EyeSys System 2000 software follow the steps in the Sending Patient Exams and E mail and Retrieving Patient Exams and E Mail topics below Quitting DirectNet To quit DirectNet follow this step 1 Click File and then Exit Alternatively you can click the Close button in the upper right corner If you have queued messages in the Outbox you are given the option to send them Getting help for DirectNet In addition to the On line Help and user manual you can get your questions answered by Ask your Internet Service Provider for setup information Send an e mail to eyesys neosoft com Please indicate that you want technical support for DirectNet 9 4 EyeSys Corneal Analysis System Communications Call EyeSys Technical Support at 1 800 553 0302 Sending Patient Exams and E mail To send patient exams and E mail follow these steps 1 From
90. ft lens usage follow these steps 1 From the Patient Evaluation screen click on Defaults The Soft Lens Usage screen appears as shown on the next page 6 28 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting View This Screen By Manufacturer Dunes Last Access 6 27 96 Times Used 6 27 96 l 6 27 96 OAccess Date 6 27 96 6 27 96 6 27 96 6 27 96 6 27 96 O Manufacturer 6727736 6727796 6727796 Usage Yalues 6727796 6727796 Reset All To Zero 6727796 6727796 6 27 96 8 27 96 Aqua Site Ideal ptics Accugel Labs Alden Optical CibaVision Corp Bausch amp Lomb BioCurve Soft Lenses _ Fashion Contacts _ Contact Lens Labs of California Optics Continental Soft Lens Cooper Clear CooperVision Epcon Soft Lens Epcon Labs Firesoft DW Firestone Optics Inc Flexlens Custom Sphere Flexlens Inc Kontur 55 Sphere _ Kontur Kontact Lens Multiflex Custom Eyecon Inc Address 2776 Bingle Road Houston TX 77055 Phone 713 465 1821 ei LIA RF was E Won Was E a OU Wa Ra WIR ET M Wade Ra VOR E Y Vas Ra VOR E S M Dai Ra a ma Trias ed Er Ee ad f 7 ES pm O Lens Name us heel bed POI bed ha di N Ma Mo Mo N Mo N Po ed H i i j Screen 6 23 Soft Lens Usage 2 Tosort the soft lens usage data click within the button next to Times Used Access Date Lens Name or Manufacturer
91. g 9 9 9 9 9 9 9 9 9 Select an exam protocol Add exam comments Capture a patient s eye image data Detect the Apex Rings and Pupil View patient exam displays Print patient exam displays Save patient exam data Perform topography based contact lens design for Rigid Gas Permeable RGP lenses Perform contact lens fitting using a simulated fluorescein map Print contact lens prescriptions Select Soft Soft Toric and RGP lenses from a worldwide database Review and keep track of the soft lenses you use Display Patient Data Display Patient Data allows you to 3 2 Select existing patients and exams from the database Capture a patient s photo ID Review and print patient exam data using different displays such as STARS Holladay Diagnostic Summary Difference and Four Map Trend Perform contact lens fitting View and print corneal data in various 2D and 3D displays Win 95 only Import patient exam data from previous software versions EyeSys Corneal Analysis System Learning the Basics System Utilities With System Utilities you can Calibrate the image processing components Set image processing and display Options Backup restore or rebuild the patient directory Set data storage and backup options Perform patient file and directory management Customize exam Displays Protocols and Comments Data Manager amp Communication The Data Manager and Communication module a
92. g four functional sections 6 22 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting Note The Zoom feature is activated by clicking on the Zoom button shown to the right Simulated Fluorescein Map The pattern at the top of the screen displays the thickness in microns of the simulated fluorescein fluid between the cornea and the contact lens The values of the absolute color bar on the left are from zero to 75 microns For most cases these values have been determined to be the most realistic for simulated fluorescein The fluorescein values are displayed using either an absolute or normalized scale You may change the scale used by following the step below 1 1 Click within the button next to Absolute or Normalized The appropriate pattern will appear Tear Depth Profile Plot The graph in the middle of the screen displays either the Meridian or Circumferential Sagittal profile plot To switch between the two plots follow this step Clrownterosce 2 Click within the button next to m um an Sagittal Meridian or J 1 Circumferential 3 1 n The appropriate plot will appear N a Screen 6 18 Sagittal Meridian Plot The Sagittal Meridian profile plot displays the tear film thickness in microns that is across an axis meridian Initially the flat axis meridian is used You can change the meridian by pointing and clicking the left pointing device button on any axis within the Simulated Fluo
93. han two 2 copies of the Licensed Software for archival purposes Customer may not decompile reverse engineer or otherwise attempt to derive or modify the source code of the Licensed Software EyeSys reserves all rights and licenses not expressly granted to Customer Title and copyrights to the Licensed Software and any copies made by Customer remain with EyeSys or its suppliers or licensors 3 MAINTENANCE 3 1 Maintenance Services For a period of 1 year following the Effective Date of this Agreement EyeSys shall provide Customer with the following maintenance and support services Maintenance Services i enhancements and modifications Releases of the Licensed Software when made generally available to EyeSys other Licensed Software customers ii hot line telephone support during EyeSys normal business hours iii updates to the documentation when made generally available to EyeSys other Licensed Software customers iv customer bulletins and v reasonable efforts at error correction with the level of effort commensurate with the severity of the error Customer may obtain Maintenance Services for additional periods under a separate agreement with EyeSys Customer understands and acknowledges that hardware upgrades may be required to utilize new Releases provided hereunder 3 2 Exclusions Notwithstanding the foregoing EyeSys shall not be required to provide any Maintenance Services relating to problems arising out of i Customer s
94. hat matches what you type 2 Ifthe desired patient is not highlighted click the pointing device on the patient to be examined If you have a large database you may have to scroll through the list of names before locating the patient When the desired patient is highlighted click on the OK button The Exam Comments screen appears Screen 5 7 You are now ready to proceed with the examination Go to Entering Exam Comments in Chapter 5 The Examination Process To Locate a Patient by Patient ID 1 On the Patient Directory screen enter the patient s ID number As you type the system will resort the directory and highlight the first number that matches what you type 2 If the desired patient is not displayed repeat step 1 or scroll through the list of patients When the desired patient is highlighted click on the OK button The Exam Comments screen appears Screen 5 7 You are now ready to proceed with the examination Go to Entering Exam Comments below 4 8 EyeSys Corneal Analysis System Patient Examination Entering Exam Comments If the exam protocol chosen above includes the exam comments option the Exam Comments screen appears The Exam Comments screen is used to enter comments about the examination such as exam type prescription information diagnosis and more These comments are displayed on the Exam listing of the Patient Locator screen Screen 6 1 when you display patient data
95. hat no bright lights are reflecting off the calibration spheres e Check the image processing parameters in the section Changing Image Processing Options later in this Chapter The default values for these options are listed cares venient 6 Observe the color map that was placed over the calibration sphere image No color changes within the color map indicate that the curvature values are within 0 25 diopters and you do not need to calibrate the system If you see no color changes click on Done Screen 7 6 Calibration Verification Color Map If you see color changes the calibration is not within the curvature values Click on Done and go to Calibrating the System below Calibrating the System The EyeSys System 2000 contains image capture and processing optics and electronics that must be precisely calibrated In an effort to provide patients with consistent and accurate corneal analysis EyeSys has developed a calibration process that is completely automatic Follow these procedures to start the automatic calibration process EyeSys Corneal Analysis System 75 Chapter 7 1 From the Calibration Menu click on Automatic Calibration Calibrate The Automatic Calibration screen appears 2 Click on Continue The System fr t ae Calibration screen appears 3 Align the 55 06 diopter calibration sphere Using the joystick adjust the image until it is centered in the centering box 4 Pres
96. he OK button The Welcome screen appears as shown below EyeSys System 2000 Client Software V 4 0 Installation x Welcome This installation program will install EyeSys System 2000 Client Software V 4 0 Press the Next button to start the installation You can press the Cancel button now if you do not want to install EyeSys System 2000 Client Software V 4 0 at this time Screen A 10 Welcome screen 6 Click on the Next button The Installation Progress screen appears as shown below EyeSys Corneal Analysis System A 7 Appendix A Copying file CAWINDOWS SYSTEM Mic42 dil Screen A 11 Installation Progress screen 7 During the installation you are prompted to insert the installation diskettes with the following Insert New Disk screen S Place installation disk 2 into the floppy drive and press the OK button Cancel Source Pathname Screen A 12 Insert New Screen 8 Once you insert the requested diskette click on the OK button 9 When the installation is completed the Installation Completed screen appears A 8 EyeSys Corneal Analysis System Installation Instructions EyeSys System 2000 Client Software V 4 0 Installation x Installation Completed The installation of EyeSys System 2000 Client Software V 4 0 has been successfully completed Press the Finish button to exit this installation Back Screen A 13 Installation Completed Screen
97. he button down move the cross to the desired position in the eye As you move the cross the data in the lower right of the screen changes to reflect the measurements at the new location EyeSys Corneal Analysis System B 1 Appendix B Axial Sagittal Radius The axial sagittal radius can be thought of as a steel ball equivalent radius The radius at any point would be equal to that of an equivalent steel ball whose center lies on the videokeratograph axis The axial radius is commonly used by most corneal topographers and keratometers Map Layers Angle Scale A circular scale surrounding the cornea half of which is numerically marked in degrees The numbers depict the angular displacement from the zero degrees position on the right side three o clock Eye Image The digitized image of the patient s cornea with reflections of the placido mires Grid A one millimeter square grid overlay Very useful for determining dimensions when zooming Keratometric A semimeridian analysis that provides information about the regularity of the patient s astigmatism Very regular astigmatism will be depicted by an unbroken line passing through each zone while an irregular astigmatism will be identified by steep or flat semimeridians located less than 180 apart The irregularity comes from the change in axis from one side of a zone diameter to another Pupil Contour A white ring representing the circular boundary or contour of the pupil
98. he rings and displays the results on the Focusing and Processing Verification screen IF A WARNING MESSAGE APPEARS DURING PROCESSING The system may have trouble processing a center point if the patient s cornea is very distorted or the center ring mire is very small In this case a warning message window appears alerting the operator to this difficulty If this happens perform the following procedure 1 Click OK on the Warning window A pencil appears on the screen 2 Using the pointing device position the point of the pencil on the center of the image and click the left button Result The system reprocesses the eye image locates the rings and displays the results on the Focusing and Processing Verification Screen Continue with the next section Verifying Focusing and Processing below 4 14 EyeSys Corneal Analysis System Patient Examination Verifying Focusing and Processing EE EMS WO At this point the operator should examine the resulting rings and pupil for possible editing or even for retaking the image You should do this with the patient present in case you need to retake the eye image Once you ve done it a few times this procedure only takes about one minute Screen 4 11 Focusing and Processing Verification Focusing and Centering Guidelines Before examining the rings make sure that the system found the proper center and that the eye image is in proper focus Check the image as follows e Ma
99. hoto ID appears if it was previously captured Continue with Selecting Exams later in this chapter To Locate a Patient by Patient ID 1 On the Patient Locator screen enter the patient s ID number As you type the system displays patient ID numbers and highlights the first number that matches what you type 2 If the desired patient is not displayed repeat step 1 or try to locate the patient by last name When the patient is highlighted a list of patient exams appears in a box at the bottom of the screen and the photo ID appears if it was previously captured Continue with Selecting Exams later in this chapter 5 2 EyeSys Corneal Analysis System Display Patient Data Selecting Other Patient Data Types Follow these procedures to view patient exam data files that were exported or saved with a previous EyeSys software version EyeCon EyeCon or EyeSys DOS You can retrieve these files from a local drive network drive or any System 2000 connected to the Internet through an Internet Service Provider EyeSys DirectNet is the easiest way to import patient data files from the Internet However if the sender does not have access to DirectNet standard email software can be used to transfer files Refer to Chapter 9 for information on DirectNet Follow the topic below that fits your situation Local and Network Drives Note Before starting this procedure make sure you insert the proper disk containing the patient ex
100. hting or a very irregular pupil i e iridectomy then it will have to be edited Continue with step 2 If the pupil image looks properly captured and processed skip to Screen 4 14 Pupil Verification step 7 2 Click the Edit button The Pupil Editor screen appears 4 18 EyeSys Corneal Analysis System Patient Examination Pups eaer When the Pupil Editor screen appears you will notice a red cross located outside the pupil contour at zero degrees three o clock You can drag the red cross to change the shape of the pupil contour As you drag the red Cross you will notice the pupil contour rubber banding to match your movements Screen 4 15 Pupil Editor 3 Move the red cross until the pupil contour lies on the edge of the pupil The pupil contour will move along with the red cross Release the left pointing device button when the contour is in the correct position The red cross will advance by 45 degrees counter clockwise around the angular scale Repeat steps 3 4 until the red cross has gone a full 360 degrees Click on Finished The Pupil Verification screen reappears If more editing is required click the Edit button and repeat the editing process steps 3 6 If you are dissatisfied with the pupil click the Discard button to abandon the pupil and proceed to Viewing the Exam Display below The system abandons the pupil and saves none of its data When editing is complete continue with step 7 Click
101. iD 375334 Tax Cink Ord Phone os Lens Custos Less Matensi Lens oessom Lens Matena Design BC Asph Penph Sph otPC s 1 Dasin HC Asph Periph Spa of PCs 1 Spec Dsgn ce Spec Dagr Law fod Lens ote ln rain o str AN EP NOTES Apa Sag X Sw 44628 100 45 H7 ee Corres Se KID 456250 179 47 37 089 Sim Ejro TIT accen Du Sie K ined T3 7 732 Screen 6 22 RGP Lens Order Form Follow these procedures to complete the RGP Lens Order Form 1 Click within the information boxes that you want to complete and type your data EyeSys Corneal Analysis System 6 27 Chapter 6 2 3 4 5 Click within the box next to Include OD or OS until an X is displayed to select which lens order form is to be printed Click within the appropriate button to dot a lens Click on Print Order The RGP Lens Order Form is printed Click on Patient Evaluation to go back to the Patient Evaluation screen Tracking Soft Lens Usage The System 2000 software can track and display the usage of soft lenses and sort the data by the following Times Used Access Date Lens Name Manufacture This data is useful when analyzing inventory control buying patterns and financial data From the Soft Lens Usage screen you can view sort or reset lens usage information You can also enter information about your clinic Refer to Clinic Name Address and Telephone Number below to enter this data To display so
102. in green and blue respectively and their corresponding axis in degrees EyeSys Corneal Analysis System B5 Appendix B The quadrant abbreviations for each meridian are listed to the right of the axis separated by a colon The quadrant abbreviations are SUP Superior INF Inferior TMP Temporal NAS Nasal S T Supra Temporal S N Supra Nasal I T Infero Temporal I N Infero Nasal Hint Straight horizontally flat green astigmatic plots indicate very regular astigmatisms Wavy astigmatic plots indicate irregular or asymmetric astigmatisms Tabular Map This map tabulates the diopters radius of curvature in millimeters and distance from the center point for each of the calculated data points Screen B 6 Tabular Map B 6 EyeSys Corneal Analysis System Technical Information Threshold Map This map shows the calculated corneal curvature in two colors All the values above a certain threshold are displayed in red All the values below are shown in blue The default threshold is the middle value of the Normalized Color Scale Changing the threshold allows the operator to screen for keratoconus and examine the size and centering of n J refractive changes induced in the cornea Screen B 7 Threshold Map by RK and Excimer ablation procedures Numerical Map The numeric map is a color coded numerical representation of corneal curvature It is derived using an axial radius of curvature The rad
103. ing 11 8 Exam Comments adding protocol option 11 7 Exam Comments screen 4 7 4 8 4 9 11 9 Exam Complete screen 4 24 Exam Display screen 4 20 4 21 exam displays default 11 2 modify 11 2 exam protocol 4 2 create 11 6 delete 11 6 modify 11 6 examination begin exam 4 2 comprehensive 4 2 custom 42 print 5 1 protocol selection 4 2 review 51 select eye 42 Examination Protocol Options screen 11 7 Examination Protocol Selection screen 4 8 4 2 Examining the Apex 4 14 Examining the Pupil 4 18 exams select 5 4 selecting 8 5 Exit button 4 2 exiting the system 3 8 export patient exams 8 11 EyeSys Corneal Analysis System Index exported patient 5 3 Exported Patient Selection 5 3 8 6 Exporting Patient Exams screen 8 11 eye exam reprocessing 8 13 Eye Image B 2 Eye Image Map B 4 eye selection 4 2 EyeCon patients 8 5 EyeSys DOS patients 8 5 EyeSys patient 5 1 8 4 EyeSys software 3 2 EyeSys System 2000 icon 3 7 F File Management menu 8 2 File Management Menu 10 2 find patient 5 2 floppy diskette 2 4 Focusing and Centering Guidelines 4 15 Focusing and Processing Verification screen 4 15 format floppy diskette C 1 optical disk C 7 removable hard disk C 5 Four Map Display screen 5 8 Four Map Overview Display screen 5 7 Four Map Trend Display 5 13 B 13 functions 2 2 G Grid B 2 Group 4 6 H hard drive 2 3 Index contents of 2 4 help 1 1 Help button 3 6 Help Index 1 2 Holladay Diagnostic Summary B
104. ints point to the ring points that need to be removed and drag the pointing device Release the button when finished Screen 4 13 Processed Ring Editor 5 When editing is complete click the Finished button The Focusing and Processing Verification screen re appears 6 Re examine the processed rings If more editing is required click the Edit button and repeat the editing process steps 1 6 EyeSys Corneal Analysis System 4 17 Chapter 4 If the eye image looks properly captured and processed click the Accept button The system processes the eye image and displays the pupil on the Pupil Verification screen Proceed to Examining the Pupil below Examining the Pupil During the final step of capturing an eye image the system performs pupil detection If the pupil is smaller than 0 5 mm or is extremely irregular the system may have trouble locating the pupil In this case the following message appears If you want the system to use a 0 eS ee eee standard 3 mm pupil centered 0 2 mm m Cm temporally from the ring mire center click on Yes and continue with step 1 below If you want the system to discard the pupil and save no pupil data click on No and proceed to Viewing the Exam Display below 1 Check the pupil contour to make sure it is accurately located on the inner edge of the visible iris Puptt verte at on If the contour missed part of the pupil edge either because of poor lig
105. ion directory C ww click on the Next button Otherwise click on the Browse button select the directory of your choice and then click the Next button The Ready to Install screen appears Caution You can only install the System 2000 software under the root base directory of the drive of your choice e g c WW 40 or di WW 40 but NOT c Programs WW 40 EyeSys System 2000 Software Version 4 0 Installation x Ready to Install You are now ready to install EyeSys System 2000 Software Version 4 0 Press the Next button to begin the installation or the Back button to reenter the installation information Screen A4 Readyto Install Screen 8 Click on the Next button to proceed with the installation 9 During the installation you are prompted to insert diskettes 2 through 5 with the following Insert New Disk screen A 4 EyeSys Corneal Analysis System Installation Instructions Insert New Disk xi Place installation disk 2 into the floppy drive and press the OK button Cancel Source Pathname a Screen A5 Insert New Disk Screen 10 Once you insert the requested diskette click on the OK button 11 When the installation is complete the Installation Completed screen appears EyeSys System 2000 Software Version 4 0 Installation Installation Completed The installation of EyeSys System 2000 Software Version 4 0 has been successfully completed Press the Fin
106. ion screen the Soft Lens Order Form screen appears Todor Ont FETE Ordered ev 1 1 EyeSys tesetute EE U ERE EE Seed a Hoeston TX 77055 Order Pret om am ji 013 466 1921 OS Lens Speca Maaulacturor i Manutecsurar EL EE Comemant 23 3223932y23y32y23y32 2 3 Era iT Tuo Suse 23 z 25 s b 1964 ByeSys Technologies 4 tr xn 7 t de F Screen 6 15 Soft Lens Order Form 6 18 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting Follow these procedures to complete the Soft Lens Order Form 1 2 3 4 Click within the information boxes that you want to complete and type the data Click within the Include OD or OS boxes to select which lens order form is to be printed Click on Print Order The Soft Lens Order Form is printed Click on Return to go back to the Patient Evaluation screen Fitting RGP Lenses The RGP Lens Selection screen below displays the following information Patient Name and ID number Current Date Exam Number and Date Simulated Keratomy Data in Millimeters and Diopters Effective Add Power and Visible Iris Diameter Corneal Eccentricity and Predicted Residual Astigmatism Calculation Patient s Spectacle Refraction The Simulated Keratomy data and Comeal Eccentricity are derived from the captured eye image data Proceed to Selecting an RGP Lens below EyeSys Corneal Analysis System 6 19 Cha
107. ish button to exit this installation Cancel Screen A6 Installation Completed Screen 12 Click on the Finish button The Restart Windows 95 screen EyeSys Corneal Analysis System A5 Appendix A This system must be restarted to complete the installation Press the OK button to restart this computer Press Cancel to return to Windows without restarting Cancel Screen A 7 Restart Windows 95 Screen 13 Click on the OK button Windows 95 will automatically shut down and restart You are now ready to run the System 2000 software by clicking on the System 2000 icon on your desktop Screen A 8 System 2000 Icon Windows 95 Client System 2000 Software Installation If you are installing the software to a computer system that is not connected to a Topographer LIAU you will need the EyeSys Configuration diskette to complete the installation To install the Client System 2000 software on a client machine follow these steps 1 Insert Disk 1 of Client System 2000 Install disks into your client machine floppy disk drive 2 Click on the Windows 95 Start button 3 Click Run The Run screen appears as shown below A 6 EyeSys Corneal Analysis System Installation Instructions Run HEI Type the name of a program folder or document and Windows will open it for you Cancel Browse Screen A 9 Run Screen 4 Type A SETUP in the field to the right of Open on the Run screen 5 Click on t
108. isplays the current contact lens parameters You may change the following parameters and view the result on the Simulated Fluorescein pattern BC Diameter Peripheral Curve Width Optical Zone Lens Power Axial Edge Lift and CL eccentricity are provided for information only To change the values of these parameters and view the resulting fluorescein pattern follow these steps e e 1 Click within the box or click the Be is Y toos Power Zee Anat Edge Litt 837 arrow next to the parameter you Diam sw J oz veld me s want to change and select or enter a re sz d rea ma Jr new value wand us Jig D MEDIA 40126150 2 Sin K mm 851 4L 841 1 Click on Recalculate for the changes to take place Screen 6 20 Contact Lens Parameters Color Map To display a color map for the eye you are fitting follow these instructions 1 Click on Show Color Map A Color Map is displayed next to the Simulated Fluorescein pattern EyeSys Corneal Analysis System 6 25 Chapter 6 The Color Map uses color to depict corneal curvature It is derived using an axial sagittal radius of curvature Tip Pay close attention to the color scale s middle value and step size when evaluating a cornea The normalized scale can sometimes cause extreme corneas to look normal and normal to look extreme Distance Acs Calor Map Options Lee Screen 6 21 Color Map If you want to change the color map layer
109. ith the trial fitting click on Lens Order Form and go to Ordering Soft Lenses below Viewing Lens Information After clicking on Show More Lens Detail you may view the following detailed lens information Lens Name Class Design Material Mfg Method DK and H20 Content Soft or Wetting Angle RGP Lens Care Wearing Schedule Life Expectancy Customizing and Manufacturer Information Fitting Guide Soft Current Lens Parameters Soft 6 14 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting If you are fitting soft lenses you can enter lens parameters in the following screens Refer to steps 2 4 of Selecting a Soft Lens Any changes you make to these parameters will automatically update the values in the Lens Selection window of the Soft Lens Selection screen Screen 6 8 These parameters are not available when fitting RGP lenses If you want the values updated click on OK If you do not want the values updated click on Cancel To view detailed lens information perform the following procedures 1 After clicking on Show More Lens Detail The Lens Information screen appears Massa chart Iaia side YE YEARS YE YE ae ie DJ jer atur Ty utat der atr EN Luas iiormenien TDA Clase Lem Demas Sphere tent Meme BA ee i Wien nay Seist ET y32y25y32y23y32y23y32g2 5 eSysSyesysSyesyssyesyssye y3zy23y32y23y32y2s 2y33y2 3j 24 SJ ey sys sysSyesyssyesyssye 2j23 3
110. ius of curvature values are shown in a radial pattern along meridians that are spaced 15 apart Data values emanate from the calculated center to the edge The values are shown in a color gradient Blue is the flattest and red is the steepest Screen B 8 Numerical Map The table to the right of the display depicts Average corneal curvature for the entire cornea Average corneal curvatures along the periphery of different optic zones displayed in 1 mm increments Corneal eccentricity value displayed as e xx A 5 mm optic zone would include data points around a 2 5 mm perimeter from the center of the rings Tip Can be helpful in difficult post surgical eyes EyeSys Corneal Analysis System B 7 Appendix B Refractive Map This map uses Snell s Law to provide true corneal power information The standard scale provides simple color coded diagnoses Screen B 9 Refractive Map Tangential Map The Tangential Map is an adjustable map of corneal curvature which is derived using a tangential radius of curvature Unlike the color map the tangential map is not axis dependent Therefore it reads as though the videokeratoscope was realigned for every point on the cornea Screen B 10 Tangential M ap For a particular cornea the color map and the tangential map are very similar near their centers along the videokeratoscope s axis but may differ by several diopters near the periphery Tip The tang
111. k in the left or right direction To move the image up or down twist the joystick counter clockwise or clockwise To focus the image move the joystick to the front or back To capture an image press and release the acquisition button on top of the joystick EyeSys Corneal Analysis System 35 Chapter 3 Using the Screens and Commands You will find the screens in the EyeSys software uncluttered and virtually self directing Each time you click on a button the system displays a new screen or window explaining what is happening This provides you with positive feedback for each action you perform within the screen Each screen includes a Help button to provide on line information if you are unsure about how to proceed Almost all screens have a Return button that can be used to go back to a previous screen Printing You may print from two places within the software Patient Examination Refer to Printing the Display in Chapter 4 to print a patient display during the examination process From this screen you can select portrait or landscape views or print to a file Display Patient Data Refer to Printing the Display in Chapter 5 to print a patient display while reviewing stored patient examination data From this section you can select portrait landscape or print to a file Powering the System On To turn ON the system power follow these steps 1 Make sure there is no floppy diskette in the diskette drive
112. ke sure the center was found by checking the red dot It should be placed in the center of the red and yellow rings The red dot should not be outside of the innermost placido mire e Make sure the red and yellow concentric rings alternate The red rings should be located on the outer edge of the black rings and the yellow rings should be located on the outer edge of the white rings If any of these visual checks look wrong the eye image should be retaken Go to Retaking the Eye Image below If the visual checks are acceptable go to Verifying the Rings to examine the rings for possible editing It is not necessary to edit every eye image EyeSys Corneal Analysis System 4 15 Chapter 4 Retaking the Eye Image If you need to recapture the eye image follow these steps 1 From the Focusing and Processing Verification screen click on Retake The Contrast Level screen appears 2 Click on the large arrow buttons to adjust the contrast level towards the If ring data Is incomplete the contrast level may patient s eye color As you click on need to be adjusted based on the patient s color is the arrow button the pointer at the C gt gt gt bottom of the screen moves in the direction of the arrow Blue eyes should be adjusted until the pointer is at 2 Other eye colors should be 6 7 B 9 1629 42 13 46 25 16 1 48 19 20 adjusted to be in the range of 4 12 Screen 4 12 Contrast Level Contrast
113. ld be performed only if your current patient directory on the internal hard drive were corrupted n WARNING Restoring the directory completely replaces the Patient Directory currently stored on the internal hard drive Consequently patients that were added or edited in between backups will be lost until they are re entered 1 Place the backup disk into the backup drive and from the Patient Directory Management Menu click on Restore Patient Directory The system replaces the current patient directory on the hard drive with the Patient Directory on the backup disk Changing Data Storage and Backup Options The options on the Data Storage and Backup screen are defined as follows Option Description O Backup Interval The number of days between backing up the Patient Directory located on your internal hard drive A system prompt appears when it is time to backup EyeSys recommends that you set this to 1 to prompt you for a daily backup of the Patient Directory Backup Drive The drive letter i e a b of the diskette drive used to store and retrieve the Patient Directory Storage Drive The drive letter 1 e a b of the disk drive used to store and retrieve patient exam data files To change these options follow these procedures 10 4 EyeSys Corneal Analysis System Patient Directory Management 1 From the System Settings Menu click on Data Storage and Backup Options The Data Storage and Backup s
114. llows you to Sort delete edit or join patient records Delete edit move or export patient exams Reprocess exam data Import patient exam data from previous software versions 9 9 es Utilize the Internet to export and import all versions of patient exam data Win 95 only Using Your Keyboard a MM rr The keyboard features a standard PC design and eee ERES touch that makes data entry fast efficient and y comfortable The software uses these main keys Figure 3 2 Keyboard TAB key located in the top left quadrant of the keyboard the TAB key is used to jump from field to field or from button to button SPACE bar Is used for executing a selected command For instance if the TAB key were used to select a button the SPACE bar could be pressed to execute that function EyeSys Corneal Analysis System 33 Chapter 3 Arrow keys cursor keys used for moving the cursor or highlight up down left and right The cursor indicates your position in a text entry field and takes the form of a blinking vertical bar The highlight indicates a selection that you made To adjust the keyboard for a comfortable typing angle turn it over and snap open the two self locking legs on the bottom Using a Pointing Device Your system will have either a mouse trackball or pen mouse for pointing to different items on the screens This is referred to as your pointing device The pointing device offers an efficient m
115. m click File then Send Outbox Queue or click on the Send Q button After you send the patient exam it is placed in the Sent Folder 9 Close DirectNet If you close DirectNet without sending the patient exam a message appears asking if you want to send the patient exam Sending E mail without patient exams To send E mail without patient exams follow these steps 1 From the DirectNet Main screen click the Mail To button in the upper left of the screen The Message Sender screen appears Alternatively you can click File then Send New Mail or you can click Address click Address Book select a recipient and then click Mail To 2 From the Message Sender screen select the recipient if not already displayed enter your message and then click Send Now or Send Later Retrieving Patient Exams and E mail To retrieve patient exams and E mail follow these steps 9 6 EyeSys Corneal Analysis System Retrieving Patient Exams and E mail with Other E mail Software To retrieve patient exams and E mail with other E mail programs follow these Communications From the System 2000 Main menu click on the Data Manager amp Communication button The Patient File Management screen appears From the Patient File Management screen click Import Patients and Exams The Import Patients and Exams screen appears Select EyeSys DirectNet under Source and then click Check Mail DirectNet loads and checks your E mail Close DirectNet an
116. m 9 7 Chapter 9 Forwarding Retrieved E mails To forward a retrieved E mail to another person follow these steps 1 From DirectNet click on the Forward button The Message Sender screen appears Alternatively you can right click and select Forward or click on Message and click Forward 2 Click Mail To select a recipient click Mail To and then click Send Now or Send Later If a patient exam was attached it is automatically attached to the E mail you are forwarding Reply to a Retrieved E mail To reply to a retrieved E mail follow these steps 1 From DirectNet click on the Reply or Reply All button The Message Sender screen appears Alternatively you can right click and select Reply or Reply All or you can click on Message and click Reply or Reply AII Reply sends the reply to the original sender Reply All sends the reply to all recipients of the original E mail 2 Enter your reply and then click Send Now or Send Later If a patient exam was attached it is not automatically attached to the reply Organizing DirectNet E mail Folders DirectNet initially opens with four default folders Inbox Sent Outbox and Trash You can add and delete E mail folders and move sort and delete E mails Follow the table below for the operation you want to perform 9 8 EyeSys Corneal Analysis System Communications Add E mail Folder Click Edit and then Add Folder Delete E mail Folder Highlight the folder you want to
117. me box and select a cp JA oe pa JA manufacturer or lens name pe g If you select a manufacturer click cotor ae OB on the arrow next to lens name and select a lens name from the list If you select a lens name the Screen 6 9 Lens Parameters manufacturer will be filled in automatically Before entering the lens parameters you can view detailed information from the manufacturer about the lens you chose by clicking on Show More Lens Detail and following the instructions in Viewing Lens Information below 3 Click on the arrow next to the BC box and select one of the base curves available for the lens you chose 6 12 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting 4 Click on the arrow next to the Dia box and select one of the diameters available for the lens you chose 5 Click on the arrow next to the Spherical box and select one of the power values available for the lens you chose If you chose toric lenses also select values in the Cylindrical and Axis boxes Use the Suggested CL Power data and the calculated Simulated Over Refraction data in the Lens Analysis area of the screen as a guide for choosing power values for the selected lens After you enter a power value Suggested CL Power changes to User Selected Power The User Selected Power and the calculated Simulated Over Refraction data change to reflect the entered power value 6 Follow the table below for your next action If you want to Then cli
118. n action is performed The Exam Complete screen appears Go to the next section Completing the Exam If you click Cancel the exam display is not saved EyeSys Corneal Analysis System 4 23 Chapter 4 Completing the Exam The Exam Complete screen provides several options depending on what action you intend to take Use the table below to determine your next step Exam complete Choose next step Perform more activites wit the current patient Return ro Main Menu Screen 4 20 Exam Complete you Ciko Result Are finished with this patient Return to Main The Main Menu appears and there are no other patients Menu Screen 5 1 to be examined Are finished with this patient Next Patient The Examination Protocol but want to examine a Selection screen appears different patient Screen 5 2 Want to examine the patients OD or OS button The Exam Comments other eye or retake the eye Screen appears image Screen 5 7 Want to change the display Display The Select Display screen type or perform contact lens appears fiting Screen 6 2 4 24 EyeSys Corneal Analysis System Chapter 5 Display Patient Data This chapter describes how to review change and print exam displays The following tasks are included Selecting an EyeSys System 2000 Software patient to review Selecting an Exported EyeCon EyeSys DOS or EyeCon patient to review Selecting a single exam or group of exams
119. nd Identity Setup screen appears Mail Server and identity Setup x m Mail Outgoing Mail SMTP Server miouabccom Incoming Mail POP3 Server mimabecom POP3 User Name pens 0 POP3 Password pu cou r Identity Your Name ohn Smith Your E mail Jevesys abe com Your Organization Evesys Institute Cancel Screen 9 1 Mail Server amp Identity Setup Screen 3 Enter the appropriate data into each field and click OK The DirectNet main screen reappears Your Internet Service Provider can supply all the information needed Your Name and Your Organization are optional 4 Click Option and then Dial Up Server The Dial Up Server Setup screen appears 9 2 EyeSys Corneal Analysis System Communications Dial Up Server Setup ix r Connecting to Intemet Mail Dial using following site automatically ABC X Username and password required for dialup session Username Jevesys Cancel Screen 9 2 Dial Up Server Setup Screen 5 Use the down arrow to select the Dial Up Connection that connects to your Internet Service Provider If you do not have a Dial Up Connection ask your Internet Service Provider to help you create one 6 Enter the Username Password and click OK Starting DirectNet You can start DirectNet from the System 2000 software or the Windows 95 desktop However if you start DirectNet
120. ndow 4 From the SQPREP SCSI Drive Table screen use the cursor keys to select the appropriate drive and press ENTER The program asks you to verify that the activity light is illuminated on the SyQuest drive If the activity light is on type Y If the activity light is off type N and e Make sure the SyQuest cartridge is inserted into the SyQuest drive e Make sure the correct drive was selected Select the Partition Format Cartridge for DOS option and press ENTER Select Custom DOS Partitions and press ENTER Press ENTER to select the default value for Volume Size SO Eu SON aen Enter an appropriate Volume Label for the disk such as SYQUESTI DISK1 or DBBACKUP if you are labeling this cartridge to be used as a backup cartridge At this point the system returns to the last menu and the process is complete 9 Press ESCAPE until you return to the software C 6 EyeSys Corneal Analysis System Removable Disk Operations Formatting an Optical Disk To format an optical disk 1 2 Se ws A WE Insert the optical disk in the optical drive From the Main Menu click Exit The Microsoft Windows Program Manager appears Double click on the Menu Control Box looks like a minus sign in the extreme upper left corner of the window A warning dialog box appears asking you to verify that you want to end Microsoft Windows Click OK At the DOS prompt type c and press ENTER Type cd coreldrv and pr
121. nfiguration diskette to complete the installation To install the Main System 2000 software follow these steps 1 Insert Disk 1 into your floppy disk drive 2 Click on the Windows 95 Start button 3 Click Run The Run screen appears as shown below Run RES Type the name of a program folder or document and Windows will open it for you Cancel Browse Screen A 1 Run Screen 4 Type A SETUP in the field to the right of Open on the Run screen 5 Click on the OK button The System 2000 Welcome screen appears as shown below A 2 EyeSys Corneal Analysis System Installation Instructions EyeSys System 2000 Software Version 4 0 Installation Welcome This installation program will install EyeSys System 2000 Software Version 4 0 Press the Next button to start the installation You can press the Cancel button now if vou do not want to install EveSys System 2000 Software Version 4 0 at this time lt Back Screen A 2 System 2000 Welcome Screen 6 Click on the Next button The Select Destination Directory screen appears EyeSys System 2000 Software Version 4 0 Installation x Select Destination Directory Please select the directory where EyeSys System 2000 Software Version 4 0 files are to be installed Denn Browse Screen A 3 Select Destination Directory Screen EyeSys Corneal Analysis System A3 Appendix A 7 To accept the default installat
122. ng surgical results while tracking the healing process To view a STARS display you must select a pre op post op and follow up exam An example of the STARS display follows EyeSys Corneal Analysis System 5 11 Chapter 5 solute Map Mi 05 20 92 OE LG Absolute Map f am TETTE TES 160 040 Ge 57 sns DF sen O 28 qm 5T ss An 7 mg 4 m 11129 qM LAU XU Tb Surgical Change Healing Change Screen 5 9 STARS Display The STARS display shows the pre op post op and follow up data maps at the top and the Surgical Change and Healing Change difference maps at the bottom Some characteristics of the STARS display are e Asingle standard scale is used for all examinations e The difference map scales are optimally adjusted and centered on the mean difference in central K values To print the STARS display click Print and follow the procedures in Printing the Display above To change map options click on Options and follow the procedures in Changing Map Options above To go back to the Select Display screen click on Done The Select Display screen reappears Screen 6 2 5 12 EyeSys Corneal Analysis System Display Patient Data Difference Display The Difference Map is an adjustable map of corneal curvature which is derived by a subtractive analysis of two examinations The map is used to analyze changes in the corneal curvature over time The difference scale is centered on 0 0 diopters an
123. ngs Menu appears Calibration z management System settings Screen 11 1 System Utilities EyeSys Corneal Analysis System 11 1 Chapter 11 From the System Settings Menu choose SP Senet any of the following operations M Image processing options e Custom Display Design Display options Custom Exam Protocol Design Data storage and backup options Custom Comment Design Custom display design al Be Le el Custom exam protocol design Custom comment design j AJ rate Return to Utitties Menu Ak os gt mee Screen 11 2 System Settings M enu To perform any of the above procedures go to the corresponding section below Designing Custom Displays The System 2000 Software provides default exam displays to use for your patient examinations You also have the option of designing your own custom exam displays This section describes how to define new single exam and multiple exam displays or modify existing ones Each display contains from one to five data maps Each type of data map displays information in a different way For each type of display you can define the map type and map layers to be displayed Difference maps are a specific type of map Therefore when they are included in the display their options are limited to layer options Map and layer definitions can be found in Appendix B Follow these procedures to customize exam di
124. nics needed to control and interface the IAU with the system computer Profile Difference Map An exam data map that generates a normal asphere custom tailored to the patient s central cornea Pupil Contour The outside edge or shape of the pupil Refractive Map A data map that uses Snell s law to provide corneal power information Removable Hard Disk A hard disk encased in a hard plastic shell that allows it to be removed from a removable hard drive in the same way as a floppy diskette is removed from a floppy drive EyeSys Corneal Analysis System G5 Glossary Removable Optical Disk An optical disk encased in a hard plastic shell that allows it to be removed from a removable optical drive in the same way as a floppy diskette is removed from a floppy drive Rings The points along the inner and outer edges of placido mires reflected off the cornea Semi meridian Semi meridians or half meridians are half circles placed over the cornea by the EyeSys software The system examines data points along semi meridians to locate the absolute steepest and flattest values for the cornea Smooth Pattern A map option that smoothes or reduces the resolution so that the granularity is less visible STARS Standard Topographical Analysis for Refractive Surgery An exam display that provides a retrospective view of the cornea to track surgical results and the healing process This display was developed by Daniel S Durri
125. nt patients Patient and exam review before sending the selected patients and exams can be reviewed and displayed before transmission Sending the eye image is optional the eye image file is quite large and therefore optional when sending through Internet e mail Sending without eye image is default Internet based transfer the receiving party does not need to be informed before the sender can send EyeSys patient exams Internet provider independence you can use any Internet Service Provider that supports SMTP POP3 and MIME Address book the Address book keeps a list of all correspondence Internet flexibility can handle exported patient exams retrieved by other e mail software however DirectNet will only retrieve E mail messages which are sent by DirectNet Attachments automatically compresses patient exams into a single file patdata zip and attaches this file to the e mail message Drag and drop you can drag an e mail and drop it into a folder Sorting e mail message the user can sort messages in a folder by Date Subject Receiver or Sender EyeSys Corneal Analysis System 9 1 Chapter 9 Configure System 2000 DirectNet Before you can use DirectNet personal information mail servers and the dial up server need to be set up properly To setup DirectNet follow these steps 1 Open DirectNet by double clicking on the icon 2 Click Option and then Mail Servers The Mail Server a
126. o each protocol button that you want to re assign A window opens listing the protocols 3 Click on the protocol that you want to assign to the button The selected protocol appears at the top of the window 4 Click on OK The Examination Protocol Selection screen reappears with the protocol buttons reassigned Go back to step 3 in Select the Exam Protocol above to select an exam protocol Entering New Patients When examining new patients you will need to take a few moments to enter the patient s name and ID on the new patient screen and to take the patient s photo ID using an adapter on the videokeratoscope 4 4 EyeSys Corneal Analysis System Patient Examination A Word About Patient IDs The Patient ID can be a social security number billing account number or any other patient numbering system you want to install The ID can be any combination of alphanumerical characters no longer than 15 characters You may also want to enter additional information to keep in your records about the patient or the examination such as male or female birth date physician diagnosis referring party and group To enter new patient data and capture the photo ID follow these procedures PATIENT DIRECTORY 5 From the Patient Directory screen evarepanersio click on New Patient The Patient Information screen appears Screen 44 Patient Directory EyeSys Corneal Analysis System 45 Chapter 4 6 Ente
127. o file 5 10 Index Printer Setup 4 23 5 11 printing 3 6 printing the display 5 10 Printing the Exam 4 23 Processed Ring Editor screen 4 17 processor 2 3 Profile Difference Map B 9 Profile Map B 5 change map axis 4 22 protocol 4 2 Protocol button assignment 4 4 naming 11 5 Protocol Button Name box 11 8 Protocol Buttons Setup screen 4 4 Pupil Contour B 2 pupil detection 4 18 Pupil Editor screen 4 19 Pupil Verification screen 4 18 R refractive map B 8 B 9 Refractive Map B 8 removable hard disk format C 5 Reposition Lens button 6 24 reprocessing eye image 8 13 restore patient directory 10 1 10 4 retake photo 4 7 8 7 Retaking the Eye Image 4 16 Return button 3 6 RGP lens color map 6 25 custom designs 6 21 manufactured designs 6 21 modify 6 26 Order Form 627 reposition lens 6 24 selection 620 RGP Lens Order Form screen 6 27 Rings B 2 6 locate 7 4 verifying 4 17 S sagittal tear 6 7 Save Exam Data 11 8 Save Eye Image 11 8 screens Capture Eyelmage 4 13 description of 3 6 Exam Comments 4 9 Exam Display 4 21 Examination Protocol Selection 4 2 Main Menu 42 Patient Photo 4 6 Patient Type Selection 5 3 Protocol Buttons Setup 4 4 Select Display menu 5 4 Select Display screen 5 4 selectexams 5 4 select eye 4 2 selecting patient exams 8 5 Side View Image B 2 Simulated Fluorescein Map description of 6 23 Simulated Fluorescein Pattern 6 22 Simulated Over Refraction 6 12 6 13 Smooth Pattern 4 22
128. of missing data However the system will not display areas that are not surrounded by data Click on the square box next to Smooth Pattern if you want to view the color maps with less resolution This will help extract the relative pattern from the display and reduce the granularity If you selected the Axial Threshold Refractive or Tangential map types you can change the color scale range The normalized color scale range in the data maps can be changed to a specific range The parameters are the middle value and the color step size There are 15 colors to work with To change the color scale range click within the Middle Value box and Step Size box and type new values A new color scale range will be defined Example If the Middle Value is 42 diopters and the Color Step Size is 1 diopter then the range covered by 15 colors would be 35 to 49 diopters If you selected the Profile or Tabular map types you can change the map axis of the flattest and steepest meridian If you selected the Threshold map type you can change the high and low thresholds When finished selecting Map Options you have two choices To save the changes and go back the Exam Display click on Save The Exam Display reappears with the selected map type and layers To cancel the changes and go back to the Exam Display click on Cancel The Exam Display reappears without changing the map options If everything on the Exam Display looks acceptable click th
129. omatically centered around the range of the map being displayed OD The abbreviation for the Latin word Oculus Dexter which stands for the right eye Optical Stage Manipulator A part of the Image Acquisition Unit LAU that contains motors for positioning control of the videokeratoscope OS The abbreviation for the Latin word Oculus Sinister which stands for the left eye Patient Exam Data Files A group of files on the storage drive that contain the patient s photo ID eye image pupil data and curvature data Also called exam data files Patient Directory A master file stored on the internal hard drive that contains all of the patient and exam demographic data G 4 EyeSys Corneal Analysis System Glossary Patient ID A string of alphanumeric characters used to identify a patient The ID can be the patient s social security number account number or any other user numbering system Patient Photo Adapter A tubular lens arrangement that fits into the center of the videokeratoscope to allow the capturing of a patient s face Patient Record All data associated with a patient The patient record contains the Patient Directory and the Patient Exam Data Files Pointing Device The mouse trackball or pen mouse used with the computer to move the cursor on a screen and make screen selections Power Base The base or bottom unit of the Image Acquisition Unit IAU The power base contains all of the electro
130. on Erderiselect operator s initials Ja Screen 4 2 Examination Protocol Selection 4 2 From the Main Menu click on Patient Examination The Examination Protocol Selection screen appears Proceed to Select the Exam Protocol below The Exit button closes the EyeSys System 2000 software and returns you to Microsoft Windows Click within the Enter Select Operator s Initials box and type your initials If you have previously entered your initials click on the down arrow to the right of the box A window appears with a list of initials Click on your initials The window closes and your initials appear in the box Select which eye to examine by clicking on one of the following buttons OS left eye OD right eye or BOTH EyeSys Corneal Analysis System Patient Examination On the Protocol Selection screen there are four major buttons that start the examination protocol of your choice Examination protocols are the procedures that the system follows to execute a patient examination The System 2000 software is installed with four default exam protocols They are Display Used Shape Optics 1 Tangential 1 Tangential 3 Tangential 2 Axial 2 Axial 4 Axial Contact Lens 1 Tangential 1 Tangential 3 Tangential 2 Numeric 2 Numeric 4 Numeric Overview 1 Axial 1 Tangential 3 Tangential 2 Tangential 2 Axial 4 Axial 3 Absolute 4 Keratometric Note You can customize exam protocols
131. on above 3 Click on the arrow next to the Color box Select a color and proceed to Using the Simulated Fluorescein Screen below EyeSys Corneal Analysis System 621 Chapter 6 Using the Simulated Fluorescein Screen The Simulated Fluorescein screen shown on the next page provides the following Displays the current RGP contact lens design parameters Displays a simulated fluorescein pattern for the current lens Allows the operator to change any contact lens design parameter and view the resulting change in the fluorescein pattern Displays the sagittal and circumferential sagittal tear depths Allows the operator to pan and tilt the lens over the eye surface and view the resulting change in the fluorescein pattern Custom Lene Boden ES me Absobete Flear Absolute Fluor Nomakred Fir Base Desig Asph Perph Design Parpi Cures m Edge iaar 07 Normalized Fluor Bose Design Aspe Periph Desgn Periph Cuve Eye Cicer 0 07 Apcs Sag 2g Aa Bey 25 Suggested Praise 8c God Lens Power Asal Edge Litt man se Id oz veld s ow sed re with EimK 0D 33626 D4D 4012 13D Cemeal e SimK mm amp 51 G 040 8 41 130 ETER RGP Selection Lens Order Form lal Screen 6 17 Simulated Fluorescein Pattern EnK D 3362 4D 4112 amp 130 SimK mm amp 51 040 841 2 130 To take full advantage of the Simulated Fluorescein screen review the followin
132. on Accept when you are satisfied with the pupil image The next screen depends on whether or not you are finished with the examination process If you are examining both eyes the system returns to the Exam Comments screen Refer to Entering Exam Comments above and repeat the process for the second eye If you are finished with the exam the Exam Display appears Go to Viewing the Exam Display EyeSys Corneal Analysis System 4 19 Chapter 4 Viewing the Exam Display On Exam Displays that contain a map image a special function is available to help you examine the data This special function Crosshair Data is described below Crosshair Data You will notice a cross located at the detected center of the eye and a box of data in the lower right of the screen The data corresponds to the center of the cross as follows Power PWR in diopters Radius RAD in millimeters Distance to the center DIS in millimeters 9 9 9 Axis in degrees You can move the cross to examine data in different parts of the image as described below 1 Point to the cross and drag the pointing device 2 While holding the button down move the cross to the desired position in the eye As you move the cross the data in the lower right of the screen changes to reflect measurements at the new location Screen 4 16 Exam Display Before clicking on Done Save Print to end the examination you can click on Options to change
133. on screen PRA is the amount of uncorrected astigmatism that may be present based upon the spectacle refraction and corneal toricity Lens Type In the lens type area shown below select the lens type as follows Using the calculated PRA as a guide select the appropriate lens type RGP Soft or Soft Toric by clicking within the button next to the name Screen 6 5 Lens Type Correction Type If you entered a bifocal add power in the spectacle refraction area the Correction Type selection area appears as shown below Select a correction type as follows Correcbon Type Click within the button next to the Distance O Monovistomn O Bitorni correction type you desire If you select Distance go to step 4 Screen 6 6 Correction Type If you select Monovision the Near Lens selection area appears as shown below Go to step 2 r Near Lees n Ses ether ee nto sc Ji 3 Select which eye OD or OS is to have the near vision power correction Screen 6 7 Near Lens Selection 4 Select what percentage of the bifocal add power is to be used for calculation of the reading lens EyeSys Corneal Analysis System 6 9 Chapter 6 5 Go to the next section as directed below If the lens type you chose was soft continue with Fitting Soft Lenses below If the lens type you chose was RGP proceed to Fitting RGP Lenses later in this chapter Fitting Soft Lenses The Soft Lens Selection screen on
134. on window appears 4 Click on Yes This deletes the selected patient s exam data files from the System 2000 Click on No if you do not want to delete the patient exam data files Editing Patient Exam Data This section describes how to edit patient exam data in the Patient Directory as follows Change or add the Drive or Disk Volume and Technician s Initials Change or add the Exam Date and Time Change or add the Patient s eye that was examined Change or add Exam Comments Follow these steps to edit patient exam data 1 Select the patient by last name or ID number Refer to the Selecting EyeSys Patients section 2 Select a single exam You cannot edit more than one exam at a time Refer to Selecting Patient Exams 3 Click on Edit Exam The Edit Exam Information screen appears 8 12 EyeSys Corneal Analysis System Patient File Management Edit Exam information Click within the appropriate box to Date me add or change data Current Date and Tive BEE The contents of the Comments box may be changed by clicking on Comments This displays the Exam Comments screen Refer to Entering Exam Comments in Chapter 4 if you need additional instructions on editing exam comments meme Dik Volume SEE Ecos Dee sies Screen 8 11 Edit Exam Information 5 When finished editing the patient exam data click on Save The changes are saved Reprocessing an Exam
135. options click on Color Map Options 2 To return to the previous screen click on OK M odifying an RGP Lens To modify the fit of an RGP lens follow these procedures 1 Observe the simulated fluorescein pattern 2 Adjust the contact lens parameters and position controls to modify the contact lens fit as desired Use the Meridian Sagittal Profile and the Circumference Sagittal Profile plots to view the tear film thickness To correlate the patient s corneal topography and the simulated fluorescein patterns use the Color Map and center the lens over the steepest portion of the map 3 When satisfied with the contact lens fit you may print the Simulated Fluorescein screen or proceed to ordering the RGP lenses To print the Simulated Fluorescein screen click on Print at the bottom of the screen A message notifies you that the screen will be printed upon exit 6 26 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting To order the RGP lenses click on Lens Order Form in the lower right of the screen The RGP Lens Order Form screen appears and the Simulated Fluorescein screen is printed if Print Screen on Exit were enabled Proceed to Ordering RGP Lenses below Ordering RGP Lenses When you click on Lens Order Form from the Simulated Fluorescein screen the RGP Lens Order Form screen appears in l Ey eS ys Inseto RGP Lens Patient fFuchmosd Richard Ord Deel 37871888 address 2776 Hingia Ra PePen
136. ornea is steeper than the reference surface and to the left otherwise Show 3D 2D Toggle Button Located in the lower left this button instantly redisplays the cornea in a 2D or 3D format Color Curv Color Sag Toggle Button This button instantly redisplays the cornea using color information according to the following legend Sagittal View the map s color represents sagittal height Blue is flattest red is steepest with respect to the corneal Apex plane Sagittal Difference View the map s color represents sagittal height difference from the reference surface Blue is where the cornea is flattest with respect to the reference surface above and red is steepest below Note that the corneal and reference surfaces are registered at the corneal apex Curvature View the map s color represents corneal curvature Blue is flattest and red is steepest Note that the legend can be displayed in Diopters or mms Recalc Button In 2D View you must click this button to redisplay the data if you make changes to the Reference Surface subtraction parameters Otherwise it redraws the same map In 3D View the Recalc button is inoperative since the data is redrawn automatically after every parameter change 5 16 EyeSys Corneal Analysis System Display Patient Data Reference Surface Subtraction If the Ref Surface Sub checkbox located in the lower right is selected and the Color mode is Sagittal then the map displayed
137. oto ID screen Add an Exam Comment This option includes the Exam Comments screen in the examination Refer to Entering Exam Comments in Chapter 4 for more information about the Exam Comments screen EyeSys Corneal Analysis System 11 7 Chapter 11 4 Select which display type you want to use when viewing the data maps Click on the down arrow across from Name of Single Eye Display A window lists the displays available Click on your selection Perform the same procedure with the Name of Two Eye Display Exams will not save properly if valid displays are not selected 5 Select the steps you want to perform after the exam display is viewed The selections are as follows Optional Step Save Exam Data Saves the exam data automatically when Done is selected Save Eye Image Saves the eye image automatically when Done is selected Print Map Displays the Print Options screen when Done is selected 6 Click within the Protocol Button Name box and type a name for this protocol set up This name will appear in the list of protocols that can be assigned to buttons on the Protocol Selection screen Refer to Chapter 4 Beginning the Exam 7 Click on Save The customized exam is saved Designing Custom Comments The System 2000 Software provides a typical screen setup for the Exam Comments screen This screen appears during the examination process to enable you to enter comments about the exam This section de
138. ou click on Properties a capacity graphic appears as shown in Screen C 7 above EyeSys Corneal Analysis System C 11 Table Appendix D of Screens SCREEN 2 1 NETWORKED SYSTEM 2000 ccccccccccessseeeccecesessseeecccceeeauanseeececeeeeeeeeeees 2 1 SCREEN 3 1 SYSTEM 2000 AND VIEWSTATION MAIN MENUS sees ee ee ees ee ee ee ee ee ee ee 3 1 FIGURE 3 2 KEYBOARD SS cess SE EES Ge geed SeSe Ge ed ede Ges ee n ed gees de Dee bee SG E Ta ee Ee vee eed 3 3 BEIGURE 3 3 MOUSE nece Ge GR tee xe ee eec GR Ge Ve GED Gee Ve GE Ge Be es e GED Ges Ig 3 4 FIGURE 3 4 TRACKBALL erret teer er entre eee N aeree OR RE 3 4 FIGURE 3 5 PEN MOUSE iese T 3 5 FIGURE 336 JOYSTICK ini eI Ge Se PRUE A voed gee RE ee ee 3 5 SCREEN 3 7 EYESYS SYSTEM 2000 PROGRAM GROUP ees esse ee se ee ee ee ee ee ee ee ee ee ee ee ee ee ee 3 7 SCREEN 3 8 EYESYS SYSTEM 2000 ICON ccccccccsssseeeccccecceasseeecccceseceaneeeeccesessaasaeeeeeees 3 8 SCREEN 4 1 SYSTEM 2000 MAIN MENU cccccccccsssseeeccceecceasseecccceeeeaaneeeecceesssaaeaeeeeeees 42 SCREEN 4 2 EXAMINATION PROTOCOL SELECTION esse sesse ese ee see ee ee ee ee ee ee ee ee ee ee ee ee ee 42 SCREEN 4 3 PROTOCOL BUTTONS SETUP ccccccccssssseeecccceeceeuseeccccesscaaseeeecceessseaaeeeeeeees 4 4 SCREEN 4 4 PATIENT DIRECTORY ccccccssseeeecccceeceeseeccceceeceasseeeccceesseaaeeeecccessssaaaeeeeeees 4 5 SCREEN 4 5 PATIENT INFORMATION ssssseccccceccesseecccceeeecs
139. ou through the following procedures Before proceeding with the examination process you may need to add a new patient to the patient directory or locate an existing patient If you are a new System 2000 user you add all of your patients as new patients at first but after a while you will Beginning the Exam Entering Exam Comments Capturing the Patient s Eye Image Examining the Apex Verifying Focusing and Processing Retaking the Eye Image need to look up existing patients Verifying the Rings Examining the Pupil Viewing the Exam Display Changing Map Options Printing the Exam Completing the Exam Attention New System 2000 Customer You may need to convert patients from your earlier EyeSys software versions to this version If you have patient records in EyeCon EyeCon or DOS software refer to Importing Other Patient Data Types in Chapter 8 to convert these patients You do not have to convert W indows W orkstation patient exams EyeSys Corneal Analysis System 4 1 Chapter 4 Beginning the Exam To start the examination process follow the procedures below System 2000 Main Menu Patient Examination Ss Display Patient Data p System Utilities Data Manager amp Communication ZU SP Us My MS ys yr Ny BOD RR SAU Bw JOY ELLAS UR yes ET EE AIG AIS S KT OE use Screen 4 1 System 2000 Main M enu Select the Exam Protocol Examination Protocol Selecti
140. ouston Texas 77055 8 LIMITATION OF LIABILITY IN NO EVENT WILL EYESYS BE LIABLE FOR ANY LOSS OF DATA LOST OPPORTUNITY OR PROFITS COST OF COVER OR SPECIAL INCIDENTAL CONSEQUENTIAL OR INDIRECT DAMAGES ARISING OUT OF THIS AGREEMENT HOWEVER CAUSED AND ON ANY THEORY OF LIABILITY THIS LIMITATION WILL APPLY EVEN IF EYESYS OR AN AUTHORIZED DEALER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGE THESE LIMITATIONS SHALL APPLY NOTWITHSTANDING THE FAILURE OF THE ESSENTIAL PURPOSE OF ANY LIMITED REMEDY THIS PROVISION SHALL SURVIVE TERMINATION OF THIS AGREEMENT 9 MISCELLANEOUS This is the entire agreement between the parties relating to the subject matter hereof and no waiver or modification of the Agreement shall be valid unless in writing signed by each party The waiver of a breach of any term hereof shall in no way be construed as a waiver of any other term or breach hereof If any provision of this Agreement shall be held by a court of competent jurisdiction to be contrary to law the remaining provisions of this Agreement shall remain in full force and effect EyeSys shall have no liability for its failure to perform its obligations hereunder when due to circumstances beyond EyeSys reasonable control This Agreement shall inure to the benefit of and be binding upon each party s successors and assigns This Agreement is governed by the laws of the State of Texas without reference to conflict of laws principles All disputes arising out of thi
141. ow would consist of one computer running the System 2000 software and one or more computers running the ViewStation software In either case standalone or networked the computer running the System 2000 software must have an EyeSys Image Acquisition Unit attached for examinations You will find the hardware reliable precise and compact and the software powerful customizable and easy to use The Primary functions are listed below System 2000 Server System 2000 Printer a e AN Local Area Network LAN Viewstation Viewstation Viewstation Viewstation Screen 2 1 Networked System 2000 EyeSys Corneal Analysis System 2 1 Chapter 2 Primary Functions Captures a high resolution eye image Processes the eye image for accurate exam data Processes exam data into informative color displays Generates displays to show from 1 5 data maps Verifies Focus and Automatic Calibration Exchanges patient data over the Internet with other System 2000 or ViewStation users Additional Functions In addition the system also has provisions for these functions Saving and managing the exam data in an organized database Exporting and Importing patient data from other EyeSys software versions Reviewing and analyzing saved exam data Using the STARS Holladay Diagnostic Summary Difference Four Map Trend and 3D Cornea Studio displays Setting and changing system parameters Customizing e
142. ows you to change these display options The institution s name on the data maps The Display Curvature Scale in diopters or millimeters Whether or not the patient s name is displayed on data maps To change the display options follow these procedures 1 From the Main Menu click on System Utilities The System Utilities Menu appears 7 10 EyeSys Corneal Analysis System Calibration 2 Click on System Settings The System Settings Menu appears System Utilities Calibration System settings aes IS LIV LISS FAIS LY ILS EQUI RI CIS SILI SAI TLIS 7 Mercer Rg rere EE Ar Screen 7 13 System Utilities i 3 From the System Settings Menu ___ System Settings Menu ones Me click on Display Options The image processing options Display Options screen appears n Data storage and backup options Custom display design Custom exam protocol design Custom comment design MEORUM US UTERO nume Mr BEE ARE oo Screen 7 14 System Settings Menu EyeSys Corneal Analysis System 7 11 Chapter 7 4 Click within the Institution box and Display options type the institution s name Leave the box blank if you do not want the institution s name displayed on the 6 Diopeer O Millimeter map institution Display curvature scale ee 5 Choose a Display Curvature Scale 6 Select whether you want to remove patient names from the data maps Screen 7 15 Display Option
143. pendix C Windows 95 1 Follow the table below and perform the action indicated Desktop Double click A program group appears My Computer Program Group Right click A drop down menu appears as shown below Open Explore Find Copy Disk System Information h Norton Copy Disk h Norton File Manager Add to Zip Format Paste Create Shortcut Properties Screen C 6 31 2 Floppy Drop Down M enu 2 From the drop down menu click on Properties The Properties screen appears as shown below C 10 EyeSys Corneal Analysis System Removable Disk Operations 3 Floppy A Properties General Tons Compression Neston lt a ex EE Typa 3 Inch Floppy Dsk FAT B Used specs D bet DO bres free pare 1 AST 664 bates 1 MB Lepaciy 1457664 bytes 1 MB Diva m Screen C 7 Format Screen 3 Enter a Label name Refer to Changing a Disk Volume Label in this appendix for information about labels however do not follow the steps 4 Click OK The disk is labeled The Program Group reappears Close the Program Group by clicking on the X in the upper right 6 Double click on the EyeSys System 2000 Software icon The EyeSys System 2000 Software reloads Checking Disk Space with Windows 95 You can check the available disk space for any disk in your system by following the procedures in Windows 95 under Changing a Disk Volume Label above After y
144. ppy drive A with the metal end first and the label side up 2 From the EyeSys System 2000 Main Menu click Exit If you are using Windows 3 1 the Microsoft Windows Program Manager appears If you are using Windows 95 the Microsoft Windows Desktop appears 3 Follow the step below under Windows 3 1 or Window 95 below EyeSys Corneal Analysis System CA Appendix C Windows 3 1 1 Follow the table below Click or double click as indicated Menu Bar A window appears with a listing of program groups Window Menu The Main Program Group appears Main Program Group Note Double click The File Manager appears File Manager File Manager Menu The Disk Menu appears Bar Format Disk The Format Disk Menu appears 2 Make sure that Drive A is displayed in the Disk In box If Drive A is not displayed then click on the down arrow until Drive A is showing 3 Click on OK A warning dialog box appears asking you if you want to continue Formatting the diskette erases all data on the diskette 4 Click on Yes The system formats the disk Double click on the Menu Control Box of File Manager to close it The Program Manager appears 6 Double click on the EyeSys System 2000 Software icon The EyeSys System 2000 Software reloads If the EyeSys System 2000 Software icon is not visible then click on Window from the Program Manager Menu Bar and then click on EyeSys System 2000 Software C 2 Ey
145. presentation usually graphical of corneal data A three map display has three distinct areas of corneal data Dioptric Map A generic term which refers to a color coded display where each color represents a range of dioptric or radius of curvature values Warmer colors i e towards red indicate higher curvatures while cooler colors i e towards blue correspond to lower curvatures DirectNet An EyeSys software application that allows you to send and receive E mails and patient exams Refer to Chapter 10 Distortion Map An exam data map that measures the optical quality of the corneal surface in Snellan equivalent values and predicts the patient s visual acuity relative to the cornea as the limiting factor Double click G 2 EyeSys Corneal Analysis System Glossary A term used for the pointing device It means press and release twice in rapid succession to make a selection When using a mouse the left mouse button is used to double click Drag A term used for the pointing device It means to press and hold the pointing device button and move the device vertically or horizontally to select adjacent items and then release When using a mouse the left mouse button is used to drag Exam Display A collection of from one to five data maps EyeCon Eye Con and EyeSys DOS Previous versions of EyeSys software Floppy Diskette The 3 inch diskette used to store and retrieve information Available in 1 44 megabyte
146. proceed to Starting Contact Lens Fitting below Accessing Contact Lens Fitting Contact lens fitting procedures can be accessed from either the Examination Process path or the Patient Exam Review path of the System 2000 Pro Fit Software Details on how to access contact lens fitting from both paths are provided below Select a procedure depending on your current location in the System 2000 Software EyeSys Corneal Analysis System 6 1 Chapter 6 Notice Patient files from other EyeSys software such as EyeCon EyeCon EyeSys DOS or Exported must first be imported into the System 2000 database before performing contact lens fitting Refer to Importing Other Patient File Types in Chapter 8 to convert these patients Examination Process Path If you are performing a patient examination use this procedure to access contact lens fitting for that patient 1 After you have captured the patient s eye image processed the eye image and printed the exam display as described in Chapter 4 the Exam Complete screen appears 2 From the Exam Complete screen Screen 4 20 click on Display The Select Display screen Screen 5 3 appears 3 Goto Starting Contact Lens Fitting below Display Patient Data Path Use this procedure to access contact lens fitting from the Patient Exam Review path These steps have been shortened for brevity For complete details on each step refer to Chapter 5 1 From the Main Menu Sc
147. pter 6 Patiest Richard Richmond ID 3375834 Todays Date 8 22 1995 Aeterence Ei 2 Dye 06 060 Aeterence Emt d Due EER SwKID 446209 100 45379010 Electes 00 SmKID 45200 178 4737 EO Erect Add 00 Sim K fred 755 88 100 2 3505 ma WD 1200 SK val 723 8 178 7120033 wn 1200 A300 050 s0 PPADS CaraslEcc CED A200 OS tm PRA 1S0 DarwalErs OES Select Fron Meretactusers Designe Select From Merefactuvers Designs Dame A Cestom Lene Saved on Pretocsl Durus A Cestom Lent lRazed on Pestorel Neme CooperGP O onezo JE masim E cu A Protocol deteutz to CUSTON ra Sag Depthir sel ha 20 nerona Custce POP Larawz wil ba designed wit 1 Aaphari Bam Curve and 1 Arptaric Perpherel Cleve Narcf uctareriz Sock ers paruraders wii be shown according da mesutecturer s dengn SVS VE SY EE VERVEEL E BYSEUESY ST VER YS EVERY Fluorescein Display P Screen 6 16 RGP Lens Selection Selecting an RGP Lens You may perform RGP lens fitting by selecting a lens from a variety of manufacturers or by custom fitting a lens using EyeSys topography based software algorithms Either method provides a base curve that achieves the desired lens to cornea relationship specified in the Fitting Protocol Data from the Fitting Protocol is displayed at the bottom of the screen Proceed to the type of RGP lens you want to select 6 20 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting Note If you are fitting lenses for both
148. r the new patient s full name and ID number Patient Information Rotes Patiort formation c ia 7 Optionally enter the following ee Group Save S information from the table below id cM e mr Diagrons When you type in a new entry the j eras system adds it to the list of choices Dee ef Meen z BL sa ed 1 Screen 4 5 Patient Information Optional Information What to Enter Click on Male or Female Gumer Dale Birth date Enter the patient s birth date in the same format as the current date on the screen Physician Click on Physician to display choices Click on your choice or type the last name of the physician Diagnosis Click on Diagnosis to display choices Click on your choice or type the diagnosis Referred By Click on Referred By to display choices Click on your choice or type the name of the referring party Group Click on Group to display choices Click on your choice or type the group 8 characters only 8 Click on Save to add the patient to the database The Patient Photo Capture screen appears Proceed to Taking a Photo ID below 4 6 EyeSys Corneal Analysis System Taking a Photo ID 9 Screen 4 7 Patient Photo Save 10 11 Patient Examination Insert the Patient Photo Adapter into the center of the Videokeratoscope and position the patient facing the photo adapter The patient s image will appear on the Patient Photo Capture screen Using
149. reen 4 1 click on Display Patient Data The Patient Locator Screen Screen 5 1 appears 2 Select a patient then select an OD exam OS exam or both and click on Display The Select Display screen Screen 5 3 appears 3 Goto Starting Contact Lens Fitting below 6 2 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting Starting Contact Lens Fitting Perform the steps below to begin contact lens fitting 1 From the Select Display screen Screen 5 3 click on Contact Lens The Patient Evaluation screen appears Screen 6 1 The Patient Evaluation screen displays the following information for each OD or OS eye exam you selected earlier e Current date e Patient ID number and name e Exam number and date e Keratomy data in millimeters and diopters Corneal eccentricity The keratomy data and corneal eccentricity are derived from the captured eye image data Complete the Patient Evaluation screen by following the instructions in the sections Selecting a Fitting Protocol Entering the Spectacle Refraction and Selecting the Lens and Correction Type If you want to update the contact lens database refer to Updating the Contact Lens Database below If you want review soft lens usage refer to Tracking Soft Lens Usage later in this chapter EyeSys Corneal Analysis System 6 3 Chapter 6 Todoy Is 88 22 1995 ID 8375034 Potest Richmoed Rechard Select A Fiting Protocol 1 osp
150. rescein pattern display The Circumferential Sagittal profile plot displays the thickness of the tear film in a 360 circle The initial display is at the center of the lens 0 0 mm You can change this reading by pointing and clicking the left pointing device button at EyeSys Corneal Analysis System 6 23 Chapter 6 any distance from the lens center desired within the Simulated Fluorescein pattern display Reposition Lens To pan or tilt the position of the lens on the eye surface click on the Reposition Lens button The Lens Positioning Controls screen appears 1 Follow the table below to pan or tilt the lens on the eye surface DE tens Positoeng Comols Pas Adjust F TR Adjust wD foao Awo WO fen um ran C Manet UR Screen 6 19 Lens Positioning Controls This table describes the Pan and Tilt positioning controls for the Simulated Fluorescein Map Pan R L Millimeters Moves the lens right or left in 0 1 mm increments Pan U D Millimeters Move the lens up superior or down inferior in 0 1 mm increments Tilt Auto Manual None Turns on Auto or Manual Tilt control Auto is the default Tilt R L Degrees Tilts the lens right or left in 0 02 increments Tilt U D Degrees Tilts the lens up or down in 0 02 increments 2 Click on OK for the change to take place 6 24 EyeSys Corneal Analysis System Pro Fit Contact Lens Fitting Contact Lens Parameters The bottom of the screen d
151. rt the proper disk containing the patient exam data files before starting this procedure Capturing quality eye images and preserving patient confidence requires that the patient be relaxed and comfortable in front of the video keratoscope Accurate surgical planning and diagnoses relies on proper centering and focus of the eye image Position the patient and take the eye image as follows 1 Place the patient s forehead against the forehead rest with the chin resting comfortably on the chin rest Raise or lower the chin rest if necessary 2 Tum the head slightly so that the eye being captured faces the videokeratoscope directly This eliminates nose shadow 3 Have the patient do the following e Keep both eyes open during the procedure If the patient has difficulty maintaining both eyes open an assistant should hold the patient s upper eyelid open with a cotton swab being careful not to touch or apply any pressure to the cornea You may also use an occluder to cover the eye not being examined e Fixate on the green flashing light in the center of the placido rings If the patient has difficulty fixating on the green light place an eyepatch over the eye not being examined 4 12 EyeSys Corneal Analysis System Patient Examination 4 Watch your monitor A continuous video image of the patient s eye is displayed as shown 5 Using the joystick adjust the image until the pupil is centered in the centering box 6 Using
152. rte reete teet Ea 8 4 Selecting Patient EXAMS eds ees va sitios na xe sexe eet de mex m ek tanto ves 8 5 Importing Other Patient Data Types seen 8 5 Taking the Patient s Photo ID sesse ees ee ee isoina 8 6 Deleting Patient Records ESE EE SG EE SG EE EE SEGE GE GEE ee ee ke Ese 8 7 Editing Patient s Personal Data sesse sesse seen 8 8 Joining Patient Records sees see ee ee ee Re ee 8 9 Moving Patient EXS osisssa aaea a asana o adane E ao ee 8 10 Exporting Patient HXAMS sae ss kes cass iniaa 8 11 Deleting Patient PRAMS 5 coineanan He neek teet rhe apo eb pen 8 12 Editing Patient Exam Data sse eee 8 12 Reprocessing an Exam sseeeeeeeseeeeeeeee eene eene nennen 8 13 CHAPTER 9 L OMMENICA FRONS appen tiet ike iste Masa ets bne aane ela ea REER ESPRE EREEREER EEE ENEG 9 1 Configure System 2000 DirectNet sees ee de Re Re ee 9 2 Startins DireetNet en EG EE EG Ee Nhi 9 3 Quitting DirectNet iioii EE EE RE riers 9 4 Getting help for DirectNet ees ees ee ee de Re Re ee 9 4 Sending Patient Exams and E mail sesse ee ee ee ee 9 5 Retrieving Patient Exams and E mail ec sesse ee sesse eee 9 6 Organizing DirectNet E mail Folders eene 9 8 CHAPTER 10 PATIENT DIRECTORY MANAGEMENT eee 10 1 Backing Up the Patient Directory eene 10 3 Restoring the Patient Directory sees ee ee ee ee ee 10
153. s Processing Option Default Display Curvature Diopter Scale Remove Patient Name Disabled 7 Click on Save To exit without saving your changes click on Cancel 7 12 EyeSys Corneal Analysis System Chapter 8 Patient File Management In this chapter you will learn how to manage patient files including Sorting the Patient Directory Importing EyeSys DOS EyeCon EyeCon and Exported patients Editing deleting and joining EyeSys System 2000 patient records Capturing a patient s photo ID Moving copying deleting editing and reprocessing EyeSys System 2000 patient exams To start any of these procedures follow the steps on the next page EyeSys Corneal Analysis System 8 1 Chapter 8 1 From the Main Menu Screen 4 1 click on System Utilities The System Utilities Menu appears 2 Click on File Management The File Management menu appears SPIRIT ATTRA EE oe n TAXE yy Xy Screen 8 1 System Utilities 3 Click on Patient Information The FILE MANAGEMENT Patient File Management screen appears Patient information cu PP EES ES Ee ER Rye gek A ge ky DER DLT PEL EDS Screen 82 File Management 8 2 EyeSys Corneal Analysis System Patient File Management Patiora Fite Manegernern 4 If you want to sort the Patient Pose pad ums leet nema Peter poterea E Arne Penre 5 P p z E hm eai 5 Directory go to Sorting the CAEN EE Patient
154. s The diskette can store approximately four eye images Fluorescein A synthetic crystalline compound used to determine the distance between the outer surface of the cornea and the inner surface of a contact lens Format Formatting prepares a disk so that information can be stored on it and retrieved from it Holladay Diagnostic Summary An exam display that provides a comprehensive view of the cornea s power shape and optical quality This display was developed by Jack T Holladay M D in conjunction with EyeSys Technologies IAU The abbreviation for Image Acquisition Unit The IAU is the hardware that contains the videokeratoscope positioning motors and power base Joystick EyeSys Corneal Analysis System G3 Glossary An electro mechanical device used to operate the optical stage manipulator Keratometric Data Information similar to that provided by a keratometer Average dioptric power is displayed for a 3 mm central zone In addition the patient s flat and steep semi meridian fractions are displayed graphically together with their corresponding power The fractions correspond to the central paracentral and 5 7 mm peripheral zone This display is useful for detecting irregular and astigmatic astigmatism Megabyte A term for one million bytes or characters of information Normalized Scale A 15 color scale where each color corresponds to a fixed 0 5 or 1 0 diopter range The range of the scale is aut
155. s Agreement shall be subject to the exclusive jurisdiction of the State and Federal courts located in Houston Texas and the parties agree and submit to the personal and exclusive jurisdiction and venue of these courts EyeSys Corneal Analysis System Classification Class 1 Type B IPXO MODE OF OPERATION O I Protected against electric shock by connecting the equipment to protective earth ground Meets the leakage current requirements and the patient applied part is isolated from the equipment Ordinary protection against harmful ingress of water Intermittent turn off when not in use OFF ON Main Supply Protective Earth GROUND Type B Manufacturer Label ALTERNATING CURRENT AC FOR IDENTIFYING CRITICAL INFORMATION EyeSys Corneal Analysis System Eyesys 2000 Specifications Size 16 75 x 17 25 x 4 W x D x H Base 19 5 x 11 25 x 16 5 W x D x H Manipulator Weight 25 5 lbs Base 26 5 Ibs Manipulator Calibration 0 25 Diopter Input Power 100 240 VAC 50 60 Hz 1 5A Storage Temperature Range 5C 50C Relative Humidity 20 95 rH Pressure 500 1060 hPa vi EyeSys Corneal Analysis System EyeSys System2000 Software Version 4 0 Operator s Manual CHAPTER 1 INTRODUCTION venin M Getting Help When You Need It sees ee ee ee Re ee CHAPTER 2 GETTING TO KNOW YOUR SYSTEM sese ses ese sesse ee ee sege se se see Ne Primary Func
156. s Corneal Analysis System Index rings not located 7 5 schedule 7 1 start 7 2 verify 7 1 7 3 Calibration Menu 7 3 Calibration Verification Color Map screen 7 5 Calibration Verification Instructions screen 7 3 Calibration Verification Live Image screen 7 4 Calibration Verification Rings Located 7 4 camera 2 3 warming up 3 7 Capture Eye Image screen 4 13 capturing eye image 4 12 Center Threshold 7 8 7 12 change patient personal data 8 8 Changing Map Options 4 21 5 8 Circumferential Sagittal profile plot 6 23 Client System A 1 clinic name and address 6 30 Color Map B 3 color mode A 11 Color Palette A 12 color scale B 1 color scale range 5 9 change 4 22 color step size 4 22 Completing the Exam 4 24 computer components 2 3 connection equipment 2 5 contact lens design accessing 6 1 customize protocol 6 5 delete protocol 6 7 fitting 6 1 fitting protocol 6 5 Index lenstype 6 9 other patient types 6 2 RGP lensfitting 6 19 RGP parameters 6 25 start 5 4 starting 6 3 contact lens design database subscription information 6 4 updataing 6 4 contact lens parameters modify 6 25 Contrast Level screen 4 16 converting patient data 4 1 converting previous patients 8 5 copy patientexams 8 11 corneal parameters B 10 corneal power information B 8 B 9 create custom displays 11 4 crosshair data B 1 Crosshair Data 4 20 5 6 custom comments 11 8 Custom Display Creation screen 11 4 Custom Display screen 11 3 custom displ
157. s the acquisition button on top of the joystick Screen 7 4 Calibration Verification Live Image The system automatically moves to the 42 51 diopter calibration sphere centers it within the centering box focuses and processes the image to find the rings After the system has located the rings the Calibration Verification Rings Located screen appears 5 Look at the image and verify that the rings were located properly and are complete Make sure the red and yellow concentric rings alternate The red rings should be located on the outer edge of the black rings and the yellow rings should be located on the outer edge of the white ME g owe RUPE Aros Ave RFD PC Ars TW n EES EES pu P i rings Screen 7 5 Calibration Verification Rings Located If the rings look OK Click on Accept The Calibration Verification Color Map screen appears Go to step 7 below 7 4 EyeSys Corneal Analysis System Calibration If the rings were not located properly or are incomplete click on Cancel The system moves back to the 55 06 diopter calibration sphere and the Calibration Menu reappears From this point you may follow the list below and repeat Verifying the Calibration or perform system calibration by proceeding to Calibrating the System below e Clean the calibration spheres by wiping them with a clean soft lint free cloth that has been slightly dampened with alcohol e Check the lighting conditions Ensure t
158. s the acquisition button on top of the joystick The system will automatically perform the calibration process described below Screen 7 8 System Calibration Automatic Calibration Process It takes the system about 20 minutes for the system to perform this process as outlined below No further operator attention is required until it is finished CAUTION Do not touch the system while performing calibration 7 6 EyeSys Corneal Analysis System Calibration A The system moves toward and focuses the 42 51 diopter calibration sphere w The system performs automatic histogram adjustment C This step adjusts the internal image capture and processing electronics to the ambient lighting conditions D The system moves to and focuses the 55 06 diopter calibration sphere The system calibrates with the 55 06 sphere F The system repeats steps 3 and 4 for each of the three remaining calibration spheres G The system then automatically repeats the process two more times to recalibrate the automatic focus correction capability of the system H When the calibration process finishes the following message appears 1 Click OK The Calibration Menu reappears System calibration is complete New Cmibraton data has been crested Press ENTER to continue Screen 7 9 Calibration Completed If any problems arise during the above procedures you may want to follow the checklist below to solve the problem e Clean the
159. scaaaeseeecceeeeaaaeeees 5 14 SCREEN 5 12 3D CORNEA STUDIO esse sesse ees ee ese ee ee ee ee ee ee ER ee ee ee ee ee ee ee ee ee ee 5 15 SCREEN 6 1 PATIENT EVALUATION ccccccccesssssssessessescccceececeeccceccsssstsstsssseeseeeeeceeeeeeeeees 6 4 SCREEN 6 2 SUBSCRIPTION INFORMATION ees ee ee ee ee ee enne Henn nenne nenne nennen 6 5 SCREEN 6 3 CUSTOMIZED FITTING SPECIFICATION eee 6 6 SCREEN 6 4 SPECTACLE REFRACTION ccccccccccccececcccceccnsnccceccccececececcecceeeeeeeeecnseeeeeeeeeeess 6 8 SCREEN 6 5 LENS TYPE EO EE N ER EO voee eed 6 9 SCREEN 6 6 CORRECTION TYPE ee ee ee ee ee ee ee ee ee 6 9 SCREEN 6 7 NEAR LENS SELECTION ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 6 9 SCREEN 6 8 SOFT LENS SELECTION ee ee ee ee ee ee ee ee ee ee ee ee ee ee eene eene nennen eene eene 6 11 SCREEN 6 9 LENS PARAMETERS sesse ese ee ee ee ee ee ee ee ee ee ee ee ee EE RRE 6 12 SCREEN 6 10 TRIAL BET iese ee ER ese Se eee eee eee eene edes Ee ee See ge Ee ee eg Se Ee eo Se 6 14 SCREEN 6 11 LENS INFORMATION ee ee ee ee ee ee ee ee ee ee 6 15 SCREEN 6 12 CUSTOM INFORMATION III 6 16 SCREEN 6 13 MANUFACTURER INFORMATION ccccccccccccecceccccccccceccccccecceceeeeeeeeeeeceeeeess 6 17 SCREEN 6 14 FITTING GUIDE cccccccccccccccccccccceceeceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeess 6 17 SCREEN 6 15 SOFT LENS ORDER FORM s In 6 18 SCREEN 6 16 RGP LENS SELECT
160. scribes how to customize comments on the Exam Comments screen This allows you to enter the information you will most likely need for your exams To design a custom Exam Comments screen follow these procedures 1 From the System Settings Menu click on Custom Comment Design The Custom Exam Comments screen appears 11 8 EyeSys Corneal Analysis System Diagnostic Tool Design The Custom Exam Comments screen shows three columns labeled Custom Exam Comments Let 1 Wate l fer rwn IE i e ist l xm EXT E z e List 2 bes renee e VA l I Jui I Screen 11 9 Custom Exam Comments List 1 and 2 correspond with the two lists of text to the right of the time period area on the Exam Comments screen VA corresponds to the Visual Acquity values in the box to the right of VAcc Visual acuity with correction and V Asc Visual acuity without correction An example of the Exam Comments screen is shown below Exam Comments 2 Click within each box or column and AES MRNA SEHEN EIS RAS enter the words phrases or values I t ET that you want on the Exam EG Comments screen dad Me hte HERE 3 1 3 Click on Save 11 e The next time you use the Exam meam Comments screen you will be able to point and click on the comments used most freguently without having to type them Screen 11 10 Exam Comments EyeSys Corneal Analysis System 11 9 Appendix A In
161. se ee see ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 7 7 SCREEN 7 O S YSTEM UTILITIES 55e Sees eerte eR igus GE Dae dee Sues Ee GER Red Ee SE beaches Gus RU S 7 9 SCREEN 7 11 SYSTEM SETTINGS MENU ccccccccccsssseeccccecccssseeecccceeseaaeeeeeeceeseseaanseeeeees 7 9 SCREEN 7 12 IMAGE PROCESSING OPTIONS cccccsssssecccccceeeeseeeccceeseeaeseeeecceesseaaeeeeeeees 7 10 SCREEN 7 13 SYSTEM UTILITIES iese sees ees see ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee Re ee ee ee ee ee ee ee ee 7 1 SCREEN 7 14 SYSTEM SETTINGS MENU cccccccccssssseccccceecessseeccceeeeeueeeeeeceeessauaeeeeeeees 7 1 D 2 EyeSys Corneal Analysis System Table of Screens SCREEN 7 15 DISPLAY OPTIONS cccccccccccsssseeecccceeeseceeecccceeceaueeeeccceseeeaaecceseecesseaaansss 7 12 SCREEN 8 1 SYSTEM UTILITIES sscccccscccsecssesssscencvsveescesveccedcccousvessescstevesvseccneeacceeessss 8 2 SCREEN 8 2 FILE MANAGEMENT cccccccccccsssssseccccceeueecccceeseassssseesecccceesauaeccsesssaaaneeeeees 8 2 SCREEN 8 3 PATIENT FILE MANAGEMENT esse ee ese esse ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 8 3 SCREEN 8 5 PATIENT PHOTO CAPTURE eeuse esse ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 8 6 SCREEN 8 6 PATIENT PHOTO SAVE ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee nennen eene nennen 8 7 SCREEN 8 7 PATIENT INFORMATION eeuse sesse ese ee
162. sees sees ee ee ee ee ee ee see ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee B 13 SCREEN B 14 FOUR MAP TREND DISPLAY sesse sees ee esse ee see ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee B 13 SCREEN B 15 3D CORNEA STUDIO DISPLAY ccccssssescecceeeecessseecccceeeeeaeeeececcesseuannees B 14 SCREEN C 1 31 2 FLOPPY DROP DOWN MENU ccccccecceesseeeeccceeeeeeeeeeececeessaaaeeeeeeees C 3 SCREEN C 2 FORMAT SCREEN gnro on Gere VEER EDE Ge GERS Ee deve ER EE Ge dee Ge gee ees ede C 4 SCREEN C 3 FORMAT RESULTS SCREEN ccccccccccsssesecccceeecssseecccceeseusaeeececeessuaaeeeeeees C 4 SCREEN C 4 SYQUEST UTILITY PROGRAM GROUP sesse sesse ee ee sesse nene eren nennen C 5 SCREEN C 5 SYQUEST FORMAT WINDOW sesse esse ee ese sees ee ee eed ee ees ee ee ee ee ee ee C 6 SCREEN C 6 31 2 FLOPPY DROP DOWN MENU ee ee ee ee ee ee ee ee ee ee ee C 10 SCREEN 27 FORMAT SCREEN lt 2 d Re eR AD tei Tet Ge See C 11 D 4 EyeSys Corneal Analysis System Glossary G Absolute Scale An EyeSys standard scale where each color always corresponds to a fixed 0 5 diopter range There are 35 colors covering the range of 35 to 52 diopters This scale is used by the Absolute Map Alignment Fitting One of three methods of fitting contact lenses that the program uses It fits a standard spherical tri curve design and relies on fitting a contact lens on K Apex The center outside edge of the cornea side view Apical Cl
163. settings Use Diopters instead of mm for the curvature map If this is selected the numbers on the color legend represent axial curvature in Diopters Otherwise the radius of curvature in mm is displayed Display mm Grid When selected this displays a mm grid in either 3D or 2D views In 3D view the grid is always parallel to the Corneal vertex plane In sagittal display mode the grid is at a distance of 1 7 mm below the cornea vertex towards the retina In sagittal difference mode the grid is in the Corneal vertex plane 5 18 EyeSys Corneal Analysis System Chapter 6 Pro Fit Contact Lens Fitting This chapter describes the basic procedures on how to use the EyeSys System 2000 Pro Fit Contact Lens Fitting Software For more detailed information about contact lens fitting refer to the booklet Contact Lens Fitting with the EyeSys System 2000 Pro Fit Software by Beth A Soper that was included with your system The following topics are covered in this chapter Accessing and Starting Contact Lens Fitting Fitting Soft Contact Lenses Trial Fitting Soft Lenses Ordering Soft Lenses Fitting RGP Lenses Using the Simulated Fluorescein Procedure Ordering RGP Lenses Tracking Soft Lens Usage Clinic Name Address and Telephone Number The first two sections of this chapter explain how to access contact lens fitting and update your contact lens database If you are already familiar with these actions
164. sole and exclusive liability under this warrant will be EyeSys replacement of the media 4 2 Exclusions The express warranties set forth in Section 4 1 above will not apply to defects arising out of the causes identified in subsections 3 2 i viii above 4 3 Warranty Procedures Customer will send Products with defects covered by the foregoing warranty to a repair facility designated by EyeSys Customer will request authorization from EyeSys prior to the return of the Products for repair or replacement by EyeSys Upon such requests EyeSys will provide Customer with an RMA tracer number to be prominently displayed on the shipping container for the defective Product Once EyeSys authorizes the return of any defective Product Customer will ship such defective Product to the repair facility freight prepaid in its original shipping container or in a container of equipment protective constitution If such defective Product is received by EyeSys during the applicable warranty period EyeSys will at its sole option and expense repair or replace such Product employing at its option new or used Products to make such repair or replacement and will ship the repaired or replaced Product to Customer at Customer s expense As an alternative to return of Products to EyeSys EyeSys may at its option dispatch an authorized technician to resolve warranty concerns at Customer s site The foregoing states the sole liability and obligation of EyeSys arising out of this
165. splays 11 2 EyeSys Corneal Analysis System Diagnostic Tool Design From the System Settings Menu click on Custom Display Design The Custom Display screen appears Custom Display Create a NEW display Select one of the tasks from the table below Select a display Modify ps n Delete a display Click on the display you The display is deleted want to delete and click Delete Modify a display Click on the display you The selected display want to modify and click appears for you to Modify modify Proceed to step 4 Create a custom map Click on NEW The Custom Display display Creation screen appears as shown below Continue with step 3 EyeSys Corneal Analysis System 113 Chapter 11 3 Click on the type of single exam or Custom Display Creation multiple exam display you want to create e One Map Two Map e Three Map e Four Map e Difference e STARS Screen 11 4 Custom Display Creation For example if you click on Three Map the Three Map Display screen appears showing boxes where the individual data maps will be located Next to each map is an Options button for customizing 4 Click on the Options button for each map display you want to customize The Map Options screen appears ERG EES EE ERA Paepe nogas ed dr e P tet UV uU drae Ane Ure Vn ERI LD DIVING Xem DD EER cpm dm s on Gt e M Ris f Screen 11 5 Three Map Display 11 4 EyeSys Corneal Analysis Sys
166. sseeccccesecaaeeeeccesesseaaaeeeeeees 4 6 SCREEN 4 6 PATIENT PHOTO CAPTURE cccccccccccecccccccccccececceccececceceeececceeeeeeeeeeeeeeeeeeeeeeess 4 7 SCREEN 4 7 PATIENT PHOTO SAVE ccccsssseeecccceccassseeeccceeeccasseeccccesseuanseeeccesssauaeeeeeeees 4 7 SCREEN 4 8 EXAM COMMENT S ccccccccsssssseecccceecassseeccceeeeausseeeccceeeseaueseeecceseesauaneeeeeees 4 9 SCREEN 4 9 CAPTUREEBYEIMAGE eise sesse ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 4 13 SCREEN 4 10 APEX VERIFICATION cccccssseseccccceccsessecccceeeeeaseeeeccceesseuaseeecceesseaaneeeeeees 4 14 SCREEN 4 11 FOCUSING AND PROCESSING VERIFICATION sesse ees ee ee ee ee ee ee ese ee ee ee 4 15 SCREEN 4 12 CONTRAST LEVEL ccccccccssssseccccceccaessseeccceeeceusseeeccceesseueneeecceesesauaeeeceees 4 16 SCREEN 4 13 PROCESSED RING EDITOR esse sees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 4 17 SCREEN 4 14 PUPIL VERIFICATION ccccssseseccccceecesseeeeccceeeeesseseeecceesseaeseeecceesseaaneeeeeees 4 18 SCREEN 4 15 PUPIL EDITOR 0 s s00sccccssensseesseccctcenvscsessceccnerosecssvesctcceesessssecsteccneessvess 4 19 SCREEN 4 16 EXAM DISPLAY 0 ccccccccccccccccccccceccecceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeceeeeeeeeeeeeeeeeees 4 20 SCREEN 4 17 EXAM DISPLAY scccccccccssssseesccccceccesseesccccccacennsesceccssacennsesccccesaceaneesecees 4 21 SCREEN 4 18 MAP OPTIONS i rre cede GEES G
167. stallation Instructions This software can be installed on a system using Windows 95 as a new installation or as an update of a previous version provided that the system requirements outlined A in System Requirements are met If you are using Windows 3 1 or have any installation problems contact EyeSys Customer Support at 1 800 553 0302 There are two types of installation diskettes The main System 2000 Install Disks these serve to do standalone and server side installations The Client System 2000 Install disks these serve to do the installation on a Client machine This is included for networks only Each of these installations will be discussed in two sections below To begin locate the System 2000 software disks and then power on the System 2000 Refer to Chapter 3 for proper power on procedures System Requirements IBM PC or 100 Compatible 486 processor or higher 16 Mbytes of RAM minimum 30 Mbytes of available hard disk space minimum System 2000 Topographer Hardware except for ViewStation only Installations Windows 95 Operating System Screen resolution of 800 x 600 Screen Color mode 256 color High Color or True Color mode See Upgrading Windows 95 Screen Color Mode EyeSys Corneal Analysis System A 1 Appendix A Main System 2000 Installation If you are installing the software to a computer system that is not connected to a Topographer IAU you will need the EyeSys Co
168. t for a few deviations Before you go to Chapter 5 to follow the procedures you should become familiar with the these deviations If you do not like the results of the reprocessing you may click on Cancel during any of the procedures in Chapter 4 The system goes back to the Patient File Management screen If you click on OK from the Contrast Level screen Screen 4 12 the system goes back to the Patient File Management screen You may start reprocessing again with the new contrast adjustments When you click on Done from the Print Options screen Screen 4 19 the system goes back to the Patient File Management screen 4 Go to Examining the Apex in Chapter 4 and follow the procedures When you are finished with reprocessing the Patient File Management screen reappears You may continue with other Patient File Management or exit to perform other functions 8 14 EyeSys Corneal Analysis System Chapter 9 Communications The System 2000 includes DirectNet an Internet E mail application that allows you to send and receive E mail messages DirectNet can be started independently or from within the System 2000 software Since DirectNet is similar to other major E mail software it is very easy to use for E mails and transferring patient exams The main features of DirectNet are Ease of use DirectNet is seamlessly integrated into System 2000 software Multiple patient selection users can select exams from differe
169. tem Diagnostic Tool Design Map Options 5 Select the Map Type and Map Layers desired Only one Map Type can be selected Multiple Map Layers may be selected When each Option button is clicked a new Option screen will be displayed Layers D Age Scole Oee View mem ar Jie gate 6 When finished customizing all maps click within the Enter Name for Display box and type a name for the display Screen 11 6 Map Options 7 Click on Save Designing Custom Exam Protocols The System 2000 Software provides two default examination protocols You can use the default protocols or design your own custom examination protocols This section describes how to modify or delete an existing exam protocol and how to create a new exam protocol The following options may be selected Steps to be taken prior to Capturing the Eye Image The exam display to be used for viewing Actions to be performed after viewing the exam display Name of the new Protocol button located in the Examination Protocol Selection screen To customize the exam protocol follow these procedures 11 1 From the System Settings Menu click on Custom Exam Protocol Design The Custom Exam screen appears EyeSys Corneal Analysis System 115 Chapter 11 2 Select one of the tasks from the table Custom Exam below Create a NEW custom protocol NEW Select a protocol m D Delete Screen 11 Custom Exam If you want to
170. the scroll bar and click on your country The address and telephone number of the nearest EyeSys distributor appears to the right Contact EyeSys at the address shown to update your database were Vetoes vlt The Cori hy atta me emend addi retake m HEHBRBHUZH m p n LE 5 Lo aa La ps LE R Screen 6 2 Subscription Information Proceed to Selecting a Fitting Protocol below Selecting a Fitting Protocol Contact lens fitting preferences or fitting protocols may be selected by following these procedures 1 From the Patient Evaluation screen click on the arrow next to the box labeled Select a Fitting Protocol A list of Fitting Protocols appears 2 Click on the Fitting Protocol you desire The selected Fitting Protocol is displayed Proceed to Entering the Spectacle Refraction below If you did not find the Fitting Protocol you want or you want to change review or delete an existing Fitting Protocol proceed to Customizing Fitting Protocols below Customizing Fitting Protocols To change review or delete an existing fitting protocol or design a new one follow these procedures 1 From the Patient Evaluation screen click on Protocol The Customized Fitting Specification screen appears EyeSys Corneal Analysis System 65 Chapter 6 m Protocol Fang Pret s This panel allows you to pre set the Sagittal tear depth RGP Back Surface Desiqn RGP lens cornea
171. the joystick adjust the focus until the blue line is centered horizontally even with the centering marks within the green box Screen 4 9 Capture Eye Image For more information on using the joystick refer to Chapter 3 7 Press the acquisition button on top of the joystick The system will capture the eye image Proceed to Examining the Apex below If the patient is unable to remain motionless for the length of time it takes to focus perfectly press the spacebar to capture the image when the focus is optimal The system will capture the eye image and correct for small out of focus conditions Proceed to Examining the Apex below Note The system focuses the eye image automatically for precise repeatable results EyeSys Corneal Analysis System 4 13 Chapter 4 Examining the Apex The operator should examine the detected apex for possible editing or even retaking the image 1 Look at the detected apex You should find a red square located on edge of the apex If the square is not located on the edge perform step 2 to edit the apex If the square is located properly proceed to step 3 Screen 4 10 Apex Verification 2 Click on Edit Point to the red square and click and hold the left pointing device button Move the red dot so that it intersects the apex at the center of the eye then release the pointing device button 3 Click on Accept The system processes the eye image locates t
172. the joystick bring the patient s face into focus and press the acquisition button on top of the joystick The Patient Photo Save screen appears If the patient s photo is acceptable click on the Save Image button The Exam Comments screen appears Screen 5 7 If the photo needs to be recaptured click on the Retake button and repeat step 2 To bypass taking the photo ID click the Skip Photo button You can add the photo later if desired Refer to Taking the Patient s Photo ID in Chapter 8 You are now ready to proceed with the examination Go to Entering Exam Comments below Locating Existing Patients When examining patients who have already been added to the patient database you will need to locate their current records before proceeding with the examination You can locate a patient by last name or patient ID EyeSys Corneal Analysis System 4 7 Chapter 4 A W ord About the Patient s Photo ID If you insert the disk that has the patient s data file and photo ID the photo ID will be displayed on the Patient Directory screen when the patient is selected If using a new disk for an existing patient you will have to recapture the photo ID and save it to the new disk Refer to Taking the Patient s Photo ID in Chapter 8 To Locate a Patient by Last Name 1 On the Patient Directory screen enter the patient s last name As you type the system will highlight the first name in the list t
173. the relative pattern from the display and reduce the granularity If desired change the color scale range The normalized color scale range used in the data maps can be changed to a specific range The parameters for controlling the range are the middle value and the color step size There are 15 colors to work with To change the color scale range click within the Middle Value box and Step Size box and type new values A new color scale range will be defined when you go back to the Exam Display screen Example If the middle value is 42 diopters and the step size is 1 diopter then the range covered by 15 colors will be 35 to 49 diopters If desired change the exam associated with this data map The box in the upper right of the screen displays the exams you selected for the currently viewed patient To change exams click on the desired exam Refer to Selecting Exams earlier in this chapter for additional information EyeSys Corneal Analysis System 5 9 Chapter 5 8 When you have chosen all the options you want click on Save to implement the changes and return to the Map Display screen To return to the Map Display screen without making changes click on Cancel 9 Repeat steps 1 7 for each map you want to change When you are finished changing map options go to step 9 10 From the Four Map Display screen click Save The Four Map Overview display reappears with the map options you selected 11 Go back to th
174. tions iese sees AA dee Additional FuncHONS esse esse ee se ee ee Re Re Re ee Image Acquisition Unit AU ese ee ee de Re Re ee COMPUTE GE e ee ee Ee E E Interconnection of Eguipment ees sesse sede ee ee ee ee dee ee Cleaning of Equipment see ee ee ee ee de ee ee ee CHAPTER 3 LEARNING THE BASIES ees be ee ese Ee ees Ge RUM RN GE ee Your DY EIE OE OE Ekas Using Your Keyboard esee sims Pointing DEVlGE as ee De ee Se ee d ed edd Using a Joystick RA ettet teet e ERE Pe LHP EP ee CEP EE doa Using the Screens and Commands seen Geel RE osa RIS ERR E Deo N Ee de Powering the System On s ee Ge Ge ed eene Starting the Software seek EE SERE SEE tertie reti tete rte ea ee dT ee dea Powering the System Off sees ee ee nennen EyeSys Corneal Analysis System Vii Table of Contents CHAPTER 4 PATIENT EXAMINATION en een nnn nnne 4 1 Beginning the Eka 4 2 Protocol Button Assignment essere 4 4 Entering Exam Comments sesse sesse ee sesse ee ee ee de de eren eene 4 9 Capturing the Patient s Eye Image ees eee 4 12 EXAMINING THE A POX ss EER 4 14 Verifying Focusing and Processing iss sees see ee ee ee ee 4 15 Retakmg the Bye Image ite iss Reise ted Ke ee ses d aset ees eke tit 4 16 Verifying the RingS iese ee seed eene eene eene nnne 4 17 Examining the Pupil tiet d eite
175. tive analysis of the 2nd and 3rd exams Some characteristics of the STARS display are e Asingle standard scale is used for all examinations e The difference map scales are optimally adjusted and centered on the mean difference in central K values To print the STARS display click Print and follow the procedures in Printing the Display above To change map options click on Options and follow the procedures in Map Options above To go back to the Select Display screen click on Done The Select Display screen reappears Screen 6 2 B 12 EyeSys Corneal Analysis System Technical Information Difference Display The Difference Map is an adjustable map of corneal curvature which is derived by a subtractive analysis of two examinations The map is used to analyze changes in the corneal curvature over time The difference scale is centered on 0 0 diopters and utilizes 0 5 diopter steps Screen B 13 Difference Display When analyzing a difference map of two examinations the warmer colors reds represent areas of the cornea which have steepened while cooler colors blues represent areas of the cornea which have flattened Tip The difference map is best utilized for evaluating corneal changes induced by refractive surgery contact lens wear or corneal transplants Four Map Trend Display The Four Map Trend Display can be used to show a historical sequence of patient exams using color maps Four sequential
176. to keep Moving Patient Exams This procedure moves a patient s exams from one drive to another This is different from copying patient exams Moving an exam deletes it from the source drive and moves it to the destination drive To copy patient exams see the next section Exporting Patient Exams 1 Select the patient by last name or ID number Refer to the Selecting EyeSys Patients section 2 Select the exams you want to move Refer to Selecting Patient Exams At the top of the screen highlight the drive where the desired exams are located 4 Click on Move Exam The Moving Patient Exams screen appears 5 Verify the source drive letter in the Moving Patient Exams From Drive box and verify or click on the destination drive letter in the To Drive box If the source drive is incorrect return to the previous screen and highlight the correct From Drive 6 Click on Move This moves the selected Patient Exams to the destination drive and deletes them from the source drive From dre fe Screen 8 9 Moving Patient Exams 8 10 EyeSys Corneal Analysis System Patient File Management Exporting Patient Exams The Patient File Management screen can be used to export or copy a patient s exams from one drive to another or to an Email address Exporting an exam copies the exam data files to the destination drive while keeping them intact in the source drive This procedure is used to send a copy of a patient s fil
177. tware it is important that you have the disk containing the correct patient exam data files inserted into the Storage Drive The patient exam list on the Patient Locator screen lists the disk volume where the exam is stored The volume of a disk is the name or label you assign to the disk You should use the volume to organize your patient exam data files The volume is added to the disk during formatting Refer to Appendix C for information about formatting and volumes Interconnection of Equipment This equipment is designed for connection only to other components and systems that have the appropriate medical grade safety certification for use in a Type B system in accordance with IEC 601 1 1 Caution Do not connect this system to any equipment that has not been evaluated tested and certified while connected to a patient or while the equipment is in the vicinity of a patient Cleaning of Equipment It is recommended that the cleaning of the equipment should be done on a periodic basis Use a soft cloth or sponge and a disinfectant type of cleaner to wipe the unit down Do not spray cleaner into the vent ports on the sides of the power supply base Use spectracide bacterin or similar product Follow the directions on the label and DO NOT immerse the unit in liquid to clean EyeSys Corneal Analysis System 25 Chapter 3 Learning the Basics This chapter covers the basics of using the System 2000 or Viewstation software
178. xam protocols and displays Contact Lens Fitting This chapter describes the main parts of your system the Image Acquisition Unit and the computer Chapter 3 discusses the basics of using your system including how to use the keyboard and pointing device 2 2 EyeSys Corneal Analysis System Getting to Know Your System Image Acquisition Unit IAU An Image Acquisition Unit is attached to the System 2000 computer to record the reflected placido mires on your patient s cornea Since the ViewStation software cannot collect eye examination data an IAU is not connected to the ViewStation computer The IAU features automatic focusing and calibration and consists of four basic parts Videokeratoscope e Backlit conical placido disk e Three high resolution CCD video cameras Precision motorized optical stage manipulator Precision chin rest assembly Power base Computer The computer required to operate as a System 2000 or a ViewStation consists of the following components Pentium processor Super VGA color monitor Internal hard drive 32 inch diskette drive Note Under normal operating conditions this equipment has the potential to produce electromagnetic radiation which may interfere with the proper operation of other equipment Avoid the use of this equipment where such interference will cause other equipment to operate improperly EyeSys Corneal Analysis System 2 3 Chapter 2

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