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9.1.2

Cro s s Cylin d e r Te s t us in g Do ts Cha rt ( AXIS )

The 2

nd

step of the System-Defined Program is to revise the value of AXIS for the right eye more

elaborately, based on the result of 1st step SPH-CYL-AXIS test. In case of Jackson Cross Cylinder
Test, ask the patient with which eye he looks more clearly, while pressing number [1] and [2] buttons
alternately. When he says number [1], turn the dial in + direction (countercloskwise,) while number
[2] in – direction (clockwise.) Continue this until the patient answers that he sees both with similar
clarity.

[Figure 9-3] 2

nd

step Cross Cylinder Test (Axis)

9.1.3

Cro s s Cylin d e r Te s t us in g Do ts Cha rt ( CYL)

The 3

rd

step of the System-Defined Program is to revise the value of CYL for the right eye more

elaborately, based on the result of 1st step SPH-CYL-AXIS test. In case of Jackson Cross Cylinder
Test, ask the patient with which eye he looks more clearly, while pressing number [1] and [2] buttons
alternately. When he says number [1], turn the dial in + direction (countercloskwise,) while number
[2] in – direction (clockwise.) Continue this until the patient answers that he sees both with similar
clarity.

[Figure 9-4] 3rd step Cross Cylinder Test (CYL)

Digital Refractor EDR-9000

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Summary of Contents for EDR 9000

Page 1: ... EDR 9000 Digital Retractor Operation Manual ED R 9000 Digital Retractor ...

Page 2: ......

Page 3: ...classified as a device with a Type B Applied Part Degree of protection against ingress of liquids IPX0 The EDR 9000 is classified as IPX0 Degree of protection against flammability The EDR 9000 is classified as a device not suitable to be used in a potentially flammable environment Do not use near flammable materials Method s of sterilization or disinfection recommended by the manufacturer The fore...

Page 4: ...2007 Everybody who connects additional equipment to the signal input part or signal output part configures a medical system and is therefore responsible that the system complies with the requirements of the system standard EN 60601 1 1 2001 If in doubt consult the technical service department or your local representative For EU Countries The following mark the name address of the EU Representative...

Page 5: ...mains Do not throw away the waste to inappropriate place Risk of electric shock Crushing hazard sign Hand hazard sign Instruction for user manual General mandatory action sign General prohibition sign General warning caution sign Keep dry symbol DO NOT Hand Hooks symbol Fragile symbol Recycling symbol Handle with care symbol Digital Refractor EDR 9000 ...

Page 6: ...00hPa 1060hPa Shape of Plug Country Voltage frequency Shape of plug Mexico 110V 50Hz Type C E Argentina 220V 60Hz Type A Peru 220V 60Hz Type A Venezuela 110V 50Hz Type C E Bolivia Paraguay 220V 60Hz Type A Most common Type H Infrequently Chile 220V 60Hz Type A Colombia 110V 50Hz Type C Brazil 220V 60Hz 127V 60Hz Type A Type C Ecuador 110V 50Hz Type C E USA 120V 60Hz Type A Hospital Grade Canada 12...

Page 7: ...is well and understanding enough Keep at the place easy to find this Warning for safety CAUTION WARNING is to inform of the disaster which may cause a private severe injury or great loss of property in case of carelessness MANDATORY ACTION SIGN is to inform of the compulsory obligation which should follow before use Prohibition Sign is to show the general prohibited matters related with installati...

Page 8: ...ton on OP PANEL 23 5 2 How to control touch screen monitor 25 6 Test Mode 29 6 1 Why does need Test Mode 30 6 2 Test Mode and Results Copy 30 6 3 Use of PRESET and AUX OFF Mode 30 6 4 Test of Far Vision and Near Vision 32 7 Communication with Various Vision Test Devices 34 7 1 Option setting for Chart Projector ECP 5400 34 7 2 Option setting for Auto Ref Keratometer ERK 9000 34 7 3 Load and Save t...

Page 9: ... Glasses for Left Eye 67 9 1 11 Binocular Balance Test at Polarized Light 67 9 1 12 Check the Power of Glasses for both eyes 68 9 1 13 Far Distance Vertiacl Coincidence Aniseikonia Test 68 9 1 14 Near Distnace Cross Grid Test 70 9 1 15 Near Vision Test with Addition Near VA with ADD 70 9 1 16 Near Distance Horizontal Vertical Von Graefe Test 71 10 Unit Test 72 10 1 Near Vision Test with Addition N...

Page 10: ...e Comparison COMPARE function 102 11 5 Menu DialogBox Shortcut Key 103 11 6 AUX LENSES DialogBox Shortcut Key 103 11 7 PD DialogBox Shortcut Key 103 11 8 SYSTEM TEST Shortcut Key 103 11 9 AGE Shortcut Key 103 11 10 WD Shortcut Key 103 11 11 NRA PRA Shortcut Key 104 11 12 NRC PRC Shortcut Key 104 11 13 NPC NPA Shortcut Key 104 11 14 VFPrism Shortcut Key 104 11 15 LAMP Shortcut Key 104 11 16 TEST RE...

Page 11: ...9 Appendix Hardware Specification 115 Digital Refractor EDR 9000 ...

Page 12: ...cutive operation of jog shuttle does not skip any data allowing more accurate and prompt vision test possible To minimize interruption for control power an auto shielding function works when a lens more than 0 5D operates You can run complicated functions easily with SHIFT keys and it is convenient to execute various options for test It supports short distance PD 45 75mm and short distance work 35...

Page 13: ...nd others 1 It could affect the precise measurement if the uint is exposed to a direct sunray or the bright indoor illumination It s recommended to use under the proper optometry room 2 It may gather dew on lens for a patient or optic parts if heat indoor suddenly in a cold region If is s so please wait until it disappear and then use the unit 3 Do use the unit only when lenses are clean It may af...

Page 14: ...e the unit 8 Must connect or disconnect power cable only after switching off 9 Don t operate the unit with wet hands Otherwise may cause an electric shock 10 Do turn off the power when not in use for a long time 11 Electromagnetic waves discharged from mobile phones radiotelegraphs wireless toys may cause malfunction of the unit Please keep away any device that could influence the uint At the time...

Page 15: ...off the unit if do not use for a long time Do not turn off the device before the device runs fully Prohibiting power off on loading 3 3 How to store and handle after use This device is designed to be used only indoors Do not use outdoors Disconnect the power and keep the dust cover to store if do not use for a long time If cleaning is required wet a soft cloth with a little soapy water squeeze it ...

Page 16: ...owings here 4 1 Bo dy o f EDR 9 0 0 0 Re f Bo dy EDR 9000 body is the most important part of the Digital Refractor and is installed in the unit table Figure 4 1 Digital Refractor Ref Body For Tester Figure 4 2 Digital Refractor Ref Body For Patient Leveler Forehead Fixing Dial VD Control Dial VD Test Window Near distance Vision Chart Near Distance Vision Chart Bar VD Test Window Forehead Prop Face...

Page 17: ...ear distance vision chart Face Protector Treated softly for a human face It could be detachable Horizontal Controller Level out the equipment by rotating the dial Forehead Prop A plate to prop patient s forehead Test Window The patient can view the chart through the lens Table 4 1 Ref Body 4 2 Ope ra tio n Pa ne l It controls the products such as ECP 5400 ERK 9000 Figure 4 3 Operation Panel front ...

Page 18: ...ilt by 180 Mini Printer Print test results Keypad Button Choose various tests and charts by pressing the button Jog Dial button Change the lenses value by turning it to Left and Right RS 232 PORT Used to communicate with PC USB PORT Used to upgrade the product General USB Type S W upgradd Mini USB Type used to connect to PC JUNCTION BOX PORT Connecting Terminal Connect it with 10pins of the Juncti...

Page 19: ...al to connect outer power with this equipment Power Switch A switch to power on or off EDR 9000 Fuse T2AH 250V A device to protect this equipment from excessive currents Connecting Terminal for Others A terminal to conncet this product with other devices Converter Connecting Terminal for ERK 9000 A terminal to connect ERK 9000 converter and 4 pins cables Table 4 3 Junction Box Figure 4 6 Junction ...

Page 20: ... 1 Re f Bo dy Figure 4 7 Ref Body Accessaries Nomination Function Q ty Forehead Prop A prop to fix the patient s forehead 1 Face Protecter 2EA Softly touched for a human face Can be attached and detttached 2 A Bar for Near Vision Chart A bar to fix Near Vision Chart 1 Near Vision Chart Chart for Near Vision test 1 ...

Page 21: ...Accessaries Nomination Function Q ty Interface Cable A cable to connect Operation Panel and Junction Box 10 pins Cable is manufactured to 1M 2M 3 M Is offered to basis 3 M at product shipping 1 Print Papers Print papers in reserve 1 Table 4 5 Operation Panel Accessaries 4 4 3 JUNCTION BOX Figure 4 9 Junction Box Accessaries Nomination Function Q ty Power Cable A terminal to connect with the outer ...

Page 22: ...nect the Converter Box and ERK 9000 Serial Port 1 ERK 9000 Serial Cable A cable to connect the Converter Box and the Junction Box 4 pins 1 ECP 5400 Converter Box A converter Box for ECP 5400 1 ECP 5400 Serial Cable A cable to connect the Converter Box and ECP 5400 Serial Port 1 ECP 5400 Serial Cable A cable to connect the Converter Box and the Junction Box 4 pins 1 Table 4 7 Converter Box ...

Page 23: ... article 5 2 to see the process 6 Connect the power cable of the Junction Box and then check out whether all cables are connected properly 7 Power on ECP 5400 8 Power on ERK 9000 9 Power on the Junction Box 10 After power on the Ref Body gets initialized and the Logo comes out on the LCD screen of the Operation Panel And then the initializing screen appears on time 11 Start vision test after initi...

Page 24: ...o the bottom of JUNCTION BOX Stick a insulator for example insulation sheet or Styrofoam to the bottom of CONVERTER BOX Need to arrange the surrounding cable Do separate and arrange each cable such as A C cable and other communication cable so that they may be not mixed up Check out if there is a Leakage current in JUNCTION BOX and CONVERTER BOX Method to check a leakage current by means of Tester...

Page 25: ...ious near chart images S W version Chart Projector device and homepage PRINT Button Print out the measurement value and it is valid to print out the measurement value along with the data to be loaded from the exterior devices It could set the measurement value to be saved into DATABASE and initialize the measurement value automatically RESET Button Initialize all the data on measuring NORMAL It co...

Page 26: ...an choose Dominant Eye Dial button Alter the chosen field value according to the applied step unit by rotating dial or pressing Button It could be moved to S C A field with Dial button 1 2 Button Execute Cross Cylinder Test Cross Cylinder Test is executed as sams as the mode to be designated on System Configuration In case of JACKSON MODE whenever press 1 2 Button Cross Cylinder is to be turned ov...

Page 27: ...e FIN button Prescription mode FIELD selection button Can select the field R L BIN which want to amend a value on touch screen S button Select the field for Sphere power SPH C button Select the field for Cylinder power CYL A button Select the field for Axis AX ADD button Select the field for Addition VA button Select the field for Visual acuity X button Select the field for horizontal prism Y butt...

Page 28: ...when press button with SHIFT button List to use a special type of chart would alter when press button but list to use a normal type of chart would alter when press button If want to begin customized unit test press SYSTEM button to change list into CUSTOM chart list and then select the chart to be used among the registered items On the registered chart C Custom show but on the non registered chart...

Page 29: ...R Vertical Maddox L Horizontal Maddox R L Pin Hole R L Jackson Cross Cylinder R Red Filter L Green Filter R L PD check R L Retinoscopy Lens Test distance 67cm R L Retinoscopy Lens Test distance 50cm Table 5 1 List of Auxiliary lens 10 BI lens is changeable from 0 to 5 according to the value designated on SYSTEM CONFIG page 2 10 BI COMPLEMENT In case the lens is installed already the supplementary ...

Page 30: ...I Prism Lens and Installation FUNCKEY button It is used to execute the function of FUNKEY or to select increase and decrease unit when change field value Different meaning and function are designated on a button per each mode and it d be used helpfully on each test process ...

Page 31: ...er Test Mode It is a mode to save the test results of the auto ref keratometer After receiving information from the auto ref keratometer press LOAD button to save the test results You can change others into RK mode by pressing RK button LM Mode Auto Lensmeter Mode It is a mode to save test results of auto lensmeter After receiving information from the lensmeter press LOAD button to save the test r...

Page 32: ...rom Ref Keratometer and Lensmeter and subjective test result obtained from EDR 9000 In other words the patient can compare directly objective test results with subjective test results through mode changes Beside it coduld compare and analyze the information of the patient from various aspects make complementary correction between them and allow the proper prescription for the patient 6 2 Te s t Mo...

Page 33: ...lift PRESET mode by pressing SHIFT and Masking button together Lenses are inserted at once according to the determined value of field Figure 6 3 PRESET Mode AUX OFF Mode AUX OFF Mode temporarily removes auxiliary lenses Polarized Light Red Green Fixed Cross Cylinder Lenses 6 BU Lenses and 10 BI Lenses which are put in during vision test By pressing SHIFT and OPEN CLOSE button together the AUX OFF ...

Page 34: ...serves both Far vision and Near vision To do Near vision test change the mode by pressing FAR NEAR button on touch screen or adjust Addition only while maintaining Far vison mode by pressing ADD button If a patient has even presbyopia with nearsightedness myopia it s recommended to test on ADD mode by pressing ADD button On each method the Ref Body of EDR 9000 is tilted to the opposite side of the...

Page 35: ...e Can alter age by pressing AGE button and furthermore Add per age is automatically applied if ADD ESTIMATION on SYSTEM CONFIG page 3 is set into YES 그림 6 6 Applying addition per age On Near vison test mode hang up th near vision chart to test how far the patient can see the chart and put Addition if necessary Figure 6 7 Hang up the Near Vision Chart Digital Refractor EDR 9000 ...

Page 36: ...ode through MENU mode and move on to page 7 by pressing 7 button Then press OK button to save it after setting all Figure 7 1 Chart projector setup on SYSTEM CONFIG page 7 7 2 Optio n s e tting fo r Auto Re f Ke ra to me te r ERK 9 0 0 0 It s recommended to install ERK 9000 to make full use of the function of EDR 9000 Although there is RK COPY KERATO menu at EXTERNAL INSTRUMENTS on SYSTEM CONFIG p...

Page 37: ...ATABASE is saved automatically When the vision test is finished by pressing PRINT button the data is saved automatically into DATABASE It s possible to save the measurement data only without printing out if press ALT and PRINT button together Figure 7 2 LOAD DATA List To save the measurement data of EDR 9000 the AUTO SAVE menu of SYSTEM CONFIG page 6 must be set as YES so that the measurement data...

Page 38: ...g out are saved automatically into the memory of EDR 9000 on a basis of first come first go To pull out the results of the built in database choose the necessary menu by pressing LOAD button and then check out the past results that are arranged according to the patients IDs The lenses also can be put in automatically Figure 7 4 List of RK data which is transmitted Figure 7 5 List of FIN measuremen...

Page 39: ...tom Program Name Custom Test Name Various messages and Print Footer GALLERY Serve color blindness test and supply various charts and images for near vision test ABOUT Serve S W version Chart Projector device type and homepage address Figure 8 1 MENU Selection 8 1 TES T RES ULT On TEST RESULT can check 4 measurement result for each far vision mode and near vision mode Can change far vision mode and...

Page 40: ...T2 ADD VA X Y NPC NPA Fusion Minute Stereo Aniseikonia test result Figure 8 3 LIST2 LIST3 BLUR BREAK RECOVERY NPC NPA Fusion Minute Stereo Aniseikonia test result Figure 8 4 LIST3 PRISM SCHOBER VON GRAFE COINCIDENCE PHORIA PHORIA WITH FIXATION MADDOX NRC PRC ...

Page 41: ...utton or OK button on the screen Can enter TEST RUSULT without printing if PREVIEW LIST on PRINT OPTION 6page of SYS TEM CONFIG is set as YES If want to print out directly set PREVIET LIST as NO Figure 8 6 PREVIEW LIST on 6page of SYSTEM CONFIG Digital Refractor EDR 9000 ...

Page 42: ...ation how to handle the button to do SYSTEM CONFIG Changing pages There are 7 pages and you can move to the next page in order by touching 1 7 on the screen Changing value of each item Select the button on the screen for each item and can change each value RESET Can restore each value to the original state by pressing RESET on the screen but this function is valid only before saving SAVE Save by p...

Page 43: ...he screen at CYL mode CYL mark change or temporarily CYL STEP Designate the increased or decreased value of CYL You can choose one among 0 25D but the initial value is 0 25D AXS STEP Designate the increased or decreased value of AXS You can choose one among 1 5 15 30 and 45 but the initial value is 5 STEP Desginate the increased or decreased vaule of Prism You can choose one among 0 1 0 2 0 5 1 0 ...

Page 44: ...NO and the initial value is YES CC TYPE Designate the type of Cross Cylinder You can choose one among Jackson Cross Cylinder 0 25 or 0 50 and DUAL Dual Cross Cylinder but the initial value is Jackson Cross Cylinder 0 25 S E Fix Determine whether to fix the SPH You can choose one among OFF SPH is fixed all the time CYL MODE SPH is fixed only on CYL mode CC ONLY SPH is fixed only on Cross Cylinder m...

Page 45: ...Determine whether to allow the minus value of Addition You can choose YES or NO but the initial value NO ADD ESTIMATION Determine whether to designmate presumptuous Addition according to ages You can choose YES or NO but the initial value NO WORKING DISTANCE Designate the working distance on Short Distance Mode You can choose from 35cm to 70cm but the initial value is 40cm F N DATA LINK Designate ...

Page 46: ...PUT FUSION Determine whether to put in the test value of Worth 4 Dots You can choose YES or NO but the initial value is YES INPUT STEREO Determine whether to put in the test value of Stereo Test You can choose YES or NO but the initial value is YES INPUT ANISEIKONIA Determine whether to put in the test value of Aniseikonia You can choose YES or NO but the initial value is YES STARTUP MODE Designat...

Page 47: ...es TEST TIME Designate the beginning time of the test to calculate the whole time of the test You can shoose ENTERING SUBJ the time that SUBJ mode starts or BEGINNING TEST the time that the test starts but the initial values is ENTERING SUBJ DATE DISPLAY Designate the expression type for the date and time appear on the upper right part of the screen You can choose one among DD MM hh mm 12H DD MM h...

Page 48: ...ata only and OFF do not print any data but the initial value is OFF PRINT KERATO DATA Determine whether to print the value of KEAROMETRY Radius of corneal curvature You can choose YES or NO but the initial value is NO PRINT TEST DATA Determine whether to print the value of Prism for each Heterophoria Test You can choose YES or NO but the initial values is NO PREVIEW LIST Determine whether to use p...

Page 49: ...g the Prism data from LM You can choose YES or NO but the initial value is NO LM COPY ADD Determine whether to bring the Addition data from LM You can choose YES or NO but the initial value is NO CP CONNECTION Designate how to connect Chart Projector You can choose one among SERIAL serial communication or NONE no connecting but the initial value is SERIAL RESET TYPE ON CLEAR Designate how to initi...

Page 50: ...System test and Programs according to the individual s test purpose and preference in advance 8 3 1 Edit Cus to m pro g ra m Enter program choice mode by pressing EDIT PROGRAM menu after pressing MENU button or touching MENU on the screen The program list would appear on the left side You can choose and edit one of 11 programs except STANDARD If the name of a selected program is written with dark ...

Page 51: ... shows the list of each step for Custom program On the bottom of the screen it shows function keys so that check the previous contents and the next contents for the perpared step by pressing PREV and NEXT ADD is to add new step on the last step in the process of editing and INS is to add new step on the right previous step against the current step in the process of editing and DEL is delete the cu...

Page 52: ...AUXILIARY LENS Select a necessary auxiliary lens Choose lens directly among auxiliary lenses on window by selecting lens on the touch screen PD Measure the Pupil Distance MESSAGE Select help or message to utilize at the current program step Select a message to need by pressing or button on the touch screen MOVE STEP PREV button Move to the previous step NEXT button Move to the next step ADD STEP A...

Page 53: ...lect FAR mode at the right side of combo box of TEST MODE Figure 8 19 STEP 02 Schober Test STEP 03 Confirm Binocular visual acuity After choosing change chart by rotating jog dial or select a chart among normal charts directly by touching And then select FAR MODE for T MODE SPH for DATA ELEMENT BIN for EYE on combo box And then choose open lens at lens selection window for R L Digital Refractor ED...

Page 54: ...nual Figure 8 20 STEP 03 Confirming binocular visual acuity Lastly press OK button to save and then exit After pressing SHIFT button and PROG button together select CUSTOM PROGRAM A to implement It would shows the saved step in order ...

Page 55: ...oo If the name of a selected test is written with dark black it means it s already to be set up so user can execute the test in the measurement process Figure 8 21 List of Custom Test Enter edit custom test mode by pressing CUSTOM TEST A1 and then The beginning component to edit cusom test consist of CHART Test name could not be changed on eidt custom test Change the value for each item with same ...

Page 56: ...est To do Edit Custom Test press to alter into Custom chart list and select a necessary chart among the registered items Figure 8 23 Chart List for Custom Test It shows C Custom on the left top of the registered chart but on non registered chart it shows N Nothing ...

Page 57: ...e screen move to the message group In succession select a message to edit and then enter edit mode by pressing EDIT on function key area Figure 8 25 Select EDIT MESSAGE group In case of PRINTER FOOTER can enter edit mode directly without selecting a message per group Buttons on imaginary keyboard is arranged in order and can edit a message by pressing button on the screen Characteristic of each ME...

Page 58: ...r is a imaginary keyboard on the below SAVE Save the edited contents by pressing CANCEL Exit without saving by pressing Switch Capital Small letter Switch the window for letter into Capital letter or Small letter each other by pressing SHIFT button Move cursor on edit window Move with buttons Up Down Right Left Add letter Based on the position of Cursor on edit window Letter is added on the positi...

Page 59: ...a me o f Cus to m te s t Enter edit mode through imaginary keyboard window if press EDIT on function key area after selecting CUSTOM PROGRAM A by pressing TEST NAME tab button Figure 8 27 Edit the name of Custom Test 8 4 3 Edit Cus to m Guide Me s s a g e Enter edit mode through imaginary keyboard window if press EDIT on function key area after selecting a blank area by pressing TEST GUIDE tab but...

Page 60: ...STOM GUIDE MSG 8 4 4 Edit s ho p na me Edit company name telephone number web and address to be used to print out properly for each user Enter edit mode directly through imaginary keyboard window if press PRINT FOOTER tab button Figure 8 29 Edit PRINT FOOTER ...

Page 61: ... vision and ophthalmic diseases very easily to the patient If select the item to be used at the menu of touch screen the various images appear properly The image become big if press RUN button on function key area after selecting one among the right images Move to previous image or next image if press PREV or NEXT button Figure 8 30 Main Screens of GALLERY Digital Refractor EDR 9000 ...

Page 62: ...60 Operation Operation Manual Manual 8 6 ABOUT EDR 9000 serves Patient ID S W version Chart Projector device type Language and the information of the company with ABOUT mode Figure 8 31 ABOUT running ...

Page 63: ...ime to float program choice menu on the left side or you can choose STANDARD here and press OK key to operate as same When the System Defined Program starts you would see the name and step mark of the current program which is STANDARD and 1 17 at the moment on the lower part of the right screen Figure 9 1 Choice and Operation of the STANDARD Program 9 1 1 Adjus tme nt o f the S PH CYL AXIS Va lue ...

Page 64: ...62 Operation Operation Manual Manual Figure 9 2 Adjustment of 1 st step S C A Value ...

Page 65: ...ent answers that he sees both with similar clarity Figure 9 3 2 nd step Cross Cylinder Test Axis 9 1 3 Cro s s Cylinde r Te s t us ing Do ts Cha rt CYL The 3 rd step of the System Defined Program is to revise the value of CYL for the right eye more elaborately based on the result of 1st step SPH CYL AXIS test In case of Jackson Cross Cylinder Test ask the patient with which eye he looks more clear...

Page 66: ...says the letter in green background is clearer turn the dial in direction countercloskwise while one in the red backgroung in direction clockwise because that is not revised Continue this until the patient says that he sees both letters with similar clarity Figure 9 5 4 th step Red Green Balance Test for Monocular 9 1 5 Che c k the Po we r o f Gla s s e s fo r Rig ht Eye After the test of right ey...

Page 67: ...C A Value 9 1 7 Cro s s Cylinde r Te s t us ing Do ts Cha rt AXIS 7 th step of the System Defined Program is to revise the value of AXIS for the left eye more elaborately based on the result of 6th step SPH CYL AXIS test For a detail explanation please refer to the article 9 1 2 Cross Cylinder Test using Dots Chart AXIS Digital Refractor EDR 9000 ...

Page 68: ...ep SPH CYL AXIS test For a detail explanation please refer to the article 9 1 3 Cross Cylinder Test using Dots Chart CYL Figure 9 9 Cross Cylinder Test CYL 9 1 9 Re d Gre e n Ba lna c e Te s t fo r s ing le e ye 9 th step of the System Defined Program is to revise the value of SPH for the left eye more elaborately based on the result of 6th step SPH CYL AXIS test For a detail explanation please re...

Page 69: ...st Figure 9 11 Check the Power of Glasses for Left Eye 9 1 11 Bino c ula r Ba la nc e Te s t a t Po la rize d Lig ht In the middle of binocular vision test check the binocular balance for corrected monocular value using Polarized Light Filter left side with 45 degrees and right with 135 degrees For more detailed information please refer to the article 10 17 Binocular Balance Test at Polarized Ligh...

Page 70: ...est Figure 9 13 Check the Spherical Refractive Power for both eyes 9 1 13 Fa r Dis ta nc e Ve rtia c l Co inc ide nc e Anis e iko nia Te s t Process a test using Vertiacl Unequal Coincidence Aniseikonia chart in the middle of binocular visual acuity test Test Heterophoria following the guidance and do Coincidence Aniseikonia Test if necessary and then record the result For more detailed explanatio...

Page 71: ...69 Figure 9 14 Far Distance Vertiacl Coincidence Aniseikonia Test Digital Refractor EDR 9000 ...

Page 72: ... guidance For more detailed information please refer to the article 10 4 Near Distance Addition Test Using Cross Grid Near ADD Figure 9 15 Near Distance Cross Grid Test 9 1 15 Ne a r Vis io n Te s t with Additio n Ne a r VA with ADD Test the Near Vision with Addition For more detailed information please refer to the article 10 1 Near VA with ADD Figure 9 16 Near Vision Test with Addition ...

Page 73: ...nd the article 10 24 Vertical Von Graefe Test Figure 9 17 Near Distance Horizontal Vertical Von Graefe Test By following all the above all standard tests are finished which are in order of Monocular Refraction right Monocular Refraction letf Binocular test Binocular Vision Near Distance Test Ref body may hurt a patient in the process of initialization Please measure only after the initialization i...

Page 74: ...ER TEST POWER Test of Cylinder Power CYLINDER TEST AXIS Test of Cylinder Axis RED GREEN TEST Monocular Red Green Test CROSS CYL TEST POWER Cross Cylinder Test Power Test CROSS CYL TEST AXIS Cross Cylinder Test Axis Test CROSS GRID Cross Grid Test Ver2 00 and over MADDOX ROD HORZ Horizontal Maddox Rod Test MADDOX ROD VERT Vertical Maddox Rod Test BINOCULAR BALANCE Binocular Balance Test at Polarize...

Page 75: ... for left right and Binocular Way of Test 1 On Special Chart clause of touch screen press N ADD VA button to express the Near Vision Chart or you can establish the test mode by pressing TEST and choosing NEAR VA WITH ADD 2 Press R BIN L to choose the field for test 3 Record the estimated value of left right and both eyes Figure 10 1 Test of Near Vision with Addition Digital Refractor EDR 9000 ...

Page 76: ...ear Point Convergence Test Mode or You can establish the test mode by pressing TEST and choosing NEAR POINT OF CONVERGENCE 2 Hang up the Near Vision Chart as much as the patient can check 3 While bringing the Near Point Chart or a ballpen near the patient find out the point where the end of the ballpen or the Chart is divided Record this distance in BREAK item 4 on the contrary while pulling them ...

Page 77: ...on of Accommodation Test Mode or you can setup the Near Point of Accommodation Test Mode by pressing TEST button and choosing NEAR POINT OF ACCO 2 Hang up the Near Vision Chart as much as the patient can check 3 On the touch screen press BIN RIGHT LEFT and choose the field for test 4 While drawing Near Vision Chart or a ballpen near the patient find out the point where the end of the ballpen or th...

Page 78: ... On Special Chart clause of touch screen press N ADD button to drop the Near Vision Cross Grid Chart at a place of about 40cm or press TEST button to choose NEAR ADD 2 Press R BIN L to choose the field for test 3 Change the ADD value until the thickness or clarity of horizontal or vertical line becomes equal 4 Record the estimated value of left right and both eyes When the vertical line is seen cl...

Page 79: ...Negative Relative Accommodation Test Mode or you can setup the Negative Relative Accommodation Test Mode by pressing TEST button and choosing NEGATIVE RELATIVE ACCOM 2 Press R BIN L to choose the field for test 3 Turn the dial counterclockwise When the chart is beginning to be blurred press RECOVERY on the left dialog box of touch screen 4 If recovered point is found turning the dial clockwise pre...

Page 80: ... PRA buttons to enter the Positive Relative Accommodation Test Mode or you can setup the Positive Relative Accommodation Test Mode by pressing TEST button and choosing POSITIVE RELATIVE ACCOM 2 Press R BIN L to choose the field for test 3 Turn the dial clockwise When the chart is beginning to be blurred press RECOVERY on the left dialog box of touch screen 4 If recovered point is found turning the...

Page 81: ...matically In case of Near Vision Mode drop the Near Vision Van Graefe Chart at a place of about 40cm so that the patient would see it 4 Turn the dial counterclockwise When the chart is beginning to be blurred choose BREAK on the touch screen 5 Turn the dial counterclockwise When the chart is beginning to be separated as two choose RECOVERY on the touch screen 6 Turn the dial clockwise When the cha...

Page 82: ...on Van Graefe Chart at a place of about 40cm so that the patient would see it 4 Turn the dial counterclockwise When the chart is beginning to be blurred choose BREAK on the touch screen 5 Turn the dial counterclockwise When the chart is beginning to be separated as two choose RECOVERY on the touch screen 6 Turn the dial clockwise When the charts are united as one press OK button to conclude the te...

Page 83: ... dial in direction until all the lines are seen eqully When the location of the line which is seen the thickest is changed the axis must be adjusted When the thickest seen line moves counterclockwise deduct the AXIS value When the thickest seen line moves clockwise add the AXIS value Figure 10 9 Cylinder Power Test 10 10 Cylinde r Axis Te s t Purpose Obtain maximum revised circumference degrees by...

Page 84: ...ll the lines are seen equally he is determined not to have distorted vision If a certain bar is seen thicker multify 30 by the number seen by that bar and press A or left right button to fix the distorted vision axis Figure 10 10 Test of Cylinder Axis 10 11 Mo no c ula r Re d Gre e n Te s t Purpose Check the maximum revised Spherical Refractive Power for Monocular by Red Green Test Chart using the...

Page 85: ...n red and green background respectively and cannot react following his preference If a corrected vision of a patient is 1 0 you must ask him whether he is able to see well 29 in red and 92 in green In case a corrected vision is low ask him to read the bigger letter on the upper side Figure 10 11 Monocular Red Green Test 10 12 Ja c ks o n Cro s s Cylinde r Te s t Purpose Subjective test revise maxi...

Page 86: ...e distorted vision axis press A or left right button To estimate circumference power press C or left right button Figure 10 12 Jackson Cross Cylinder Test Distorted Vision Axis Test 10 13 Dua l Cro s s Cylinde r Te s t Purpose In subjective test revise maximum circumference refractive power and axis for Monocular using Dual Cross Cylinder Chart Dot Group Chart Auxiliary Lens Dual Cross Cylinder Le...

Page 87: ...ly turn the dial counterclockwise direction If the right one is seen clearly turn the dial clockwise direction If the patient says there is no differene finish the test 5 Press A or left right button to estimate the distorted vision axis Press C or left right button to estimate the circumference power Figure 10 13 Dual Cross Cylinder Test Ditorted Vision Axis Test Digital Refractor EDR 9000 ...

Page 88: ... button 2 Press R BIN L to choose the field for test 3 Adjust the SPH value until thickness or clarity of horizontal or vertical line becomes equal When the vertical line is seen clearly turn the dial clockwise direction When the horizontal line is seen clearly turn the dial counterclockwise direction Figure 10 14 Cross Grid Test Before the test should be set up the Vision Axis the Cylinder Power ...

Page 89: ...uch screen press Maddox Chart to choose Horizontal Maddox Rod Test Mode At this time a guide and prism change window appear on the upper left and upper right part of the screen respectively 2 Turn the dial until the line and the dot unite as one If the line locates on the right side of the dot turn the dial clockwise direction Esophoria If the line locates on the left side of the dot turn the dial...

Page 90: ...ox Chart to choose the Horizontal Maddox Rod Test Mode At this time a guide and prism change window appear on the upper left and upper right part of the screen respectively 2 At this time on upper left of touch screen press Vertical Prism button to change it into Vertical Maddox Rod Test Mode 3 Turn the dial until the line and the dot are united as one If the line locates over the dot turn the dia...

Page 91: ... interrupted accommodation 3 Ask the patient which of the upper and lower one is clearer If the upper line is seen clearly press R button and turn the dial counterclockwise to increase the right side SPH value If the lower line is seen clearly press L button and turn the dial clockwise to increase the left side SPH value When both of upper and lower sheet are seen as samely clear fininsh the test ...

Page 92: ... patient how many lights he sees If he says 4 dots the patient s fusio is normal If he says 2 red dots the patient is using right eye only and the Respression is occurring in his left eye If he says 3 green dots the patient is using left eye only and the Respression is occurring in his right eye If he sees 5 dots it is Diplophia If the red dot is right side of the green dot the patient has interna...

Page 93: ...Suppression Seen 3 green dots only it is Right Eye Suppression Left Eye Suppression Seen 2 red dots only it is Left Eye Suppression Heterophoria Seen 2 red dots and 3 green dots it is Heterophoria Alternative Suppression What the patient sees is unstable and 2 red dots and 3 green dots appear alternatively it is Alternative Repression Table 10 1 Interpretation of Suppression Test Result Digital Re...

Page 94: ... On left side External Heterophoria Turn the dial counterclockwise direction to increase the value of BI prism until the cross locates in the middle of the circle On right side Internal Heterophoria Turn the dial clockwise dirction to increase the value of BO prism until the cross locates in the middle of the circle 4 Question the patient like this Is the cross upside or downside the circle Upside...

Page 95: ...wise direction to increase the value of BI prism until the cross locates in the middle of the circle Left Hyperphoria Press Vertical Prism button and turn the dial clockwise direction until the cross locates in the middle of the circle Right Hyperphoria Press Vertical Prism button and turn the dial counterclockwise direction until the cross locates in the middle of the circle Table 10 2 Interpreta...

Page 96: ...dence Aniseikonia Chart 2 Ask the patient if he sees the square chart well if yes ask if that square chart is tilted toward up and down or is arranged straight When the left square chart is tilted upside Upside Heterophoria of right eye Turn the dial counterclockwise to increase BD prism until the square is arranged straight When the right square chart is tilted toward upside Upside Heterophoria o...

Page 97: ... No it is Heterophoria Process the next test 3 To start with Horizontal Heterophoria test ask the patient as following 4 Does the letter locate on the left side of the letter or the right side of it Located on left Exophoria Turn the dial counterclockwise to increase BI prism until the cross is seen well Located on right Esophoria Turn the dial clockwise to increase BO prism until the cross is see...

Page 98: ...phoria Right Hypophoria 3 Press BDBU Turn the dial clockwise until the Horizontal Cross Chart becomes a cross shage Right Hyperphoria Left hypophoria 4 Press BDBU Turn the dial counterclockwise until the Horizontal Cross Chart becomes a cross shage Exophoria Right Hyperphoria 5 Correct the Horizontal Heterophoria like 2 and correct the Vertical Heterophoria like 4 Esophoria Left Hyperphoria 6 Corr...

Page 99: ...ne If the answer is No it is Heterophoria Process the next test 3 First of all to start with Horizontal Heterophoria ask the patient as following 4 Does the letter ㄴ locate on the left side of the letter ㄱ or the right side of it Located on left Exophoria Turn the dial counterclockwise to increase BI prism until the cross is seen well Located on right Esophoria Turn the dial clockwise to increase ...

Page 100: ...e Right Hyperphoria 4 Press BDBU Turn the dial clockwise until the Horizontal Cross Chart becomes a cross shage Esophoria Right Hyperphoria 5 Correct the Horizontal Heterophoria like 1 and correct the Vertical Heterophoria like 4 Esophoria Left Hyperphoria 6 Correct the Horizontal Heterophoria like 1 and correct the Vertical Heterophoria like 4 Exophoria Right Hyperphoria 7 Correct the Horizontal ...

Page 101: ... bars are located on one straight line Yes no Heterophoria Test done No it s Heterophoria Process the next test 3 Of 2 of vertical bar which bar is the left side In case of upside vertical bar on left side Turn the Esophoria dial clockwise to add BO prism until the vertical bars are arranged on one straight line In case of downside vertical bar on left side Turn the Exophoria dial counter clockwis...

Page 102: ...al bars are located on one straight line Yes no Heterophoria Test done No it s Heterophoria Process the next test 3 Of 2 of vertical bar which bar is the upside In case of right bar on downside Turn the R Hyperphoria dial counter clockwise to add BD prism until the 2 horizontal bars are arranged on one straight line In case of left bar on downside Turn the L Hyperphoria dial clockwise to add BU pr...

Page 103: ...at 12 3 6 to 9 o clock clockwise All the bars including central Fixation look like flat The patient does not have the capability of stereo vision Choose NG The bars at 12 and 3 o clock look like cubic The patient can perceive to 1 arc minute Choose 1 The bars at 3 and 6 o clock look like cubic The patient can perceive to 2 arc minutes Choose 2 The bars at 6 and 9 o clock look like cubic The patien...

Page 104: ...ue with SHIFT button and Dial rotation together In case of SPH field Figure 11 1 SPH SHIFT step change 11 3 S OFT Re s t c o mpuls ive ly It could be initialized as SOFT booting if press SHIFT and RESET button together It is initialized fastly but can be a burden for the Body s H W 11 4 Te s t Mo de Co mpa ris o n COMPARE func tio n EDR 9000 serves COMPARE Mode to intuitionally compare with the re...

Page 105: ...ge 11 7 PD Dia lo g Bo x S ho rtc ut Ke y Ke y pa d butto n Ope ra tio n Dial or PD value change Dial button DialogBox close R L BIN Right Light Binocular Selection change 11 8 S YS TEM TES T S ho rtc ut Ke y Ke y pa d butto n Ope ra tio n Dial or Item movement Dial button Item selection DialogBox close RESET Cancel Close 11 9 AGE S ho rtc ut Ke y Ke y pa d butto n Ope ra tio n Dial or Age value c...

Page 106: ...1 14 VFPris m S ho rtc ut Ke y Ke y pa d butto n Ope ra tio n Dial or Selected Field value change Dial button Save DialogBox Close RESET Cancel Close R L BIN Right Light Binocular Selection change Field Selection Change 11 15 LAMP S ho rtc ut Ke y Ke y pa d butto n Ope ra tio n Dial or Brightness control of Body s Near LED Dial button LCD chart ON OFF RESET Close 11 16 TES T RES ULT S ho rtc ut Ke...

Page 107: ...se of EDIT PROGRAM Chart item selection Chart change in case of EDIT TEST Lens item selection Lens change Message item selection Message change OPEN CLOSE Lens Item selection or change Digital Refractor EDR 9000 ...

Page 108: ...rint the result press PRINT or OK button If it is supposed to be printed on papers only after all tests are done it takes so long time and much paper to complete printing Because it offers various options related with SYSTEM CONFIG PAGE 6 print time and paper saving is possible if it is setup to print only designated results ID P20120222 0001 Name M F Date 2012 02 22 16 33 Age 38 Dominant Eye RIGH...

Page 109: ...0 10 00 7 00 PRC Convergence 7 00 9 00 6 00 FAR SCHOBER BI00 50 X BO00 50 00 00 Y 00 00 COINCIDENCE BI00 50 X BO00 50 00 00 Y 00 00 MADDOX ROD BI00 50 X BO00 50 00 00 Y 00 00 PHORIA BI00 50 X BO00 50 00 00 Y 00 00 PHORIA WITH FIXATION BI00 50 X BO00 50 00 00 Y 00 00 Final Result for Prescripton Visual Acuity Test Result for Binocular NPC NPA NRA PRA Far Vision Test Result for Binocular NRC PRC Nea...

Page 110: ...00 00 PHORIA WITH FIXATION BI00 50 X BO00 50 00 00 Y 00 00 VON GRAEFE BI00 50 X BO00 50 00 00 Y 00 00 FAR FUSION Wroth 5 Dots STEREO NG ANISEIKONIA X Y OK OK NEAR FUSION Wroth 5 Dots STEREO NG ANISEIKONIA X Y OK OK Von Graefe Test Schober Test Coincidence Aniseikonia Test Maddox Rod Test Phoria Test without Fixation Phoria Test Fixation Von Graefe Test Fusion Minute Stereo Vision Aniseikonia Fusio...

Page 111: ...lish each part with a dry cloth containing detergent solution Model of the instrument EDR 9000 Serial Number 7 digit characters indicated on the name plate Symptom In detail 1 To move alone holding a fall or be dropped 2 Holding the rope packing to move your fingers can get hurt 3 The product is damaged packaging may be damaged so you must contact manufacturer or dealer 4 The product contaminated ...

Page 112: ...tromagnetic environment specified below The customer or the user of the EDR 9000 should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions CISPR 11 Group 1 The EDR 9000 uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipmen...

Page 113: ...mode 1kV differential mode 2kV common mode Mains power quality should be that of a typical commercial or hospital environment Voltage dips short Interruptions and voltage variations on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 sec 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT...

Page 114: ... strengths from fixed RF transmitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80MHz and 800MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by...

Page 115: ...ding to frequency of transmitter m 150kHz to 80MHz d 1 2 root P 80MHz to 800MHz d 1 2 root P 800MHz to 2 5GHz d 2 3 root P 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 79 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to the frequency of the transmitt...

Page 116: ...o contact us ADD 9990 NW 14 Street Suite 105 Doral FL 33172 USA Tel 888 802 2466 This instrument incorporates a lithium battery which may pollute the environment if the instrument is disposed Please ask a professional waste disposal company to handle disposal or your distributor before disposing of the instrument ...

Page 117: ...scopy Lens 1 5D 2 0D Test Distance 67cm 50cm Specifications Body 362 width 83 depth 299 height mm 3 5 kg Controller 215 width 230 depth 226 height mm 1 5 kg Junction Box 266 width 60 depth 239 height mm 1 0 kg Power Supply AC 100 240V 50 60Hz Power Consumption 90VA Auxiliar Lens Open Close Lens Open Close Select Pin Hole Lens Ф 1mm Moddox Rod Right eye horizontal red Left eye vertical red Red Gree...

Page 118: ...116 Operation Operation Manual Manual ...

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