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INTRODUCTION / INSTRUMENT SETUP

1-3

REV. B 02/03 PN 51680-1

HUMPHREY FIELD ANALYZER

II -

i

series

Normal versus

The visual field normally extends more than 90

°

temporally, 60

°

nasally and superiorly,

pathologic fields

and about 70

°

inferiorly. That means a person can potentially perceive stimuli within this

range while staring at a fixed point.

Superior

Inferior

60°

Nasal

60°

Temporal

90°

70°

Figure 1.1: The Boundaries of the Normal Visual Field

A more comprehensive understanding of the normal field takes into account that visual
sensitivity is not constant (or equal) throughout the range. As previously stated, vision is most
acute at the fovea and decreases toward the periphery of the retina. It is easy to see why the
visual field is often expressed as a “hill of vision in a sea of darkness”.

BLIND
SPOT

FOVEA

Figure 1.2: The Normal Hill of Vision

Several factors affect the normal hill of vision causing variations in its overall height and shape.
Among them are a patient’s age, ambient light, stimulus size, and stimulus duration. In general,
deviations from the normal hill are viewed as visual field defects and caused by some patho-
logical change.

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3/14/03, 2:41 PM

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Содержание HUMPHREY 720i

Страница 1: ...HUMPHREY FIELD ANALYZER II i series USER S GUIDE Model 720i Model 740i Model 745i Model 750i...

Страница 2: ...astPac and SITA are trademarks of Carl Zeiss Meditec Inc Hewlett Packard and LaserJet are registered trademarks of Hewlett Packard Corporation IBM is a registered trademark of the International Busine...

Страница 3: ...Humphrey Field Analyzer II i series User s Manual Revision Control PART NUMBER REVISION TITLE RELEASE DATE 51680 1 B Humphrey Field Analyzer II i series 3 2003 User s Guide Models 720i 740i 745i 750i...

Страница 4: ......

Страница 5: ...g the Test Pattern and Test Eye 3 2 Entering Patient Data 3 8 Using Trial Lenses 3 19 Preparing the Patient 3 22 Test Parameters Strategies 4 1 Setting Test Parameters 4 2 Test Strategies 4 4 SITA Tes...

Страница 6: ...6 6 Fluctuation Values 6 6 STATPAC Analysis Printing Results 7 1 Introduction to STATPAC Analysis 7 2 Threshold Test Printout Formats 7 4 SITA Printout Formats 7 21 Blue Yellow Printout Formats 7 23...

Страница 7: ...ement 9 2 Patient Database Protection Procedures 9 3 Configuration Backup and Restore 9 5 How to Handle Database Failures 9 10 Merge Database 9 20 Cleanup Hard Disk Database 9 21 Practices with Multip...

Страница 8: ...Pattern 11 48 Creating the SSA Aphakic Size IV Disability Test 11 57 Care Cleaning 12 1 General Use Principles 12 2 Cleaning the HFA II 12 2 Replacing Parts 12 4 Operating the Printrex Printer 12 10 T...

Страница 9: ...most advanced automated perimeter available the Humphrey Field Analyzer II HFA II This introductory section covers general information about the HFA II including a brief discussion of visual fields a...

Страница 10: ...tion is the ability to identify discrete forms letters numbers symbols and is commonly measured with the visual acuity test Resolution rapidly diminishes with increasing distance from the fovea and is...

Страница 11: ...g of the normal field takes into account that visual sensitivity is not constant or equal throughout the range As previously stated vision is most acute at the fovea and decreases toward the periphery...

Страница 12: ...he patient first detects the target threshold point Kinetic test results can only be reliably related to specific parts of the visual field if points are joined to form an isopter or ring of equal con...

Страница 13: ...enerously shared their best ideas with Carl Zeiss Meditec With over 30 000 Humphrey Field Analyzers in use worldwide Carl Zeiss Meditec took on the challenge of improving the testing experience for th...

Страница 14: ...is of visual field test results With STATPAC you can analyze test results at the time of examination store test results and analyze them at your convenience or recall previously stored tests to analyz...

Страница 15: ...aze Tracking a patented high precision system which uses real time image analysis to verify the patient is looking at the fixation target and not looking around The gaze tracking device is unaffected...

Страница 16: ...del number of your instrument on the rear panel of the HFA II or you may access this information via the i button located in the upper left hand corner of the screen see Section 2 The Information i Bu...

Страница 17: ...ers on the HFA II Only authorized Carl Zeiss Meditec Service personnel should perform repairs on your instrument Installation safety The Humphrey Field Analyzer II is equipped with a three prong plug...

Страница 18: ...ent operator must not attempt to touch the patient and a peripheral device at the same time while examining the patient Radio and TV interference The Humphrey Field Analyzer II has passed all domestic...

Страница 19: ...FA II Disconnection procedures are the opposite of the sequence listed in this Section Whenever there is a question as to whether the HFA II is running properly or if there is any question about elect...

Страница 20: ...rightness control Finger divot for opening rear panel Touch screen Hard drive Floppy drive Magneto Optical Drive Chin rest control Figure 1 4 The HFA II Side View Patient response button Figure 1 5 Th...

Страница 21: ...ER II i series Forehead rest Trial lens holder Testing bowl Chin rest Table with mounted Printrex printer Table height switch Slider handle Optional instrument slider Caster Lock Figure 1 6 The HFA II...

Страница 22: ...upply Refer to Section 12 Loading Paper 3 Turn on power to the table Turn on power to the Printrex printer 4 Turn on power to the HFA II 5 From the System Setup screen select PRINTREX See Section 2 Se...

Страница 23: ...ound on the back of the HFA II See Figures 1 7 and 1 8 Use the VGA connection Surge protectors Carl Zeiss Meditec recommends the use of surge protectors or UPS Uninterruptable Power Supply systems to...

Страница 24: ...FIELD ANALYZER II i series Figure 1 7 Rear View of the HFA II with panel removed Figure 1 8 Enlarged view of cable connections panel on rear of HFA II Network Mouse Keyboard Printer Data Transfer Aux...

Страница 25: ...t on underside of table 3Connect power cord from back of HFA II to power outlet on underside of table 4Attach keyboard and glidepad or trackball mouse if desired Replace rear panel being careful to ru...

Страница 26: ...1 18 INTRODUCTION INSTRUMENT SETUP REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series...

Страница 27: ...e HFA II It describes how to execute commands input information and customize the HFA II to suit your needs After reading Section 2 you will be familiar with command buttons and icons on the HFA II sc...

Страница 28: ...nform you of a condition or alert you to a problem Printer is not connected or Off Line and Uninitialized Disk are examples of operator messages Multiple messages may appear stacked and overlapping in...

Страница 29: ...ay enter or recall the patient s name date of birth I D number trial lens information and diagnostic data prior to testing Main Menu test buttons also automatically lead you to the Patient Data screen...

Страница 30: ...and telephone number The Unit Configuration information may be printed by pressing the PRINT button To return to the previous screen touch CANCEL Figure 2 2 The Unit Configuration Screen Touch screen...

Страница 31: ...Pop Up Window Drop down menus A drop down menu reveals settings for you to choose from You can easily identify a drop down menu by its characteristic arrow positioned within the command button The cu...

Страница 32: ...stead use the TAB or SHIFT TAB keys to move the highlight around the screen The arrow keys are used to select the choice within the window as described below The PAGE DOWN key on the external keyboard...

Страница 33: ...so experiment with your trackball to determine which button may be used If using a mouse only the left most button is active Other buttons do not function with the HFA II The trackball is used in con...

Страница 34: ...items in a row can be selected at one time by holding down the trackball button dragging the cursor to highlight and check several items and then letting go of the button After dragging only the last...

Страница 35: ...t This button accesses the results from the last right and left eye tests performed When the HFA II is first powered on this button appears ghosted It will remain inaccessible until a test has been ru...

Страница 36: ...When Head Tracking is turned ON the instrument moves the chin rest during a test to keep the patient s eye centered behind the trial lens holder This action helps to reduce trial lens artifacts test p...

Страница 37: ...at any printer used in a medical environment meets the appropriate medical directives and International Safety Standards VA Visual Acuity Format Select 20 20 Snellen 6 6 Metric or 1 0 Decimal as the v...

Страница 38: ...erman Spanish French Italian Japanese Portuguese or Swedish Once a language has been selected the instrument will restart in order to change parameters If a foreign language is selected inadvertently...

Страница 39: ...ully initial ized and the trial lens holder is in the Up position For additional information see Section 5 Head Tracking Accessing the vertex 1Start at the System Setup screen Select the Vertex Monito...

Страница 40: ...enter either AM or PM with the time entry 4Select Date Format Choose MM DD YYYY DD MM YYYY or YYYY MM DD from the drop down menu Note MM Month DD Day and YYYY Year 5Select DATE ENTRY Input the correc...

Страница 41: ...TRANSMIT ONLY press SERIAL TRANSMIT SETTINGS The Transmit RS 232 Setup screen will appear 4At the Transmit RS 232 screen select the Baud Rate Parity Data Bits and Stop Bits as required for transmissi...

Страница 42: ...y is invalid an alert will be displayed Press PROCEED when all the addresses have been entered 3Make sure the network connections are secure and the proper addressing has been established at the other...

Страница 43: ...t the System Setup model 750i only screen Select the Auto Pupil drop down menu 2Choose between ON and OFF Note Auto Pupil only works if Gaze Tracking has been initialized For information on Gaze Track...

Страница 44: ...place 4Choose from any test type including SCREENING THRESHOLD SPECIALTY CUSTOM and KINETIC tests After selecting the same Test Library screens normally accessed through the Main Menu screen will app...

Страница 45: ...uration Backup and Restore for an example of a Main Menu screen displaying personalized test buttons with additional text Note The Humphrey test pattern name Central 24 2 C 40 Screening etc cannot be...

Страница 46: ...mpted 5Deleted buttons will be marked Test Position Now Blank on the Alter Main Menu screen They will appear blank on the Main Menu screen Note Any test removed from the Main Menu screen can still be...

Страница 47: ...te and verify software function Press the button to change between ON and OFF If a test runs while simulation is ON sample threshold data will appear on the screen in a matter of seconds Turn simulati...

Страница 48: ...s not take the visual field test Pressing the CLEANUP HARD DISK DATABASE button will remove all the unassociated data from the database See Section 9 Cleanup Hard Disk Database to utilize this feature...

Страница 49: ...When pressing the HELP icon the following Help Topics screen is displayed Figure 2 9 Help Topics Screen Make your selection from a list of 12 topics Topics that require more than one screen of inform...

Страница 50: ...en you press DONE on the Help Topics screen Consult the User s Guide for additional information on the subject of interest The following is the list of on screen Help topics and the main areas within...

Страница 51: ...section covers each step in detail so that you can perform them all competently and efficiently Also included a complete listing of available tests and their applications the proper use of trial lens...

Страница 52: ...atient data as described in Entering Patient Data later in this section Figure 3 1 Selecting Tests from the Main Menu Screen Using test buttons Using Test Buttons is the most convenient method of sele...

Страница 53: ...n Menu screen 3Refer to Entering Patient Data later in this section to continue test setup Using the test library Use this method to select a test that does not appear on one of the test buttons 1From...

Страница 54: ...ch pattern in order to assist the professional in choosing the one best suited to the patient s needs Appendix E contains diagrams of the available test patterns Screening tests serve an important cli...

Страница 55: ...grees 40 points General screening Central 64 30 degrees 64 points General glaucoma neurological Central 76 30 degrees 76 points General glaucoma neurological Central 80 30 degrees 80 points General Sc...

Страница 56: ...a Nasal Step 50 degrees 14 points Glaucoma Macula 5 degrees 16 points Macula 2 degree spacing not available on Model 720i Table 3 3 The Specialty Test Library Specialty Test Extent of Visual Field App...

Страница 57: ...test all 16 points twice if the Fluctuation feature is turned ON If it is turned OFF the Macula Threshold Test will determine the threshold once With Fluctuation OFF the instrument will determine the...

Страница 58: ...is and saving the test to the hard drive or to floppy disk The patient data section is divided into two main screens Patient Data 1 displays demographic and trial lens information Patient Data 2 displ...

Страница 59: ...does not prevent the HFA II from recognizing these names as identical For example these entries are all handled the same way Kennedy Robin is the same as Kennedy Robin or Kennedy Robin 5Choose DATE OF...

Страница 60: ...Inputting trial lens data Many people with a refractive error will need to use trial lenses in order to accurately perform central field tests or the central portion of Full Field tests The HFA II wi...

Страница 61: ...t at this screen by pressing DATE OF BIRTH The trial lens cannot be calculated without this patient information 4Input the patient s distance sphere correction Always remember to enter a plus or minus...

Страница 62: ...Select CALCULATE TRIAL LENS 8The trial lens data is automatically entered on the Patient Data 1 screen FOR MANUAL TRIAL LENS INPUT 1 From the Patient Data 1 screen select TRIAL LENS 2 Choose MANUAL TR...

Страница 63: ...Note Clearing Patient Data only deletes information from the screen It does not delete information from the database if the patient data was previously saved Recalling patient data When patients retur...

Страница 64: ...One Down Arrow scrolls down one patient The Page Down Arrow scrolls down a full screen of patients To quickly locate a patient s test access the PATIENT SEARCH button below the File Directory box Ent...

Страница 65: ...o move to the next data field The values entered for visual acuity and pupil diameter will also appear on the printout with the test results Figure 3 2 The Patient Data 2 Screen Inputting diagnostic a...

Страница 66: ...characters 0 14 5 decimal point counts as one character from the pop up keypad then ENTER 3Repeat Steps 1 2 for the other eye The pupil diameter value will also appear on the printout Note If the Auto...

Страница 67: ...e pop up menu Press ENTER 6Repeat Steps 4 5 for the other eye The visual acuity measurement will also appear on the printout Inputting intraocular pressure 1From the Patient Data 2 screen choose IOP i...

Страница 68: ...4Repeat Steps 1 3 to enter a VERTICAL C D When you have finished entering data on the Patient Data 2 screen and are ready to test choose PROCEED This takes you to the test screen where you can set te...

Страница 69: ...wer to be used Table 3 4 Spherical Trial Lens Correction for Central Visual Field Testing Distance Distance Distance Distance Distance Distance Distance Distance Distance Rx Greater Rx Equals Rx is Rx...

Страница 70: ...39 row The signifies that this patient does not need a trial lens correction as the bowl will be in focus with no correction whatsoever Example E For the 63 year old patient with a distance refraction...

Страница 71: ...ce the cylinder lens in the slot farthest away from the patient and align the axis 3Place the sphere lens in the slot closest to the patient Note Use only the narrow rimmed type of trial lenses The wi...

Страница 72: ...Blink normally so your eye does not get dry A good time to blink is whenever you push the response button Note Instructions for Kinetic Testing differ slightly See Section 11 for details Occluding th...

Страница 73: ...djust the table height to be as high as necessary to keep the patient sitting comfortably erect rather than bent over or leaning forward If available pull the slider handle out to release the slider S...

Страница 74: ...s necessary When the patient has been properly instructed and comfortably positioned you are ready to begin testing No trial lenses for Esterman This test is used to assess the level of a patient s fu...

Страница 75: ...e to modify the parameters for specific patients Test Parameters and Strategies 4 The second portion of this section discusses Blue Yellow perimetry or SWAP Short Wavelength Automated Perimetry and SI...

Страница 76: ...ion target which has four settings central small diamond large diamond and bottom LED The central fixation light is the default target It is suitable for most patients but you can change it if the pat...

Страница 77: ...d setting It is distinguished from the others by the appearance of an asterisk on the parameter button If you want to return all settings to the standard mode select RESET TO STANDARD Note For the pur...

Страница 78: ...ing is done with an intensity 6 dB brighter than the ex pected threshold missed points are known to be at least 6 dB deep Three Zone Same as Two Zone except each missed point is measured again at maxi...

Страница 79: ...ion Refer to Section 5 Gaze Tracking for more information Blind Spot The test program periodically presents a stimulus Heijl Krakau in the patient s blind spot If the patient is fixating well he or sh...

Страница 80: ...ed values for 4 primary points are determined The cal culated threshold at the hill s peak or fovea is called the central reference level This value ap pears on the test screen and the printout Single...

Страница 81: ...FastPac testing strategy without compromising test reproducibility See Ap pendix G for more details Full Threshold A bracketing technique is used to threshold each test point An initial stimulus is pr...

Страница 82: ...isual field which require a different fixation light than the Cen tral target in order to expand the superior field range The target used is the Bottom LED of the Large Diamond Fixation Gaze Blind Spo...

Страница 83: ...rameters Blue Same as Screening Parameters Fluctuation On Threshold values for ten 10 pre selected points are retested to determine the variability of the patient s responses Threshold values for the...

Страница 84: ...a thresholding method which collects twice as much information per unit time as FastPac SITA Fast cuts the test time in half relative to FastPac without compromising test reproducibility Tests availab...

Страница 85: ...he peak sensitivity of blue cones Thus Blue Yellow perimetry tests the blue cones and their ganglion cell connections There are at least two theories as to why Blue Yellow perimetry provides earlier d...

Страница 86: ...acts advanced White on White field loss The procedure for testing with Blue Yellow perimetry is identical to the procedure for testing with white on white One important additional step is to explain t...

Страница 87: ...Press OK on the reminder message after you have extended the visor Figure 4 3 Extending the Visor Away From the Patient 3Follow the standard testing procedures normally used for white on white perime...

Страница 88: ...first test of the day to see that the visor is placed in the retracted position The visor reminder is not displayed at start up 2 When beginning the first Blue Yellow test of the day the HFA II will...

Страница 89: ...y identify actual normals as being normal Humphrey s STATPAC for Blue Yellow was designed to provide the same level of specificity for SWAP as currently enjoyed in standard white on white Humphrey per...

Страница 90: ...Note STATPAC analysis is not available for tests using either the red or blue stimulus 1 From the start test screen select CHANGE PARAMETERS 2 Open the stimulus color drop down menu and choose either...

Страница 91: ...y shifts to monitoring the patient s progress to ensure a successful outcome and reliable results This section explores your options available during the test It helps to answer the following question...

Страница 92: ...ion monitoring system models 740i 745i and 750i Refer to Supplemental Testing in this section for additional information DISPLAY STATUS This choice presents a display of all current test parameter set...

Страница 93: ...tency press END DEMO to begin the actual test If END DEMO is not pressed the pop up window will disappear after one minute The test will immediately begin Note The Demo test runs only after the Foveal...

Страница 94: ...re 5 2 The Video Eye Monitor Gaze Tracking Gaze Tracking is a unique fixation tracking system that records whether the patient is model 740i 750i properly fixating while stimuli are being presented A...

Страница 95: ...displays an example of good fixation An example of poor fixation is shown in Figure 5 4 Figure 5 3 Example of a Gaze Graph Good Fixation with a Large Number of Blinks Figure 5 4 Example of a Gaze Gra...

Страница 96: ...tex Monitor for instructions on turning on the Vertex Monitor The vertex reading is based on the initial patient position in front of the trial lens To set 1 Make sure that the trial lens holder is in...

Страница 97: ...e initiated 2The small diamond fixation target will light up below the central fixation target Instruct the patient to look at the center of the lower fixation lights in the center of the diamond 3Tel...

Страница 98: ...ddle of the pupil as shown 4Instruct the patient to look at the fixation target and try not to blink Ask the patient to open his or her eyes wide for about a count of twenty or until you say the proce...

Страница 99: ...press CONTINUE to begin testing Note It is important that the patient maintain the same position during gaze initializa tion and testing 7If Gaze Track Initialization is unsuccessful press RE TRY TO...

Страница 100: ...our request DISPLAY STATUS This feature is available to you during testing so that you can verify the current parameter settings FIXATION This button gives you the option of changing the fixation moni...

Страница 101: ...o the previous settings for testing the next eye A ghosted button indicates either that choice is not available or the feature is not an option with your model HFA II After one of the following option...

Страница 102: ...Gaze Tracking and Blind Spot Monitoring if pressed In this case you can monitor the patient s fixation by watching the video eye monitor for the duration of the test Both Head Tracking and Vertex Moni...

Страница 103: ...e initialization process Always monitor and encourage the patient Early correction of any poor compliance will help to increase the reliability of the visual field results Gaze Tracking may not work w...

Страница 104: ...to Save this Test The test complete screen The following buttons are displayed on the Test Complete screen SAVE ON DISK You may save the test result with this button It allows you to save a test more...

Страница 105: ...ing Test which prints each test on a separate page and Both Eyes or OU which condenses the two test results to one page There are several threshold print formats Single Field Analysis Overview Change...

Страница 106: ...ttons or SHOW TEST LIBRARY 2Select a test eye Choose RIGHT or LEFT to proceed or CANCEL to return to the Main Menu screen 3Enter patient data A patient name and date of birth is required for saving to...

Страница 107: ...MENU Icon on the HFA II 6Press START 7If the Foveal Threshold parameter is turned on it will activate now Refer to the earlier discussion in this section on Foveal Threshold 8If the fixation monitori...

Страница 108: ...2 Press SPECIALTY TESTS 3 Choose either ESTERMAN MONOCULAR or ESTERMAN BINOCULAR When performing the Binocular test the following set of instructions will be displayed on the screen when you press ST...

Страница 109: ...Evaluating Reliability 6 4 Fixation Losses 6 4 False Positive Errors 6 4 False Negative Errors 6 6 Fluctuation Values 6 6 Visual field testing represents a team effort between the perimetrist and the...

Страница 110: ...ly Use an adjustable office chair with or without arms to accommodate tall and short patients The perimeter and table will accommodate a full size office chair with arms or a wheelchair Be sure to adj...

Страница 111: ...em Encourage them to take breaks and pause the test by holding down on the response button if fatigue is a problem Observe the patient by means of the video eye monitor Encourage correct behavior Reco...

Страница 112: ...ation monitor or in conjunction with the Heijl Krakau blind spot mode described above If a patient has demonstrated both good fixation and test taking reliability in the past you may prefer using just...

Страница 113: ...cates a very unreliable patient A high number of fixation losses false positive errors and false negative errors have been recorded Poor fixation is indicated by the gaze graph Also note the number of...

Страница 114: ...ues The fluctuation value is an option that can be used with the Full Threshold and FastPac strategies Fluctuation is not measured when using either of the SITA strategies When fluctuation is turned o...

Страница 115: ...i series Figure 6 2 SITA Printout Showing Good Reliability Note On SITA printouts false positive and false negative values are recorded as percent ages Also note the absence of Fluctuation SF and the...

Страница 116: ...6 8 TEST RELIABILITY REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series...

Страница 117: ...s current visual field status as well as changes in sensitivity over time Coupled with Humphrey s STATPAC software HFA II printouts provide access to sophisticated statistical analysis of visual fiel...

Страница 118: ...he RECALL PATIENT DATA button as described in Section 3 Recalling Patient Data to reduce patient data errors 2 Save the test results to disk hard drive and or floppy disk These steps will avoid errors...

Страница 119: ...hange Probability Analysis and Glaucoma Hemifield Test GHT are not available with tests using the FastPac strategy Glaucoma Change Probability Analysis is also not available for the SITA tests For Cen...

Страница 120: ...negative and false positive errors are printed as a percentage such as 25 The visual fields used in developing STATPAC for the Full Threshold and FastPac strategies were those of subjects whose reliab...

Страница 121: ...lysis is based on the results of a single central threshold test The top printout of the page presents patient data test reliability indices and the test results in the grayscale and numeric formats T...

Страница 122: ...field loss occurring in a pattern typical of that seen in glaucoma It also indicates when test results show that the overall field is severely depressed or shows suspiciously high sensitivity The mes...

Страница 123: ...ion caused for example by cataracts or small pupils Similarly STATPAC corrects for any patients who are supernormal adjusting the expected hill of vision upward by the appropriate amount and thereby m...

Страница 124: ...oss CPSD depends on both PSD and SF and is therefore not available unless the fluctuation option remains on during testing The overview printout The Overview printout can show the results of up to six...

Страница 125: ...STATPAC ANALYSIS PRINTING RESULTS 7 9 REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series Probability Symbols Reliability Indices Global Indices Figure 7 3 The Overview Printout...

Страница 126: ...xtreme values and the 15th and 85th percentile deviations The summary is made up of the differences at each tested point between the patient s measured field and the STATPAC age corrected reference fi...

Страница 127: ...ATPAC ANALYSIS PRINTING RESULTS 7 11 REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series Figure 7 5 The Change Analysis Printout Box Plot or Histogram Summary of Global Indices Linear Regressio...

Страница 128: ...SF Short term Fluctuation and CPSD Corrected Pattern Standard Deviation for the tests shown in the box plot The summary results are presented chronologically and in the same order as in the box plots...

Страница 129: ...the more easily the small changes in MD are detected A low number of observations involves a higher risk that the analysis will fail to detect a deterioration over time This is the reason that STATPAC...

Страница 130: ...Figure 7 6 A Mixed Change Analysis Printout with SITA Tests Included Note The normal box plot and the p values for the global indices are not displayed In addition no linear regression information is...

Страница 131: ...l use the average of the first two selected tests as a baseline and all subsequent tests as follow up There are two exceptions 1 If only two tests are selected the first will be used as the baseline a...

Страница 132: ...iangle identifies improvement significant at the 5 level Points not changing by a significant amount are indicated by a single solid dot An X signifies that the program was unable to determine whether...

Страница 133: ...STATPAC ANALYSIS PRINTING RESULTS 7 17 REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series Figure 7 7 The Glaucoma Change Probability Baseline...

Страница 134: ...7 18 STATPAC ANALYSIS PRINTING RESULTS REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series Figure 7 8 The Glaucoma Change Probability Follow Up...

Страница 135: ...ss than 5 of the normal population deviates from the norm by a certain amount means just that and nothing more It does not mean that there is only a 5 chance that the result is normal The positive pre...

Страница 136: ...ers which appear outside each quadrant of the numeric grid are called quad totals and represent a summation of the threshold values determined in each quadrant These numbers which even in normals will...

Страница 137: ...ern Standard Deviation PSD No numerical values for Short term Fluctuation SF will be displayed and because no SF value is determined no Corrected Pattern Standard Deviation CPSD value will be displaye...

Страница 138: ...7 22 STATPAC ANALYSIS PRINTING RESULTS REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series Figure 7 11 An Example of a Single Field Analysis Printout for SITA...

Страница 139: ...important to pay most attention to the STATPAC probability plots rather than the traditional grayscale If interpreted using standard White on White perimetry rules the grayscale may lead to misinterpr...

Страница 140: ...view printout The Blue Yellow Overview is identified at the top of the printout Any Blue Yellow test run with the FastPac strategy will display FastPac in place of the GHT results See Figure 7 13 for...

Страница 141: ...rint a single field 1 Make sure the patient s name and date of birth are entered correctly then save the analysis of current test results on disk results 2 From the Test Complete screen select the PRI...

Страница 142: ...see Example 7 14 The printout of both eyes is also known as the O U Printout The Quantify Defects Full Field screening test is printed on two pages The first page consists of the Full Field printout T...

Страница 143: ...test you can print the results for the one eye immediately or you can wait until the second eye has been tested and print both results on one page 1 Make any additions or corrections to patient data 2...

Страница 144: ...eye on one page 3 Two or more tests for Starts printing immediately Threshold tests are different patients printed using the Single Field Analysis format where appropriate otherwise the printout is t...

Страница 145: ...results Printing from view test You can print any file you have retrieved through the View Test feature 1 From the Main Menu screen select the FILE FUNCTIONS icon 2 Select VIEW TEST 3 Designate the S...

Страница 146: ...scale Shades Found on HFA II Printouts and Their Numerical Equivalents in Apostilbs ASB and Decibels dB REMOTE PRINTER ACCESS It is possible to link the HFA II to a compatible printer without using ca...

Страница 147: ...all previously stored tests on either an internal hard disk a removable floppy disk or both This packet of stored information is called a file and for each right eye and each left eye tested there is...

Страница 148: ...retrieved test only or whether they will change all stored tests for that patient You may also change an individual test date with this feature PRINT DIRECTORY allows you to print a directory listing...

Страница 149: ...is required to connect the instruments You can transfer approximately 1 440 tests per hour at a 9600 baud rate See Transferring Tests Between the HFA I and HFA II or HFA II and II i series in this sec...

Страница 150: ...esignate the source of the tests the location on which they are currently stored The primary choices are HARD DRIVE or FLOPPY When transferring tests HFA SERIAL CABLE will also appear on the Source li...

Страница 151: ...this patient will be displayed in the File Directory Each test will be listed with Eye Test Type Date and Time of test see Figure 8 3 and 8 4 below Figure 8 3 The File Directory Sorted by Patient Figu...

Страница 152: ...an can be displayed on one screen In fact no more than seven tests can be shown at one time however you can easily move through the directory with the aid of a few command buttons Figure 8 5 The File...

Страница 153: ...se the keypad to enter the desired date In both cases the search is limited to only those tests meeting the search criteria in Disk Options SELECT ALL selects and puts a check mark next to every test...

Страница 154: ...floppy disk on which you store all tests for patients with last names starting with the letter A This disk is now full To create room you wish to move all the tests with last names starting with A to...

Страница 155: ...searched Of course you may select Left and Threshold at the same time if you only want to search for threshold tests performed on left eyes 2After the desired range s has been specified press PROCEED...

Страница 156: ...hould enter a returning patient s data via the RECALL PATIENT DATA button The MERGE PATIENTS feature is available during patient data recall to help clear up extra patient entries See Section 3 Recall...

Страница 157: ...creen Test results can be printed by pressing the PRINT FUNCTIONS icon Patient data is viewed by pressing the PATIENT DATA button Patient data can also be changed for the test being viewed on the same...

Страница 158: ...from the file directory screen Press PROCEED You are only permitted to change name date of birth and ID number when ALL TESTS is selected To change patient data on a single test for a given patient s...

Страница 159: ...rce disk the disk you want to copy in the floppy drive 3 Select OK to proceed or CANCEL to return to the File Functions menu If you select OK the next screen displays Reading Source Disk 4 When instru...

Страница 160: ...only High Density HD 1 44 MB disks Regular density 720 K and Super High Density 2 88 MB disks will not work with the HFA II To compare test results The Compare feature analyzes the results of two thr...

Страница 161: ...nation disks and Directory Order then PROCEED 3 Select the test s you want to move or SELECT ALL to move all tests saved on the Source 4 Select PROCEED to begin moving tests 5 The selected tests will...

Страница 162: ...t transfer Compared Averaged or Merged tests will not transfer Tests originally acquired on the HFA II will not transfer The Macula test Only the first two threshold values at each point will be displ...

Страница 163: ...LE FUNCTIONS icon on the right of the screen 8 Select TRANSFER TESTS 9 Select HFA SERIAL CABLE as the Source 10 Choose HARD DRIVE or FLOPPY as the Destination then press PROCEED ON THE HFA I 11 From t...

Страница 164: ...appear Press PROCEED 7 Press the FILE FUNCTIONS icon on the right of the screen 8 Select TRANSFER TESTS 9 Select HFA SERIAL CABLE as the Source 10 Choose HARD DRIVE or FLOPPY as the Destination then p...

Страница 165: ...n is unavailable Should the HFA II be unable to access the hard drive NA will be displayed If you back up your hard disk to floppy disks see Section 9 and insert a backup floppy disk the Database Stat...

Страница 166: ...ou press SAVE ON DISK the results will be stored on both the hard disk and floppy disk 2 Organize floppy disks chronologically by leaving the same floppy disk in the drive until it is full and then re...

Страница 167: ...history it is imperative that you take steps to safeguard the integrity of the data by creating backup copies of all tests In addition to patient data you can protect Custom test patterns Main Menu bu...

Страница 168: ...n Section 8 File Functions Database integrity functions Functions associated with preserving database integrity can be found on both the File Functions and Additional Setup Menus These functions are o...

Страница 169: ...ia Always use formatted disks for these procedures Information on the proper care and handling of storage media is covered at the end of this section as well as in Section 12 Database protection Your...

Страница 170: ...OPPY Carl Zeiss Meditec does not recommend that you adopt this as your sole backup procedure If while restoring data one floppy disk in the series is damaged the entire set becomes unusable Figure 9 2...

Страница 171: ...backup however is not instrument specific Notes 1 You may not backup or restore an individual Custom test pattern All Custom test patterns must be backed up and restored as a group 2 Configuration Bac...

Страница 172: ...i series 3Press BACKUP CONFIGURATION 4A pop up window will display the message Configuration Backup will format a floppy disk and save the current setup including the Main Menu definitions Press CONT...

Страница 173: ...atted disk your HFA II will format it again to ensure the integrity of the disk 7A pop up window will display the message Floppy Successfully Formatted Press OK to begin the backup 8When the Configura...

Страница 174: ...s among all your instruments you may use a single configuration backup disk to restore settings to all the other units Each instrument must support the same product features Caution Any new Custom tes...

Страница 175: ...he appropriate Configuration Backup floppy disk Press CONTINUE The Main Menu and Custom test configurations will be restored 5When restoration is complete press OK After a 15 second pause your HFA II...

Страница 176: ...file functions The HFA II is equipped to detect a database failure and attempt to recover any potentially lost information In the event of failure a message appears on the screen that includes an appr...

Страница 177: ...il BACKUP RESTORE Caution If a hard drive database failure occurs while attempting to save test results do not recycle power at this time This action will cause you to lose the results from the test j...

Страница 178: ...ecovery at a later time see FLOPPY ONLY option To help you decide a screen message alerts you to the approximate recovery time Note If you were to choose FIX NOW and the attempt failed you could alway...

Страница 179: ...ed while saving test results or patient data the HFA II will automatically save the data to the floppy disk If failure occurred while performing file functions go to the Rebuild Hard Disk Database opt...

Страница 180: ...ction that involves the hard drive the previous two screens will be displayed Continue to choose FLOPPY ONLY and YES to save data to the floppy disk while patients are present 4When you have time to a...

Страница 181: ...d drive failure In the event the FIX NOW recovery attempts have failed use the rebuild utility REBUILD HARD REBUILD HARD DISK DISK DATABASE Typically a lengthy process rebuilding the database frequent...

Страница 182: ...REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series 2Select ADDITIONAL SETUP 3Select REBUILD HARD DISK DATABASE 4The HFA II may attempt a brief recovery process before launching into the more...

Страница 183: ...NCEL the pop up window closes and the Additional Setup screen returns 6While the rebuild utility is running the screen displays a user message 7If the utility successfully rebuilds the database the sc...

Страница 184: ...HFA II to its previous condition Use the Floppy Only method of data storage until you find a more convenient time to deal with the failed database When time permits you will need to restore the datab...

Страница 185: ...at the File Functions screen Select BACKUP RESTORE 2 Choose FLOPPY as the Source Press PROCEED 3 You are given the option of replacing the database or merging the database Press REPLACE 4 Insert the f...

Страница 186: ...isk or backup set of floppy disks No tests are deleted from the hard drive Merging two databases can be a lengthy process If your backup source contains 10 000 patient tests it may take up to 75 minut...

Страница 187: ...data with no associated test data This can occur when patient data is entered but the test is not saved This can also happen when patient data is entered early in the day for convenience but the pati...

Страница 188: ...Source to FLOPPY and the Destination to HARD DRIVE C Select PROCEED D Press SELECT ALL E Choose PROCEED 4 When the copying is completed return the floppy disk to its original HFA II Note If there are...

Страница 189: ...g test pattern the user may create a unique static visual field test to apply to any diagnostic situation This chapter discusses how you can create your own Custom tests Once created these tests may b...

Страница 190: ...ces Do not attempt to design a Custom test for the left eye Note You may begin testing with either the right or left eye Custom tests must be created by the user Once created they may be saved and the...

Страница 191: ...e user to design a Custom Screening visual field test DELETE STATIC TEST This button allows the user to remove a previously created Custom static test pattern from the Custom Tests screen If chosen th...

Страница 192: ...s to select the desired POINT PATTERN FIELD SIZE and POINT SPACING Press SELECTION COMPLETE when done Point Pattern This allows the user to decide between a Single Point X Y or a Grid point pattern X...

Страница 193: ...degrees Each field size is independent of the other two They may not be combined The field size may not be changed once set Point Spacing This option allows the user to determine the spacing in degree...

Страница 194: ...eye only When the left eye is tested the HFA II will flip the test pattern to accommodate for the mirrored physiological differences Do not attempt to design a left eye Custom test 1If you chose the...

Страница 195: ...The entered point s X Y coordinate value is displayed in the upper right hand portion of the screen 5To input an additional point repeat steps 1 through 4 Your next point will also appear on the scre...

Страница 196: ...your selection Change the point spacing either by pressing CHANGE OPTIONS and selecting a different spacing option or by placing the point in a different location For a Grid points entry you must inpu...

Страница 197: ...l square not a point The previously entered Grid will turn from squares to points This is to make the most recently programmed points more noticeable on the Custom screen This will not affect the size...

Страница 198: ...ints however Grid points can be added to a test with Single Points just as easily Note If Grids or Single Points overlap have the same X Y coordinates the overlapping points will still only be tested...

Страница 199: ...TING 10 11 REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series 4Press ADD ENTRY 5Input Single Points as described previously in Adding Single Points Figure 10 2 An Example of a Point and Grid C...

Страница 200: ...1From the Custom screen press ERASE LAST ENTRY The last Single Point or Grid you have entered will automatically be removed from the test field No warning will be issued before deleting the last entr...

Страница 201: ...TION COMPLETE If you are creating a Custom Screening test the Screening Parameter Setup screen will appear Note SITA Standard and SITA Fast are not available for use with Custom tests 4Name the comple...

Страница 202: ...lso be printed as part of the title on the printouts 6Custom test buttons are automatically added down the first column of the Custom Tests screen When five tests have been added the next test buttons...

Страница 203: ...USTOM TESTING 10 15 REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series 1Press the SYSTEM SETUP icon from the Main Menu screen 2Choose ADDITIONAL SETUP 3Select CUSTOM TEST DELETING CUSTOM TESTS...

Страница 204: ...he Custom screen will appear Select the button that represents the test you want to remove 6 A pop up window will verify that you wish to delete this test Press DELETE if this is the test you intend t...

Страница 205: ...ly exception is that Custom tests cannot be used with the SITA Standard or SITA Fast testing algorithms When Custom test patterns are created they are stored for future use on the Custom Tests screen...

Страница 206: ...will be ghosted if no Custom tests have been created See Creating Custom Tests earlier in this section for details 3The Custom Tests screen will appear Select the desired Custom test Proceed with tes...

Страница 207: ...test except when points exist in both the central and peripheral visual field When a Custom visual field is larger than 30 degrees and the Quantified Defects strategy is being used an additional Cent...

Страница 208: ...10 20 CUSTOM TESTING REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series...

Страница 209: ...Custom Scan Pre set testing sequences are available for automatic or step by step procedures Scotoma mapping blind spot mapping and static point display are available for investigation of small areas...

Страница 210: ...user to activate the stimulus Step by Step mode Currently these pre programmed test sequences are limited to one isopter III 4 E Custom Kinetic patterns may be created by the user and stored for repea...

Страница 211: ...refer to each step as needed or read the following pages as a tutorial 1From the Main Menu screen select SHOW TEST LIBRARY Note Any KINETIC button may be placed on the Main Menu screen via the Alter...

Страница 212: ...Choose either RIGHT or LEFT 5 Input the appropriate patient data The patient name and date of birth must be entered before saving at the end of the test You may use the RECALL PATIENT DATA button if t...

Страница 213: ...Kinetic testing will begin in the peripheral field at approximately 75 nasally and temporally or 55 in the superior and inferior fields Each Kinetic test can have up to ten 10 sets of parameters that...

Страница 214: ...dB Stimulus Intensity Modifier This drop down menu lists the letters corresponding to the second fine Goldmann intensity filter which also helps to determine the intensity of the stimulus The values...

Страница 215: ...a chosen pattern will be tested in random order The chosen meridian pattern is indicated by the highlighted number in the center of the button The example in the left hand margin shows that the 8 mer...

Страница 216: ...ving the stimulus toward fixation and into the patient s field of vision If the patient does not respond by the time the stimulus reaches the central fixation point the light will be turned off The in...

Страница 217: ...o use a cursor to point at the meridian to test The other method involves using the keypad and entering the meridian along which to start the stimulus The present screen is in the Cursor mode To switc...

Страница 218: ...ackball to locate the starting position This method only selects the meridian it does not locate the starting position away from fixation the radius The starting position is fixed by whether the Full...

Страница 219: ...RETURN ENTER key can also be used to start the test Note Meridians are positive whole numbers between 0 and 359 3Prepare the patient for the test Explain that the light will not be seen for a short ti...

Страница 220: ...nother meridian repeat steps 1 through 6 Continue to repeat the steps until all desired meridians for that particular isopter have been mapped 8To create a different isopter first set the parameters a...

Страница 221: ...removed from the test No warning will be issued before deleting the last entry 2Subsequent selections of the DELETE LAST POINT button will erase the next previous entry Note The DELETE LAST POINT but...

Страница 222: ...side of midlines Speed 2 degrees per second Size Goldmann III4e Total Number of Points per Isopter 15 Meridians Tested 5 30 60 85 95 120 150 175 185 210 240 265 275 300 330 High Res 15 15 degree steps...

Страница 223: ...mpletion of the test The HFA II will automatically select the next meridian to test start the stimulus and record at which point the patient pressed the response button It will continue until all prog...

Страница 224: ...The meridian to be tested is indicated on the screen 6The stimulus will light but will not move for a short period of time You will then see a small diamond begin to move across the screen and the STO...

Страница 225: ...missed point You will also be given the option of using the trial lens holder at this point You do not need to use it 1The test may be paused by pressing the STOP STIMULUS button 2Choose the action yo...

Страница 226: ...he test is paused while the HFA II changes the parameters for the new isopter The new isopter begins testing when the announcement is removed from the screen 1At the completion of the automatic testin...

Страница 227: ...opportunity to retest a point prior to testing the next meridian or to advise the patient during the test You control when each point is to be tested Starting each stimulus by pressing the Enter key...

Страница 228: ...timulus will light but not move for a short period of time You will then see a diamond representing the stimulus begin to move across the screen Note The ZOOM TO 30 EXPAND TO 80 button may be used to...

Страница 229: ...N to start the stimulus 3A second capital letter will be displayed on the retested meridian Note When isopter lines are drawn the line will connect to the second stimulus mark When the last point of a...

Страница 230: ...al Kinetic screen configuration is displayed This allows you to add an additional isopter or test a selected meridian It also allows access to the Special Mapping options Special Mapping is described...

Страница 231: ...EV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series KINETIC TESTING 3Press SAVE TEST 4Confirm the patient data is correct before saving Isopter lines may be added to indicate the isopters on the...

Страница 232: ...yzer will calculate an Efficiency Score and display this value on the printout The exact values of the 8 points should also be printed for your records and are included in the Numeric Values printout...

Страница 233: ...est SPECIAL MAPPING can be activated to allow looking for isolated scotomas This extra testing will not change the calculated Efficiency Score The next part of this section goes into greater detail ab...

Страница 234: ...es 6When the test is complete save the test results Press the Print Functions icon to complete the disability test procedure Choose both the Full Field and the Numerical Values printouts for complete...

Страница 235: ...in the Automatic mode Special Mapping provides the user with a number of additional testing options which are described on the following pages Scotoma Mapping Blind Spot Map Static Points Custom Scan...

Страница 236: ...of times to outline the boundaries of the scotoma 1From the Special Mapping screen press SCOTOMA MAP 2The Kinetic Parameter Setup screen will be displayed Use the drop down menus to make changes See...

Страница 237: ...toma map is to be placed Press ENTER 4Enter the radius the distance in degrees from the fixation point where the center of the scotoma map is to be placed 5Prepare the patient for the test Explain tha...

Страница 238: ...s chosen The user cannot initiate each test stimulus individually When the patient presses the response button the HFA II will switch to the next meridian and immediately start testing 7During the tes...

Страница 239: ...tested Starting at this center point the stimulus will move out toward the periphery in each of the directions shown on the Meridian Pattern button It stops when the patient pushes the response button...

Страница 240: ...individually When the patient presses the response button the HFA II will switch to the next meridian and immediately start testing 5During the test a small diamond moves across the video display It d...

Страница 241: ...lect STATIC POINTS from the Special Mapping Screen 2For ease of use set the HFA II for cursor use Press USE CURSOR if in keypad mode Move the cursor to the area at which you wish to test In this examp...

Страница 242: ...s Not Seen will briefly be displayed if the patient does not see the stimulus Additional static points may be checked Only the most recent point seen will be displayed Note All static points tested bo...

Страница 243: ...llowing pages Selecting the Start and End points with the Keypad is available but involves the entering of two coordinates Meridian and Radius for each point and therefore takes more time 1From the Sp...

Страница 244: ...en 5Move the cursor to the area where you wish the test point to run towards the End Point 6When you have located that position press SELECT END POINT The stimulus will begin moving when SELECT END PO...

Страница 245: ...points for each particular isopter are determined After all desired points have been mapped press END CUSTOM SCAN to return to the Kinetic Test screen 8If all of the desired stimuli from the differen...

Страница 246: ...llowing options SAVE TEST Pressing this button will save the current Kinetic test to the hard disk and floppy disk This information may be viewed or printed in the future SHOW ALTERNATE ISOPTERS When...

Страница 247: ...wants to see the central 30 of an 80 field in detail Pressing this button does not eliminate the points outside of the central 30 These points may be viewed again by pressing EXPAND TO 80 TEST OTHER...

Страница 248: ...utton on the Main Menu screen RECALL LAST TEST will automatically take the user to the View Test screen for the Kinetic test if the Kinetic test was the last test performed on the instrument To view a...

Страница 249: ...es KINETIC TESTING 4Input the patient name Press ENTER 5Select the Kinetic test you want to view The selected test will be highlighted Kinetic tests are designated Kinetic in the Directory Press PROCE...

Страница 250: ...Test ADD ISOPTER LINES This option allows you to connect the same isopter results the same uppercase letters by lines SHOW ALTERNATE ISOPTERS This option allows you to choose which isopter s to displa...

Страница 251: ...is also available All isopters are printed Full Field Printout The Kinetic Full Field printout shows all isopters and scotomas mapped out to the peripheral 80 degrees Some points may be hidden if they...

Страница 252: ...ER II i series Central Printout The Kinetic Central printout documents the central 30 degrees of the visual field Figure 11 4 shows the central 30 degrees of the Full Field printout in Figure 11 3 Fig...

Страница 253: ...shows the locations of the starting and ending points of all stimuli presented during the kinetic test The table also lists all Static Points and whether each point was Seen or Not Seen Each point is...

Страница 254: ...pretation of test results The following is the list of print styles for each type of test point Type Style Example Isopter Uppercase A Scotoma Outlined B Blind Spot Outlined C Custom Scan Inverse D D...

Страница 255: ...want to view Kinetic tests are designated Kinetic in the Directory Press PROCEED 5Choose the printout style s Press PRINT ALL SELECTED ITEMS Printing will begin Note When printing at the end of a test...

Страница 256: ...d Example Programming a point to be presented along the 45 degree meridian in the temporal visual field for the right eye will be presented along the 135 degree meridian temporal visual field for the...

Страница 257: ...11 49 REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series KINETIC TESTING 1Start at the Main Menu Press the SYSTEM SETUP Icon 2Press the ADDITIONAL SETUP button 3Press the CUSTOM TEST button...

Страница 258: ...KINETIC PARAMETER SETUP screen appears Choose the stimulus parameters for the first isopter to be tested Press SELECTION COMPLETE 6You have the option of entering each test point in the order you wis...

Страница 259: ...n the upper left corner 7To enter the first meridian press ADD MERIDIAN 8The Keypad will appear on the screen Enter the meridian desired eligible range is 0 359 degrees Note You may find it more conve...

Страница 260: ...evious meridian at 60 degrees has changed to a circle This is to make it easier to identify the most recent meridian programmed 11 When all the meridians for the first isopter have been added press th...

Страница 261: ...TIC TESTING 13 You will be given the option to use the same points you chose for the first isopter to be applied to this second isopter Add the meridians to be tested as described above for the second...

Страница 262: ...e indicator at the top changes to the previous meridian The ERASE LAST MERIDIAN button can be pressed repeated times to erase previously programmed meridians It will change to ERASE ISOPTER when all m...

Страница 263: ...ust created Press YES Note If you press NO the name of your test will be Custom Kinetic A second Custom Kinetic test will also be named Custom Kinetic It is recommended that all Custom Kinetic tests b...

Страница 264: ...cally for Germany The test is identical to the Standard 30 kinetic test All three of the pre defined kinetic test patterns are limited to presenting only one isopter You may wish to create your own Cu...

Страница 265: ...680 1 HUMPHREY FIELD ANALYZER II i series KINETIC TESTING 1Start at the Main Menu Press the SYSTEM SETUP Icon 2Press the ADDITIONAL SETUP button 3Press the CUSTOM TEST button CREATING THE APHAKIC SIZE...

Страница 266: ...ears press CREATE KINETIC TEST 5The KINETIC PARAMETER SETUP screen appears Set the following stimulus parameters for the isopter to be tested Size IV Intensity 4 Intensity Modifier E Speed 4 Press SEL...

Страница 267: ...the meridian desired Press ENTER The meridians to be entered are 0 45 90 135 180 225 270 315 9A small gray square will be placed on the meridian entered In this example the square can be seen on the 0...

Страница 268: ...eld The previous meridian at 0 degrees has changed to a circle This is to make it easier to identify the most recent meridian programmed 11 When all the meridians for the isopter have been added press...

Страница 269: ...d will appear Type SSA Aphakic Press ENTER when the name of your test is complete The SSA Aphakic Disability Test will be placed on the Kinetic Testing menu This test may be accessed by the traditiona...

Страница 270: ...ans listed are not identical you must delete the test and create a new one If the SSA Aphakic Test is determined to be incorrect it must be deleted Follow the instructions below 1From the Main Menu sc...

Страница 271: ...eplacing Parts 12 4 Operating the Printrex Printer 12 10 Touch Screen Calibration 12 12 Using Data Disks 12 13 The HFA II is designed to meet the demands of your busy schedule and because it plays an...

Страница 272: ...ner distilled water or isopropyl alcohol applied to a soft cloth to clean the surfaces cited below Clean as often as necessary EXTERIOR SURFACE Never spray cleaner directly on the instrument BOWL SURF...

Страница 273: ...ak the filter in soapy water to clean it always allow it to dry completely before returning it to the instrument as moisture will cause damage to the internal parts For replacement filters call Zeiss...

Страница 274: ...bulb by calling Carl Zeiss Meditec Customer Service Ask for Part Number 30323 Projection Lamp 1Turn off the HFA II and lower the table Remove the top access panel by rotating it counterclockwise Stan...

Страница 275: ...om you 4Remove the bulb assembly Insert the replacement bulb into the housing Note the notch in the base of the bulb housing lines up with the pin to the right of the assembly Do NOT touch the glass p...

Страница 276: ...d these bulbs are to be replaced only by a Carl Zeiss Meditec Service Representative Patient response button Should the response button malfunction disconnect it and replace it with a new response but...

Страница 277: ...he filament for breakage Remove defective fuses 4Insert the new fuse s in the holder Slide the holder back into the housing with arrows pointing to the right Push the cover up and in until it snaps cl...

Страница 278: ...r the table Information on the replacement fuses and proper ratings are posted next to the fuse location described below Figure 12 1 HFA II Power Table With Mounted Printer Showing Location of Fuses 1...

Страница 279: ...base of the lifting column Move the table away from the wall to access the back of the table 2Use needle nose pliers or fingernails to gently slide the fuse drawer from its housing 3Remove defective f...

Страница 280: ...r by pressing on the open circles printed on the two latches at the lower corners of the door Pull up on the latches to open the door 2Remove the paper roll holder from the printer and remove the pape...

Страница 281: ...t and the Error indicator is not flashing About thermal paper Storage of thermal paper for the HFA II requires special care Carl Zeiss Meditec recommends that you store your printouts in plain paper f...

Страница 282: ...it is properly calibrated 8 If the touch screen response is still not accurate re calibrate by repeating steps 1 through 7 There are two additional ways to re calibrate the touch screen should you hav...

Страница 283: ...of the disk Remember to label data disks for easy identification Be careful to not let the label adhere to the sliding cover of the disk Store data disks in their protective folders and in the origin...

Страница 284: ...12 14 CARE AND CLEANING REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series...

Страница 285: ...4 580mm Depth 20 4 518mm Weight 87 8 lbs 39 9kg Height with table fully elevated with slider 66 1676mm Footprint includes Table Width 38 3 973mm Depth 27 4 696mm Environmental Requirements Operating A...

Страница 286: ...Three Zone Quantify Defects X X X X Age Level Referenced Threshold Related Modes X X X X Single Intensity X X X X Specialty Test Library Esterman Monocular X X X X Esterman Binocular X X X X Superior...

Страница 287: ...ATPAC Formats Three in One X X X X Overview Sizes I II IV X X X Screening O U Printout Both Eyes X X X X Compare X X X X DATA STORAGE 3 5 Floppy Drive X X X X Internal Hard Disk Drive X X X X Magneto...

Страница 288: ...ecifications Subject to Change USER FEATURES Model Model Model Model 720i 740i 745i 750i Fixation Monitoring Heijl Krakau Blindspot X X X X Video Eye Monitor X X X X Trial Lens Holder X X X X Gaze Tra...

Страница 289: ...costs If Your HFA II is ineligible for repair under Warranty We will notify You and any repairs You authorize will be performed at Our normal rates All replaced parts will become the property of Carl...

Страница 290: ...ION OR WINDRIVER SYSTEMS NOR ANY OTHER PARTY INVOLVED IN THE CREATION PRODUCTION OR DELIVERY OF THIS INSTRUMENT OR SOFTWARE COLLECTIVELY REFERRED TO AS CONTRIBUTOR S SHALL BE LIABLE FOR ANY DAMAGE LOS...

Страница 291: ...ght to use and display this Software on a single HFA II under the terms of this License If the HFA II on which You use the Software is a multi user system this License covers all users on that single...

Страница 292: ...ies of the Software and accompanying materials in your possession The new recipient of the Software and accompanying HFA II accepts this Agreement and is licensed under the terms of this Agreement upo...

Страница 293: ...FUNCTIONS PRINT FUNCTIONS UNDO Return to Previous Screen SYSTEM SETUP The Information i button Appendix C Icon Glossary REV A10 9 98 PN 47653 HUMPHREY FIELD ANALYZER II C 1 REV B 02 03 PN 51680 1 HUM...

Страница 294: ...REV A10 9 98 PN 47653 HUMPHREY FIELD ANALYZER II A 6 APPENDIX A REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series C 2 APPENDIX C...

Страница 295: ...ulus is equivalent to a Goldmann V 4e stimulus or 10 000 asb A simplified chart to convert from dB values to Goldmann units is available in Tables D 1 through D 6 To use the conversion tables first lo...

Страница 296: ...I 3a II 3a III 3a IV 3a V 3a 20 100 I 2e II 2e III 2e IV 2e V 2e 21 79 I 2d II 2d III 2d IV 2d V 2d 22 63 I 2e II 2c III 2c IV 2c V 2c 23 50 I 2b II 2b III 2b IV 2b V 2b 24 40 I 2a II 2a III 2a IV 2a...

Страница 297: ...43 44 I 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 II 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 III 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 IV 5...

Страница 298: ...CA Adams AJ Casson EJ Brandt JD Progression of early glaucomatous visual field loss as detected by blue on yellow and standard white on white perimetry Arch Ophthalmol 1993 111 651 656 4 Sample PA We...

Страница 299: ...R II REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series 10 30 20 10 30 20 5 10 5 10 Central 30 2 Threshold Test Pattern Right Eye Central 24 2 Threshold Test Pattern Right Eye Threshold Test P...

Страница 300: ...II A 12 APPENDIX A REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series E 2 APPENDIX E 10 30 40 50 60 20 10 20 30 40 50 60 Peripheral 60 4 Threshold Test Pattern Right Eye Nasal Step Threshold T...

Страница 301: ...I i series HUMPHREY FIELD ANALYZER II APPENDIX E E 3 20 30 10 20 30 10 10 20 30 10 30 20 Central 64 Point Screening Test Pattern Right Eye Central 40 Point Screening Test Pattern Right Eye Screening T...

Страница 302: ...ZER II i series E 4 APPENDIX E 30 10 20 40 50 60 20 10 30 10 20 30 40 50 60 10 20 30 40 50 60 Full Field Armaly Screening Test Pattern Right Eye Central Armaly Screening Test Pattern Right Eye Screeni...

Страница 303: ...Y FIELD ANALYZER II APPENDIX E E 5 40 50 60 20 10 30 50 40 60 90 70 80 20 10 30 40 50 60 20 10 30 Full Field 120 Screening Test Pattern Right Eye Full Field 81 Screening Test Pattern Right Eye Screeni...

Страница 304: ...ER II i series E 6 APPENDIX E 40 30 20 10 50 60 40 30 20 10 50 60 30 40 50 60 70 80 90 10 20 40 50 60 30 70 80 90 10 20 Superior 64 Screening Test Pattern Right Eye Superior 36 Screening Test Pattern...

Страница 305: ...t is currently running Turn on your instrument and allow it to warm up In the upper left hand corner of the Main Menu screen the software revision will be identified e g Rev C_X If you have trouble If...

Страница 306: ...have a button labeled INSTALL Press this button to begin the installation It will say Copying Files on the screen 3When the HFA II is ready for another disk the following message will be displayed Pl...

Страница 307: ...tions Follow the steps described on the previous page 1From the Main Menu press the SYSTEM SETUP icon On the System Setup menu press ADDITIONAL SETUP Next press INSTALL SOFTWARE 2Insert the software d...

Страница 308: ...REV A10 9 98 PN 47653 HUMPHREY FIELD ANALYZER II A 20 APPENDIX A REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series F 4 APPENDIX F...

Страница 309: ...information contained in the patient s responses to those stimuli This is important both in terms of calculating the threshold at the point being tested and in terms of determining how bright the ini...

Страница 310: ...nd less time at locations where the answers are highly consistent When the information index reaches a predetermined value testing at that point is discontin ued the point is then closed The informati...

Страница 311: ...in this project We are especially grateful to the following researchers who acted as principal investigators for their universities hospitals and clinics in the recruitment of subjects and in the col...

Страница 312: ...REV A10 9 98 PN 47653 HUMPHREY FIELD ANALYZER II A 24 APPENDIX A REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series G 4 APPENDIX G...

Страница 313: ...______________ How to print the System Log 2 How to print the Unit Configuration information 2 Start at the Main Menu Press the i button in the upper left hand corner of most screens Press System Setu...

Страница 314: ...to reach touch screen calibration procedure 12 Patient Response Button Does not beep when pressed Turn Switch Beep on Additional Setup menu 2 Check connection to HFA II 1 Verify patient is properly pr...

Страница 315: ...s No change probability symbols on GCP requires 3 tests to show change probability symbols 7 Glaucoma Change Probability GCP printout No Single Field Analysis printout Test pattern not eligible for ST...

Страница 316: ...o open eye wider during initialization 5 Interfering eyelashes ask patient to open eye wider during initialization Small pupils 5 Excessive eye movement or blinking 5 Excessively large or dilated pupi...

Страница 317: ...onnect to HFA II Needs adapter plug 1 Blue Yellow SWAP Grayscale looks very dark May be normal for Blue Yellow The eye is less sensitive to the blue stimulus Gray scale is the same used for White on W...

Страница 318: ...d 8 Use INITIALIZE DISK feature all previous data will be erased Disk may be the wrong format 8 Make sure you use only High Density HD 1 44 MB floppy disks Do not use Super High Density 2 88 MB disks...

Страница 319: ...Button 51467 Keyboard Mini with Touch Pad 51472 Printer Cable Parallel DB 25 to Centronix 42050 Power Cable Instrument to Table 22511 100V 120V Power Cord Table to Wall 22581 220V 230V 240V Power Cord...

Страница 320: ...REV A10 9 98 PN 47653 HUMPHREY FIELD ANALYZER II A 32 APPENDIX A REV B 02 03 PN 51680 1 HUMPHREY FIELD ANALYZER II i series H 8 APPENDIX H...

Страница 321: ...llumination 12 6 H 7 Stimulus Projection 12 4 H 7 Buttons Main Menu screen Add Change 2 18 Add Text to 2 19 2 21 Delete 2 19 C Calibrating Touch Screen see Touch Screen Calibration Cancel Test 5 10 Ca...

Страница 322: ...End of Test Screen 5 14 Environmental Requirements A 1 Esterman Disability Testing 3 6 3 7 3 24 5 18 External Floppy Drive see Floppy Drive External External Keyboard see Keyboard External Eye Monitor...

Страница 323: ...11 39 11 42 General 1 4 Show Alternate Isopters Kinetic 11 38 11 42 K Keyboard External 1 14 1 16 1 17 2 6 12 12 Kinetic Testing Automatic 11 2 11 15 11 24 Blind Spot Map 11 2 11 27 11 31 11 46 Curso...

Страница 324: ...7 28 Custom 10 19 Glaucoma Change Probability Analysis GCP 1 6 5 15 7 2 7 15 7 16 7 17 7 18 7 25 7 28 Interpretation 7 4 Kinetic 11 43 11 44 11 45 Kinetic Legend 11 46 O U Both Eyes 7 26 7 27 Overvie...

Страница 325: ...n 2 11 2 15 2 16 8 17 8 18 Saving Data 5 18 5 19 11 18 11 22 11 38 11 54 Scotoma Absolute 1 4 7 26 Relative 1 4 7 26 Screen Body 2 2 Screen Saver 2 8 Screening Parameters 4 4 Screening Tests 3 5 7 26...

Страница 326: ...Test Library 3 6 Test Parameters 4 7 Transferring 8 16 Time and Date Setup 2 10 2 14 Title Bar 2 2 Total Deviation Plots 7 7 Touch Screen Activation 2 4 Brightness Control 1 12 Calibration 2 21 12 12...

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