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Zeiss HUMPHREY 720i User Manual

Zeiss HUMPHREY 720i
328 pages
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HUMPHREY
®
FIELD ANALYZER II - i series
USER’S GUIDE
Model 720i • Model 740i • Model 745i • Model 750i
TOC.htp 3/14/03, 3:25 PM1

Table of Contents

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Zeiss HUMPHREY 720i Specifications

General IconGeneral
BrandZeiss
ModelHUMPHREY 720i
CategoryMeasuring Instruments
LanguageEnglish

Summary

Introduction/Instrument Setup

About Visual Fields

Explains the concept of visual fields and their importance in eye examinations.

The Humphrey Advantage

Highlights the key features and benefits of the Humphrey Field Analyzer II.

Using This Guide

Provides guidance on how to effectively use the user's manual for learning and reference.

Safety Precautions

Provides essential warnings and guidelines for the safe operation of the instrument.

System Components

Details the various physical parts and modules that make up the HFA II instrument.

Additional Components

Describes external devices like printers and keyboards that can connect to the HFA II.

System Assembly

Outlines the step-by-step procedure for setting up the HFA II instrument.

General Operation

General Information

Provides a basic overview of the HFA II screen layout and its main areas.

The Main Menu Screen

Explains the primary screen for initiating tests and accessing system functions.

System Setup

Covers how to configure instrument settings like language, date, and printer.

Additional Setup

Details advanced setup options such as simulation and screen calibration.

Help Screens

Describes how to access on-screen assistance for instrument operation.

Setting-up Tests

Selecting the Test Pattern and Test Eye

Guides on choosing the specific visual field test and which eye to examine.

Entering Patient Data

Details the process of inputting patient demographic and diagnostic information.

Using Trial Lenses

Explains the proper use and calculation of trial lenses for patient testing.

Preparing the Patient

Provides instructions on patient positioning, instructions, and environmental adjustments for reliable results.

Test Parameters & Strategies

Setting Test Parameters

Explains how to adjust various testing conditions to suit specific patient needs.

Test Strategies

Describes different methods for conducting tests, affecting time and precision.

SITA™ Testing

Details the SITA (Swedish Interactive Thresholding Algorithm) testing strategy.

Blue-Yellow (SWAP) Perimetry

Explains the Blue-Yellow perimetry test and its advantages.

Alternate Color Testing

Covers the use of red or blue stimuli for testing on a white background.

Testing

Start Test Options

Covers initiating a test, displaying status, and changing parameters before starting.

Monitoring and Maintaining the Patient’s Eye Position

Focuses on using the video eye monitor and gaze tracking for accurate fixation.

Supplemental Testing

Details optional tests like Foveal Threshold and Gaze Track Initialization.

Test In Progress

Explains options available during an active test, such as pausing or changing speed.

Test Complete Options

Outlines actions to take after a test finishes, like saving, printing, or testing the other eye.

Testing: A Step-by-Step Guide

Provides a sequential guide for performing a visual field test from start to finish.

Test Reliability

Factors Affecting Reliability

Identifies key elements influencing the accuracy and trustworthiness of test results.

Patient Compliance

Discusses the crucial role of patient cooperation and how to achieve it.

Patient Fixation

Explains the importance of steady fixation and methods to improve it for reliable results.

Trial Lenses

Details how incorrect use of trial lenses can impact test reliability.

Evaluating Reliability

Covers how to interpret reliability indices like fixation losses and false errors.

Fixation Losses

Explains how fixation losses are measured and indicate potential issues with patient fixation.

False Positive Errors

Describes false positive responses as an indicator of poor test reliability.

False Negative Errors

Details false negative errors and their potential causes, such as fatigue or inattention.

Fluctuation Values

Explains fluctuation values as an index of patient response consistency.

STATPAC Analysis & Printing Results

Introduction to STATPAC Analysis

Introduces STATPAC software for expert analysis of visual field test results.

Threshold Test Printout Formats

Describes the various formats available for printing threshold test results.

SITA Printout Formats

Explains the printout formats used for SITA Standard and SITA Fast tests.

Blue-Yellow Printout Formats

Details the printout formats used for Blue-Yellow perimetry results.

Printing Current Threshold Test Results

Guides on how to print threshold test results immediately after testing.

Screening Printout Formats

Explains the formats used for printing screening test results.

Printing Current Screening Test Results

Guides on how to print screening test results immediately after testing.

Printing Previously Saved Test Results

Covers how to retrieve and print test results stored on disk.

Grayscale Symbols

Explains the grayscale representation of visual field defects on printouts.

Remote Printer Access

Describes how to connect to a printer wirelessly using GoPrint.

File Functions

File Functions Menu

Lists the main operations available for managing patient data and test files.

Retrieving the File Directory

Explains how to access and view lists of stored tests from various sources.

Selecting Tests from the Directory

Guides on how to choose specific tests from the file directory for operations.

Performing File Functions

Details core operations like copying, moving, and deleting test files.

Organizing Patient Files

Provides recommendations for managing patient data on floppy disks and other media.

Database Management

Introduction to Database Management

Explains the importance of safeguarding patient data and managing databases.

Patient Database Protection Procedures

Outlines recommended methods for creating backup copies of patient data.

Configuration Backup and Restore

Covers backing up and restoring instrument settings and custom test patterns.

How to Handle Database Failures

Provides procedures for recovering from hard drive or floppy disk failures.

Merge Database

Explains how to combine patient data from different sources to resolve inconsistencies.

Cleanup Hard Disk Database

Describes a utility to remove unassociated patient data and reorganize the hard disk.

Practices with Multiple Humphrey Field Analyzers

Offers methods for maintaining identical patient databases across multiple instruments.

Care and Handling of Removable Storage Media

Provides guidelines for properly caring for and handling floppy and magneto-optical disks.

Custom Testing

Creating Custom Tests

Guides on how to design and create user-defined visual field test patterns.

Deleting Custom Tests

Explains how to remove custom test patterns from the instrument.

Performing Custom Tests

Details how to access and run custom-created visual field tests.

Printout Format

Describes the specific printout formats for custom screening and threshold tests.

Kinetic Testing

Introduction to Kinetic Testing

Provides an overview of kinetic perimetry and its capabilities on the HFA II.

Performing Manual Kinetic Perimetry

Guides on how to conduct kinetic perimetry manually, point by point.

Pre-defined Kinetic Test Patterns

Lists and describes the standard, pre-programmed kinetic test patterns available.

Running Automated Kinetic Tests

Explains how to run kinetic tests in automatic mode for efficiency.

Social Security Administration Kinetic Disability Test

Details a specific kinetic test designed for evaluating visual disability for benefits.

Special Mapping

Covers advanced mapping features like scotoma mapping and blind spot mapping.

Viewing Kinetic Tests

Guides on how to retrieve and view previously saved kinetic test results.

Printing Kinetic Tests

Explains how to print kinetic test results in various formats.

Designing a Custom Kinetic Test Pattern

Details the process of creating personalized kinetic test patterns.

Creating the SSA Aphakic (Size IV) Disability Test

Specific instructions for creating a custom kinetic test for SSA disability evaluation.

Care and Cleaning

General Use Principles

Outlines basic guidelines for operating the HFA II to ensure longevity.

Cleaning the HFA II

Provides instructions on how to clean different surfaces of the instrument.

Replacing Parts

Guides on how to replace components like the stimulus projection bulb.

Operating the Printrex Printer

Explains how to load paper and operate the attached Printrex printer.

Touch Screen Calibration

Details the procedure for recalibrating the touch screen for accurate input.

Using Data Disks

Covers the proper handling and use of floppy and magneto-optical disks.

Appendix A: Product Specifications

HFA II - i Series Product Specifications

Lists the technical specifications, dimensions, and electrical requirements of the HFA II.

Testing Features

Compares the availability of various testing features across different HFA II models.

Data Analysis Software

Details the software packages like STATPAC and their availability for different models.

User Features

Lists the operator interface, printer support, and patient data input capabilities by model.

Appendix B: Warranty Statement and Notification of Copyright

Warranty Statement and Notification of Copyright

Outlines the terms of the product warranty and copyright information.

Warranty

Specifies the duration and coverage of the manufacturer's warranty for the HFA II.

Limitation of Liability

Details the legal limitations on the seller's liability regarding the product and software.

Service Contract

Provides information on purchasing extended warranty or service agreements.

HP Printer Warranty

Refers to the separate warranty provided by Hewlett-Packard for compatible printers.

Software License Agreement

Presents the legal terms governing the use of the HFA II software.

License Terms and Conditions

Outlines the specific rights and restrictions for using the HFA II software.

Appendix C: Icon Glossary

Icon Glossary

Provides a visual reference and explanation of the icons used within the HFA II software interface.

Appendix D: Goldmann Conversion Tables

Goldmann Conversion Tables

Offers tables for converting decibel notation to Goldmann units and apostilbs.

Conversion Table for Blue-Yellow

Provides specific conversion values for Blue-Yellow perimetry parameters.

Appendix E: Test Patterns

Test Patterns

Visually illustrates the layout of points for various threshold test patterns.

Screening Test Patterns

Visually illustrates the layout of points for different screening test patterns.

Specialty Tests Patterns

Visually illustrates the layout of points for specialty test patterns like Esterman.

Appendix F: Installing New HFA II Software

Installing New HFA II Software

Provides essential preliminary steps and troubleshooting for software installation.

Software Installation

Details the step-by-step process for installing the HFA II software from floppy disks.

Additional software installation

Guides on installing optional software features using a separate procedure.

Appendix G: How SITA Works / Acknowledgments

How SITA Works / Acknowledgments

Explains the technical workings of the SITA algorithm and acknowledges contributors.

1. SITA Asks Smart Questions

Explains how SITA optimizes test efficiency by asking targeted questions.

2. SITA Tailors the Testing Pace to the Individual

Details how SITA adjusts test speed based on patient responsiveness.

3. SITA Knows When to Quit

Describes how SITA determines when sufficient information has been gathered at a test point.

4. SITA Carefully Recalculates All Threshold Values at the End of Testing

Explains SITA's final recalculation of threshold values for improved accuracy.

Appendix H: Troubleshooting

Troubleshooting

Provides a comprehensive guide to diagnosing and resolving common HFA II operational issues.

Start-up Difficulties

Addresses common problems encountered when initially powering on the HFA II.

Touch Screen

Offers solutions for issues related to touch screen responsiveness and calibration.

Patient Response Button

Provides troubleshooting steps for problems with the patient response button.

Video Eye Monitor

Addresses issues related to the display and functionality of the video eye monitor.

Time and Date

Explains how to correct incorrect time or date displays on the instrument.

Printer

Covers common problems related to the instrument's inability to print.

Printout Problems

Discusses issues related to the format and content of printed test results.

Blind Spot Monitor

Provides solutions for problems with the blind spot monitoring feature.

Gaze Tracking

Addresses issues related to the initialization and functioning of the gaze tracking system.

Head Tracking

Details troubleshooting steps for problems with the head tracking feature.

Vertex Monitoring

Covers issues related to the vertex monitoring system and its alarms.

Pupil Size

Explains why pupil size might not be displayed correctly on printouts or screens.

External Keyboard

Addresses potential compatibility or connection issues with external keyboards.

Trackball / Mouse

Covers troubleshooting for trackball or mouse input devices not functioning correctly.

Blue-Yellow (SWAP)

Discusses specific issues related to the Blue-Yellow perimetry mode, like grayscale appearance.

Testing Problems

Covers general issues that may occur during the test execution process.

Hard Disk Problems

Addresses critical issues related to hard disk failures and data integrity.

Floppy Disk Problems

Details common problems encountered with floppy disks, including formatting and corruption.

Magneto-optical Disk Problems

Covers issues related to magneto-optical disks not being recognized or used.

Data Transfer Problems

Addresses problems that may occur when transferring data between HFA II units or via serial cable.

Routine Cleaning

Provides guidance on regularly cleaning essential components like the air intake filter and floppy drive.

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