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Zeiss HUMPHREY 740i User Manual

Zeiss HUMPHREY 740i
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 740i Specifications

General IconGeneral
ManufacturerZeiss
ModelHUMPHREY 740i
Stimulus SizesGoldmann sizes I-V
Stimulus PresentationStatic
Stimulus ColorWhite
Patient Response MechanismButton Press
Power Requirements100-240 VAC, 50/60 Hz
TechnologyPerimetry
Test TypesThreshold, Screening
Field of ViewUp to 90 degrees
Background31.5 apostilbs (10 cd/m²)
Testing StrategiesSITA Standard, SITA Fast, Full Threshold, FastPac
Projection MethodLED
Fixation MonitoringHeijl-Krakau
Data StorageInternal Storage
ConnectivityUSB

Summary

Introduction/Instrument Setup

The Humphrey Advantage

Highlights the benefits of computerized perimetry and the unique features of the Humphrey Field Analyzer II for patients and professionals.

Speedy testing

Describes SITA testing strategies for achieving precise visual field measurements with unprecedented speed.

Sophisticated data analysis with STATPAC™

Explains STATPAC software for immediate expert analysis of visual field test results.

Data protection features

Discusses data storage methods like floppy disk and magneto-optical disk backup for safeguarding visual field results.

SAFETY PRECAUTIONS

Outlines essential safety warnings and precautions for installation and operation of the HFA II.

General safety requirements

Covers important safety guidelines for operating the HFA II, including electrical safety.

Installation safety precautions

Details safety measures for installing the HFA II, including proper grounding and ventilation.

SYSTEM COMPONENTS

Identifies and illustrates the main physical components of the HFA II.

Printers

Lists supported printer models and provides setup instructions for Printrex and HP LaserJet printers.

Surge protectors

Recommends using surge protectors or UPS systems to protect the HFA II from power fluctuations.

SYSTEM ASSEMBLY

Provides a step-by-step guide for assembling the HFA II and its components.

General Operation

Touch screen

Explains how to operate the HFA II using the touch screen and provides calibration tips.

THE MAIN MENU SCREEN

Describes the Main Menu screen, its primary functions, and test buttons.

SYSTEM SETUP

Explains how to access and use the System Setup screens to configure the HFA II.

Alter Main Menu

Enables customization of the Main Menu screen by adding or deleting test buttons.

Altering the Main Menu screen

Step-by-step guide on how to add, change, or delete buttons on the Main Menu screen.

Touch Screen Calibration

Guides on resetting touch screen alignment and troubleshooting calibration issues.

Custom Test

Accesses the Custom Test Options window for creating or deleting custom test patterns.

Backup Configuration

Allows saving customized Main Menu buttons and custom test patterns to a floppy disk.

Restore Configuration

Restores previously saved configuration information from a backup disk.

Rebuild Hard Disk Database

Utility used to repair the patient database in case of failure.

HELP SCREENS

Describes how to access and use the HFA II's help screens for operational assistance.

Setting-up Tests

Selecting the Test Pattern and Test Eye

Guides on selecting tests using test buttons or the test library from the Main Menu.

ENTERING PATIENT DATA

Explains how to input patient information, including ID, name, and date of birth.

Inputting trial lens data

Covers automatic trial lens calculation and manual input for refractive error correction.

AUTOMATIC TRIAL LENS CALCULATION

Step-by-step guide for calculating trial lens prescriptions using patient data.

Recalling patient data

Guides on recalling previously entered patient data from stored files for follow-up testing.

USING TRIAL LENSES

Provides guidelines for selecting and using trial lenses for central and full field tests.

GUIDELINES FOR TRIAL LENS SELECTION

Offers rules for selecting trial lenses based on cylinder errors and spherical power.

PREPARING THE PATIENT

Focuses on patient preparation to ensure reliable test outcomes.

Patient instructions for static testing

Provides sample instructions for patients undergoing static visual field testing.

Positioning the patient at the instrument

Guides on properly positioning the patient using the chin rest and forehead rest.

Test Parameters and Strategies

Setting Test Parameters

Explains how to access and change test parameters for tailoring tests to patient needs.

Test Strategies

Details how testing strategies affect test time, precision, and result display.

SITA™ TESTING

Introduces SITA Standard and SITA Fast strategies for reducing test time and improving reproducibility.

BLUE-YELLOW (SWAP) PERIMETRY

Explains Blue-Yellow perimetry, its advantages, and how it works.

Advantages of testing with blue-yellow perimetry

Highlights studies showing Blue-Yellow perimetry's effectiveness in early glaucoma detection.

Blue-yellow testing

Details the procedure for Blue-Yellow testing, including patient explanation and system settings.

Testing

Start Test Options

Describes options on the Start of Test screen: Start, Display Status, and Change Parameters.

START

Initiates the testing sequence, including supplemental tests and gaze tracking initialization.

CHANGE PARAMETERS

Allows altering testing parameters like speed and stimulus color before or during a test.

MONITORING AND MAINTAINING THE PATIENT’S EYE POSITION

Discusses the importance of patient eye position for accurate test results.

Gaze Tracking (model 740i - 750i)

Details the Gaze Tracking system for recording patient fixation accuracy during tests.

SUPPLEMENTAL TESTING

Covers supplemental tests like Foveal Threshold and Gaze Track Initialization performed before a test.

Gaze tracking initialization

Details the procedure for initializing Gaze Tracking before testing begins.

Test In Progress

Explains options available during testing: Pause, Display Status, Fixation, Test Speed, Cancel Test.

TEST COMPLETE OPTIONS

Details options available at the end of a visual field test.

Saving to disk

Explains how to save test results to hard disk or floppy disk.

TESTING: A STEP-BY-STEP GUIDE

Provides a comprehensive step-by-step guide for performing tests.

Test Reliability

Factors Affecting Reliability

Discusses key factors influencing test reliability, emphasizing patient compliance.

Patient compliance

Highlights the perimetrist's role in promoting cooperation and providing clear instructions.

Patient fixation

Explains the importance of proper fixation and tips for improving it.

Trial lenses

Discusses common sources of unreliable test results related to incorrect trial lens use.

Evaluating Reliability

Introduces tools and indices used by HFA II to measure test accuracy and consistency.

STATPAC™ Analysis & Printing Results

Introduction to STATPAC Analysis

Provides an overview of STATPAC software for expert analysis of visual field test results.

STATPAC threshold formats

Describes STATPAC's statistical analysis printout formats: Single Field, Overview, Change Analysis, GCP.

STATPAC test parameters

Lists parameters required for STATPAC analysis of White-on-White and Blue-Yellow perimetry.

Reliability indices

Details indices like fixation losses, false positives, and false negatives shown on printouts.

The glaucoma hemifield test

Explains the Glaucoma Hemifield Test (GHT) for evaluating visual field loss patterns in glaucoma.

Global indices

Explains global indices (MD, PSD, SF, CPSD) for overall assessment of field results.

The change analysis printout

Describes the Change Analysis printout, including box plots and global indices over time.

The glaucoma change probability analysis printout

Details the GCP printout for interpreting changes in patients with suspect or manifest glaucoma.

PRINTING CURRENT THRESHOLD TEST RESULTS

Instructions on printing current threshold test results in various STATPAC formats.

File Functions

File Functions Menu

Lists main activities for managing stored patient data and tests.

BACKUP/RESTORE

Backs up or saves tests from hard disk to other media, or restores information.

MERGE PATIENT FILES

Resolves inconsistencies in patient name/DOB entries to avoid treating patients as different.

PERFORMING FILE FUNCTIONS

Provides step-by-step instructions for performing various file functions.

To transfer tests via serial cable

Step-by-step guide for transferring tests between HFA I and HFA II - i series via serial cable.

Database Management

Introduction to Database Management

Highlights the importance of safeguarding data integrity by creating backup copies.

Database integrity functions

Outlines functions for preserving database integrity found on File Functions and Additional Setup menus.

PATIENT DATABASE PROTECTION PROCEDURES

Recommends a schedule for creating alternate database copies to prevent data loss.

Database protection

Explains HFA II's disk drives and recommended procedures for database protection.

CONFIGURATION BACKUP AND RESTORE

Explains backing up and restoring custom test patterns, menu definitions, and setup selections.

To restore configurations

Explains how to restore existing configurations from a Configuration Backup floppy disk.

HOW TO HANDLE DATABASE FAILURES

Describes HFA II's safeguards and procedures for recovering from database failures.

Hard drive failure: FIX NOW option

Details the option to attempt immediate hard drive recovery.

Hard drive failure: FLOPPY ONLY option

Allows continuing testing on floppy disk only until the hard drive problem is addressed.

Hard drive failure: REBUILD HARD DISK DATABASE

Utilizes a rebuild utility to correct original problems and avoid restoring from backups.

Restoring the hard disk database

Provides options for restoring the database from backup media when other methods fail.

MERGE DATABASE

Adds tests from a backup source to the hard disk database without erasing existing data.

CARE AND HANDLING OF REMOVABLE STORAGE MEDIA

Provides warnings and guidelines for handling magneto-optical and floppy disks to prevent data corruption.

Custom Testing

Creating Custom Tests

Guides on creating custom static tests as either Screening or Threshold tests.

Saving custom tests

Instructions on how to save the custom test pattern for future use.

PERFORMING CUSTOM TESTS

Explains how to perform custom tests, similar to standard tests, but not with SITA algorithms.

Kinetic Testing

Introduction to Kinetic Testing

Introduces kinetic perimetry on the HFA II, emulating Goldmann perimetry.

Performing Manual Kinetic Perimetry

Highlights critical steps for performing manual kinetic perimetry.

RUNNING AUTOMATED KINETIC TESTS

Explains the Automatic mode for running Kinetic tests to completion.

Setting parameters

Guides on changing stimulus color, value, speed, and other parameters for kinetic stimulus.

Saving the test results

Instructions on saving test results after the automatic testing sequence is completed.

Step by step mode

Allows manual start of each test point, with automatic selection of the next meridian.

Designing a Custom Kinetic Test Pattern

Guides on creating and storing custom kinetic test patterns.

SPECIAL MAPPING

Provides additional testing options like Scotoma Mapping, Blind Spot Map, Static Points, and Custom Scan.

PRINTING KINETIC TESTS

Guides on printing Kinetic tests in Central, Full Field, or Numerical Values formats.

Care and Cleaning

General Use Principles

Provides basic guidelines for maintaining the HFA II in top working condition.

Cleaning the HFA II

Details how to clean exterior surfaces, bowl, touch screen, and rests using mild cleaners.

REPLACING PARTS

Provides instructions for replacing the stimulus projection bulb.

REPLACING FUSES

Step-by-step instructions for safely replacing fuses.

OPERATING THE PRINTREX PRINTER

Provides operating instructions for the Printrex Thermal Line printer.

TOUCH SCREEN CALIBRATION

Explains how to maintain and recalibrate the touch screen for accurate response.

USING DATA DISKS

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

Appendix A: HFA II - i Series Product Specifications

TESTING FEATURES

Compares HFA II models (720i, 740i, 745i, 750i) based on testing features.

DATA ANALYSIS SOFTWARE

Details available software features like STATPAC, Ensemble, and GHT across HFA II models.

PRINTOUT FORMATS

Compares STATPAC printout formats for SITA, Full Threshold/FastPac, and Blue-Yellow.

USER FEATURES

Lists user-selectable features like Fixation Monitoring, Operator Interface, Printer, and Patient Data Input.

Fixation Monitoring

Details fixation monitoring features like Blindspot, Eye Monitor, Gaze, Head, and Vertex Tracking.

Appendix B: Warranty Statement and Notification of Copyright

WARRANTY

Outlines the warranty terms, limitations, and procedures for claims.

Appendix F: Installing New HFA II Software

Backup all data first

Emphasizes backing up all data before installing new HFA II software.

SOFTWARE INSTALLATION

Details the procedure for installing HFA II software from floppy disks.

Appendix G: How SITA Works / Acknowledgments

SITA Asks Smart Questions

Explains how SITA asks precise questions to gather critical information efficiently.

SITA Tailors the Testing Pace to the Individual

Describes how SITA adjusts testing pace based on patient response times.

SITA Knows When to Quit

Explains how SITA computes when to stop testing at locations with consistent answers.

SITA Carefully Recalculates All Threshold Values at the End of Testing

Details how SITA recalculates threshold values using all patient responses for refinement.

Appendix H: Troubleshooting

Start-up Difficulties

Addresses issues like HFA II not turning on or Main Menu screen not appearing.

Touch Screen

Troubleshooting for touch screen issues like incorrect activation or calibration.

Printer

Troubleshooting for printer issues like no signal or improper printouts.

Hard Disk Problems

Addresses messages indicating hard disk failure and patient names without test data.

Floppy Disk Problems

Troubleshooting for issues with floppy disks not being used or showing errors.

Magneto-optical Disk Problems

Troubleshooting for magneto-optical disks not being used or showing errors.

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