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Humphrey Field Analyzer II-

series User Manual 2660021145640 A

Test Reliability

6-1

(6) Test Reliability

Factors Affecting Reliability 6-2

Patient Compliance 6-2

Patient Fixation 6-3

Trial Lenses 6-3

Evaluating Reliability 6-4

Fixation Losses 6-4

False Positive Errors 6-4

False Negative Errors 6-6

Visual field testing represents a team effort betw

een the

perimetrist and the patient. Success, as

measured by reliable test results, is best attained by taking the necessary steps and precautions to

help the patient take the test.

Table of Contents3
Introduction & Instrument Setup9
- Intended Use9
- Indications for Use9
  - Essential Performance10
  - Patient Population10
  - Application10
  - User Profile10
  - Instrument Operation10
  - Data Interpretation11
  - Model Differentiation12
  - Text Conventions12
- Purpose of this User Manual12
  - Access Menu Options13
  - Electronic User Manual Access13
  - Additional References13
- Symbols and Labels13
  - Protective Packing Symbols16
  - Handling Requirements16
  - Transport and Storage Conditions16
- Instrument Disposition16
- Disposal16
- User Changes to Software or Hardware17
- Approved Software17
- Instrument Installation17
- Care in Handling17
- Tips to Avoid Damage17
- HFA II-I Embedded License18
- Product Safety19
  - General Safety Requirements19
  - Warnings and Cautions19
- Product Compliance19
- Electromagnetic Compatibility (EMC)20
- Accessory Equipment24
- About Visual Fields25
  - What Visual Field Tests Measure25
  - Normal Versus Pathologic Fields26
  - The Boundaries of the Normal Visual Field26
  - The Normal Hill of Vision26
  - Methods of Testing the Visual Field27
  - Patient Fixation and Test Reliability27
  - Benefits of Computerized Perimetry27
- The Humphrey Advantage28
  - Ergonomic Design28
  - Easy Operation28
  - Rapid Testing28
  - Sophisticated Data29
  - SWAP (Blue-Yellow) Testing29
  - Automatic Fixation Monitoring29
  - Data Protection Features30
  - Risks of Internet Connectivity30
  - Networking Features30
- System Components31
  - Power on31
  - The HFA II-I – Rear View32
  - The HFA II-I – Front View32
- Additional Components33
  - Printers33
  - Power Table for the HFA II-I33
  - Printrex: Table-Mounted and Stand-Alone Model34
  - Hewlett-Packard Laserjet34
  - External Keyboard34
  - Removable USB Storage Devices and USB Floppy Drives35
  - HFA II-I Carl Zeiss Meditec USB Flash Drives36
  - Glidepad, Mouse, Trackball, or Other Input Device36
  - External VGA Monitor36
  - Surge Protectors36
  - Connection of External Devices37
  - Enlarged View of Cable Connections Panel and Label on Rear of HFA II-I38
  - Rear View of the HFA II-I with Panel Removed38
- System Assembly39
  - The HFA II-I – Rear View of Power Table39
  - General Operation41
  - General Information41
  - Operating Environment41
  - Screen Simplicity41
  - The Title Bar42
  - The Screen Body42
  - Icon Buttons42
  - The Information Button43
  - Touch Screen44
  - Pop-Up Windows44
  - The Unit Configuration Screen44
General Operation44
- Drop-Down Menus45
- Example of a Drop-Down Menu45
- Example of a Pop-Up Window45
- Using the External Keyboard46
- Using a Trackball, Mouse or Other Input Device47
- Using the Keyboard Glidepad47
- Screen Saver48
- Using the File Directory48
- The Main Menu Screen49
  - Head Tracking50
  - Language50
- System Setup50
- Additional Setup70
- Help Screens72
  - Install Software72
  - Example of a Help Screen73
Setting-Up Tests75
- Selecting the Test Pattern and Test Eye75
- Entering Patient Data81
- Using Trial Lenses94
- Preparing the Patient98
Test Parameters and Strategies101
- Setting Test Parameters101
  - To Change Test Parameters102
  - Standard Parameters103
- Test Strategies104
  - Screening Test Parameters104
  - Threshold Test Parameters107
- SITA Testing110
  - Tests Available with SITA110
  - File Directory Indicators for SITA Tests110
Testing111
- Start Test Options112
- Supplemental Testing117
  - Foveal Threshold117
  - Gaze Tracking Initialization118
- Test in Progress120
  - Pause120
  - Fixation120
- Fixation Monitoring121
- Tips for Gaze Tracking and Head Tracking123
- Test Complete Screen Options123
- Testing: a Step-By-Step Guide126
- Esterman Testing129
Test Reliability131
- Factors Affecting Reliability132
- Patient Compliance132
- Patient Fixation133
- Trial Lenses133
- Evaluating Reliability134
- Fixation Losses134
- False Positive Errors134
- Sample Printout Showing Poor Reliability135
- False Negative Errors136
STATPAC Analysis & Printing137
- Introduction to STATPAC Analysis138
  - Prerequisites for STATPAC Analysis138
  - STATPAC Threshold Formats138
- Threshold Test Printout Formats139
- Printing Current Threshold Test Results152
- Screening Printout Formats152
  - Screening Printout Formats: All Screening Test Patterns152
  - Screening Test Printouts153
- Printing Current Screening Test Results154
- Printing Previously Saved Test Results155
- Grayscale Symbols157
Guided Progression Analysis (GPA)159
- Introduction to GPA160
- Overview of GPA Reports162
- Understanding GPA Reports168
- Establishing the GPA Baseline170
- Clinical Interpretation of GPA Results171
  - Out-Of-Range Points172
  - Significance of Change Depends on Test Point Location172
- GPA Case Studies173
- How to Print GPA Reports187
- GPA Exam Selection Features and Constraints192
- GPA Recalls Previous Test Selections193
- How to Activate GPA Software on the HFA II-I193
- And 750195
Short-Wavelength Automated Perimetry (SWAP)209
File Functions211
- File Functions Menu212
- Retrieving the File Directory214
- Selecting Tests from the File Directory219
- Merging Patient Files222
- Performing File Functions223
- Serial Transfer of Tests between HFA I, HFA II or HFA II-I Instruments229
- Organizing Patient Files234
Database Management235
- Introduction to Database Management236
- Database Integrity Functions236
- Patient Database Protection Procedures237
- Configuration Back up and Restore239
  - Backing up Configurations to a USB Storage Device240
  - To Restore Configurations from a Floppy Disk or USB Storage Device242
- How to Handle Database Failures244
- Merging Databases256
- Cleanup Hard Disk Database257
- Care and Handling of Removable Storage Media258
Custom Testing259
- Creating Custom Tests259
- Deleting Custom Tests271
- Performing Custom Tests274
- Printout Formats275
Kinetic Testing277
- Introduction to Kinetic Testing278
- Performing Kinetic Perimetry Manually279
- Pre-Defined Kinetic Test Patterns289
- Running Automated Kinetic Tests290
- Social Security Administration Kinetic Disability Test300
- Special Mapping303
- Viewing Kinetic Tests315
- Patient Data317
- Printing Kinetic Tests319
- Designing a Custom Kinetic Test Pattern324
- Creating the Aphakic SSA Disability Test332
  - Final Verification337
  - Deleting the Test337
Networking339
- Chapter Organization340
- Network Configurations341
- An Overview of HFA-NET Pro343
- Backing up Data to the Server352
- Restoring Data from the Server354
- Synchronizing Databases on Two or more HFA II-I Perimeters356
- Using Patient Folders363
- Transferring Tests368
- Transfer Tests Screen (with Export Format: Drop-Down Box Open)370
- Using the Save/Transmit Option371
  - Transfer Deferred Tests372
  - Changing the Print-To-Files Options374
- Printing to a File374
  - Print Destination: and Export To: Drop-Down Buttons375
  - Export Options Screen375
- Using an EMR/PMS/DICOM System376
- Exporting to EMR/PMS/DICOM Systems379
- Recall Patients, View, or Print Tests from a DICOM Archive392
- (DICOM Gateway 2.0 Only)392
- Imported Patient Rules and Conflicts397
- Patient Conflict Dialog398
Care and Cleaning399
- General Use Principles400
- Cleaning the HFA II-I400
- Air Intake Filter401
- Replacing Parts402
- Operating the Printrex Printer407
- Using Removable USB Storage Devices and Floppy Disks410
- Using the Optional USB Floppy Disk Drive411
(A) Product Specifications413
- Product Specifications414
- Product Features417
- Testing Features417
(B) Product Features418
(C) Legal Notices421
Limitation of Liability422
(D) Icon Glossary427
(E) Goldmann Conversion Tables429
- Conversion Table for Blue-Yellow433
- Blue-Yellow Specifications434
(F) Test Patterns435
- Screening Test Patterns435
- Threshold Test Patterns438
- Specialty Tests Patterns440
(G) Easyconnect RCT 1.0441
- Overview441
- Before You Run the RCT442
  - Firewall Software442
  - Windows File Sharing Settings442
- Easyconnect RCT442
- (G) Easyconnect RCT442
- Enable the RCT and Name HFA II-I Instruments443
- Launch the RCT444
- Welcome Screen444
- Easy Mode (Default)446
- Copy Mode454
- Custom Mode460
- Report Mode471
- Test Mode475
- Troubleshooting483
(H) DICOM Gateway 2.0 (Optional485
- Overview485
- DICOM Gateway 2.0 Configuration Overview485
- DICOM Gateway 2.0 Configuration Overview486
- HFA II-I Configuration486
(I) Networking Reference491
- Licensing HFA-NET Pro and DICOM Gateway 2.0491
- Connecting Your Network Components491
- Setting up Your HFA Network491
- File Server Access Protocol for FTP or Shared Folder491
- Archiving Data491
- Setting up Save & Transmit to a Network File Server511
- Setting up Exporting to Non-DICOM EMR/PMS Systems and512
- DICOM Systems Using DICOM Gateway 1.0512
- DICOM Systems Using DICOM Gateway 1.0513
- Setting up Save & Transmit for EMR/PMS/DICOM Systems514
- Setting up Printing to a File515
- Setting up the Print to a File Function515
- Backing up and Restoring Your HFA Network Configuration517
- Network Diagnostics518
- Network Troubleshooting Error Messages521
- DICOM Networking Error Messages527
- Networking Terminology528
- Serial Communications Protocols Used by Hfas530
  - Back up All Data First531
  - Identify the Current Software531
(J) Installing & Licensing HFA II-I Software531
- System Software Installation532
- If You Have Trouble Installing Your New Software532
- Installing Additional Software533
- Licensing GPA, SITA-SWAP, HFA-NET Pro, or DICOM Gateway 2.0535
- How SITA Works541
(K) SITA Normative and GPA Databases541
- Normative and GPA Database Collection and Demographics541
- Acknowledgements548
- Variations in Reliability Indices549
(L) Reference to Older Test Strategies549
- STATPAC Test Parameters550
- Change Analysis Printouts Displaying Mixed Test Strategies551
- Global Indices SF & CPSD551
- Mixed Change Analysis Printout with Sita Tests Included552
- The Glaucoma Change Probability Analysis Printout553
- The Glaucoma Change Probability – Baseline554
- The Glaucoma Change Probability – Follow up555
- The Change Probability Map556
- Change in Mean Deviation556
- Additional Notes on SWAP Perimetry557
- Macula Threshold Test557
- How to Print the System Log559
- How to Print the Unit Configuration Information559
(M) Troubleshooting559
- Troubleshooting Table560
- Accessories and Supplies List566
- Index567

Brand	Zeiss
Model	Humphrey II-i series
Category	Measuring Instruments
Language	English

Zeiss Humphrey II-i series User Manual

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