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Humphrey Field Analyzer II-

series User Manual 2660021145640 A

Guided Progression Analysis (GPA)

8-17

GPA Case 1b: Unilateral Progression – Left Eye

Figure 8.7a Stable Left Eye – GPA Summary

The example on these two pages shows the GPA printouts of visual fields for the previous patient’s

left eye. Looking at the VFI Plot A and the VFI Slope B there appears to be mild progression.

Note that the two Baseline tests consist of a 30-2 test and a 24-2 test. These two test patterns may

be combined but, if so, the analysis will only consider the points within

the 24-2 pattern.

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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