Page 1 Operation Manual Digital Refractor CDR-9000...
Page 2 SHANGHAI HUVITZ reserves the right to make changes in its products or pro duct specifications at any time and without prior notice, and is not required t o update this documentation to reflect such changes.
Page 3: Table Of Contents
Digital Refractor CDR-9000 CONTENTS Introduction........................8 1.1. Outline of the Instrument....................8 1.2. Classification........................9 Safety Information......................10 2.1. Introduction........................10 2.2. Safety Symbols......................11 2.3. Environment Factors....................12 2.4. Safety Precaution......................14 Features ........................... 18 Notes for Using the Instrument................20 Configurations........................21...
Page 4 Digital Refractor CDR-9000 5.5. System Installation....................... 30 Basic Operations......................31 6.1. Operation of the Keypad Buttons................31 6.2. Operation of the Touch Screen Buttons..............42 Menu Selection....................... 49 7.1. Test Result........................50 7.2. System Config.......................58 7.3. Edit program......................... 59 7.4. Edit Test......................... 60 7.5.
Page 5 Digital Refractor CDR-9000 Editing Messages......................96 10.1. Introduction........................96 10.2. How to Use Virtual Keyboard.................. 97 10.3. Editing Program Name.....................101 10.4. Editing Test Name..................... 102 10.5. Editing Guide Message.....................103 10.6. Editing Shop Name....................105 Examination Modes..................... 106 11.1. Why Examination Mode is Important?..............108 11.1.1.
Page 6 Digital Refractor CDR-9000 12.1.5. Checking The Visual Acuity for Right Eye..........125 12.1.6. Adjustment of the SPH-CYL-AXIS Values for Left Eye......126 12.1.7. Jackson Cross Cylinder Test(AXIS) for Left Eye......... 126 12.1.8. Jackson Cross Cylinder Test(CYL) for Left Eye...........127 12.1.9.
Page 7 Digital Refractor CDR-9000 13.12. Jackson Cross Cylinder Test..................153 13.13. Dual Cross Cylinder Test..................154 13.14. Cross Grid Test for Distance...................156 13.15. Dominant Eye Test for Phoria................158 13.16. Horizontal Maddox Test................... 158 13.17. Vertical Maddox Test....................160 13.18. Polarized Binocular Balance Test................162 13.19.
Page 8 Digital Refractor CDR-9000 15.2. Replacing Fuse......................197 15.3. Cleaning........................198 15.4. Storage......................... 198 15.5. Disposal........................199 Troubleshooting......................200 16.1. Digital Refractor doesn’t work at all..............200 16.2. Refractor Body makes noisy sound while performing power-on self-test.. 200 16.3. Operation Panel displays empty screen............... 200 16.4.
Page 9: Introduction
It is connected to the operation panel via the junction b ox and is controlled by the operation panel. The operation panel is the main controller of CDR-9000 system. It controls th e refractor body, chart-presenting device, and also receives data transmitted fr om Auto Ref/Keratometer(RK), Auto Lensmeter(LM), or a PC interfaced with Di gital Refraction System.
Page 10: Classification
Digital Refractor CDR-9000 1.2. Classification Classification Under the Provision if 93/42/EEC (MDD): Class I  Protection Against Electrical Shock: Class I  Applied Parts: Type B applied parts.  Protection against harmful ingress of water: Ordinary, IPX0  Degree of safety in the presence of a flammable anesthetics mixture with ...
Page 11: Safety Information
Digital Refractor CDR-9000 Safety Information 2.1. Introduction Safety is everyone’s responsibility. The safe use of this equipment is largely depe ndent upon the installer, user, operator, and maintainer. It is imperative that pers onnel study and become familiar with this entire manual before attempting to in stall, use, clean, service or adjust this equipment and any associated accessories.
Page 12: Safety Symbols
Digital Refractor CDR-9000 2.2. Safety Symbols The International Electro technical Commission (IEC) has established a set of sym bols for medical electronic equipment, which classify a connection or warn of an y potential hazard. The classifications and symbol s are shown below.
Page 13: Environment Factors
Digital Refractor CDR-9000 2.3. Environment Factors Avoid the following environments for operation or storage: Where the equipment is exposed to water vapor. Don’t operate equipment with a wet hand. Where the equipment is exposed to direct sunligh Where the temperature changes extremely.
Page 14 Digital Refractor CDR-9000 Be careful not to be inserted dust, especially, met Don’t disassemble the product or open. We aren’t responsible for it for nothing. Be careful not to close the fan located on the l ateral or rear side of the equipment.
Page 15: Safety Precaution
Customer maintenance of this equipment may only be performed as state d in the Operator’s Manual and Service Manual. Any additional maintenan ce may only be performed by SHANGHAI HUVITZ’s service technicians or other authorized persons. The manufacturer is only responsible for effects on safety, reliability, and...
Page 16 This equipment may only be used together with accessories supplied by S HANGHAI HUVITZ. If the customer makes use of other accessories, use th em only if their safe usability under technical aspect has been proved and confirmed by SHANGHAI HUVITZ or the manufacturer of the accessory.
Page 17 Dispose of used batteries according to the manufacturer’s instructions. "Use only with SHANGHAI HUVITZ Co., Ltd. Model Digital Refractor CDR-9 000(JB) Power supply" when Operating the CDR-9000 and CDR-9000(OP).
Page 18 IEC 60601 series.") Do not touch signal input/signal output and patient simultaneously (exam ple, Ref. Body and OP connectors of DIGITAL REFRACTOR CDR-9000, RS-2 32C of DIGITAL REFRACTOR CDR-9000(OP) and connectors of Converter B ox).
Page 19: Features
As a result, CDR-9000 system makes office environment more clean a nd modest. Because 1 or more(up to 8) CDR-9000 system and 1 or more(up to 4 eac h) LM/RK are connected without any additional equipment, high utilization and low cost can be achieved.
Page 20 PRESET faculty defers physical lens change until all the necessary lenses a re properly set at any states. CDR-9000 system supports wide visual acuity up to 40’ Touch Screen supports various functions of the Operation Panel by using touch-pen with ease.
Page 21: Notes For Using The Instrument
Digital Refractor CDR-9000 Notes for Using the Instrument Do not hit or drop the instrument. The instrument may be damaged if it receives a strong impact. The impact can damage the function of this inst rument. So handle with care.
Page 22: Configurations
Digital Refractor is most important part of the CDR 9000 system, and it is install ed on a unit table like the SHANGHAI HUVITZ’s CRT or CST series models. PD & Convergence Controller Part: the part which controls a pupil distance (PD) and the near point convergence.
Page 23 Digital Refractor CDR-9000 Near Point Rod Fixation Point: the place which affix the near point rod. Horizontal Knob: Used to adjust horizontal balance using the (11) Level. VD confirmation light: When patient’s forehead isn’t docking condition duri ng measurement, informs to examiner by lamp.
Page 24: Junction Box (Jb)
Connector for Local System CAN-based instrument or terminator. Port to connect the Junction Box to a chart Presenting device, for ex  ample, CCP or CDC by SHANGHAI HUVITZ. Port to connect the Junction Box to PC.  Connector for Local System Serial-based instrument Port to directly connect the Junction Box for auto-ref/keratometer, aut ...
Page 25: Operation Panel (Op)
Digital Refractor CDR-9000 o-lensmeter, or external computer(PC). Connector for Global System network CAN-based instrument Port to connect the Local system to Global system network.  Port to connect a terminator for termination.  Switch for Input Power Voltage Switch for Power On/Off Power Adapter Cable Inlet 5.3.
Page 26: Detail Explanation: Front Side
Digital Refractor CDR-9000 5.3.1. Detail Explanation: Front side LCD display & Touch Panel: This screen is for information about the optom etry data and procedures. Touch screen provides that it will be able to sele ct the buttons at the screen.
Page 27: Detail Explanation: Rear Side
Digital Refractor CDR-9000 5.3.2. Detail Explanation: Rear side Connector for the Junction Box: Port to connect the Operation Panel to the Junction Box. Connector for S/W upgrade: This port is used for downloading and upgradi ng the Operation Panel firmware.
Page 28: Various Accessories
Digital Refractor CDR-9000 5.4. Various Accessories ※This section introduces the various accessories included for CDR-9000 system. 5.4.1. Accessories for Digital Refractor ① Forehead rest (1EA) ② Face shield (4EA) : 2EA attached, 2EA as spare ③ Near Point Card (1EA) ④...
Page 29: Accessories For Operation Panel And Junction Box
Digital Refractor CDR-9000 5.4.2. Accessories for Operation Panel and Junction Box Accessories for Operation Panel Printer Paper (3EA) : 1EA loaded in the printer, 2EA as spare Interface cable (1EA) : OP  JB, 15-pin D-SUB Accessories for Junction Box ③...
Page 30: Optional Accessories
Digital Refractor CDR-9000 5.4.3. Optional accessories ① Convert Box for Auto Ref/Keratometer ② Convert Box for Auto Lensmeter ③ Convert Box for PC ④ Terminator ⑤ Interface Cables for a Converter Box  LM/RK/PC Converter Box: 9-pin D-SUB, 2m ...
Page 31: System Installation
Digital Refractor CDR-9000 5.5. System Installation Step 1 Check the instruments and its accessories listed in 5.4 and prepare them f or installation. Step 2 Connect the Digital Refractor to the Junction Box (JB) with 24-pin DVI int erface cable. Be sure not to connect or disconnect instruments to the jun ction Box while the power is on.
Page 32: Basic Operations
Digital Refractor CDR-9000 Basic Operations CDR-9000 system is constructed to manipulate essential functions using the dial, the buttons and the touch panel buttons on the operation panel. The dial, the buttons and the touch panel buttons have almost same functions.
Page 33 - (TIP) This button is useful if you are confused to find the exit method in certain dialog or screen. On behalf of pressing some buttons aimles sly to exit with luck, CDR-9000 system provides the [ESC] button consis tently. In other words, whenever the [ESC] button is pressed, it goes to the main display without exception.
Page 34 Digital Refractor CDR-9000 ea of LCD Screen, it selects the user-defined test list directly. Data Item Selection buttons - S: Spherical power - C: Cylindrical Power - A: Cylinder Axis - ADD: Additional Power - VA: Visual Acuity - BIBO: Horizontal Prism - BDBU: Vertical Prism - (TIP) Pressing the [ALT] and [C] buttons at the same time convert ‘+’...
Page 35 - (TIP) You may change the behavior of [CLEAR] button as either ‘SOFT’ reset or ‘HARD’ reset in the page 7 of the system configuration menu. ‘HARD’ reset initializes the CDR-9000 physically from the beginning, n ot just removes the lenses and clears the data on the display.
Page 36 Digital Refractor CDR-9000 Print, Load and Mode Selection buttons - Prints the measured results. - Prints the results from other instruments if appropriate system option i s set. - By setting the system option, Auto Clear, as ‘YES’, the whole test result s are cleared automatically after printing out as just the way the [CLEA R] button works.
Page 37 - Receives data from the RK/LM by pressing the [LOAD] button. - The transferred data to CDR-9000 system will be queued in regular seq uence and the received data list up to now can be verified by selectin g LM and RK in “Transferred Data”...
Page 38 - The more easy method to load from RK or LM is available. As you alr eady have seen, CDR-9000 system supports stand alone mode. In stan d lone mode, if either [RK] or [LM] button is pressed without entering “Transferred Area”(i.e.
Page 39 Likewise, the [SET] buttons in the mask area can be pressed for setting up - CDR-9000 system provide [SET] button for the user confirmation. Almos t every dialog box or menu selection supports [SET] button.
Page 40 [ALT] button with user-defined buttons in the chart area combination makes the execution of the user-defined unit test p ossible. Like this, CDR-9000 system has arranged the function buttons v ery intuitively. Thus, it will be worth to try to make the [SHIFT] button with any other button combination by way of trial if necessary, case-b y-case.
Page 41 Digital Refractor CDR-9000 16) Dial - Changes the field value(s), such as S, C, A, by the increment value sele cted - In the MENU mode, using menu item selection, changing option, and s o on. - If [SHIFT] + Dial button pressed, can be configure Dial Click Configurati on dialog box.
Page 42 Digital Refractor CDR-9000...
Page 43: Operation Of The Touch Screen Buttons
Now, it is time to discuss the features and functions of each touch buttons on t he screen. As CDR-9000 system is made to maximize user’s convenience, you ha ve only to be fully aware of these basic descriptions to proceed into basic opto metry.
Page 44 Digital Refractor CDR-9000 - C: Cylindrical Power (R / L / OU) - A: Cylinder Axis (R / L / OU) - ADD: Additional Power (R / L / OU) - VA: Visual Acuity (R / L / OU) - BIBO: Horizontal Prism (R / L / OU)
Page 45 Digital Refractor CDR-9000 - To unlink VA charts (i.e. only chart is displayed, and other functions rel ated with VA chart are disabled), press VA chart with the [SHIFT] butto - Sets red/green filter on a presented visual acuity chart. Pressing the bu tton again removes the red/green filter set previously.
Page 46 Digital Refractor CDR-9000 his function is useful when explaining to customer with pointer at the screen. Buttons for Aux. Lenses - If “Aux. Lenses” is selected by lens touch button of the touch screen, without changing the current state, auxiliary lenses can be placed in th e right/left eyes.
Page 47 Red Filter can be placed exclusively in the right eye but 6ΔBU, H orizontal Maddox and Green Filter in the left eye only. The others can match for both eyes. [Table 1 shows auxiliary lenses usable with CDR-9000 system] NOTE...
Page 48 Digital Refractor CDR-9000 10Bl prism lens can be complemented with the prism value between 0 an d 5. You may change this value in the "System Config" menu. According t o this value, screen display will be changed slightly. Assign the required val ue in “10Bl complement”...
Page 49 Digital Refractor CDR-9000 taneously. - To control R/L PD, press the data value of [R], [L] area and change by the dial.
Page 50: Menu Selection
Digital Refractor CDR-9000 Menu Selection CDR-9000 system supports various functions through menu selection. To select menu, just press the [MENU] button and press the Menu item of the touch scre en. Otherwise, use the arrow buttons or the dial to move and the [SET] button to select.
Page 51: Test Result
Digital Refractor CDR-9000 7.1. Test Result If “Test Result” of the touch screen is selected (or pushing the [SET] button after selecting the desired item) use the arrow button or dial, the results can be veri fied by four ways in each near and far mode. Toggling near or far mode can b e processed using the function button, [FAR] or [NEAR].
Page 52 Digital Refractor CDR-9000 Also you can change the prism display on the table: To see the prism values in rectangular coordination (X/Y), press [X/Y] with [SHIFT]. To see the prism values in polar coordination (r/), press [r/ ] with [SHIF The following items are illustrated with the corresponding screen.
Page 53 Digital Refractor CDR-9000 LIST2 : ADD, VA, BI/BO, BD/BU, NPC, NPA, Fusion (Worth 4 Dots), Stereo, Minute Stereo, and Aniseikonia. LIST3 : BLUR, BREAK, RECOVERY, NPC, NPA, Fusion (Worth 4 Dots), Stereo, Minute Stereo, and Aniseikonia.
Page 54 Digital Refractor CDR-9000 PRISM : Results of Schober, Von Graefe, Aniseikonia, Polarized Cross with t he Fixation Point Test, Maddox Test, NRC and PRC Tests...
Page 55 Digital Refractor CDR-9000...
Page 56 Digital Refractor CDR-9000 For your information, these are no separate menu but if the [PRINT] button is p ressed during table view, the measured results will be printed on the paper via t he built-in thermal printer. It goes through “Test Result” display in place of the direct printing on paper if “Preview List”...
Page 57 Digital Refractor CDR-9000 ens. It also visually displays the S-C-A, BI/BO, BD/BU, PD values and the d ominant eye. Ref. & Kerato Data: illustrates the Ref. & Kerato Data to the screen. It also visually displays the S-C-A-S.E power-R1/R2, PD values and the dominant...
Page 58 Digital Refractor CDR-9000...
Page 59: System Config
Digital Refractor CDR-9000 7.2. System Config See chapter 8.2 “Description of options” for more information.
Page 60: Edit Program
Digital Refractor CDR-9000 7.3. Edit program See chapter 9.1 “Editing User-Designed Program” for more information.
Page 61: Edit Test
Digital Refractor CDR-9000 7.4. Edit Test See chapter 9.2 “Editing User-Designed Unit Test” for more information.
Page 62: Edit Message
Digital Refractor CDR-9000 7.5. Edit Message See chapter 10 “Edit Message” for more information.
Page 63: Gallery
7.6. Gallery CDR-9000 system supports various kinds of near charts and images in the O peration Panel. There are unique vision test functions and it will be able to th e test of near vision with various kind of near charts. In addition, it is possibl...
Page 64: Configuring The System
Digital Refractor CDR-9000 Configuring the System CDR-9000 system provides various kinds of system configuration menu. Thus it is able to optimize optometry environment. You may start configuration by pressin g the [MENU] button. Then select “System Config” of the touch screen. It is co mposed of 6pages and the major categories are as follows: “LENS &...
Page 65: Button Operations
Digital Refractor CDR-9000 8.1. Button operations Button operations for system configuration are introduced briefly. Moving: [BACK] and [NEXT] buttons of the touch screen are for moving p age by page. Up and Down arrow buttons in the mask area are for movin g field by field.
Page 66 Digital Refractor CDR-9000 -box and will be changed item value.
Page 67: Description Of Options
Digital Refractor CDR-9000 8.2. Description of Options Let’s find out which options are provided by each page. 8.2.1. Page 1 - LENS & DATA MANIPULATION (1) SPH step: sets the basic step for a SPH value. Choose one among 0.12D, 025D and 0.50D.
Page 68 Digital Refractor CDR-9000 1˚. Try turning the dial while pressing the [SHIFT] button to make use of this option. Δ Step [SHIFT]: sets the basic step for a prism value when the [SHIFT] bu tton is pressed with, Choose one among 0.5Δ, 1.0Δ and 2.0Δ. Default valu e is 1.0Δ.
Page 69: Lens & Data Manipulation (2)
Digital Refractor CDR-9000 8.2.2. Page 2 - LENS & DATA MANIPULATION (2) S.C: Auto Occlusion: assigns YES or NO whether auto occlusion for patient will be executed when the SPH and CYL lenses are changed by high dio pter. Default value is YES.
Page 70: Test & Data Manipulation (1)
Digital Refractor CDR-9000 8.2.3. Page 3 – TEST & DATA MANIPULATION (1) Δ Display: assigns the notational method for prism display. X/Y(Cartesian c oordination) or r/θ(polar coordination) can be chosen. Default value is X/Y. Blur/Break/Recovery: specifies whether to display the function keys for exe cuting NRC and PRC test on the horizontal prism adjustment mode that i s entered by pressing the [BIBO] button.
Page 71 Digital Refractor CDR-9000 culating from the measurement(s) data, it can estimate expected VA of pa tient. So, it can present a VA chart and mask the expected line of the ch art automatically. Unaided VA is estimated by the RK data and aided VA by the difference between the RK and LM data.
Page 72: Test & Data Manipulation (2)
Digital Refractor CDR-9000 8.2.4. Page 4 – TEST & DATA MANIPULATION (2) Default Program: assigns the system default program that is executed whe n the [START] button is pressed. Headed by STANDARD, up to 10 user-de fined programs are available for the selection. Default value is STANDARD.
Page 73 Digital Refractor CDR-9000 he result of Stereo & Minute Stereo Tests when the tests are executed. Y ES or NO can be chosen. Default value is YES. Input Coincidence: specifies whether to display the function keys for input ting the result of Aniseikonia Test when the test is executed. YES or NO c an be chosen.
Page 74: Test Environment
Digital Refractor CDR-9000 8.2.5. Page 5 - TEST ENVIRONMENT Beep Sound: specifies whether the beep sound will be turned on or off. ON or OFF can be chosen. Default value is ON Screen Off: specifies the activation time of the screen saver. Choose one f rom 0 minute (inactive) up to 1 hour at intervals of 5 minutes.
Page 75 Digital Refractor CDR-9000 Date Display: specifies date format shown on the left-top area display. Ch oose one among ‘DD/MM hh:mi (12H)’, ‘DD/MM hh:mi (24H)’, ‘DD/MM’, ‘MM/DD hh:mi (12H)’, ‘MM/DD hh:mi (24H)’, ‘MM/DD’ and ‘NONE’. Default value is ‘DD/MM hh:mi (12H)’. DD stands for date, MM for month, hh fo r hour and mi for minute.
Page 76: Print Option
Digital Refractor CDR-9000 8.2.6. Page 6 - PRINT OPTION Print Subjective: specifies items to print while printing the result of the su bjective test. Choose One among ALL (all the data), W/O UNAIDED VA (w ithout result unaided visual acuity), W/O BIN VF (without results of the vi sual function test ), SUBJ &...
Page 77 Digital Refractor CDR-9000...
Page 78: Editing User-Designable Program & Test
Digital Refractor CDR-9000 Editing User-Designable Program & Test If user-designable programs are made matching for the doctor to use them and the purpose of the program in advance, the training cost will be greatly reduce d and the inspection will be processed more quickly. You will catch two hares at a time.
Page 79 Digital Refractor CDR-9000 In the editing display, the Program name and the step are appeared on the top area. The first number stands for the current step and the second number follo wing “/” for the whole steps. For instance, if the user-designable program has 1 0 steps all together and the current step is the 4th, “4/10”...
Page 80 Digital Refractor CDR-9000 The [BACK] button of the touch screen in the bottom line goes to the previous step and the [NEXT] button to the next step. The [ADD] button adds a new ste p behind the last one and the [INS] button insert a new step before the current one.
Page 81 Digital Refractor CDR-9000 : Thumbnail window page down : [ADD] button : [DEL] button : select to each step The option elements for designing a user-defined program in the left-top side o f the window are as follows: Test: the chart of the system test to apply. If ‘Test’ item is changed, relate d Chart, Data Element, Cross Cylinder, Fogging and Auxiliary Lens items wi ll be changed at a time if possible.
Page 82 Digital Refractor CDR-9000 Eye: assigns BIN(OU), LEFT or RIGHT. Press the combo-box button of the t ouch screen or press the [R], [OU] or [L] button to select this. Cross Cylinder: assigns 0.25, 0.50 or DUAL Cross Cylinder. Press the combo -box button of the touch screen to select this or press [1], [2] buttons to select this field.
Page 83 Digital Refractor CDR-9000 -Letter] and the Chart item to [Letter-6]. Choose the Test and turn the di al to change Test and Chart Items. The simplified method is that press th e Chart button of the touch screen and turn the dial to assign [BIN(OU)].
Page 84 Digital Refractor CDR-9000 Let’s enter the third step. Similarly, press the [ADD] button to add the ne w display for the user-defined program. Push the Dots Group Chart in thi s display and the Chart item to [Dots Group]. After selecting the chart, s ubsequently choose the Test Mode (Dist.) combo-box button of the touch...
Page 85 Digital Refractor CDR-9000 The 4th step. Also press the [ADD] button to add a new display for the user-defined program. Push the Dots Group Chart in this display. Because we are planning to measure not AXIS but CYL, push the Dots Group Ch art once more to change the Test item and the Chart item to [Dots Grou p].
Page 86 Digital Refractor CDR-9000 This is the 5th step. Repeat the procedures in 1).
Page 87 Digital Refractor CDR-9000 Since we have finished all steps, press [OK] button of the touch screen to save and exit. Push [SHIFT] + [START] button to see the program list which we comp osed just before and choose “CUSTOM-A” to launch this program in practice.
Page 88 Digital Refractor CDR-9000 The next hint is how to apply the mask shifting button is pressed after spreadin g VA chart, right/left and up/down movements can be done naturally for the m ask setting. The last hint is the various shortcuts. For example, if user wants to assign the left eye to the Eye item, just press the [L] button instead of turning t he dial.
Page 89: Editing User-Designable Unit Test
Digital Refractor CDR-9000 9.2. Editing User-Designable Unit Test If the user-defined program can be understood as it is, the Unit Test edition is not so hard. After pressing the [MENU] button and select “Edit Test” item of the touch screen to enter the Unit Test program editing function. Now selecting th e Unit Test program window will be appeared on the screen.
Page 90 Digital Refractor CDR-9000 If “CUSTOM-A1” is selected, the display similar to the user-defined program editi ng described in chapter 9.1 will appear. However the [BACK], [NEXT], [ADD], [INS] buttons are nowhere. But, it can be operate using the buttons of thumbnail are...
Page 91 Digital Refractor CDR-9000 We introduce briefly the elements of the Unit Test program in the left window. Chart: assigns the chart to present. Contrary to the user-defined program, the relational Chart, Data Element, Cross Cylinder, fogging and Auxiliary Le ns item would not be changed at all. To select this, press the Chart item of the touch screen immediately.
Page 92 Digital Refractor CDR-9000 he touch screen or press the [R], [OU] or [L] button to select this. Cross Cylinder: assigns 0.25, 0.50, DUAL Cross Cylinder. Press the combo-b ox button of the touch screen to select this or press [1]/[2] buttons to sel ect this.
Page 93 Digital Refractor CDR-9000 At first hand, press the Landolt-ring Chart button. The chart with 0.9(25 in 20/20, 7.5 in 6/6) will be suitable matching for the patient’s visual acuity. And press th e Red/Green filter for Red/Green filter masking. At this point apply fog by about [0.5D] degree after selecting Fogging in the left window.
Page 94 Digital Refractor CDR-9000 ST] button and press [CUSTOM] button of the touch screen and select it. Let’s take another example. Use a Number Chart when processing the Dual Cros s Cylinder Test. After pressing the [MENU] buttons, select “ Edit Test ” item of t he touch screen and select one of the Unit Test item so as to enter the Unit Ed it Test.
Page 95 You may be worried that the test combined with the basic buttons might be go ne away if a unit test is made like this. However, CDR-9000 system prevents not to override the system-provided basic tests absolutely. Therefore there is no situ ation on earth that basic test of your system could not be processed by your a ccidental or intentional mistakes.
Page 96 Digital Refractor CDR-9000...
Page 97: Editing Messages
Digital Refractor CDR-9000 10. Editing Messages 10.1. Introduction CDR-9000 system has the virtual keyboard to rewrite the message. You can edit the following message. Program Name: to change user defined program name Test Name: to change user defined unit test name...
Page 98: How To Use Virtual Keyboard
Digital Refractor CDR-9000 10.2. How to Use Virtual Keyboard You can edit message by pressing the button on the virtual keyboard. The virtual keyboard is composed of ‘SAVE’, ‘EXIT’ button, Message area, and Ke yboard buttons. You can rewrite the message by using the virtual keyboard butt ons as shown at the Figure.
Page 99 Digital Refractor CDR-9000 When you press the key on the virtual keyboard, the characters display on the Message area. If the last character is reached in the end of Message area, the c ontrol panel warns you using beep sound.
Page 100 Digital Refractor CDR-9000 In addition, you can also use Keypad buttons.
Page 101 Digital Refractor CDR-9000 You can erase the part of or whole message by using [ ] or [ ] button. W   hen you press [ ] button, the letter before the cursor is deleted and when yo ...
Page 102: Editing Program Name
Digital Refractor CDR-9000 10.3. Editing Program Name We recommend that you rename the user-defined program to prevent confusion. For example, if you name CUSTOM-A “Children PROGRAM”, you can easily und erstand the program. It is better to understand to use “My Own Standard” rathe r than “CUSTOM-B”.
Page 103: Editing Test Name
Digital Refractor CDR-9000 10.4. Editing Test Name Press [MENU] and select “Edit Message” and “Test Name” in order to edit the u ser-defined test name. Select the test name of the touch screen you want to edi t. When you select ‘CUSTOM A1’, the initial program name ‘CUSTOM A1’ display s on the Message area of the virtual keyboard.
Page 104: Editing Guide Message
60 characters at every test guide message. But, you cannot edit t he system provided test guide message. Because of the long length of the guide message, the CDR-9000 system provide s the function to copy and paste the message. Press [SYSTEM] button of the to...
Page 105 Digital Refractor CDR-9000 guide message. Choose the test guide message you need and press [COPY] but ton of the touch screen to copy the message. Return to the test guide list by p ressing [CUSTOM] button of the touch screen. Select the guide message you wa nt to edit.
Page 106: Editing Shop Name
Digital Refractor CDR-9000 10.6. Editing Shop Name You can print the prescription data including your shop name or telephone num ber. Press [MENU] and select “Edit Message” and “Shop Name” to write the prin ter footer. You can write maximum 72 characters in three rows. Press ‘SAVE’ butt...
Page 107: Examination Modes
Digital Refractor CDR-9000 11. Examination Modes CDR-9000 system provides various examination modes in order to satisfy complica ted optometry needs. The examination modes may seem to be complicated at firs t. But once get used to using them, examination procedure can be optimized effe...
Page 108 Digital Refractor CDR-9000 SUBJ mode: This mode is provided to support subjective refraction and m emorizing subjective data that may be the perfect correction data of patie nt. To enter this mode, press the [SUBJ] button. At the first selection of th is mode, one of the measurements from LM, RK, or previous mode is copi ed to SUBJ mode according to the system configuration.
Page 109: Why Examination Mode Is Important
LCD screen beforehand have already been overwritten. However, with your smart CDR-9000 system, j ust press the [RK] button and change into RK mode then you can check...
Page 110 Digital Refractor CDR-9000 Now, you curiously want to glance over the data from LM. As you know, by simply applying 2), just press the [LM] button right now to change mode and then read the data from LM. That’s all enough.
Page 111 Digital Refractor CDR-9000 [FIN] mode helps you to calibrate the final results for prescription. And also you can compare the final prescription in the [FIN] mode with the previous the [LM] mode, [RK] mode and [SUBJ] mode Various inspecting modes play an important role not to lose patient’s optometr y information and hold data for each mode.
Page 112: Data Duplication
Digital Refractor CDR-9000 11.2. Data Duplication Mode change is always followed by data duplication. For example, if starting fro m initial mode and pressing the [SUBJ] button to enter [SUBJ] mode, you can se e that all your previous works are duplicated as they are in the [SUBJ]. Likewise, changing some mode including SUBJ to another one cause data duplication.
Page 113: Warnings On Mode
Digital Refractor CDR-9000 3) Finishing with [FIN] It is possible to change into [FIN] mode directly after setting the required va lues in initial mode. In case of using neither a refractometer nor a lensmeter, you can do the optometry process even more speedily because initial mod e is regarded as [SUBJ].
Page 114: Measuring Near And Far Vision
CDR-9000 system is designed to measure both near and far vision. If the [FAR] or [NEAR] button of the touch screen or [ADD] button is pressed, changing mo de and tilting by Digital Refractor for measuring near vision occur automatically.
Page 115 Digital Refractor CDR-9000 distance of the patient are to set exactly because personal correction should be made by both of them. The near working distance is the ordinary distance for reading books and the age determines the flexibility of the crystalline. Entering near working distance mode by the [FAR] or [NEAR] button of the touch screen and doing so by the [ADD] button make some difference.
Page 116 You can make a choice under your condition. Age data can be inputted after th e [AGE] button of the touch screen is pressed. CDR-9000 system also provides a utomatic increase and decrease of the tilting angle, which result in saving of me...
Page 117: Other Temporal Examination Modes
Digital Refractor CDR-9000 After entering the near vision mode (including [ADD] mode), you measure how much degree your patient can see the chart by lowering the rod with near dista nce chart. Additional spherical power can also be inserted necessary.
Page 118: Aux Off Mode
Digital Refractor. This makes patients comfortab le especially when the RK/LM data is input manually because there is no auto ref/keratometer or auto lensmeter connected to CDR-9000 system. You can in put S/C/A/ADD/VA/Prism data in this mode.
Page 119: Add Off Mode
Digital Refractor CDR-9000 s again. 11.5.3. ADD OFF Mode ADD OFF mode temporarily removes addition power from the lens unit, Digita l Refractor. If you press [ADD] button twice, it enters the ADD OFF mode. Pre ssing the [ADD] button again restores the system to the previous mode.
Page 120: Prism Off Mode
Digital Refractor CDR-9000 11.5.4. PRISM OFF Mode PRISM OFF mode temporarily removes prism power from the lens unit, Digital Refractor. If you press [BIBO] or [BDBU] button twice, it enters the PRISM OF F mode. Pressing the [BIBO] or [BDBU] button again restores the system to th...
Page 121: Standard Program & Functions
By the system –defined program, operators can enjoy the various inspections pr ovided with CDR-9000 system. Accordingly, this chapter explains the basic recipe s for how to use CDR-9000 system and program execution methods by explorin g the system-defined program carefully from beginning to end. See chapter 13 S ystem-providing Unit Tests, for detailed procedures and notice.
Page 122: Adjustment Of The Sph-Cyl-Axis Values For Right Eye
Digital Refractor CDR-9000 12.1.1. Adjustment of the SPH-CYL-AXIS Values for Right Eye The first step for the system-defined program is to coordinate the SPH-CYL-AXI S values for the right eye. Initial field value is adjusted to SPH for both eyes.
Page 123: Jackson Cross Cylinder Test(Axis) For Right Eye
Digital Refractor CDR-9000 12.1.2. Jackson Cross Cylinder Test(AXIS) for Right Eye The second step is to calibrate the AXIS value for the right eye minutely on th e base of the resultant SPH-CYL-AXIS values from step 1. Press the [1]/[2] butt ons that toggles the lens flipping during Jackson Cross Cylinder Test, and ask which status appears clearer.
Page 124: Jackson Cross Cylinder Test(Cyl) For Right Eye
Digital Refractor CDR-9000 12.1.3. Jackson Cross Cylinder Test(CYL) for Right Eye The third step is to calibrate the CYL value for the right eye minutely on the b ase of the resultant SPH-CYL-AXIS values from step 1. Press the [1]/[2] buttons that toggles the lens flipping during Jackson Cross Cylinder Test, and ask whic h status appears clearer.
Page 125: Red/Green Test For Right Eye
Digital Refractor CDR-9000 12.1.4. Red/Green Test for Right Eye The fourth step is to calibrate the SPH value minutely for the right eye on the base of the resultant the SPH-CYL-AXIS values from step 1. First, ask your pati ent on which background he/she can see the letters more clearly, the green ba ckground or the red one.
Page 126: Checking The Visual Acuity For Right Eye
Digital Refractor CDR-9000 12.1.5. Checking The Visual Acuity for Right Eye Now, we finished the monocular test for the right eye, verify the right spherical power one more time. Use mask for the foregoing inspection if necessary.
Page 127: Adjustment Of The Sph-Cyl-Axis Values For Left Eye
Digital Refractor CDR-9000 12.1.6. Adjustment of the SPH-CYL-AXIS Values for Left Eye The sixth step is to coordinate the SPH-CYL-AXIS values for the left eye. See 1 2.1.1, Adjustment of the SPH-CYL-AXIS Values for Right Eye. 12.1.7. Jackson Cross Cylinder Test(AXIS) for Left Eye The seventh Step is to calibrate minutely the AXIS value for left eye on the ba se of the resultant SPH-CYL-AXIS value from step 6.
Page 128: Jackson Cross Cylinder Test(Cyl) For Left Eye
Digital Refractor CDR-9000 12.1.8. Jackson Cross Cylinder Test(CYL) for Left Eye The eighth Step is to calibrate the CYL value minutely for the left eye on the base of the resultant SPH-CYL-AXIS value from step 6. See 12.1.3, Jackson Cros s Cylinder Test(CYL) for Right Eye.
Page 129: Checking The Visual Acuity For Binocular Vision
Digital Refractor CDR-9000 12.1.12. Checking The Visual Acuity for Binocular Vision Now, we finished the binocular balance test, verify the right and left spherical power one more time. Use mask for the foregoing inspection if necessary. 12.1.13. Horizontal Coincidence Test at Far...
Page 130: Vertical Coincidence Test At Far
Digital Refractor CDR-9000 It performs an inspection using the horizontal coincidence chart among the bin ocular tests. According to the guide, execute the phoria and the coincidence te st (optional) and then record the test results. See 13.24, Horizontal Coincidence Test for further information.
Page 131: Near Addition Test With Fused Cross Cylinder Lenses
Digital Refractor CDR-9000 12.1.15. Near Addition Test with Fused Cross Cylinder Lenses It checks the Cross Grid Accommodation in near mode. According to the guide increase or decrease the ADD value. See 13.4, Near Addition Test with Fused Cross Cylinder Lenses...
Page 132: Near Visual Acuity Test
Digital Refractor CDR-9000 12.1.16. Near Visual Acuity Test It performs the Near VA with ADD test. See 13.1, ‘Near Visual Acuity Test’.
Page 133: Near Horizontal/Vertical Von Graefe Test
Digital Refractor CDR-9000 12.1.17. Near Horizontal/Vertical Von Graefe Test It performs Near Distance Horizontal and Vertical Von Graefe Test. According to the guide, do the phoria test. See 13.22, ‘Horizontal Von Graefe Test’ and 13.2 3, ‘Vertical Von Graefe Test’.
Page 134 Digital Refractor CDR-9000 Now, we have completed the standard tests including monocular correction (rig ht)  monocular correction (left)  Binocular Balance Test  Binocular Visual Function Test  near distance test.
Page 135: System-Providing Unit Tests
Digital Refractor CDR-9000 13. System-Providing Unit Tests There are total 29 system-providing unit tests available in CDR-9000 system. If y ou press [TEST] button, you can see the following list. We describe here each te st to be referred to for the real optometry process.
Page 136 Digital Refractor CDR-9000 Positive Relative Accomm: Positive Relative Accommodation Test Negative Relative Convrg: Negative Relative Convergence Test Positive Relative Convrg: positive Relative Convergence Test Cylinder Test – Power: Cylinder Power Test Cylinder Test – Axis: Cylinder Axis Test Red/Green Test: (monocular) Red/Green Test Cross Cyl.
Page 137 Digital Refractor CDR-9000 Vert. Coincidence: Vertical Coincidence Test Pola. Cross: Polarized Cross without Fixation point Test Pola. Cross w/Fixation: Polarized Cross With Fixation point Test Stereo: Stereo Test Minute Stereo: Minute Stereo Test...
Page 138: Near Visual Acuity Test
Digital Refractor CDR-9000 13.1. Near Visual Acuity Test - Objective: To inspect the Near VA with ADD - Chart: Near Distance chart - Auxiliary Lens: None - Expectation: To inspect Near VA with ADD for the right or left eye or for bot h eyes.
Page 139 Digital Refractor CDR-9000 Press the [N ADD VA] button and then the [NPC] button of the touch scr een. Alternately, press the [TEST] button and then select “ Near Point of C onverg ” item of the touch screen to execute this test.
Page 140: Near Point Of Accommodation Test
Digital Refractor CDR-9000 13.3. Near Point of Accommodation Test - Objective: To measure the Near Point of Accommodation during the subjectiv e test. - Chart: Near Distance chart - Auxiliary Lens: None - Expectation: To obtain the Near point of Accommodation for the right or left eye or for both eyes.
Page 141: Near Addition Test With Fused Cross Cylinder Lenses
Digital Refractor CDR-9000 13.4. Near Addition Test with Fused Cross Cylinder Lenses - Objective: To correct the ADD according to the accommodation using Cross Grid - Chart: Near Distance (Cross Grid) chart - Auxiliary Lens: None - Expectation: To make the horizontal and vertical rods have the same clarity a nd the same width similar to Far Cross Grid Test.
Page 142 Digital Refractor CDR-9000 ear Cross Grid chart at 40cm. Alternately, press the [TEST] button and the n select “Near ADD” of the touch screen to execute this test. Press the [R], [L], [OU] button to select the field to measure.
Page 143: Negative Relative Accommodation Test
Digital Refractor CDR-9000 13.5. Negative Relative Accommodation Test - Objective: To measure the Negative Relative Accommodation Test during the s ubjective test. - Chart: Near Distance chart - Auxiliary Lens: None - Expectation: To obtain BLUR and RECOVERY value for the right or left eye or for both eyes.
Page 144: Positive Relative Accommodation Test
Digital Refractor CDR-9000 13.6. Positive Relative Accommodation Test - Objective: To measure Positive Relative Accommodation during the subjective test. - Chart: Near Distance chart - Auxiliary Lens: None - Expectation: To obtain BLUR and RECOVERY value for the right or left eye or for both eyes.
Page 145 Digital Refractor CDR-9000 Press the [N ADD #] button and then the [PRA] button of the touch scree n. Alternately, press the [TEST] button and then select “Positive Relative Ac comm.” Item of the touch screen to execute this test.
Page 146: Negative Relative Convergence Test
Digital Refractor CDR-9000 13.7. Negative Relative Convergence Test - Objective: To measure the Negative Convergence during the subjective test. - Chart: Near Distance chart - Auxiliary Lens: None - Expectation: To obtain BLUR, BREAK and RECOVERY value for the right or left eye or for both eyes.
Page 147: Positive Relative Convergence Test
Digital Refractor CDR-9000 At this time, turn the dial clockwise to subtract the BI prism. Press the [O K] button of the touch screen when the charts come together. All done. 13.8. Positive Relative Convergence Test - Objective: To measure the Positive Relative Convergence test during the subje ctive test.
Page 148 Digital Refractor CDR-9000 Press the [F/N] button of the touch screen to select near or far mode. Press the [BIBO] button and then the [PRC] button of the touch screen. Al ternately, press the [TEST] button and then select “Positive Relative Convr g.”...
Page 149: Cylinder Axis Test
Digital Refractor CDR-9000 13.9. Cylinder Axis Test - Objective: To obtain maximum corrected monocular CYL value during the subj ective test using the Clock Dial chart by 30˚steps. - Chart: Clock Dial chart - Auxiliary Lens: None - Expectation: All the rods on the screen can be seen uniformly clear.
Page 150 Digital Refractor CDR-9000 e [TEST] button and then select “ Cylinder Test-Axis ” Item of the touch sc reen to execute this test Press the [R] or [L] button to select the desired field Press the [S] button to enter the spherical power mode and then apply fo g till the numbers outside the Clock Dial appears to be clear.
Page 151: Cylinder Power Test
Digital Refractor CDR-9000 13.10. Cylinder Power Test - Objective: To obtain the maximum corrected monocular CYL value during the subjective test the Clock Dial chart. - Chart: Clock Dial chart - Auxiliary: None - Expectation: All the rods on the screen can be seen uniformly clear.
Page 152: Red/Green Test
Digital Refractor CDR-9000 13.11. Red/Green Test - Objective: To verify the maximum corrected monocular SPH value during the subjective test using the Red/Green chart. - Chart: Red/Green chart - Auxiliary Lens: None - Expectation: The letters on the red and green ground can be seen uniformly clear.
Page 153 Digital Refractor CDR-9000 WARNING You should not ask the patient like “ which letters do you see more cle arly, on the red ground or on the green one? ” According to the patien t’s corrected visual acuity, in case of 1.0 (20 in 20/20, 6 in 6/6), ask con cretely like “...
Page 154: Jackson Cross Cylinder Test
Digital Refractor CDR-9000 13.12. Jackson Cross Cylinder Test - Objective: To obtain the maximum corrected monocular CYL and AXIS values during the subjective test using the Jackson Cross Cylinder. - Chart: Dots Group chart - Auxiliary Lens: Cross Cylinder Lens (025/050) - Expectation: The Dots Group Chart can be seen uniformly clear in spite of th e up and down movement of the Cross Cylinder.
Page 155: Dual Cross Cylinder Test
Digital Refractor CDR-9000 direction). This test is ended if there is no difference in the result of the button [1] and [2]. 13.13. Dual Cross Cylinder Test - Objective: To obtain the maximum corrected monocular CYL and AXIS during the subjective test using Dual Cross Cylinder.
Page 156 Digital Refractor CDR-9000 can be seen uniformly clear. - Operation Sequence: Press the Dots Group Chart to enter the Cross Cylinder test mode. Alterna tely, press the [TEST] button and then select “Cross Cyl. Test-Axis” Item of the touch screen to execute this test.
Page 157: Cross Grid Test For Distance
Digital Refractor CDR-9000 13.14. Cross Grid Test for Distance - Objective: To obtain the maximum corrected monocular SPH using Far Cross Grid chart. (Accommodation) - Chart: Cross Grid for Distance chart (with CCP-3100, CDC-4000 only) - Auxiliary Lens: Fixed Cross Cylinder Lens - Expectation: The Horizontal and Vertical rods can be seen uniformly distribute d and equally clear.
Page 158 Digital Refractor CDR-9000 he [TEST] button and then select “Cross Grid for Dist” Item of the touch s creen to execute this test. Select the desired field by pressing [R] or [L] button. Change the SPH value until the horizontal and vertical rods are seen unifo rmly clearly and thickly.
Page 159: Dominant Eye Test For Phoria
Digital Refractor CDR-9000 WARNING You should correctly set astigmatism axis and cylindrical power before d oing this test to prevent the influence of direct or indirect astigmatism. 13.15. Dominant Eye Test for Phoria - Objective: To find the dominant eye for phoria since the patient with phoria has dominant eye in a slightly different way compared to a normal case.
Page 160 Digital Refractor CDR-9000 the Maddox Rod. - Chart: Maddox Rod chart - Auxiliary Lens: Horizontal Maddox (right), Rotary Prism (left) - Expectation: The vertical rod for the right eye is united with the Maddox Cha rt for the left eye.
Page 161: Vertical Maddox Test
Digital Refractor CDR-9000 13.17. Vertical Maddox Test - Objective: To execute a vertical Phoria test during the subjective test using th e Maddox Rod chart. - Chart: Maddox Rod chart - Auxiliary Lens: Rotary prism (right), Vertical Maddox (left) - Expectation: The horizontal rod for the left eye is united with the Maddox C hart for the right eye.
Page 162 Digital Refractor CDR-9000 To enter this mode, press the Maddox Chat twice, or press the [BDBU] bu tton and then press The Maddox chart, or press [SHIFT] button and the Maddox chart at a time. The prism change window is presented in the lef t-top area and the Guide Window in the right-top area.
Page 163: Polarized Binocular Balance Test
Digital Refractor CDR-9000 13.18. Polarized Binocular Balance Test - Objective: To adjust binocular balance during the subjective test - Chart: Polarized Binocular Balance chart - Auxiliary Lens: 135˚Polarizing Filter (right), 45˚ Polarizing Filter (left) - Expectation: The upper row for the right eye and the lower row for the left eye appear to be similarly clear.
Page 164 Digital Refractor CDR-9000 WARNING If the patient has the dominant eye and the difference is equal to or les s than 0.22D (maximum 0.5D), The polarized Binocular Balance Test may be omitted because the patient has of course the better sight with the dominant eye.
Page 165: Polarized Red/Green Test
Digital Refractor CDR-9000 13.19. Polarized Red/Green Test - Objective: To adjust the monocular and binocular balance at the same time d uring the subjective test. - Chart: Polarized Red/Green chart - Auxiliary Lens: 135˚ Polarizing Filter (right), 45˚ Polarizing Filter (left) - Expectation: The upper row for the right eye and the lower row for the left eye can be seen uniformly clear.
Page 166 Digital Refractor CDR-9000 After pressing the [L] button, If the left side (red) is seen more clearly, tur n the dial clockwise (“-“ direction). If the right side (green) is seen more c learly, turn the dial counterclockwise (“+” direction).
Page 167: Worth 4 Dots Test
Digital Refractor CDR-9000 13.20. Worth 4 Dots Test - Objective: To find suppression during the subjective test. It is possible to che ck the internal or external phoria. - Chart: Worth-4-Dots chart - Auxiliary Lens: Red Filter (right), Green Filter (left) - Expectation: To check how many dots can be seen.
Page 168 Digital Refractor CDR-9000 Vision of patie Analysis Details 4 spots : red, : green, : pink or red/green alternatel Fusion red: When the right eye is dominant., green: When the left eye is dominant 3 spots Right eye is Two green...
Page 169: Schober Test
Digital Refractor CDR-9000 13.21. Schober Test - Objective: To execute a phoria test during the subjective test using the Scho ber chart - Chart: Schober chart (with CCP-3100, CDC-4000 only) - Auxiliary Lens: Red Filter (right), Green Filter (left), Binocular Rotary Prism - Expectation: To make the cross mark (for the right eye) placed the center of the circle.
Page 170 Digital Refractor CDR-9000 button once more and then turn the dial clockwise till the cross mark fal ls to the center of the circle. If “Under”: the right eye with hyperphoria. Press the Schober chart or the [BDBU] button once more and then the dial counterclockwise till the cross mark falls to the center of the circle.
Page 171: Horizontal Von Graefe Test
Digital Refractor CDR-9000 Vision of patient Heterophoria Correction Method The cross mark is to the Turn the dial clockwise to a right of the circle dd the BO prism till the cro Esophoria ss mark comes to the cente r of the circle.
Page 172 Digital Refractor CDR-9000 Press the Von Graefe Chart to enter the horizontal phoria mode. Alternatel y, press the [TEST] button and then select “ Hor. Von Graefe ” Item of the touch screen to execute this test. Ask the patient as follows; “Are the two vertical rods vertically aligned?”...
Page 173 Digital Refractor CDR-9000 WARNING If you make use of an old-fashioned chart projector or a mirror chart n ot supporting the Von Graefe Chart, you can imitate the horizontal Von Graefe chart as follows; 1. Spread a general chart readable to patient such as number, Landolt Ring, Snellen E.
Page 174: Vertical Von Graefe Test
Digital Refractor CDR-9000 13.23. Vertical Von Graefe Test - Objective: To execute a vertical phoria test during the subjective test using V on Graefe chart. - Chart: Vertical Von Graefe chart - Auxiliary Lens: Rotary prism (right), 10ΔBI prism (left) - Expectation: To make the right and left horizontal rod becomes horizontally a ligned in the center.
Page 175: Horizontal Coincidence Test
Digital Refractor CDR-9000 13.24. Horizontal Coincidence Test - Objective: To execute the Coincidence and a horizontal phoria test during the subjective test using Coincidence chart - Chart: Horizontal Coincidence chart - Auxiliary Lens: 135˚ Polarizing Filter (right), 45˚ Polarizing Filter (left) - Expectation: The upper frame for the right eye and the lower frame for the l eft eye form an ideal square.
Page 176 Digital Refractor CDR-9000 T] button and then select “Hor. Conincidens” Item of the touch screen to execute this test. Ask the patient as follows; “Can you see a square with a point at the cen ter?” “Are the right and left sides of the upper and lower frames aligned with each other?”...
Page 177: Vertical Coincidence Test
Digital Refractor CDR-9000 13.25. Vertical Coincidence Test - Objective: To execute a vertical phoria test during the subjective test using th e Coincidence chart - Chart: Vertical Coincidence chart - Auxiliary Lens: 135˚ Polarizing Filter (right), 45˚ Polarizing Filter (left)
Page 178 Digital Refractor CDR-9000 cidence chart at a time. Alternately, press the [TEST] button and then selec t “Vert. Conincidens” Item of the touch screen to execute this test. Ask the patient as follows; “Can you see the square with a point at the c enter?”...
Page 179: Polarized Cross Test
Digital Refractor CDR-9000 13.26. Polarized Cross Test - Objective: To execute a phoria test during the subjective test using the polari zed Cross chart without the fixation Point chart - Chart: Cross without the Fixation Point chart - Auxiliary Lens: 135˚ Polarizing Filter (right), 45˚ Polarizing Filter (left) - Expectation: The upper-right cross mark for the right eye and the lower-left cross mark for the left eye are overlapped into one ideal cross.
Page 180 Digital Refractor CDR-9000 To enter this mode, press the Polarized Cross Chart twice or the [SHIFT] b utton and the Polarized Cross Chart at a time. Alternately, press the [TEST] button and then select “Pola Cross” Item of the touch screen to execute this test.
Page 181: Polarized Cross Test With Fixation Point
Digital Refractor CDR-9000 13.27. Polarized Cross Test with Fixation Point - Objective: To execute the phoria test during the subjective test using the Pol arized Cross chart with the Fixation Point chart. - Chart: Polarized Cross with the Fixation Point chart - Auxiliary Lens: 135˚...
Page 182 Digital Refractor CDR-9000 To enter this mode, press the Polarized Cross Chart. Alternately, press the [TEST] button and then select “Pola Cross w/ Fix” Item of the touch screen to execute this test. Ask the patient as follows; “Can you see one ideal cross mark?”...
Page 183 Digital Refractor CDR-9000 Vision of patie Heterophoria Details Turn the dial clockwise to add the BO Esophoria prism till the vertical bar comes to t he center of the horizontal bar. Turn the dial counterclockwise to add Exophoria the BI prism till the vertical bar com es to the center of the horizontal bar.
Page 184: Stereo Test
Digital Refractor CDR-9000 Press the [BDBU] button. Turn the dial Right Eye with hyperphori counterclockwise till the horizontal b ar comes to the center of the vertical bar. Esophoria+ Correct the horizontal phoria like 1) a Right eye with hyperphori...
Page 185 Digital Refractor CDR-9000 Ask the patient as follows; “Which rod appears closer, the upper or the lo wer?” If “the upper one”: There is no problem in stereo visual acuity. Press [OK] button of the touch screen to mark OK.
Page 186: Minute Stereo Test
Digital Refractor CDR-9000 13.29. Minute Stereo Test - Objective: To execute the Minute Stereo Test during the subjective test. - Chart: Minute Stereo chart - Auxiliary Lens: 135˚ Polarizing Filter (right), 45˚ Polarizing Filter (left) - Expectation: Starting from the central fixation point, clockwise, the next rods pair appear to be more and more close and clear to the patient than the pr evious one.
Page 187 Digital Refractor CDR-9000 If all the rods including the central fixation point appear to be plain: the patient can recognize stereovision. Press [NG] button of the touch screen t o set NG (no good).
Page 188: Examination Results And Printout
After finishing all the inspection processes, you may print the results either on t he screen or on the paper. Since CDR-9000 system provides various options to s ave printing paper, refer the related Chapter 8, Configuring the System with this chapter.
Page 189: Print On The Paper
Digital Refractor CDR-9000 on should be pressed once more. To display the results on preview screen, push [SHIFT] + [PRINT]. Then the summarized results will be shown either in table a nd graphical form on the LCD screen. We will discuss printing on paper in 14.2 and printing on screen in 14.3.
Page 190 Digital Refractor CDR-9000 Patient’s identifier Patient’s name and sex Inspection Date and TIME Patient’s age and the dominant eye PD (near/Far) Unaided Visual Acuity NEAR Data from Lensmeter (Aided) Visual Acuity Data from Refractometer...
Page 191 Digital Refractor CDR-9000 Data from Subjective Test Additional Visual Acuity Visual Acuity NEAR Visual Acuity Final Data Additional Visual Acuity Visual Acuity...
Page 192 Digital Refractor CDR-9000 NEAR Visual Acuity Binocular Visual Function Test Schober Von Graefe Coincidence...
Page 193 Digital Refractor CDR-9000 Polarized Cross without Fixation Point Polarized Cross with Fixation Point Maddox Rod NEAR Schober Von Graefe Coincidence Polarized Cross without Fixation Point Polarized Cross with Fixation Point Maddox Rod...
Page 194 Digital Refractor CDR-9000 Fusion Stereo Minute Stereo Aniseikonia NEAR Fusion Data from Keratometry Test Time...
Page 195 Digital Refractor CDR-9000 As we stated before, normally you don’t have to print so many results like the previous sample. Thus, remove the unessential options in system configuration. E nter page 6, PRINT OPTION in system configuration menu to turn on and off t he following options as your needs.
Page 196: Print On The Screen
14.3. Print on the Screen If [SHIFT] + [PRINT] button is pressed, the summarized information wil l be shown on the LCD screen. CDR-9000 system shows the results di vided into NEAR and FAR in a condensed from and helps display con version by using function buttons.
Page 197: Maintenance
Digital Refractor CDR-9000 15. Maintenance 15.1. Replacing Printing Paper Replace the roll of printing paper as soon as possible after the red line appears on the paper according to the procedure below: Tilt the LCD monitor 90° degree to open the printer cover.
Page 198: Replacing Fuse
Connector Fuse Holder [Junction Box] Turn off and disconnect the power cord. Pull out the fuse holder. Replace old fuse(s) with new one(s). Re-install the fuse holder. INFORMATION Use 250V, T5.0AL fuse for the Junction Box, Digital Refractor CDR-9000 (J...
Page 199: Cleaning
Clean the headrest with plastic disinfectant that harmless to human body 15.4. Storage If the instrument, CDR-9000 Digital Refractor, is not to be used for a long time, it is recommended to disconnect the power supply and protect the Refractor B...
Page 200: Disposal
Digital Refractor CDR-9000 15.5. Disposal NOTE To dispose the instrument, accessories, and components, follow local gover ning ordinances and recycling plans regarding disposal or recycling of instr ument or device components. Especially a lithium battery may pollute the environment if the instrument or a lithium battery is abandoned.
Page 201: Troubleshooting
Digital Refractor CDR-9000 16. Troubleshooting 16.1. Digital Refractor doesn’t work at all Check if power cord is connected correctly. Check if the 24-pin and 15-pin cables for the Refractor Body and the Ope ration Panel are connected correctly. Check if any of the fuses in the Junction Box is blown off.
Page 202: Chart Presenting Device Doesn't Respond To Operation Panel
 Check if the Converter Box connecting the auto ref/keratometer or the aut o lensmeter to CDR-9000 Junction Box is turned on. Since old models do n’t supply power to Converter Box through serial interface cable, appropria te power adaptor should be connected to Converter Box(CRK series, CLM...
Page 203: All The Polarization Tests Are Not Working
Digital Refractor CDR-9000 16.7. All the polarization tests are not working Check if the vinyl sticker on the chart reflection plate is removed. Check if the vinyl stickers on the measuring windows of the Refractor Bod y are removed.
Page 204: Specifications
Digital Refractor CDR-9000 17. Specifications Measurement Range -29.00 ~ +26.75D (Regular) Spherical Lens -19.00 ~ +16.75D(During XC or prism tests) (0.12/0.25/0.5/1/2/3/4D increments) Cylinder Lens 0.00 ~ 8.75D (0.25/0.5/1/2/3D increments) Cylinder Axis 0˚~ 180˚ (1/ 5/ 15˚ increments) 48 ~ 80mm (0.5/1mm increments)
Page 205 Digital Refractor CDR-9000 . Digital Refractor : 9V 2A, 17V 5A . Operation Panel : 9V 1A, 12V 1.2A, 5V 3A Power Supply . Junction Box : 100~120/200~240 V~ 0.7/0.5A 50/6 Auxiliary Lenses Occluding Aperture Pinhole Lens 2mm Maddox Rod...
Page 206: Components And Options
Digital Refractor CDR-9000 18. Components And Options 18.1. Standard Package Components Refractor Body(CDR-9000 Digital Refractor) 1 EA Operation Panel(CDR-9000 Digital Refractor(OP)) 1 EA Junction Box(CDR-9000 Digital Refractor(JB)) 1 EA Forehead Rest 1 EA Face Shield 4 EA Near Point Card...
Page 207: Optional Interface Package
Digital Refractor CDR-9000 18.2. Optional interface Package Auto Ref/Keratormeter Package  RK-type Converter Box 1 EA Interface Cable (4-pin CAN) 1 EA Interface Cable (9-pin D-SUB) 1 EA Power Adaptor 1 EA Terminator 1 EA Auto Lensmeter Package  LM-type Converter Box...
Page 208: Service Information
16 of this manual. If any problem persists or the instrument is damaged or malfunctioning, co ntact SHANGHAI HUVITZ or local distributor for service with the following i nformation: Name of the instrument: CDR-9000 system ...
Page 209 Digital Refractor CDR-9000 Tel: +86-21-3630-7061 SHANGHAI HUVITZ Co., Ltd. Fax: +86-21-3630-7064 Building 1, No.150, renjie Roa http://www.huvitz.com d, Fengxian, Shanghai, China e-mail: svc@huvitz.com...
Page 210: Emc Information
Table 1:Guidance and manufacturer’s declaration – electromagnetic emissions The CDR-9000 is intended for use in the electromagnetic environment specified below. The cust omer or the user of the CDR-9000 should assure that it is used in such an environment. Emissions test...
Page 211 Table 3: Guidance and manufacturer’s declaration – electromagnetic immunity The CDR-9000 is intended for use in the electromagnetic environment specified below. The custo mer or the user of the CDR-9000 should assure that it is used in such an environment. Immunity test...
Page 212 The CDR-9000 is intended for use in an electromagnetic environment in which radiated RF disturba nces are controlled. The customer or the user of the CDR-9000 can help prevent electromagnetic i nterference by maintaining a minimum distance between portable and mobile RF communications equipment ( transmitters ) and the CDR-9000 as recommended below, according to the maximum output power of the communications equipment.
Page 213 Digital Refractor CDR-9000...