Visionix EyeRefract User Manual
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Visionix EyeRefract User Manual

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EyeRefract
User Guide
UM_30230001/V2.8_EN/2022-3/SW v2.8
Sunday, May 29, 2022
© 2022 Visionix
Version 8.2

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  • Page 1 EyeRefract User Guide UM_30230001/V2.8_EN/2022-3/SW v2.8 Sunday, May 29, 2022 © 2022 Visionix Version 8.2...

  • Page 3: Table Of Contents

    Login Successful ..........................23 User registration ..........................23 ..........................24 Validation screen ..........................24 PUK code ..........................26 Login Failure ..........................27 Forgot password Edit user ..........................28 Change password ..........................28 Platform user ..........................29 Visionix EyeRefract User Guide...
  • Page 4 What Should I Do If...? ............................75 Maintenance ............................78 ..........................78 Cleaning the Unit ..........................78 Lenspen Chin Rest ..........................78 Forehead Support ..........................78 ..........................79 Replacing the Printer Paper ..........................79 Packing the Unit Appendices ............................83 Visionix EyeRefract User Guide...
  • Page 5 Computer ..........................86 Conformity to Directives and Standards Electromagnetic Emissions ..........................87 Electromagnetic Immunity ..........................88 Manufacturer ..........................92 ..........................92 Waste Electrical and Electronic Equipment (WEEE) Directive ..........................93 Contact Information ............................94 Index Contents Visionix EyeRefract User Guide...
  • Page 6 1. Introduction...

  • Page 7: Introduction

    The machine is used together with a distant screen for the subjective test. A near vision target is also included for near vision testing. The EyeRefract contains a single ring keratometer that is used for alignment of the eye and for measurement of the corneal radius of curvature. There are three modes of operation;...
  • Page 8 2. Safety...

  • Page 9: Safety

    2. 2 Transport, Storage, and Handling Important! Transport the EyeRefract in its specially designed case. Make sure the unit is packed firmly and securely. Do not subject the EyeRefract to strong vibrations. Shocks or violent movements can cause malfunctions. Visionix EyeRefract User Guide...

  • Page 10: Precautions During Use

    Keep the chart surfaces clean. Protect them from dust and fingerprints, and clean them as soon as possible if they are dirty. When you switch the EyeRefract unit off, wait at least 5 seconds before switching it on again. 2. 4 Symbols...

  • Page 11: Network Configurations

    Safety 2. 5 Network Configurations Important! The safety of the EyeRefract has not been verified when connected to IT-networks including other equipment and may result in previously unidentified risks to patients, operators or third parties. The manufacturer guarantees that EyeRefract unit is delivered free of malicious software.
  • Page 12 3. Equipment and Installation...

  • Page 13: Equipment And Installation

    – along with the hardware required to set them up. It briefly explains how to set up these items and incorporate them in the entire system, as well as how to work with the EyeRefract unit and with the software.

  • Page 14: List Of Equipment Supplied

    Equipment and Installation 3. 1 List of Equipment Supplied The EyeRefract package contains the following items: Item Illustration EyeRefract unit Tablet with EyeRefract software pre-installed on it Router (supplied with its power cable and a network cable), to manage the system's dedicated local...

  • Page 15: Description Of The Device

    Equipment and Installation 3. 2 Description of the Device The patient side of the EyeRefract unit contains the hardware with which the patient is in contact, such as the phoropter apertures and the forehead support. Opposite it is the rear panel, which contains various connectors, a built-in printer, and the power switch.

  • Page 16: Rear Panel

    Prism lever Push down to engage the prism or up to disengage it. Note: When the prism is engaged, it can be adjusted through the software; see Available Accessories. Base Contains the unit's computer and other electronics Visionix EyeRefract User Guide...

  • Page 17: Connectors

    Note: The machine should normally be turned off from the app on the tablet PC; Turning the Unit On and Off. Connectors The connection panel on the rear of the EyeRefract unit contains the following ports for external devices. Rear-panel connectors Note Only the connection between the right network-port and the supplied router is required.

  • Page 18: Near-Vision Target

    Equipment and Installation Near-Vision Target The near-vision target is a screen that is built into the EyeRefract unit. When the flap containing the tablet is folded down, the patient sees the chart monitor. When the flap is up, the patient sees the near-vision target.

  • Page 19: Site Requirements

    Equipment and Installation Site Requirements The EyeRefract unit should be placed on a table or desktop close to a power outlet, and opposite a wall on which the chart monitor can be installed. The heads of the unit should be at least five meters from the chart monitor.
  • Page 20 Outer box rem oved Remove the polystyrene foam padding from around the unit. Polystyrene foam padding rem oved With the plastic bag still on it, carefully grasp the EyeRefract unit from its base, lift it up, and place it on a table. Important! Do not lift the unit by its heads or its headrest (#1 below).
  • Page 21 Slowly slide the polystyrene foam pad (#1 above) out from behind the heads of the unit. Raise the flap of the near-vision target, and remove the polystyrene foam pad from beneath it. Polystyrene foam pad under near-vision flap Visionix EyeRefract User Guide...

  • Page 22: Setting Up The System

    2. Connect one end of the power cable that came with the unit to the power connector on that unit. Note: The power connector of the EyeRefract is located on the bottom of the unit (#6 in illustration of the rear panel).
  • Page 23 This network is created and managed by the supplied router. The EyeRefract unit is connected to this router by means of a network cable, while the other components connect wirelessly via WiFi.
  • Page 24 The supplied lens meter enables you to import prescriptions of existing eyeglass lenses directly into the EyeRefract. It is preconfigured to connect to the system's dedicated network wirelessly. It should connect to the EyeRefract's network automatically once it is set up. To set up the lens meter: 1.

  • Page 25: Working With The Unit

    4. Turn the lens meter on. 3. 4 Working with the Unit Once the system is set up, you can turn the EyeRefract unit on and begin using the system to test patients' vision and prescribe corrective lenses for them.
  • Page 26 4. Overview of the Software...

  • Page 27: Overview Of The Software

    Overview of the Software 4. 1 Login screen The EyeRefract software is an application that is pre-installed on the supplied tablet computer. When you turn the tablet on, the application opens automatically, and the initial screen is displayed. Other screens and options can be accessed from the...

  • Page 28: Login Successful

    If the user don't have a Local account, clicking on the "Sign in" link will take the user to a screen which he needs to complete. This screen is illustrated below: Description First name Last name Email Password Confirm password Create user button-will bring you to "Validation" screen Visionix EyeRefract User Guide...

  • Page 29: Validation Screen

    The user will receive an email with the PUK code to the registered email. The user must keep this code in a safe place. This code is the only way for the user to recover the account credentials. Visionix EyeRefract User Guide...
  • Page 30 PUK code- The code displayed is the code sent to the registry email Share icon-Designed to share the PUK . Done button- Clicking this button will complete the registration process and we will move the user to "Log-in screen" Back button-Takes the user back to "Validation screen". Visionix EyeRefract User Guide...

  • Page 31: Login Failure

    Overview of the Software Login Failure If the user name or password is incorrect an error message will be displayed. Visionix EyeRefract User Guide...

  • Page 32: Forgot Password

    If the user cannot remember the correct log-in information, click on the "Forgot password" link. The reset password screen will appear. Description PUK code- The code the user receive to the registered email adress when creating a local user account. New Password-Provide a new password. Confirmation password-Confirm the new password. Visionix EyeRefract User Guide...

  • Page 33: Edit User

    To change user password, click on the "Menu" button followed by the Edit icon below the profile icon. Edit screen will appear press "Change Password" link. Fill in the required fields and press on "Update Password" button. Password will be update. Visionix EyeRefract User Guide...

  • Page 34: Platform User

    The Nexus platform account allows you to manage the patients and measurements from each device you are connected to on the Nexus platform. Create a platform user To create a platform account contact Nexus: https://nexus.luneautech.com Visionix EyeRefract User Guide...

  • Page 35: Merge Users

    If there is a Local user and a platform user with the same email address this users will be merged during the first platform user Log-in. Enter the Local user email address and password.To upload the local data to the cloud, check the box. Visionix EyeRefract User Guide...

  • Page 36: Question Screen

    The question screen requires filling in the patient's details. The mandatory filled's depends on the user account type (Local/ Platform user) Note The controls and features available in the application vary depending on the product's configuration. Thus, your interface may appear slightly different from the illustrations in this guide. Visionix EyeRefract User Guide...

  • Page 37: Heading Area

    Indicates the distance from the patient to the chart For far-vision, this value is retrieved from the monitor's configuration. For near vision, this value is measured on the fly, and changes as the near-vision target is moved closer to or further from the patient. Visionix EyeRefract User Guide...

  • Page 38: Main Menu

    Settings Opens the Settings screen, in which app settings are managed Turn Off Shuts down the system (both the EyeRefract machine and the tablet app). Sign out Log out from the current user account Visionix EyeRefract User Guide...

  • Page 39: Measure Screen

    Chart during m easurem ent process Before a Diagnostic When the Measure screen is open, and a patient is in position in front of the EyeRefract machine, you can see the camera views in the screen. You may or may not see the patient's eyes, and, if you do, they may or may not be centered in the camera views.
  • Page 40 R: The patient's right eye Tap the label to activate or deactivate measurement for the eye. When it is deactivated, the other controls are not available on this side, and the eye is not visible in the camera view (#7). Visionix EyeRefract User Guide...

  • Page 41: During A Diagnostic

    When the diagnostic is underway, you can skip stages of the test, or stop the test entirely, from the Measure screen. You cannot, however, activate or deactivate one of the eyes during a diagnostic. Visionix EyeRefract User Guide...
  • Page 42 L: The patient's left eye R: The patient's right eye When the measurement of one of the eyes is deactivated, the other controls are not available for that eye, and the eye is not visible in the camera panes (#7). Visionix EyeRefract User Guide...

  • Page 43: Refraction Screen

    Manual mode, which gives you manual control of the phoropter, the chart displays, the working distance, and the system's other features. this mode is possible only from Quick Pro Mode. Visionix EyeRefract User Guide...

  • Page 44: Overview Of The Refraction Screen

    As you proceed, the phoropter automatically adjusts the lenses when you enter the patient's responses to the questions in each step. Visionix EyeRefract User Guide...
  • Page 45 To scroll up and down, drag up and down. To select a step, tap it. Note: If the menu of chart types appears in this region of the screen, instead of the steps, at the bottom of the chart controls (#3), tap Steps. Visionix EyeRefract User Guide...

  • Page 46: Exam Results In Quick Pro Mode

    The angle of the axis is indicated by the two triangles at the edge of the circle; a line connecting these triangles (like the dotted orange line) would be at the same angle as the axis. Visionix EyeRefract User Guide...
  • Page 47 To select the value for one eye, tap the value (e.g., in the illustration above, to adjust the sphere of the right eye, tap the value +3.75). Note that the patient view (#1) of the selected eye must be open in order for the value to be selected. Visionix EyeRefract User Guide...

  • Page 48: Manual Refraction

    As you proceed, the phoropter automatically resets the lenses to match the refraction values you enter. Visionix EyeRefract User Guide...

  • Page 49: Exam Results In Manual Mode

    Shows the current chart display Chart controls Complete set of chart controls Exam Results in Manual Mode In Manual mode, during a subjective refraction, the Exam Results region of the Refraction screen contains the following items: Visionix EyeRefract User Guide...
  • Page 50 The angle of the axis is indicated by the two triangles at the edge of the circle; a line connecting these triangles (like the orange line) would have the angle of the axis. Visionix EyeRefract User Guide...
  • Page 51 (#1) of the selected eye must be open in order for the value to be selected. End Exam button When the refraction is complete, tap to open the Exam File screen, in which you can print or export the final results of the refraction. Visionix EyeRefract User Guide...

  • Page 52: Chart Controls - Far Vision

    Depending on the type of chart selected, some of these controls may be unavailable. Available controls are displayed with a black background, while unavailable controls are displayed with a gray background. Chart controls - far vision Visionix EyeRefract User Guide...
  • Page 53 Note: For all other chart types, this button is not available. Visionix EyeRefract User Guide...
  • Page 54 (#2 in the illustration below), the system expects you to report on whether the patient read the letter or line correctly. For this purpose, controls are added to the chart-control area (#1 below): Visionix EyeRefract User Guide...
  • Page 55 When the Pelli-Robson test is selected (#2 in the illustration below), the system expects you to report on whether the patient read each letter correctly. For this purpose, controls are added to the chart-control area (#1 below): Visionix EyeRefract User Guide...
  • Page 56 (#2 below) and cycling through the images in the selected group (#1 below) are added to the chart-control area. Ishihara im age-selection controls Tap the up and down arrows to select the required group and image. Visionix EyeRefract User Guide...
  • Page 57 For this purpose, controls are added to the chart-control area (#1 below): FSC/Regan test patient-response controls Select Y to increase the contrast, or N to decrease it. Visionix EyeRefract User Guide...

  • Page 58: Chart Types

    The following types of chart displays are available in the Standard tests tab: Category Description Chart Icon Sample Chart Visual Acuity Optotype letter chart Visual Acuity Optotype number chart Visual Acuity Tumbling E chart Visual Acuity Broken Ring chart Visionix EyeRefract User Guide...
  • Page 59 Overview of the Software Visual Acuity Picture chart Visual Acuity Adds a polarized filter to the current chart display Astigmatism Dots Astigmatism Clock 1 Convergence Horizontal convergence Convergence Vertical convergence Binocular Red-green balance Binocular Cowen (MKH test) balance Visionix EyeRefract User Guide...
  • Page 60 Overview of the Software Astigmatism Clock 2 Binocular Jackson cross balance Fixation Point Binocular Polarized balance binocular balance DMLA tests ETDRS Contrast Pelli-Robson Binocular vision Fusion/ Suppression: Worth Binocular vision Phoria: Two lines with one point Visionix EyeRefract User Guide...
  • Page 61 The following picture chart-displays can be opened from the Pictures tab: Category Name Chart Icon Chart Display Color blindness Ishihara Fixation points Fixation point for child (clown) Fixation points Animated dog running Pictures Didactic images Pictures hot-air balloon image Visionix EyeRefract User Guide...
  • Page 62 Binocular vision Cyclophoria, 4 arms Binocular vision Aniseiconia Binocular vision Stereoscopy: MKH 05 stereo test with triangle Binocular vision Stereoscopy: MKH 06 reduced stereo test with triangle Binocular vision Stereoscopy: MKH 07 stereo balance test Visionix EyeRefract User Guide...
  • Page 63 Binocular vision Stereoscopy: MKH 09b Differentiated stereo test DMLA tests Amsler Binocular vision Aniseiconia Binocular vision Phoria: Cross (with point) Binocular vision Stereoscopy Binocular Binocular balance balance on polarized red/ green background (diamond) Visionix EyeRefract User Guide...
  • Page 64 Astigmatism Clock 3 Contrast FSC/Regan Note: The patient sees the image above in the chart, but the Refraction screen displays the following : Binocular Binocular balance balance on polarized red/ green background Binocular vision Phoria Schober Visionix EyeRefract User Guide...

  • Page 65: Near Vision Chart

    Tests Available Tests shows all the tests that are available. The default is text, as in the illustration above. Near Vision Tests list Description Chart Icon Sample Chart Amsler grid Visionix EyeRefract User Guide...
  • Page 66 Overview of the Software Red Green test Real life: Internet browser Number in a vertical line Cross (phoria) Jackson cross Number in horizontal line OXO horizontal OXO vertical Visionix EyeRefract User Guide...

  • Page 67: Accessories

    Schober Near vision card Accessories In both Quick Pro and Manual modes, accessories can be added to the patient's field of view in order to check for and measure specific problems, such as astigmatism or phoria. Visionix EyeRefract User Guide...
  • Page 68 If an accessory is selected, this button looks like the selected accessory. The current axis of the lenses is represented by an imaginary line connecting the triangles along the edge of the circle (see Exam Results in Quick Pro Mode). Visionix EyeRefract User Guide...
  • Page 69 Note: Before adjusting the prisms, you must engage them manually by pushing down the levers on the sides of the unit's heads; see #4 in the illustration above. Fixed Cross Cylinder button Fixed Cross Cylinder button Adds a fixed cross cylinder (XCyl) to the selected eye Visionix EyeRefract User Guide...

  • Page 70: Exam File Screen

    You can also import lens measurements from a connected lens meter, copy one data- set to another, and reset the values of those data-sets that can be manually modified. When the refraction process is finished, you can print or export the results from this screen. Visionix EyeRefract User Guide...

  • Page 71: Overview Of The Exam File Screen

    Tap to open the Export dialog box, from which you can print or export the selected data set. The vertex distance: 12mm for eye glasses (or 13mm or 15mm, depending on the value selected in the Settings) 0mm for contact lenses (not currently supported) Visionix EyeRefract User Guide...

  • Page 72: Data-Set Types

    Lens-meter results - the prescriptions of the lenses currently in use by the patient These results can be retrieved by the EyeRefract from a lens meter, like the VX40, if the EyeRefract is configured to connect to it over the local network. Alternatively, they can be entered manually. For additional information, see Overview of the Exam File Screen.

  • Page 73: Patient Database

    The window displays a list of the patient records currently included in the database, and enables you to find existing records by filtering the list, and add new records as necessary. The results of the current exam are stored in the record of the patient you select. Description Visionix EyeRefract User Guide...

  • Page 74: Patient Database Screen

    It enables you to find existing records by filtering the list, and to see the data they contain. In addition, you can add, modify, or delete existing records in this screen. Visionix EyeRefract User Guide...
  • Page 75 (#5), and then tap this button. Delete selected record Tap to delete the selected record (see #5). List of patient records The list of patient records that match the filter settings. Tap a row to open the patient record. Visionix EyeRefract User Guide...

  • Page 76: Patient Record Screen

    Move the selected exam results to a different patient record. Delete selected exam results Tap to delete the selected exam results (see #3) Back Tap to go back to the previous screen. Exam results Each line in the table contains the results of one exam. Visionix EyeRefract User Guide...

  • Page 77: Add Patient Window

    When you open the Settings screen from the main menu, the Settings menu opens to the right of the main menu. Select items from this menu to access their settings. Changes you make are automatically saved and implemented. Visionix EyeRefract User Guide...
  • Page 78 Overview of the Software Settings m enu open beside m ain m enu Settings m enu w ith General settings opened Visionix EyeRefract User Guide...
  • Page 79 5. What Should I Do If...?

  • Page 80: What Should I Do If

    You may encounter some of the following common problems while working with the EyeRefract. If you do, try following the suggested solutions listed below. If the problem persists and the suggested solution does not remedy it, contact a qualified service representative or your local distributor.
  • Page 81 Init lenses Going to Restart app button and all manual mode And always going to exam file the buttons on after quick pro screen to export data question and clicking on screen are new exam disabled Visionix EyeRefract User Guide...
  • Page 82 6. Maintenance...

  • Page 83: Maintenance

    Before cleaning the unit, turn it off and unplug it from the electric outlet. To clean the plastic surface of the EyeRefract unit, dampen a cloth with a commercial, non- abrasive cleaner and gently wipe the top, bottom, and front surfaces.

  • Page 84: Replacing The Printer Paper

    Maintenance 6. 2 Replacing the Printer Paper The printer is mounted on the rear panel of the EyeRefract unit. If the paper roll is used up, the Printer LED indicator blinks. To insert a paper roll into the printer: Lift the handle in the middle of the paper compartment and pull the cover down.
  • Page 85 Foam pads around the unit 6. Lower the outer box around the unit. Outer box around the unit 7. Place the cover on the box. 8. Wrap the two black bands around the box, and tighten them. Visionix EyeRefract User Guide...
  • Page 86 Maintenance Cover on box w ith black bands around it Visionix EyeRefract User Guide...
  • Page 87 7. Appendices...

  • Page 88: Appendices

    -10°C to +55°C 10% to 95% Hygrometry Atmospheric pressure 700 hPa to 1,060 hPa Transport Conditions -40°C to +70°C Temperature 10% to 95% Hygrometry Atmospheric pressure 500 hPa to 1,060 hPa AR and Wavefront Aberrometry General Method Shack-Hartmann Visionix EyeRefract User Guide...

  • Page 89: Keratometer

    Right eye: red / Left eye: green Red Maddox Right eye: horizontal / Left eye: vertical Retinoscopy lenses +1.5 D / +2.0 D Fixed cross cylinder Yes (± 0.5 D) Occluder Opaque and frosted Cross-hair reticle Visionix EyeRefract User Guide...

  • Page 90: Computer

    Laser Wavelength 780 nm Beam size <1.5 mm Laser output power <30 micro W Note: Class 1 laser product Computer General Mother board and CPU requirements Core i5 Storage WD 500 GB Memory 4 GB DDR3 Visionix EyeRefract User Guide...

  • Page 91: Conformity To Directives And Standards

    IEC60601-1-2 (2007): Medical electrical equipment - Part 1-2: General requirements for safety - Collateral standard: Electromagnetic compatibility – Requirements and tests. Lifetime of the product: 7 years First CE marking: 2015-12 User manual publication date: 14-March-2022 Visionix EyeRefract User Guide...

  • Page 92: Electromagnetic Emissions

    Appendices Electromagnetic Emissions The EyeRefract is intended for use in the electromagnetic environment specified below. The customer or the user of the EyeRefract should assure that it is used in such an environment. Emission test Compliance Electromagnetic environment – guidance...

  • Page 93: Electromagnetic Immunity

    Appendices Electromagnetic Immunity The EyeRefract is intended for use in the electromagnetic environment specified below. The customer or the user of the EyeRefract should assure that it is used in such an environment. Immunity Test level IEC Compliance Electromagnetic environment –...
  • Page 94 Portable and mobile RF communications equipment should Conduced 3V, 6V 3V, 6V be used no closer to any part of the EyeRefract, including clables, than IEC 61000- the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
  • Page 95 Separation distance according to frequency of output transmitter power of transmitter 150 kHz to 80 150 kHz to 80 80 MHz to 800 800 MHz to outside ISM in ISM bands 2,5 GHz bands 0.01 0.12 0.37 0.64 1.17 11.7 Visionix EyeRefract User Guide...
  • Page 96 NOTE: If necessary to achieve the IMMUNITY TEST LEVEL, the distance between the transmitting antenna and the EyeRefract may be reduced to 1 m. The 1 m test distance is permitted by IEC 61000-4-3. a) For some services, only the uplink frequencies are included.

  • Page 97: Manufacturer

    WEEE Directive for EU member countries and in local regulations for other countries. For further information on disposal of this product, please contact your local dealer or the manufacturer. Visionix EyeRefract User Guide...

  • Page 98: Contact Information

    1099-042 LISBOA Contacto Portugal: 214 170 225 Servicio de Astistencia Técnica Portugal: 800 205 142 Luneau Technology USA 224 James St. Bensenville, Illinois 60106 1-800-729-1959 contact.us@luneautech.com Expert Technical Support Tel: +33 (0) 977 55 63 35 Visionix EyeRefract User Guide...

  • Page 99: Index

    Dust cover Test Sequences tab - E - Visual acuity controls Visual Acuity tab Chart display 43, 44 Electrical connections Chart monitor Electricity Connecting Electromagnetic emissions Placement Electromagnetic immunity Chart types Equipment Child position List of supplied Visionix EyeRefract User Guide...
  • Page 100 10, 13, 17 Ishihara test 51, 56 Target 10, 11, 13, 17, 32 - J - Near Vision tests Network connections Network ports Jammed lenses New exam, initiating - K - From the Refraction screen Kerato data Visionix EyeRefract User Guide...
  • Page 101 Selecting Optotype charts Types - P - Refraction screen 22, 47 Accessories 62, 63, 64 Accessories button Packing the EyeRefract unit 4, 20, 79 Chart Controls region Paper, replacing Control region Patient Exam Results region 39, 41 Info Eye selector...
  • Page 102 Index Standards, international Stop button Storing the EyeRefract unit Subjective test 2, 38 Support Symbols - T - Tablet Android Connecting to LAN Near-vision 10, 13, 17, 32 Software Tablets, charging Target, near-vision 10, 13, 17, 32 Technical support Tickets, printing...

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