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Zeiss Manuals
Measuring Instruments
HUMPHREY 740i
User manual
Zeiss HUMPHREY 740i User Manual
Field analyzer ii - i series
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Table Of Contents
329
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329
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329
Contents
Table of Contents
Troubleshooting
Bookmarks
Table of Contents
Table of Contents
Introduction/Instrument Setup
About Visual Fields
What Visual Field Tests Measure
Normal Versus Pathologic Fields
The Normal Hill of Vision
The Boundaries of the Normal Visual Field
Methods of Testing the Visual Field
Patient Fixation and Test Reliability
The Humphrey Advantage
Reasons for Computerized Perimetry
Ergonomic Design
Easy Operation
Speedy Testing
Sophisticated Data Analysis with STATPAC™
Blue-Yellow (SWAP) Testing (Model 745I and 750I)
Automatic Fixation Monitoring
Data Protection Features
Information on the Internet
Using this Guide
Model Differentiation
Text Conventions
Additional References
Safety Precautions
General Safety Requirements
Installation Safety Precautions
Peripheral Placement Instructions
Radio and TV Interference
Symbol Definitions
Power on
HFA II Symbol Definitions
System Components
The HFA II – Side View
The HFA II – Rear View
The HFA II – Front View with Instrument Table
Additional Components
Printers
External Keyboard
Trackball, Mouse, or Other Input Device
External VGA Monitor
Surge Protectors
Connection of External Devices
Rear View of the HFA II with Panel Removed
Enlarged View of Cable Connections Panel on Rear of HFA II
System Assembly
The HFA II – Rear View on Instrument Table
General Operation
Screen Simplicity
General Information
The Title Bar
The Screen Body
Icon Buttons
The Information “I” Button
Touch Screen
The Unit Configuration Screen
Pop-Up Windows
Drop-Down Menus
Using the External Keyboard
Using the Trackball, Mouse, or Other Input Device
File Directory
Screen Saver
The Main Menu Screen
Command Buttons
System Setup
The Main System Setup Screen
Accessing the System Setup Screen
Altering the Language
Accessing Head Tracking (Model 750I)
Accessing the Vertex Monitor (Model 750I)
Setting the Time and Date
Printing the System Log
Accessing the Save/Transmit Option - Serial Connection
Accessing the Save/Transmit Option - Network Connection
Selecting the Printer Type
Selecting a Visual Acuity Format
Selecting Auto Pupil (Model 750I Only)
Personalizing Hard Copy Printouts
Altering the Main Menu Screen
Deleting a Button
Additional Setup
Adding Text to an Existing Button
Help Screens
Help Topics Screen
Setting-Up Tests
Selecting the Test Pattern and Test Eye
Using Test Buttons
Selecting Tests from the Main Menu Screen
Using the Test Library
Test Library
The Screening Test Library
The Threshold Test Library
The Specialty Test Library
Test Library Notes
Esterman Functional Tests
Entering Patient Data
Inputting Patient ID, Patient Name, Date of Birth, & Comments
Inputting Trial Lens Data
Clearing Patient Data
Recalling Patient Data
Patient Data 2 Screen
Inputting Diagnostic and Procedure Codes
Inputting Pupil Diameter and Visual Acuity
Inputting Intraocular Pressure (IOP)
Entering Cup/Disk (C/D) Ratios
Using Trial Lenses
Spherical Trial Lens Correction for Central Visual Field Testing
Inserting Trial Lenses into the Holder
Preparing the Patient
Patient Instructions for Static Testing
Occluding the Non-Test Eye
Seating the Patient
Positioning the Patient at the Instrument
No Trial Lenses for Esterman Monocular/Binocular Tests
Test Parameters & Strategies
Setting Test Parameters
To Change Test Parameters
The Screening Test Parameter Setup Screen
Standard Parameters
Test Strategies
Screening Test Parameters
The Threshold Parameter Setup Screen
Threshold Test Parameters
SITA ™ Testing
Tests Available with SITA
File Directory Indication
Floppy Disk Storage
Blue-Yellow (SWAP) Testing
Advantages of Testing with Blue-Yellow Perimetry
How Blue-Yellow Perimetry Works
Established Standards for Blue-Yellow Testing
Patient Selection for Blue-Yellow Perimetry
Blue-Yellow Testing
Extending the Visor Away from the Patient
Returning the Visor to the Retracted Position
Specificity of Blue-Yellow Testing
Alternate Color Testing (Models 740I -750I)
Performing a Color Test
Testing
Start Test Options
The Start of Test Screen
Monitoring and Maintaining the Patient's Eye Position
Video Eye Monitor
Gaze Tracking (Model 740I - 750I)
The Gaze Graph
Head Tracking (Model 750I)
Example of a Gaze Graph: Good Fixation with a Large Number of Blinks
Example of a Gaze Graph Indicating Poor Fixation
Vertex Monitor (Model 750I)
Supplemental Testing
Foveal Threshold
Gaze Tracking Initialization
Test in Progress
Printing Partial Tests
Fixation Monitoring
Tips for Gaze Tracking and Head Tracking
Test Complete Options
Saving to Disk
The Test Complete Screen
Do You Wish to Save this Test?
The (Threshold) Printout Selection Screen
Testing: a Step-By-Step Guide
Esterman Testing
Test Reliability
Factors Affecting Reliability
Patient Compliance
Patient Fixation
Trial Lenses
Evaluating Reliability
Fixation Losses
False Positive Errors
Sample Printout Showing Poor Reliability
False Negative Errors
Fluctuation Values
SITA Printout Showing Good Reliability
STATPAC Analysis & Printing Results
Introduction to STATPAC Analysis
Performing a STATPAC Analysis
STATPAC Threshold Formats
STATPAC Analysis & Printing Results
STATPAC Test Parameters
STATPAC Parameters for White-On-White Perimetry
STATPAC Parameters for Blue-Yellow Perimetry
Threshold Test Printout Formats
Reliability Indices
The Single Field Analysis Printout
The Glaucoma Hemifield Test
Superior Field Zones Used in the Glaucoma Hemifield Test
Total Deviation Plots
Pattern Deviation Plots
Global Indices
The Overview Printout
The Change Analysis Printout
The Box Plot
Change Analysis Summary of Global Indices
Linear Regression
A Mixed Change Analysis Printout with SITA Tests Included
The Glaucoma Change Probability Analysis Printout
The Change Probability Map
Change in Mean Deviation
The Glaucoma Change Probability - Baseline
The Glaucoma Change Probability - Follow up
Modified Linear Regression Analysis
On Statistics and Probability
A Note of Caution
Three-In-One Printout
SITA Printout Formats
An Example of the Overview Printout Showing both SITA Standard and SITA Fast Test Results for the same Patient
An Example of a Single Field Analysis Printout for SITA
Blue-Yellow Printout Formats
Single Field Analysis Printout
The Single Field Analysis Printout for Blue-Yellow (SWAP)
Glaucoma Hemifield Test
Overview Printout
The Overview Printout for Blue-Yellow (SWAP) Perimetry
Printing Current Threshold Test Results
To Print a Single Field Analysis of Current Test Results
To Print an Overview, Change Analysis, or Glaucoma Change Probability of Current Test Results
Screening Printout Formats
Reading Screening Test Printouts
Screening Printout Formats: All Screening Test Patterns
Printing Current Screening Test Results
Screening Printout Showing Results for both Eyes (the O. U. Printout)
Printing Previously Saved Test Results
Printing Test Results Stored on Disk
Printing from Recall Last Test
Printing from View Test
Printing Delay
Grayscale Symbols
Remote Printer Access
The Grayscale Shades Found on HFA II Printouts and Their Numerical Equivalents in Apostilbs (ASB) and Decibels (Db)
File Functions
File Functions Menu
Retrieving the File Directory
Disk Options
Source
Destination
Directory Order
The File Directory – Sorted by Patient
The File Directory – Single Patient Test Display
Selecting Tests from the Directory
The File Directory – Sorted by Name
Merging Patient Files
Performing File Functions
The View Test Screen
Transferring Tests from the HFA I to the HFA II
To Transfer Tests from the HFA I to the HFA II - I Series Via Serial Cable
To Transfer Tests from an Older HFA II to the HFA II - I Series Via Serial Cable
Database Status
Organizing Patient Files
Database Management
Introduction to Database Management
Database Integrity Functions
Patient Database Protection Procedures
Database Protection
Maintaining Backup Floppy and Magneto-Optical Disks
To Back up Hard Drive Data Onto Floppy Disks
To Back up Hard Drive Data Onto Magneto-Optical Disks
Set of Backup Floppy Disks with Labels
Configuration Backup and Restore
To Backup Configurations
To Restore Configurations
How to Handle Database Failures
Pathways for Resolving a Hard Disk Database Failure – an Overview
Hard Drive Failure: FIX NOW Option
Hard Drive Failure: FLOPPY ONLY Option
Hard Drive Failure: REBUILD HARD DISK DATABASE
Restoring the Hard Disk Database
To Restore the Hard Disk Database from Magneto-Optical Disks
To Restore the Hard Disk Database from Backup Floppy Disks
Floppy Disk Failure: REBUILD FLOPPY DISK DATABASE
Merge Database
Cleanup Hard Disk Database
Practices with Multiple Humphrey Field Analyzers
Care and Handling of Removable Storage Media
Custom Testing
Creating Custom Tests
Getting to the Custom Test Screen
An Example of the X, y Coordinate System for the Right Eye
Adding Single Points
Adding Grid Points
Combining Grids and Single Points
An Example of a Point and Grid Combination
Erasing Grids or Single Points
Saving Custom Tests
Deleting Custom Tests
Performing Custom Tests
Printout Format
An Example of a Custom Threshold Printout
Kinetic Testing
Introduction to Kinetic Testing
Performing Manual Kinetic Perimetry
Setting Parameters
Changing the Visual Field Size
Peripheral Testing Limits
Presenting a Stimulus Along a Meridian
Peripheral 80˚ Testing Limits for Selected Meridians
Choosing Meridians by Cursor or Keypad
Selecting the Meridian by Using the Cursor
Selecting the Meridian by Using the Keypad
Erasing Entries
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HUMPHREY
®
i
II
FIELD ANALYZER
-
series
USER'S GUIDE
Model 720i • Model 740i • Model 745i • Model 750i
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Summarization of Contents
Introduction/Instrument Setup
About Visual Fields
Explains visual field testing and what it measures.
Safety Precautions
Outlines essential safety guidelines for instrument operation and use.
System Components
Details the various parts of the HFA II instrument and their functions.
General Operation
General Information
Provides an overview of screen layout, basic operation, and navigation elements.
System Setup
Covers instrument configuration, user settings, language, and printer options.
Help Screens
Describes how to access and use the on-screen help system for operational assistance.
Setting-up Tests
Selecting the Test Pattern and Test Eye
Guides on choosing tests and specifying the eye for visual field examination.
Entering Patient Data
Explains inputting patient demographic, diagnostic, and trial lens information.
Preparing the Patient
Covers patient instructions, comfort, and environmental setup for reliable test results.
Test Parameters & Strategies
Setting Test Parameters
Explains how to adjust test conditions like stimulus size, speed, and fixation for specific patient needs.
Test Strategies
Details different testing algorithms (e.g., SITA, Two Zone) and their impact on test precision.
Blue-Yellow (SWAP) Perimetry
Explains the SWAP testing method, its advantages, and application in early glaucoma detection.
Testing
Start Test Options
Covers initiating a test, displaying status, and changing parameters before starting.
Monitoring and Maintaining the Patient's Eye Position
Focuses on using the video eye monitor and gaze tracking for proper patient fixation.
Test In Progress
Explains options available during an active test, such as pause, display status, and test speed.
Test Reliability
Factors Affecting Reliability
Discusses patient compliance, environment, and clear instructions for accurate results.
Evaluating Reliability
Explains how to interpret fixation losses, false errors, and fluctuation values.
STATPAC Analysis & Printing Results
Introduction to STATPAC Analysis
Explains the purpose and benefits of STATPAC software for visual field analysis.
Threshold Test Printout Formats
Details the various formats for threshold test results, including reliability indices.
SITA Printout Formats
Describes printout formats specific to SITA strategies, noting differences in displayed values.
File Functions
File Functions Menu
Lists the primary operations for managing test data files, including view, copy, and delete.
Retrieving the File Directory
Explains how to access and navigate stored test data using disk options and directory order.
Performing File Functions
Details operations like changing patient data, copying, moving, and deleting tests.
Database Management
Introduction to Database Management
Emphasizes the importance of data integrity and creating backup copies for safeguard.
Patient Database Protection Procedures
Outlines recommended methods for safeguarding patient data using floppy and magneto-optical disks.
How to Handle Database Failures
Provides steps for addressing hard drive and floppy disk failures, including recovery options.
Custom Testing
Creating Custom Tests
Guides on designing and saving unique threshold or screening test patterns.
Deleting Custom Tests
Explains how to remove custom test patterns from the system and associated Main Menu buttons.
Performing Custom Tests
Details how to access and run previously created custom tests for threshold or screening.
Kinetic Testing
Introduction to Kinetic Testing
Provides an overview of kinetic perimetry on the HFA II, including modes and features.
Performing Manual Kinetic Perimetry
Guides on conducting manual kinetic tests using cursor or keypad input.
Pre-defined Kinetic Test Patterns
Lists and explains the built-in kinetic test patterns and their parameters.
Designing a Custom Kinetic Test Pattern
Details how to create and save custom kinetic test patterns by defining points and meridians.
Care and Cleaning
General Use Principles
Provides basic guidelines for instrument care, environment, and operation.
Cleaning the HFA II
Explains how to clean the exterior, bowl, touch screen, and other parts of the instrument.
Replacing Parts
Details procedures for replacing components like the stimulus projection bulb and fuses.
Operating the Printrex Printer
Instructions for loading paper and understanding controls for the Printrex thermal printer.
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