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Zeiss Manuals
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HUMPHREY 750i
User manual
Zeiss HUMPHREY 750i 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
Table of
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Summarization of Contents
Introduction/Instrument Setup
Introduction/Instrument Setup
Overview of the HFA II, visual fields, and instrument features.
About Visual Fields
Explains visual field testing, resolution, and contrast sensitivity concepts.
The Humphrey Advantage
Highlights features differentiating the HFA II and its benefits for patients and professionals.
Using This Guide
Explains guide usage, text conventions, and provides additional references.
Safety Precautions
Details general and installation safety requirements for HFA II operation.
System Components
Identifies and illustrates the main physical components of the HFA II unit.
Additional Components
Describes external devices like printers and keyboards attachable to the HFA II.
System Assembly
Provides step-by-step instructions for assembling the HFA II instrument and its components.
General Operation
General Information
Describes the HFA II screen layout: Title Bar, Screen Body, and Icon Buttons.
The Main Menu Screen
Explains the Main Menu for test initiation and system setup access.
System Setup
Details configuration of instrument settings like language, time, date, and printer.
Additional Setup
Covers Simulation, Switch Beep, Touch Screen Calibration, and Custom Test setup.
Help Screens
Explains accessing the instrument's built-in help system for operational assistance.
Setting-up Tests
Selecting the Test Pattern and Test Eye
Guides selecting tests from Main Menu/Test Library and choosing the test eye.
Entering Patient Data
Details inputting patient ID, name, date of birth, comments, and diagnostic codes.
Using Trial Lenses
Provides guidelines and tables for selecting and using trial lenses for patient testing.
Preparing the Patient
Covers patient instructions, eye patching, seating, and room lighting for reliable results.
Test Parameters and Strategies
Setting Test Parameters
Explains changing test conditions like stimulus size, strategy, and fixation target.
Test Strategies
Describes different testing strategies (Two Zone, Three Zone) and their parameters.
SITA™ Testing
Details SITA Standard and SITA Fast strategies, their goals, and available tests.
Blue-Yellow (SWAP) Perimetry
Explains Blue-Yellow perimetry, its advantages, how it works, and patient selection.
Testing
Start Test Options
Explains options on the Start of Test screen: Start, Display Status, and Change Parameters.
Monitoring and Maintaining the Patient's Eye Position
Covers Video Eye Monitor and Gaze Tracking for patient fixation monitoring.
Supplemental Testing
Describes Foveal Threshold and Gaze Track Initialization as pre-test procedures.
Test In Progress
Details options during testing: Pause, Display Status, Fixation, Test Speed, and Cancel Test.
Test Complete Options
Describes post-test options: Save on Disk, Display Status, Test Other Eye, and Zoom.
Testing: A Step-by-Step Guide
Provides a sequential guide for performing a visual field test from start to finish.
Test Reliability
Factors Affecting Reliability
Discusses patient compliance, clear instructions, and motivation for reliable results.
Evaluating Reliability
Explains interpretation of reliability indices like fixation losses, errors, and fluctuation.
STATPAC™ Analysis & Printing Results
Introduction to STATPAC Analysis
Explains STATPAC software for expert analysis of visual field results and its features.
Threshold Test Printout Formats
Describes reliability indices and formats for threshold test printouts.
SITA Printout Formats
Details SITA Standard/Fast result display in printouts and limitations.
Blue-Yellow Printout Formats
Explains grayscale and STATPAC modifications for Blue-Yellow printouts.
File Functions
File Functions Menu
Lists main activities for managing patient data and tests via the FILE FUNCTIONS icon.
Retrieving the File Directory
Explains searching test directories by source, destination, and order.
Selecting Tests from the Directory
Guides selecting tests from the directory for file functions like copying or moving.
Performing File Functions
Covers common file operations: View Test, Change Patient Data, Copy, Move, Delete Tests.
Database Management
Introduction to Database Management
Emphasizes safeguarding data integrity through backups of tests and configurations.
Patient Database Protection Procedures
Recommends schedule for creating alternate database copies using floppy/magneto-optical disks.
Configuration Backup and Restore
Explains backing up and restoring custom tests, Main Menu definitions, and System Setup.
How to Handle Database Failures
Details procedures for recovering from hard drive/floppy disk failures, including FIX NOW and REBUILD.
Custom Testing
Creating Custom Tests
Guides creating custom static tests by defining point patterns, field size, and spacing.
Deleting Custom Tests
Explains removing custom static test patterns from the Custom Tests screen.
Performing Custom Tests
Details accessing and running custom threshold/screening tests, including kinetic tests.
Printout Format
Describes printout formats for custom screening and threshold tests.
Kinetic Testing
Introduction to Kinetic Testing
Introduces kinetic perimetry, its Goldmann emulation, and available features.
Performing Manual Kinetic Perimetry
Provides step-by-step instructions for manual kinetic perimetry using cursor or keypad.
Special Mapping
Introduces options for Scotoma Mapping, Blind Spot Map, Static Points, and Custom Scan post-kinetic testing.
Designing a Custom Kinetic Test Pattern
Provides instructions on creating and storing custom kinetic test patterns for specific needs.
Care and Cleaning
General Use Principles
Outlines general guidelines for operating and maintaining HFA II.
Cleaning the HFA II
Provides instructions for cleaning exterior surfaces, bowl, touch screen, and patient interface parts.
Replacing Parts
Details the procedure for replacing the stimulus projection bulb and other components.
Touch Screen Calibration
Explains touch screen calibration and troubleshooting steps.
Appendix A: HFA II - i Series Product Specifications
Appendix B: Warranty Statement and Notification of Copyright
WARRANTY
Outlines HFA II limited warranty terms for defects in material or workmanship.
SOFTWARE LICENSE AGREEMENT
Details the legal contract for HFA II software usage, including terms and conditions.
Appendix C: Icon Glossary
Appendix D: Goldmann Conversion Tables
Appendix E: Test Patterns
Threshold Test Patterns
Illustrates test point layouts for central and peripheral threshold tests.
Screening Test Patterns
Shows test point configurations for central and peripheral screening tests.
Specialty Tests Patterns
Displays test point layouts for specialty tests like Esterman and Superior screening.
Appendix F: Installing New HFA II Software
Backup all data first
Emphasizes backing up all data before starting software installation.
If you have trouble installing your new software
Provides troubleshooting steps for errors during software installation.
Appendix G: How SITA Works / Acknowledgments
1. SITA Asks Smart Questions
Explains how SITA optimizes test time via precise questions and stimulus choices.
2. SITA Tailors the Testing Pace to the Individual
Discusses SITA's adjustment of testing pace based on patient responsiveness for cooperation.
Appendix H: Troubleshooting
Start-up Difficulties
Lists common problems starting HFA II and their causes/solutions.
Calibration screen displayed at start-up
Addresses touch screen calibration issues appearing unexpectedly during startup.
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