Professional Documents
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USER GUIDE
Tonometer - Pachymeter
OCULUS is certified according to DIN EN ISO 13485, setting high standards of quality
where development, manufacture, quality assurance and service regarding the entire
range of products are concerned.
1 General Notes
All data collected in the course of an examination with the Corvis® ST are ultimately
evaluated and presented by the Corvis® ST software. In general, the results are output
as numerical values as well as graphical representations.
Quick Guide
Measuring Procedure
Instruction Manual
Attention
All safety-related instructions on the use of the Corvis® ST are described only in the
device instruction manual. For this reason, make sure you have thoroughly read and
understood the instruction manual before operating the Corvis® ST.
User Manual
Software installation
2 Safety Instructions
Attention
Denotes a potentially hazardous situation which can easily result in minor physical
injury or property damage.
Note
Denotes situations which could result in incorrect findings, denotes user instructions
and useful or other important information.
Identifies important information about the product and its use, which require special
☞
attention.
1 2
1 Menu bar
2 Examination and patient data
Fig. 3-1: Corvis® ST software
The actual measuring operations and the preparation work required (e.g. positioning
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the patient) are described in the instruction manual.
1 2 3 4 5 6 7 8 9
1 Exiting the Corvis® ST software and loading an existing or new patient, sect. 3.3, page 4
2 Loading existing examination and entering infotext, sect. 3.4.2, page 7
3 Displaying different views, sect. 4, page 14
4 Exporting data, sect. 3.5, page 8
5 Modifying settings, sect. 5, page 35
6 Generating an email, sect. 3.8, page 11
7 Exporting a video, sect. 3.6, page 9
8 Exporting a JPG, sect. 3.7, page 10
9 Printing out examination results, sect. 3.9, page 13
Fig. 3-2: Corvis® ST software menu bar
The comment is saved automatically and will be displayed whenever the examination
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If you need more information on the quality factor QS, right-click in the QS field.
A context menu opens:
Select the menu item [Examination] (Fig. 3-2, page 3, item 2) and click [Load
Examination].
The “Load Examination” dialogue box will open.
3 2
1 List of examinations 3 [Load] button
2 [Cancel] button
Fig. 3-5: Load examination
3 2
1 Field for text input 3 [OK] button
2 [Cancel] button
Fig. 3-6: Enter info text
In the “Settings” > “Miscellaneous Settings”, you can change the setting, sect. 5.3,
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page 38.
3
8 4
7
6
1 [Export Video] button 5 Preview
2 Drop-down list of the video formats 6 Amended infotext
3 [Codec Options] button 7 Amended examination information
4 [Include Infotext] check box 8 [Include examination information] check box
Fig. 3-8: “Export Examination Video (AVI)” window
Alternatively, you can also press menu item [AVI] (Fig. 3-2, page 3, item 7) to select
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video export.
In the preview (5), you can see the information which was set previously, e.g. the
infotext (6).
Select the video format (2).
If necessary, configure the video format. To do so, press the [Codec Options]
button.
A codec-specific window will appear.
Enter the desired parameters.
If you wish to also export the examination information, activate the [Include
examination information] check box (3).
To start the export, press the [Export Video] button (4).
The video will be saved in AVI format.
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5
4
Alternatively, you can also press menu item [JPG] (Fig. 3-2, page 3, item 7) to export the
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current screen as an image.
For more information, refer to sect. 5.3.2, page 41.
1 Calendar
2 Input field for date
3 Text input field
Fig. 3-10: Entering a date
You can enter a date any of the following ways:
Select a day in the “calendar” (1).
Use the arrow keys to set the time (2).
Enter a text for the next examination date.
The image or video corresponding to the selected examination and the date of the next
examination date will be displayed. Both are sent automatically with the email.
1 Patient data and IOP/CCT 3 IOP values of the last examination and the next
examination date
2 Eye model or office logo
Fig. 3-11: Example of accompanying data
The following window will appear:
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1
2
3
4
1 Measure length
Fig. 4-2: Measuring a length
Select the endpoint of the desired section, and left-click it once. The length of the
section is displayed (1).
The length measured will not be saved.
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6
7
For more information on patient and examination data (8), refer to sect. 3.4, page 4.
This table presents the pachymetric values (1) at the apex, individual values and mean
value.
1
2
1 Median value
2 List of individual values
Fig. 4-5: Table of pachymetric values
The CCT (central corneal thickness) pachymetric values are shown for up to six
measurements (2). These are used to calculate the average (1). Integrated correction
tables (bIOP, Dresden, Ehlers, etc.) are available for correcting the pressure values based
on the measured corneal thickness.
In addition, the Corvis® ST software ascertains the corneal thickness along a horizontal
cross-section and indicates the minimal corneal thickness measured there.
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2
3
The IOP (intraocular pressure) tonometric values are shown for up to six measurements
(3). These are used to calculate the tonometric mean value (1).
Next to the uncorrected IOP (IOPnct) is the corrected IOP values (depending on the
correction selected). The bIOP value (biomechanical corrected IOP value) is pre-set.
When there are more than six measurements, the oldest one is deleted.
You can view images (3) as a biomechanical response video or as freeze frames. To do
this, you can use the video function (4), see also sect. 4, page 14.
The Scheimpflug image shows the cornea in the horizontal meridian with the
coordinates before deformation with the air puff.
The diagram shows the corneal thickness over the entire horizontal meridian, along
with the normal ranges (single and double standard deviation).
3 2
1 Scheimpflug images 5 Table
2 Scheimpflug images/video 6 Diagrams
3 Buttons for video function 7 Patient and examination data
4 Buttons for deformation displays
Fig. 4-7: “Dynamic Corneal Response” screen
The high-speed camera takes 140 pictures within 31 ms from the start of the air puff.
These 140 images provide a detailed insight into the dynamic biomechanical response
to the air puff. Important information is provided by the deformation amplitude, the
applanation length for the 1st and 2nd applanations and the bend radius at the time
of maximum deformation, etc.
These parameters of the DCR analysis are presented using Scheimpflug images and
videos, diagrams and a table.
Example: Compared to a more rigid cornea with the same IOP, a softer cornea would
have a higher deformation amplitude but a shorter applanation length, as well as a
smaller bend radius at the time of maximum deformation. These parameters of the DCR
analysis provide insights with regard to the corneal biomechanics.
For normality values relating to the DCR parameters, refer to the Vinciguerra Screening
Report (sect. 4.4, page 28).
Display images
You can view images (1) as a video or as freeze frames. To do this, you can use the video
function (2), see also sect. 4, page 14.
You can view the images of the cornea at specific points in time: Applanation 1,
Highest Concavity and Applanation 2.
Press the appropriate button.
The “Initial state” shows the initial state of the cornea.
Table
The following values are shown in the table (Fig. 4-7, page 19, item 4).
Parameter Meaning
Length Length of applanation, ““Applanation length” parameter:” on
page 23
Velocity Speed of the corneal apex in the vertical direction, Fig. 4-10,
page 22.
Peak Distance Section (in red) between the highest points of the
undeformed areas of the cornea, ““Peak distance” parameter
:” on page 26.
Radius Bend radius at the corneal apex at the time of maximum
deformation, ““Bend radius” parameter:” on page 25
Def. Amp. Shift of the corneal apex in the vertical direction,
“Deformation/deflection amplitude” on page 24
IOP Intraocular pressure
Pachymetry Central corneal thickness (apex)
The parameters of DCR analysis are illustrated using Scheimpflug images (Fig. 4-7, page
19, item 1) and diagrams (Fig. 4-7, page 19, item 6).
Scheimpflug images
The following illustration shows the Scheimpflug images at three specific points in
time during the deformation of the cornea.
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3
Diagrams
The diagrams show values during the deformation of the cornea (1).
2
1 Deformation of the cornea
2 Corneal movement
Fig. 4-10: Example: “Corneal Velocity” diagram
The black line (2) shows the current point in time of the deformation, like the video.
Since the individual diagrams support the parameters at the individual points in time,
they are explained at the corresponding points.
The “Corneal Velocity” diagram depicts the speed of the corneal apex in the vertical
direction.
In case of positive speed, the curve points upwards; in case of negative speed, it points
downwards.
For Applanation 1 and Applanation 2 (Fig. 4-9, page 21, items 1 and 4), the following
parameters are important:
“Applanation length” parameter:
Length of a straight line which describes the applanated region of the cornea. For the
length, it is crucial that the cornea feature a constant pitch.
The “Applanation Length” diagram indicates the applanation length at the various
points in time.
Deformation/deflection amplitude
Deformation amplitude (red): Depicts the movement of the corneal apex in the vertical
direction. It consists of the sum of the deflection amplitude and the total eye
movement.
Deflection amplitude (blue): Depicts the movement of the corneal apex in reference to
the superimposed cornea in its non-deformed state. Consequently, the total movement
of the eye is compensated, and only the movement of the cornea is described.
Total eye movement (green): Describes the movement of the entire eye (determined by
the movement of the edge points in the periphery).
x x 2
3
The parameter describes the central bend radius at the time of maximum deformation.
For this purpose, a parabolic adjustment (fit) is made. This fit is used to derive the
central bend radius.
The inverse bend radius (1/r) is determined during the concave phase of deformation
and plotted against time.
Max Inverse Radius: The maximum value of the inverse bend radius during the concave
phase of deformation.
3.5 mm 3.5 mm
Delta arclength reflects the arc length in a defined 7 mm zone. First, the absolute arc
length in the non-deformed state is determined. The zone is set at precisely 3.5 mm
from the apex in both directions. In precisely the same zone, the change in the arc
length over time is measured.
3.5 mm 3.5 mm
Describes the relationship between the deformation amplitude at the apex and the
deformation amplitude at 2mm. With softer tissue, the cornea starts to deform in the
middle and only smaller movements in the paracentral region can be observed. As a
result, the ratio is higher for softer corneas than for more rigid corneas.1
5 3
4
1 Patient and examination data 3 Standard deviations of the screening parameters
2 “Corneal Deformations Response” parameters 5 Scheimpflug images/video
diagram
3 Corvis Biomechanical Index “CBI”
Fig. 4-21: “Vinciguerra Screening Report” screen
For more information on patient and examination data (7), refer to sect. 3.4, page 4.
Display images
You can view images (4) as a video or as freeze frames. To do this, you can use the video
function, see also sect. 4, page 14.
You can view the images of the cornea at specific points in time: A1 (Applanation 1),
HC (Highest Concavity) and A2 (Applanation 2).
Press the appropriate button.
From the drop-down menu, you can select a chronological diagram of the “Corneal
Deformations Response” parameters, refer to sect. 4.3, page 19. You can select up to a
total of four parameters at a time.
1
2
The red curve shows the behaviour of the measured cornea (1) over time. The thin grey
lines (2) show the normal range within a standard deviation (SD). The thicker grey lines
show the range of two SDs. The normal ranges are adjusted to suit the bIOP of the
specific patient. In other words, the normal ranges for a patient with a bIOP of
13 mmHg is different from the normal range for a patient with a bIOP = 19 mmHg, for
example.
The screening parameters at specific times and the maximum values are plotted
against the bIOP of the patient (2) and the normal ranges of the screening parameters
are shown again in relation to the bIOP.
Select a diagram from the drop-down list.
1 3
2 4
Fig. 4-24: Combination diagram “Defl Amp. Ratio”
Def. Amp. Ratio 2mm: Describes the ratio between the deformation amplitude at the
apex and the deformation amplitude at 2mm. As opposed to the DA ratio parameter,
the total eye movement is compensated.
3.5 mm 3,5 mm
Deflection Area
1 3
2 4
Fig. 4-26: Combination diagram “Deflection Area”
The deflection area describes the overall surface “displaced” due to corneal
deformation in the horizontal section analysed. Because it is superimposed with the
cornea in the initial phase, the total eye movement is compensated, and only the
corneal movement is taken into consideration.
The deflection area is calculated throughout the entire deformation process.
In this index view (Fig. 4-21, page 28, item 3), the determined values are additionally
displayed in a grey evaluation bar. The CBI value (Corvis biomechanical index) is
determined and presented in a colour bar.
The standard deviations (SD) are displayed for the four main screening parameters (DA
ratio, interated radius, ARTh and the rigidity parameter (SP-A1)). A higher SD indicates
a softer cornea. The light-grey region represents the range between one and two SDs.
The dark-grey region is the range between two and three SDs. The black bar presents
the current measurement values. The SD values below the bars indicate by which
multiple of the SD the measurement values deviate from the average value for healthy
patients.
The CBI represents a combined index comprised of different screening parameters and
was specially developed for detecting corneal ectasia.
Table parameters
SP-A1: (Stiffness Parameter); Rigidity parameter; Describes the rigidity of the cornea.
Calculated according to Cynthia Roberts, based on the definition of the resulting
pressure on the cornea at the time of applanation/deflection amplitude at this time
(resulting load / deformation).
Analogous to the 3-point bending of a beam stiffness is defined as applied load divided
by displacement. The load is calculated based on the difference between the strength
of the air pulse at the corneal surface and the bIOP1. The displacement of the cornea
at the time of first applanation is given by A1 Deflection Amplitude.
ARTh: Ambrosio Relational Thickness horizontal; describes the quotient of the corneal
thickness at the thinnest point of the horizontal meridian and the thickness
progression.
IOPnct: See “IOP tonometric values (2)” on page 17
bIOP: biomechanical corrected intraocular pressure,
See “IOP tonometric values (2)” on page 17
CCT: See Fig. 4-5, page 17
DA Ratio: See Fig. 4-25, page 30
Integr. Radius: See Fig. 4-14, page 25
CBI: The colour CBI bar indicates the CBI value (biomechanical corrected IOP). The CBI
assist with early detection of keratoconus. The CBI is comprised of the DA ratio, integr.
radius, ARTh and SP-A1 values.
For corneal ectasia, the following applies:
green area: no risk evident
yellow area: slightly elevated risk
red area: highly elevated risk.
Values of over 0.5 indicate an elevated risk of ectasia.
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6 4
5
1 Button for loading a Pentacam® examination 6 CBI (biomechanical corrected IOP)
2 Button for refreshing a view 7 Scheimpflug image/video
3 Pentacam®-Tomographic Assessment 8 Screening parameters of the Corvis® ST
Biomechanical Assessment
4 BAD (Belin/Ambrósio D value) 9 Patient and examination data
5 TBI (tomographic biomechanical index)
Fig. 4-28: “Biomechanical/Tomographical Assessment” screen
The colour bars represent the Pentacam total index. BAD D is the total parameter
for keratoconus early detection as per Belin/Ambrosio.
green area: no abnormalities
yellow area: abnormal (1.6 and higher)
red area: extremely abnormal (3 and higher)
The black line describes the final D-value of the Belin/Ambrosio analysis.
The green curves indicate the population of healthy patients, while the red curves
indicate the population of keratoconus patients.
The black line indicates the measured value of the current examination.
5 Change Settings
This dialogue is comprised of several tab panels in which you define the basic settings
for the Corvis® ST software.
Select the menu item [Settings] and click on the desired menu item.
1 Possible settings
Fig. 5-1: Change Settings
The modified settings are only applied after the first new patient is loaded.
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The menu item “Re-Calculate Examination” has no function at present.
1 2 3
8 4
6 5
You can adjust the values for contrast, brightness and the gamma value using the three
scroll bars (1). All changes that you make will be applied directly to the current
Scheimpflug image.
Note
☞ Changes that you make in this dialog, have no influence on the densitometric
evaluation of the images.
Select a slider with the left mouse button and move the controller to the desired
value with the mouse button held down.
There are additional buttons available to quickly switch between the preset values.
Press the [Reset] button to reset the contrast and brightness to their basic
settings.
Press the [Set Brightness] button to set the brightness back to the optimal value
for the current Scheimpflug image after a manual adjustment.
Press the button [Normal] to reset all values and checkbox settings (3) to the
default values (sect. 5.3.1, page 39). In case the brightness was manually changed,
it will be set to the value “0” when this button is pressed, otherwise the optimum
value will be preserved.
Additonal settings can be adjusted via the checkboxes (3).
Median: Filters out stray pixels without smoothing out edges. Noise is suppressed.
Smooth X: Averaging filter for noise reduction. Calculates in both the horizontal
and vertical directions, with the disadvantage of smoothed corneal edges
Smooth more: Maximum image smoothing, whereby corresponding limiting areas
become smoother.
Inverse: Negative view (colour inversion) of the image for detecting structures in
the images.
Activating and deactivating the “Gamma correction” check box.
Gamma correction is a non-linear contrast which provides distinctly stronger
image dynamics. Darker areas of the image are reinforced, making it easier to see
any slight cloudiness in the crystalline lens.
To close the dialogue, press the [OK] button. All settings are maintained until a
new examination is loaded.
To also close the dialogue, press the [Cancel] button. However, the settings which
were enabled before the dialogue was opened will be enabled again.
1 2
3
5
Column with IOPnct value (2) and column with corrected IOP value (3)
These columns show the IOPnct values in relation to the corrected IOP values,
according to the correction program.
Enable this radio button if you do not wish to receive the corrected bIOP value.
3 2
1 Tab panels 3 [Save] button
2 [Cancel] button 4 Software program version
Fig. 5-4: Change Settings
The following information and buttons are available to you on every page’s index:
Press the [Cancel] button (2) to discard changes made before saving.
Press the [Save] button (3) to apply the settings.
Display of the Corvis® ST software program version (4).
1 2 3
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4
Select the language in which you would like the Pentacam® user interface to be
displayed.
To display the date, select the optional sequence of day (D), month (M), and year
(Y), plus the separator.
Activate the “Show curves” check box: the front and back sides will be shown in
red and green:
Activate the “Start video after loading” check box: When an examination is
loaded, the video will be played back.
Activate the “Show follow up cornea (initial state)” check box. The red cornea line
in the Scheimpflug image up to the time of maximum deformation will be
displayed.
Select whether the last view selected should be shown when you open Corvis® ST
or if the general overview should always be shown.
If you wish to have the logo of your office or hospital on the printout, activate the
[Use customized Logo in Printout an JPG-Export] check box.
From the options, select whether the logo should be above or below the
examination data and centred or uncentred.
If necessary, scale the logo to the desired size manually or activate the [Fit logo
width] check box. The logo will be scaled to the entire width of the printout.
Press the [Logo-file ...] button.
1 [Change...] button
Fig. 5-7: Incorporate logo template
Here, indicate how large the printout should be. The values must be between
800x600 and 1680x1050.
Here, indicate the size to which the printout should be scaled in the jpg file. The
values must be between 800x600 and 1680x1050.
The Corvis® ST software can be used to generate emails. Here, you can
adjust the settings for emails.
1 2
“E-Mail” settings
Activate the “Ask for next visit date” check box if you wish the patient to be
requested to schedule another examination in the email.
Activate a check box to select the time period: d = day, w = week, m = month.
In the “Default time until next visit” field, indicate the time until the next
examination. The corresponding display changes according to the check box
which was selected.
Your settings will be applied in the <Next visit> variable field.
1 2
4 3
1 “Export paths” settings 4 “Export ID” settings
2 “JPG Image export” settings 5 “Export CSV-data with CALL-ALL” settings
3 “Export with CALL-ALL” settings 6 “CSV Separation character” settings
Fig. 5-9: Change Settings
Also see sect. 3.5, page 8
Use the image quality percentage setting to regulate the scope of the image file.
If the [Hide patient name on image] check box is activated, the patient’s name will not
appear on the exported screen shot.
If the “JPG (Screen)” check box is activated and the call-all routine is executed, the
displays activated in the display list will also be exported with every examination.
Here, the number of exports is indicated. If you press the [Reset] button, the number
will be set back to zero.
If you wish to be able to export certain CSV files from the Patient Data Management
system using the CALL-ALL function, these files must be activated in the “Export CSV
Data with CALL-ALL” settings.
Fig. 5-10: Selecting the data to be exported as a CSV file from the Patient Data Management system
Generally, the CALL-ALL function will export all other examinations of all patients from
the Patient Data Management system as a CSV file.
Indicate which delimiter should be used to separate individual values within a line
in a text editor (examination). Default setting: semicolon.
For more information on the CALL-ALL export and CSV files, refer to Research Support.
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8 1
7 2
6 3
5 4
1 “Functions” group box 5 [Export] button
2 Examination list 6 [Import] button
3 [Delete exam.] button 7 Patient list
4 [Delete Patient] button 8 “Patient” group box
Fig. 6-1: User interface of the Patient Data Management system
To enter the Corvis® ST software, you must either enter a new patient into the “Patient”
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group box (8) or select an existing patient from the list (2).
Press the [New] button to enter a new patient in the Patient Data Management
system.
Enter the patient’s last name, first name and date of birth in the patient window
(Fig. 6-1, page 47, item 8).
Choose [Search] to quickly find the patient you are looking for in the list.
Enter the patient’s name or the first letter of the name in the “Last name” field.
Alternatively, you can search for the patient using first name, the date of birth, or
an ID number, assuming that one was assigned when the patient was first
recorded.
Click the appropriate entry in the list to transfer that patient’s name to the patient
window. This also brings up a list of any previous examinations for that patient in
the examination window (bottom right side).
1 2
The default options for import and export of data are configured in the “Settings” field.
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Select the “Target” (1) where you would like to export the data to.
Recommendation: Export the patient data using the “Individual file (U12)” option.
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Note
Risk of loss of data due to computer viruses
Computer viruses can cause loss of data.
Run a virus check before making a backup to a USB flash drive.
The general rules for the creation of backup copies apply to backing up data with the
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help of the patient data management user interface. Storage of backup files should
always be done on a separate system (e.g. on a USB flash drive with adequate capacity).
In the upper right part of the patient data management user interface, press the
[Backup] button. The following dialog is displayed:
4 1
3 2
Select whether all of the data or only changed data should be backed up.
The patient data management user interface internally selects all backed up datasets.
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If you select the option “Changed and new data only”, only the data records that were
not saved during a previous backup will be backed up.
Press the [...] button to the right of the “Backup directory” box (3).
In the dialog that appears, select the folder to which the data should be backed up.
Confirm your selection with [OK].
To back up the data, press the [Save] button (4). The previously selected data will
then be backed up to the corresponding folder.
If a loss of data occurs, the data from a previous backup can be imported again into
the patient data management user interface.
Press the [...] button to the right of the “Backup directory” box (3).
In the dialog that appears, select the folder which contains the backup data.
Confirm your selection with [OK].
To import the data, press the [Restore] button (1). All data in the corresponding
folder will be transferred to the patient data management user interface.
Besides the manually executed backup, there is also the option to carry out a backup
when the patient data management user interface is closed. The settings required for
this can be made in the “Settings” area, see sect. 6.6.3, page 58.
2 3
1
1 [Save] button 3 Program version of the Patient Data Management
2 [Cancel] button
Fig. 6-7: “Settings” screen
The following information and buttons are available to you on all of this screen’s tabs:
The program version of the patient data management user interface is displayed
below and to the right (3).
There are two buttons below and to the left for saving (1) or discarding (2) the
changes that have been made. All changes are saved or discarded, and then the
page is closed.
1
2
Select the language in the “Language” dropdown list (1) to be displayed on the
patient data management user interface page.
Activate the [Autocasing] checkbox (2) as required. If the checkbox is active, the
first letter of a patient’s first and last name is always converted into a capital
letter.
Besides the five standard attributes of first name, last name, date of birth, gender, and
ID, up to five additional attributes can be freely defined.
Enter the identifier for the attribute in one of the boxes option 1 to option 5, for
instance “Comments”.
To be able to carry out entries for the newly defined attributes, proceed as follows:
Click with the right mouse button on the patient list and open the associated
context menu.
The context menu will close, and the attribute “Comment2” will also be displayed in
the upper part of the entry boxes for patients (2) as well as in the patient list (1).
Selection of attributes occurs analogously in the context menu. The currently selected
☞
attributes are marked with a tick.
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2
8 3
7 4
6
5
1 Dropdown list for selecting a database 6 Path for the currently selected device
2 “Load while starting” radio button 7 Checkbox for activating a device
3 Folder selection 8 Path for the database
4 Dropdown list for selecting a device 9 Checkbox for activating a database
5 [Write permission] checkbox
Fig. 6-11: “Devices” tab
Settings for connected devices can be carried out in the group box.
In the dropdown list, select the desired device (4).
If the device is in fact connected, then activate the [Active] checkbox (7).
Choose the path to the associated device’s application file via the folder selection
button.
To save patient and examination data in the database, this will initially be created in
the so-called “Transfer folder”. This folder is always created locally on the computer.
Choose the transfer folder via the folder selection button. This should correspond
with the name of the device and have the .DAT extension.
You can also specify settings for devices which are not connected to the computer.
Activate the [Write permission] checkbox for the devices that are in fact
connected to the computer.
1
8
7
2
6
5
4
3
Besides the manually executed backup (sect. 6.5, page 51), there is also the option to
carry out a backup when the patient data management user interface is closed. The
settings required for this can be specified in the group box.
Use the folder selection button (1) to select the folder where the data should be
saved during an automatic backup.
Selected the [Include bitmaps] checkbox (8) if the camera images should also be
backed up.
Activate the [Enable] checkbox (7), if the automatic backup should be executed
with the settings specified.
You can enter settings in this group box for import and export of patient data
management user interface data.
Note
The settings specified in this tab for import and export of data can be overwritten. Only
typical settings are entered here.
Select the folder via the folder selection button (1) which should be pre-selected
as the standard for import or export.
In the “Format” dropdown list (6), select whether import or export should normally
occur in one folder or in a single file (U12).
Leave the [Remove source files] check box (4) activated to prevent data from being
lost when data is imported.
Activate the [Ignore patient ID] check box (3). The examination will be saved to
the patient, regardless of the ID number.
With the three radio buttons at the top of the tab (1), you can specify whether the e-
mail connection is active, and if it is, how the data transfer should take place.
Activate the option “MAPI” if an email program (e.g. Microsoft Outlook) is
installed on your computer and if the data should be sent using this program.
Activate the option “SMTP” if no email program is installed on your computer but
you would still like to send the data via email. In this case, additional entries are
necessary in the “SMTP” group box.
Enter the text in the “Subject” and “Body” (2) boxes which should normally be pre-
entered when email is sent. You can edit this text before email is actually sent (e.g.
particular to patients or examinations).
In case no email program is installed on the computer, several entries must be made
here to send emails.
Contact your system administrator if you have questions about the individual
entries.
4
5
On this tab, you specify the folders for various interface types and activate or
deactivate them.
The interface “Default.pat” (3) is used if the patient data management user interface is
launched by a third-party program.
Place the interface “Default.pat” into the third-party program’s folder.
Select “in” folder as the third-party program’s folder.
Activate the check box for Grabber import if you wish to have the data
automatically imported to your computer via USB cable. To do this, you also need
to match up the index path in the inbox (5) with the index path in the Grabber
software, sect. 8.2, page 83.
1
2
Activate the check box for Grabber import if you wish to have the data
automatically imported to your computer via USB cable. To do this, you also need
to match up the index path in the inbox (2) with the index path in the Grabber
software, sect. 7, page 65.
To get to the Corvis® ST software, you must first set up a new patient or select a patient
☞
1 2
You can configure a smartcard reader on this index so that you can directly import
patient data via the patient’s insurance card into the patient data management user
interface. First, you have to configure the smartcard reader (usually only once).
Press the [Config] button (2). A page appears for you to select the type of
smartcard reader you are using.
Activate the checkbox [Enable if available] (1) to activate the smartcard reader.
1
2
Select a patient whose data has already been saved and whom you would like to
examine again.
In the Patient Data Management (Fig. 7-1, page 65) menu, press the [Patient list]
button.
Turn the control wheel to get to the desired entry in the list.
Press the [Start] button to switch to measuring mode, sect. 7.2, page 67.
1
9
2
8
6 3
5
4
1 Patient data 6 [Switch to DCR] button
2 Pachymetry values 7 [Display R/L] button
3 Deformation video/images 8 Tonometric values
4 Icons 9 [Print] button
5 [Save to Patient] button
Fig. 7-3: Measurement results in the Tono + Pachy Display
The general overview largely corresponds to the view in the Corvis® ST software
sect. 4.2, page 16. The differences and the operation of the Corvis® ST device are
described below. ☞
Button Function
Button is displayed after a measurement.
Saves the examination data to the patient,
sect. 6.1, page 47
Switch back
In this individual view, the most important patient and examination data are displayed.
Last name and first name
Date and time of examination
Date of birth and age at the time of examination
Eye examined
Quality specification of the measurement: QS
The positioning, applicable data and model deviations are analysed.
OK: Measurement is OK
Yellow: outside of the recommended range
Red: Measurement must be redone
This table presents the pachymetric values at the apex, individual values and mean
value
2
1 Median value
2 Individual values
Fig. 7-5: Pachymetry values
1
2
3
6 5 4
1 Formula for calculation 4 Corrected individual values
2 Uncorrected mean 5 Uncorrected individual values
3 Corrected mean 6 IOP
Fig. 7-6: Tonometric values
You can take up to six measurements in a row. These are used to calculate the
tonometric mean value.
When there are more than six measurements, the oldest one is deleted.
If you can activated the “Not able” radio button in the “IOP-Table” group field
(“Settings for IOP table” on page 82) in “Settings 1”, the column with the corrected IOP
value will not be shown.
To run a “Spoerl” calculation, the patient’s date of birth must be entered. If it has not
☞
If no video is played, a Scheimpflug image with various lines will first be shown. Lines
are shown in this view, depending on the setting. The lines represent the deformation
of the cornea at different points in time.
1
2
3
4
Video function
Press this button [Video] or press the video image on the display to start the video.
Press the video image on the display twice to stop the video.
Turn the dial to switch back in forth in the video.
1
8
6
4
Button layout
Button Function
Button is displayed after a measurement.
Saves the examination data to the patient,
sect. 6.1, page 47
Back to displayed patient
Keep pressing the [Images] button or the touch screen until you see the desired
image displayed.
Note
The device uses thermal paper for the printer. Thermal paper may become less legible
with age.
If you wish to keep printouts, make copies.
You can magnify your view of the corneal deformation parameters curve display.
Parameter Meaning
Length
Velocity Speed of the corneal apex in the vertical
direction.
IOPnct Intraocular pressure
IOPpachy Central corneal thickness (apex)
Peak Distance Section between the highest points of the
undeformed areas of the cornea, see “Additional
measurement values” on page 79
Radius Bend radius at the corneal apex at the time of
maximum deformation
Def. Amp. Shift of the corneal apex in the vertical
direction.
The following overview shows how the displays of the measurement results fit
together,
Applanation 1
shows Applanation before the cornea is pressed in by the air puff.
Applanation length: Progression of the 1st applanation length (flattened area, blue
line) during the measuring operation
Highest Concavity
shows the highest concavity of the cornea in response to the air puff, i.e. when the apex
is the farthest from its initial position
Radius: The radius value (red line in the Scheimpflug image, Fig. 7-17, page 77)
describes the radius at the time of the highest concavity of the cornea. An adjustment
of a parable is used instead of the 3-point adjustment in order to calculate this radius.
Deformation amplitude: The deformation amplitude is determined by the deformation
of the corneal apex in the vertical direction.
Applanation 2
shows applanation after the cornea is pressed in by the air puff
Applanation length: Progression of the 2nd applanation length (flattened area, blue
line) during the measuring operation.
As a result, the movement of the corneal apex is compensated by the total eye
movement.
These parameters only describe the movement of the cornea.
Peak distance: The peak distance describes the section between the highest points of
the undeformed areas of the cornea.
Corneal speed (m/s): Progression (from the apex) during the measuring operation in
the vertical direction.
8.1 Settings 1
The “Settings 1” display, lets you configure the measurement resolution and the
viewing display.
Press the [Settings] button to go to the “Settings 1” view.
Activate the “Save video” check box: The video of the corneal deformation
progression will be saved in the examination data.
Activate the “Load video” check box: When an examination is loaded, the video
will be loaded, as well.
Activate the “Start video” check box: When an examination is loaded, the video
will be played back.
8.2 Settings 2
The “Settings 2” display, lets you modify different display parameters.
In the “Settings 1” display, press the [Next page] button.
The following display will appear:
Language
Interface
8.3 Settings 3
In the “Settings 3” display, you can release the dynamic corneal response display using
a release code.
In the “Settings 2” display, press the [Next page] button.
The following display will appear:
Request the release code for the dynamic corneal response display.
Enter the release code in the “Release ID” input field.
8.4 Settings 4
The “Settings 4” display, lets you individually configure printouts.
In the “Settings 4” display, press the [Next page] button.
The following display will appear:
If you wish to include the name of your business or office on the printout:
Enter the title in the lines provided and activate the neighbouring check boxes.
Note
☞
Settings 5/5 are for service purposes only. These settings may only be made by OCULUS
Service or an authorised dealer.