Visual Field Series

USER’S Manual

UVF-III & UVF-IIIi Series

Visual Field Analysis Systems
 Visual Field Series

Content

1. Introduction ............................................................................................................................................ ３
1.1 General Introduction ...................................................................................................................... ３
1.2 Product Features .......................................................................................................................... ４
1.3 Hardware Structure ........................................................................................................................ ５
1.4 Structure composition .................................................................................................................... ５
1.5 Product models and specifications difference ............................................................................... ６
2. Technical Specifications .......................................................................................................................... ７
2.1 Technical Specifications................................................................................................................. ７
2.2 Structure flow chart ....................................................................................................................... ８
2.3 Test principle ................................................................................................................................. ８
3. Precautions.............................................................................................................................................. ９
3.1 Using precautions .......................................................................................................................... ９
3.2W arranty ....................................................................................................................................... ９
4. Device Installation .............................................................................................................................. １０
4.1 Open packaging boxes and checking………………………………………………………….......10
4.2 Hardware installation……………………………………………………………………………11
4.3 Protect earth……………………………………………………………………………………….13
5. Software introduction and setting ............................................................................................................ 13
5.1 Software Interface introduction…………………………………………………………………...13
5.2 Shortcut icons explanation……………………………………………………………………….13
5.3 Hospitals name setting…………………………………………………………………………….14
6. Instrument Using ............................................................................................................................... １５
6.1 Using Environment .................................................................................................................... １５
6.2 Turn on the device ..................................................................................................................... １５
6.3 Patient preparation before examination ...................................................................................... １５
6.4 Doctor preparation before examination ...................................................................................... １６
6.5 Input patient information ........................................................................................................... １６
6.6 Test mode choosing ................................................................................................................... １７
6.7 Test method Choosing................................................................................................................ １８
6.8 Test Parameters.......................................................................................................................... １９
6.9 Patient Checking........................................................................................................................ ２２
6.10 Add report ............................................................................................................................... ２３
6.11 Save and print report ................................................................................................................ ２７
6.12 Document management............................................................................................................ ２７
7. Common Terms ................................................................................................................................... ２８
8. Maintenance........................................................................................................................................ ３０
8.1 Maintenance ............................................................................................................................ ３０
8.2 Additional notes ......................................................................................................................... ３０

２
 Visual Field Series

9. Transportation and storage................................................................................................................... ３１

10. Graphical symbols explanation .......................................................................................................... ３２
11. Trouble shooting................................................................................................................................ ３３
11.1 Common Faults........................................................................................................................ ３３
12. Appendix........................................................................................................................................... ３４

３
 Visual Field Series

1. Introduction
1.1 General Introduction

Thank you for using our fully automated computer projection perimeter. For reasonable use
of the instruments, please read the instructions carefully before you use.
★ Product name: Projection Perimeter
★ Product model: UVF-III, UVF-IIIi
★ This manual applies to: an integrated version for all models

Usage: used to measure the eye's vision

Scope: Applies to check the optic nerve, retina, visual pathway and other tissue lesions

diagnosis.

Note: Please ensure reliable grounding device when used, to avoid the device being bad

environment (humidity, dust, liquids, direct exposure to sunlight, etc.) damage, should

be placed in a dry place; Do not spill liquid or other debris into the device, otherwise it

may cause a short circuit inside the device thereby causing electric shock or fire.

About the Product Manual (hereinafter referred to as "manual")

 Manual copyright belongs to Unique Optics inc.

 Images inside are Renderings, involving products, please prevail in kind, subject

to change without notice.

 The Company reserves the authority's explanation and modification.

４
 Visual Field Series

1.2 Product Features

UVF-IIIi Projection Perimeter UVF-III Projection Perimeter

Unique Optics Projection perimeter is designed and manufactured strictly in

accordance with international ophthalmological Society standards. It has following
characteristics:

Full-field inspection: hemispherical design can do 900 full-field inspections

Goldmann Standard: the projection sphere radius, background light as the standard brightness,
size, etc. in line with Goldmann standards.

Color perimetry : blue and yellow contrast perimetry, stimulating red light perimetry

Comprehensive monitoring: Dynamic real-time video monitoring, alarm gaze tracking, blink
dynamic assessment, physiological blind spot monitoring

Multiple detection modes

Screening test: Center 40 points; center 64 points; center 76 points; center 80 points; center
Armaly; surrounding 60 points; nasal step; Armaly full-field; full-field 81 points; full-field
120 points; full-field 135 points; full-field 246 points.

５
 Visual Field Series

Threshold Test: Center 10 °; center 24 °; center 30 °; center 30 ° ~ 60 °; nasal step; macula;

Special tests: Upper 36 points; upper 64 points; Esterman monocular; Esterman binocular

1.3 Hardware Structure

1. Forehead bracket: forehead abutment, fixed patient head position;

2. Camera and eye tracking: for monitoring patients’ eye position changes and alarm;

3. Stimulate ball: stimulating cursor projection surface;

4. Stimulate ball: stimulating cursor projection surface;

5. Chin-rest: for placing patients jaw, can be moved up-down, left-right. When checking the
left eye, the patient is placed on the right cheek jaw bracket; while checking the right eye,

the patient is placed on the left cheek jaw bracket;

1.4 Structure composition

The Perimeter (system) consists of:
a) Computer system;
b) The projected field stimulation (host)
c) Responder
d) Printer.

６
 Visual Field Series

The perimeter (system) software consists of the following modules:

a) Patient information input module;
b) Image analysis software module;
c) File management module;
d) Output printing module.

1.5 Product Models and Specifications Difference

Model Hardware components Explanation
Computer system, vision
0-90 full-field detection,
UVF-IIIi
inspection software, projection eye-bit dynamic tracking,
UVF-III
automatic chinrest, etc.
perimeter host, printer

７
 Visual Field Series

2. Technical Specifications
2.1 Technical Specifications
2.1.1 Spherical radius: 175mm ± 5mm
2.1.2 Stimulus light intensity: 0-10000asb (± 10%)
2.1.3 Projection light: red, blue, white (wideband visible light).
2.1.4 Dynamic Range: 0-51DB
2.1.5 Background light: yellow and white
2.1.6 Background light intensity:
a) Background light: White, light intensity 31.5asb (± 10%)
b) Background light: yellow light used OG530 lenses; backlight intensity
315asb (± 10%)
2.1.7 Spot size:
a) Class Ⅰ: the angle of 0.11 ° (± 10%); stimulus as the standard size (30 cm
Bowl) 1/4mm2 ± (± 10%)
b) Class Ⅱ: Diagonal 0.22 ° (± 10%) to; stimulus as the standard size (30 cm
Bowl) 1mm2 ± (± 10%)
c) Class Ⅲ: the angle of 0.43 ° (± 10%); stimulus as the standard size (30 cm
Bowl) 4mm2 ± (± 10%)
d) Class Ⅳ: the angle of 0.86 ° (± 10%); stimulus as the standard size (30 cm
Bowl) 16mm2 ± (± 10%)
e) Class Ⅴ : the angle 1.72 ° (± 10%); stimulus as the standard size (30 cm
Bowl) 64mm2 ± (± 10%)
2.1.8 Stimulation points number and stimulation time:
a) stimulation point: not fixed
b) Stimulus duration: adjustable from 0.1s to 2.0s program (± 5%)
c) Interval: adjustable from 0.1s to 2.0s program (± 5%)
2.1.9 eye position monitoring window: CCD camera, directly monitor the eyes
2.1.10 chinrest stroke: down ≥ 50mm (± 5%) around ≥ 28mm (± 5%)
2.1.11 eye tracking: eye movements or eye blinking, the system will alarm (monitoring

８
 Visual Field Series

the "Start eye movement detection" Open)

2.2 Structure flow chart

Stimulator Responder

Computer Control

Monitor Printer

2.3 Test principle

The projection perimeteris used to check the sensitivity of the human eye to light (visual

acuity).

Ambient light by refraction system to the retina, the retinal photochemical reactions by

bioelectrical, transmitted through the visual pathway visual cortex, the brain through a

comprehensive analysis of the formation of vision. Any part of the distribution from the

retina to the visual cortex nerve fibers, direction, known as the road lesions occur, it will be

reflected in the vision, visual field changes according to the results of other tests and clinical,
can analyze the site of the lesion, nature and prognosis

９
 Visual Field Series

3. Precautions
3.1 Using Precautions
3.1.1 For your safety and benefit, please read this manual and all product information
supplied carefully before you use the device. If you are not in accordance with product
instructions and operating equipment, if cause any personal injury, property or other damages,
Unique Optics inc will not be responsible for that.
3.1.2 The instrument can only be installed in a dark room by the computer knows, or the one
received training from our engineers.
3.1.3 When use the device, please place printer, monitor at least 1.5M away from the patient.
3.1.4 Equipment location must meet company required voltage. If voltage of the device
causes problem, the company is not responsible.
3.1.5 To protect the device against the environment violations, (humidity, dust, liquids, direct
exposure to sunlight, etc.), the device should be placed in a dry place. Do not spill liquids or
other debris into the device, otherwise it may cause a short circuit inside the device and thus
cause an electric shock or fire.
3.1.6 Without the company's permission, anyone can not open the equipment; otherwise the
company will not be responsible for the consequences.
3.1.7 For better maintenance of the equipment, if need to turn on the power again after
turning off, wait 5 seconds to turn it on, 15 seconds to turn the computer.
3.1.8 Environmental Conditions: When a device or system component damage or reach the
end of life, thrown away could have contaminated the environment, please recycle or scrap
the device in accordance with local laws and regulations.

3.2 Warranty
* The factory provides all necessary documents for after sale services;
1. The factory will provide maintenance consultation for whole life;

１０
 Visual Field Series

2. One year warranty since purchase date;

3. During warranty period, repairs will be charged for the following cases
⚫ Do not use the device according to the manual and cause damages to the equipment;
⚫ Without authorization from the company, modify the device and cause damages to
the equipment;
⚫ Due to accident or misuse or irresistible natural factors that caused damage to the
equipment.

4. Device Installation
4.1 Open Packaging Box and Checking
Checking carefully according to the packing list after opening the boxes; installing the

devices after confirmation no damage during transportation.

4.2 Hardware installation

4.2.1 Installation Environment

4.2.1.1 The equipment must be installed on a flat ground without slope.

4.2.1.2 The equipment must be installed in a clean, quiet, dry environment.

4.2.1.3 The equipment must be installed in an absolute darkroom.

4.2.1.4 For personnel and equipment safety, equipment must be grounded (with a

dedicated ground column).

4.2.2 Cable connection of stimulator and computer mainframe as below (pic 1)

7 5
6
4
1
2 3
Pic 1 Stimulator Rear Interface (this is for model UVF-III)

１１
 Visual Field Series

① Response Interface: patient response and pause control;

② USB control interface: Provides communication and control between the computer and the

stimulator; connecting computer USB port.

③ Video Interface: Output video signals of eye position monitoring; connecting the

computer's internal video capture card interface.

④ Power Interface: to stimulate powered (current 220V ± 22V)

⑤ switch: turn on or off the stimulator

⑥ Fuse: 220V 10A

⑦ stimulator fan

Stimulator connecting computer (pic 2) (this is for model UVF-III)

USB Control cable: connect

Video cable: connecting stimulate
computer USB port
and computer video port

(pic 2）

After long-distance transportation, re-plug the computer

1
① computer power input
2 ② keyboard, mouse interface
3 ③ computer serial port
4 ④ parallel port (connected USB softdog)
5
⑤ Monitor Interface
6
⑥USB interface (connect USB control line)
7
⑦ Audio Interface

⑧Video Interface (connecting stimulator Video

8 Interface)

Computer interface (pic 3) (this is for model UVF-III)

１２
 Visual Field Series

4.2.3 Equipment Power Connection

4.2.3.1 Distribution Box: The total power input connector and the main power switch control,

providing five auxiliary network power output;

4.2.3.2 Mian Frame: power supplied by power distribution boxt;

4.2.3.3 Monitor: power supplied by the power distribution box of the auxiliary net output;
4.2.3.4 Printer: power supplied by the power distribution box of the auxiliary net output;

4.2.3.5 Stimulator: power supplied by the power distribution box of the auxiliary net output;

4.3 Protect earth

Connect columns of power distribution box and the host computer with a yellow-green

grounding wire (all components with grounded column connect together)

１３
 Visual Field Series

5. Software Introduction and Setting

5.1 Software Interface Introduction (pic 4）

1 Shortcut icon
2
Manu
Bar
4 Eye position monitoring
window
5 Test parameters

3 口
Information

6 Detection range, detection point schematic

7 Status Bar
Pic 4

① Shortcut icon bar: function icons, often used in the detection process.

② menu bar: data collection, diagnostic reports, document management and other functional
modules.

③ Information Bar: Displays current Test parameters, patient data, etc.; Some parameters can

be adjusted in the testing process according to the patient's condition.

④ eye position monitoring window: real-time monitoring of patients eye positions.

⑤ Test parameters: display parameters set of current detection project.

⑥ Diagram: shows current detection range, detection point state.

⑦ Status Bar: Displays the current status of detection, such as: test time, date, and number of

cases, etc.

１４
 Visual Field Series

5.2 Shortcut Icons Explanation

File: New cases, patient data, open, save, save as, import data, and export data.

Eye: Click on the icon to the left or right eye.

Detection Mode: Special testing, screening tests and threshold test.

Test Method: full threshold, fast threshold.

Test parameters: test speed, initial visual acuity, visual target color, visual target size,
yellow-blue test, strong background, foveal threshold, fluctuation detection.

Monitoring: open / close the monitor window; open / close the blind spot detection; start /

stop / reset eye movement detection; setting eye position detection sensitivity.

Fixation lamp: Set standard patient gaze position.

Start: start testing.

Pause: Pause detection. Click on the "Pause" icon again to resume testing.

Exercise: Exercise testing. Let the patient familiar with the testing process, this process does

not record patient response situations. After patients are familiar with the process, click

"Start" icon to enter the formal testing.

Reset: Reset machine state inside stimulator.

Options: Set hospital name, switch tone.

5.3 Hospital Name Setting

When the device is shipped, the default unit name is blank,

modify it before using the unit.

【Modify】: click on the icon bar “ ”，input hospital

name inside dialog box, clock OK.
Input hospital name

Pic 5

１５
 Visual Field Series

6. Instrument Using
Patient preparation Doctor preparation

Patient Examination

Post processing

Print Report

Operation Flowchart

6.1 Using Environment

1) This device should be used in a dark room.
2) Using environmental conditions:
Temperature: 5 ℃ ~ 40 ℃; Relative humidity: ≤ 85%; Atmospheric Pressure: 700hPa ~
1060hPa.
3) Run: Intermittent load continuous operation.
4) Anti-shock type: I class equipment.
5) The degree of protection against electric shock: BF type applied part.
6) Power: AC 220V ± 22V 50Hz ± 1Hz
7) The instrument should be installed on a level floor.

6.2 Turn on the device

Turn the power switch to open the device, stimulators, monitors, computers, printers (can turn
on the printer before printing), double-click " " on the desktop to enter software.

6.3 Patient preparation before examination

6.3.1 Familiar responder use: Gently press responder and release immediate (demo to

１６
 Visual Field Series

patient).
6.3.2 Understanding inspection methods: one eye see the visual target without moving and
feeling if there is flash point outside viewpoint around the corner; If see the flash, press the
responder immediately and release. If not see, continue see the visual target without eye
moving, making efforts to see all stimulating cursor.
If you want to rest, press responder without releasing (demo to the patient). Testing will
continue when you release the button. One test only for one eyy, and keep it normal blink to
avoid dry eyes. The best time to blink is that when you press a responder. At the end of the
test, you will hear a "beep" long sound, then you can rest.
6.3.3 Cover the Non-detection eye, put the blindfold on non-test eye, and ensure that the
subjects do not influence the testing eye.
6.3.4 Check the right eye, put the jaw on the left cheek Torr.
Note: The whole test process must be carried out in the dark room. Patient cooperation is very
important for the examination accuracy.

6.4 Doctor preparation before examination

6.4.1 Diopter correction: when checking 30 degrees field vision, to make sure the
stimulating cursor focused on the retina accurately, the testing eye must be carried out
refractive correction. Unfocused blur images will be slightly larger than the actual physical
image size, brightness slightly darker, which will result in pseudo diffuse light sensitivity
decreases.

Corrective lenses chosen reference when checking center 30 degrees (Table 1)

Age ≤30 30-39 40-44 45-49 50-54 55-59 ≥60
Corrective Not +1.00D +1.50D +2.00D +2.50D +3.00D +3.25D
lenses corrected
6.4.2 Know clinical lesions. Only know the patient eye diseases, you can then select the
appropriate detection mode, the test method.

6.5 Input Patient Informtion.

6.5.1 Double Click “ ” to enter software

6.5.2 Input patient information: Name, Sex,age,
visual acuity, clinical disease, doctor. See right picture (Figure 6)

１７
 Visual Field Series

Note: name, age, sex are very important and must be entered.
visual acuity standard values are related to the age and gender inputed.
If those information is uncorrect, it will affect the entire report analyze
and the results.

6.5.3 Set eye

Click Eye icon on the "icon bar" and set eye. (Figure 7, shown as the right-eye, it indicates
that the test eye is right eye)
6.6 Test Mode

Users can choose a suitable detection mode according to patient information (Figure 8)

Table 2: Threshold Test

Test vision scope / Test
Threshold Test Application
Points
Macula, retina, nerve, severe
Center 10-2 10°/60 ponits
glaucoma
Center 24-2 24°/54 ponits Glaucoma, regular, nerve
Center 30-2 30°/76 ponits Glaucoma, retina, nerve conventional
Periphery 60-4 30-60°/60 ponits Retina, glaucoma
Nasal step 50°/14 ponits Glaucoma
Macular 5°/16 ponits Macular

6.6.1 Threshold Test: By calculating the actual sensitivity of each test point, the threshold test
can define the problem accurately. It can reveal slight changes in retinal sensitivity. It is the

１８
 Visual Field Series

most commonly used perimetry test.

6.6.2 Screening test: You can quickly check the vision and mark highly suspicious areas. If
you get unexpected results, you can again use a threshold test mode for diagnosis.

Table 3: Screening Test

Screening Test Test vision scope / Test Application
Points
Center 40 30°/40 ponits Routine screening
Center 64 30°/64 ponits Routine screening 、 Glaucoma,
nerve
Center 76 30°/76 ponits Routine screening 、 Glaucoma,
nerve
Center 80 30°/80 ponits Routine screening
Center Armaly 30°/84 ponits Glaucoma
Periphery 60 30-60°/60 ponits Routine screening 、 Glaucoma,
neural, retinal
Nasal step 50°/14 ponits Glaucoma
Armaly Full-field 50°/98 ponits Glaucoma
Full-field 81 55°/81 ponits Routine screening 、 retinal 、
Glaucoma 、 neural
Full-field 120 55°/120 ponits Routine screening 、 retinal 、
Glaucoma 、 neural
Full-field 135 87°/135 ponits Full-field Screening
Full-field 246 60°/246 ponits Full-field Screening

１９
 Visual Field Series

6.6.3 Special test: specially designed for a particular eye screening tests.

Table 4: Special Test

Test vision scope / Test
Special Test Application
Points
Temporal side 75 degrees,
Estermen Single eye 60 degrees nasal / 100 Functional disability
points
Bilateral 150 degrees / 120
Estermen Binocular Functional disability
points
60 degrees, the upper field
Upper 36 Upper vision screening, ptosis
/ 36 points
60 degrees, the upper field
Upper 64 Upper vision screening, ptosis
/ 64 points

6.7 Test Method

6.7.1 Threshold tests: full threshold, fast threshold (Figure 9).

Full threshold: First give the patient an expected visual target brightness.
If patient is able to see it, use 4dB as step value and gradually
decrease visual target stimulus intensity until the patient can not
see the stimulus; If the patient can not see it, use 4dB as step value
and gradually increase the intensity of stimulation until the patient could see the stimulus. Then the
instrument will change the instruction, use 2db as step value and to change intensity gradually until the
patient response the change. Finally, visual target stimulus intensity that the patient final see is the
threshold of point.

Fast threshold: same as full threshold, it also adopts step technology, but the step size 3dB
instead of 4dB. Use threshold value for one time, if the patient can see, place 3dB as the step
value, decreased visual target stimulus intensity until the patient can not see the stimulus ,

２０
 Visual Field Series

which can be seen as the final threshold intensity at that point; if the patient can not see,
places to 3dB as step value, and gradually increase the intensity of stimulation until the
patient can see the stimulus, this can be seen as the standard threshold value for that point.

6.7.2 Three Options avaiable for special test and screening test

Bi-Notations, Tri- Notations and Quantify defects (figure 10）

Bi-Notations : For each test point, brightness of the visual target
stimulus provided is 6dB higher than expected standard
brightness (expected standard brightness depends on the
patient's age, which need to select "age-related" from
the initial visual acuity settings). For those test points
that patients respond (can see), it is shown as ○;
for those patients not respond to ( can not see) the test point, it shows ■.

Tri- Notations: Based on two notation, for those testing points that patient does not respond
( can not see), test it again with maximum brightness (0dB) to determine if the defect is a
relative or absolute defect. For test points which can be seen, it is appeared as ○; relative

defect is X; absolute defects appear as ■.

Defect quantification strategy: besides measure each point threshold, the other is same as
two notation. For stimulation which can be seen, use ○ to mark; For defects, use value of
the defect (in dB).

6.8 Test Parameters

Relevant test parameters can be set according to the patient's condition, detection mode and
the detection methods.

２１
 Visual Field Series

6.8.1 Test speed: display speed of the visual target, the test speed is set according to the
patient's age or response time, test speed can be changed during the test in order to give
patients more time to respond (Figure 11).

Standard – visual target keeping time is 0.2 seconds; visual target interval time is 0.6 seconds;
This setting can meet response speed of majority people , which is the most commonly used
settings.

Slow - a visual target keeping time is 0.2 seconds; visual target interval time is
0.8seconds;This setting can be used in patients with large age or slow response.
图 11
User define - user input stimulate keeping time and interval time. For patients who do
not suitable for standard and or slow test speed, user can define the keeping time,
interval time as shown in Figure 12 . The system will automatically saves the value,
which can be changed.

6.8.2 The initial visual acuity: initial brightness.(figure 13)

Age-related : set threshold value table according to patient age, set it as the initial brightness
of the test. This mode can only be used for standard stimulate size (Ⅲ grade cursor). When
using a non-standard stimulus, thresholds related can be used.

Threshold related - select a specific four-point in the center of vision, test its threshold, set
average value of these four-point threshold as initial standard brightness of other test points.
This mode is not suitable for patients with central visual field defects, patients with central

２２
 Visual Field Series

visual field defects can use age-related mode.

Single intensity – Use default 10dB test full field. If you need to use a different intensity, you
can change the intensity in the "Patient Information" list , "initial visual acuity", as shown in
Figure 12. Single intensity value is displayed in the test screen (displayed as a single
intensity value: XX) and printouts (visual target intensity: XX). In a special test library, the
system defaults to use single intensity.

6.8.3 Visual target color: set visual target color of the stimulate point. Figure 14 .

White visual target - the system will project white stimulate visual target onto a white
background bowl. It is applicable to all test library test.

Red visual target - the system will project red stimulating visual target onto a white
background bowl. This is applicable for "central 10-2 test" and "macular threshold test" of
threshold test library, which can check the central visual field defect.

２３
 Visual Field Series

Blue visual target- the system will project blue visual target onto a bowl of yellow
background. This is commonly used in the "blue and yellow test" tect, strong background
need to be open when using this.

6.8.4 Visual target Size

Set the size of stimulation points. It is divided into Ⅰ, Ⅱ class, Ⅲ class, Ⅳ class and Ⅴ class.
Minimum class isⅠ, Ⅴ class is the maximum, shown in Figure 15. Standard stimulus is “Ⅲ
class" visual target (blue and yellow test is Ⅴ class). When using a non-standard stimulus
visual target, test results do not have standard value reference database.

6.8.5 Blue and Yellow test

Blue-yellow perimetry also known as shortwave automated perimetry. It uses blue
color as its stimulating visual target , 315asb yellow color (strong background) for the
background. Stimulating visual target use V-class light target. It is commonly used in the
early detection of glaucoma. When testing, patients need adapt to light yellow background
(blue cone pending work)for at least three minutes. Blue-yellow perimetry threshold test is
used only in the "center 24-2 Mode" and "Center 30-2 mode” pf the threshold test library.

Blue-yellow perimetry suitable patients:

* Ocular hypertension
* Suspected glaucoma
* Mild or moderate visual field defect glaucoma patients

Standard test parameter settings: Select the

"blue and yellow test" as shown in Figure 16
* Test Library: center 24-2 mode or center 30-2 modes
* Test speeds: Standard (can be changed)
* The initial visual acuity: Age-related

２４
 Visual Field Series

* Depending on the standard sizes: V level as the standard

* As the standard color: blue as the standard
* Backlight: Strong background
* Preconditioning: 3 minutes

Blue-yellow perimetry working princicple:

Normal people have three three different cones cells to feel different colors: contain red
pigment with a sense of feeling red cones called R-type cone cells; contain green pigment
with a sense of feeling green cones called G-type cone cells; contain blue pigment with a
sense of feeling blue cells called B-type cone cells. Quantity ratio of these three cone cells in
the retina is R: G: B = 32:16:1. Research shows that early glaucoma can cause color vision
disorders, the most common color vision disorder is blue-yellow color vision defects, which
may be related to less number of blue cones.

In the spectrum, yellow wavelengths are long-wave and blue wavelengths are short.
Background color of B / Y is light yellow, blue is visual target color. Yellow background
can neutralize sensitivity of long-wave cones, so that it can independently checke
short-wavelength cones. The yellow background can be suppressed sensitivity of the rod cells
to reduce their participation effects.

Blue-yellow perimetry advantages:

Studies have shown that B / Y (blue-yellow perimetry) has more advantages in the early
diagnosis of glaucoma: comparing with standard white-white perimetry, blue - yellow
perimetry can check visual field damage earlier, and can predict the developmenttrend of
visual field defects. Teesalu studies suggest that, B / Y and white - white perimetry has a very
good match,position and form of the visual field defect are silimar by this two methods, but
defects area and depth by B/Y is more obvious than that by white-white. For normal Early
glaucoma checked by white - white perimetry, B / Y defects may find abnormalities, which
may provide more information for the early diagnosis of glaucoma. Their research shows: B /
Y is one of the most valuable and most sensitive method currently for glaucomatous visual
field defects functional testing.

5.8.6 Strong Background (315asb): generally used in the blue-yellow perimetry

２５
 Visual Field Series

5.8.7 Fluctuation detection: After opening fluctuation detection, the system will re-test of ten
preselected points to identify patients response variability. Report will ontain retest thresholds.
For fluctuations with significantly different values, the system will record false-negative and
false-positive on the report.

6.9 Patient Checking

6.9.1 Use black eye-cover to cover the non-examined eye.When checking right eye, the head
was put on the left side chin-rest; When checking left eye, the head was put on the right side
chin-rest. Forehead gently attached the fixed point.

6.9.2 Setting the fixation lamp, Figure 17

Central fixation lamp – located in the Bowl center,

applicable for most patients checking.

Small diamond fixation lamp - located under

the center target, should be used when patient
can not see the center fixation (such as macular degeneration),
patient should see the small diamond center.

Large diamond fixation lamp - located under the center

target, outside the small diamond fixation. This can be used for patients with vision center
dark spots who can not see the center fixation and a small diamond-shaped.

Bottom LED fixation lamp - located at the bottom of a large diamond , when using upper 64
or upper 36 special screening test, the bottom LED is the default fixation.

6.9.3 Open the eye position monitoring,adjusting patient eye position.

① eye position video monitoring: Open “eye position video monitoring ", when turned on the
software, it appears eye position monitor screen on the top right corner of software, as shown

２６
 Visual Field Series

in Figure 18.

② Adjust eye position: Figure 19

Click Up-down, Left-right keys on the keyboard, it can be up and down chinrest control, so
that the monitor window in the pupil center

6.9.4 Eye movement detection: When the eye movement detection is turned on, the system
will be in the testing process of detecting eye position. The system will issue a "drip, drip"
tone when the patient eye moved. The the operator needs to remind patients keep the eye
fixed.

6.9.5 Eye sensitivity detection: open "eye moving detection", set eye tracking sensitivity
according to patient information. There are five levels, the system defaults to moderate
sensitivity. When the patient is poor fixation (eg the elderly), sensitivity can be reduced.
Figure 18

6.9.6 Blind spot detection: when open blind spot detection, the system will be timed to
provide stimulus in the detection process, as marked on the patient's blind spot. If patient has
good fixation, he can not see it.

6.9.7 Exercise: to help patients familiar with the testing process and requirements, can

２７
 Visual Field Series

help patients understand the testing and use of responder. This process does not record patient

response situations. After patients are familiar with the process, click the "Start" icon to enter

the formal testing.

6.9.8 Start testing: Click " " icon to enter the formal testing. Detection process by

monitoring window can closely monitor if the subject's eye is rotating, if the head is moved.

Inspection process of all detection points are random (irregular), blind spot monitoring, false

negative and false positive detection are not counted in the measured point.

6.9.9 Rest Pause: after long time gazing, the test allows patients to breaks. two ways for
pause:
1) Click " " Pause icon, enter suspend testing, click again to resume testing.
2) Press and hold the button responder to suspend the test, release the button after the
recovery test response.

6.9.10 Retest: When the test is completed, double-click on suspicious test point, click on the
"Start" icon, you can test it again, the test results show only after a threshold retest.

２８
 Visual Field Series

6.10 Add report：(Figure 21)

Click "Add Report" icon, select the report style, generate examination report.

6.10.1 Single Vision Analysis Report:

Single Vision analysis: analysis of threshold test results of individual test point. Figure 22

① Patient information ⑤
② Test parameters and reliability index
⑤
③ Digital threshold figure
④ Grayscale
⑤ Total deviation chart
⑥ Total deviation probability map
⑦ Pattern deviation chart ④
③
⑧ Pattern deviation probability map
⑨ Gaze Figure
①
⑩ Horizons indicators

② ④

① ③

Figure 22 Single Vision Analysis Report

２９
 Visual Field Series

①Patient information: contains the patient's name, gender, age, etc. in the "Patient
Information" .
② test parameters and reliability indicators:
Test parameters: library name, test methods, test eye, visual target size and other information.

Reliability index: The index is help to determine the reliability of patient test results. It
contains the fixation loss, false-positive and false-negative and other indicators, in addition to
reliability information is also available figure gaze.

Fixation lost: ratio forms, such as: 3/10. The first number indicates the error number (of
patients responded to), and the second represents the total number detected, blind eye position
detection will be turned on during the test; system will detect blind spot every once in a while.
Blind spot is not visible. If the test result is bigger than 1/3, the test result can not be used.

False positive and false negative: The system randomly selected ten points for retesting. The
previous measured data (visual acuity) is displayed at the bottom of the box, the retest
resulting visual acuity displayed in its original position. Two results compared with each
other, if the first result 4DB less than the second test is false negative. False-negative means
patients do not understand detection process. If the first visual acuity 4DB greater than the
retest, it is recorded as a false positive. False-positive represent patients is less subjective with
the ability or distraction1. (Considered equal the difference in visual acuity less than 4) If the
test result is bigger than 1/3, the test result can not be used.

Note: Many patients will be more relaxed and cooperate better in the second vision test, thus
obtaining a more reliable test results. Therefore it is recommended that the first patient to
receive perimetry test once again.

① Digital threshold map: Show visual acuity of various test points measured.
② Grayscale: it reflects overall impression of visual field examination results by a series of
gray levels, which represent different levels of visual acuity, high visual acuity use bright
gray scale, low visual acuity use dark gray, black means 0DB which is absolute defect.
③ Total deviation figure: the measured value of each point on the eye compare with normal
visual acuity results of the same age obtained. Value indicates the degree of difference,
negative values indicate lower than normal visual acuity, the greater the value, the deeper the

３０
 Visual Field Series

defect.

④ total deviation probability map: the measured value of each point compared with the same
age normal eye visual acuity, analyzing the possibility of their belonging to a normal
distribution (probability) ; the rate use symbol (Figure 22) to display, that is the so-called
probability plots. The darker the symbol is, the smaller the normal rate is, the black box
indicates the deviation of the distribution of the points in the normal population probability is
0.5% or less.

⑤ Pattern deviation map: due to refractive error, media opacity, pupil size and other factors
affecting the results of vision, resulting in reduced visual acuity universality, universality in
the results excluding lower part of the visual acuity, thus obtained the results can be
considered to reflect a purely visual function of the nervous system, and is not affected by
optical factors. Throughout the reduced sensitivity to reduced sensitivity of universality
removed after partial vision has highlighted significant defects. The pattern deviation figure
compares with a total deviation figure, if almost identical, which means that almost no
universal decreased sensitivity, a uniform pattern of decline in the total deviation deviation
chart diagram may be caused by cataracts.

⑥ pattern deviation probability map: Excluding the reduced universal part of the result, and
then analyze its possibility of a normal distribution (probability). The probability measured
use symbol to display, that is so-called probability map.

⑦ gaze Figure: Record changes in eye position detection process, when patients blink eye or
eye position change, the system will record once (eye tracking must be open when strating
checking, otherwise gaze curve is a straight line).

３１
 Visual Field Series

6.10.2 Three-in-one Report

When the test mode or test parameters selected does not meet the
①
criteria, then using the triple.
Report elements are:
① Patient information: contains the patient's
name, gender, age, etc. in the "Patient Information" .
② Test parameters: test methods, visual target size
and other information.
③ Reliability index: fixation loss, false-positive
and false-negative
④ Grayscale: it reflects overall impression of visual
field examination results by a series of gray
levels, which represent different levels of visual
acuity, high visual acuity use bright gray scale,
②
low visual acuity use dark gray, black means
0DB which is absolute defect.
⑤ Total deviation figure: the measured value of ③
each point on the eye compare with
normal visual acuity results of the
same age obtained. Value indicates the degree of difference, negative values indicate
lower than normal visual acuity, the greater the value, the deeper the defect.
⑥ Digital threshold map: Show visual acuity of various test points measured.
⑦ gaze Figure: Record changes in eye position detection process, when patients blink eye or
eye position change, the system will record once (eye tracking must be open when strating
checking, otherwise gaze curve is a straight line).

３２
 Visual Field Series

6.10.3 Overview Analysis Report

It concentrates overview analysis of a single vision analysis information . In the report,
several tests can easily see the results of the analysis in order to analyze the progress of
changes in vision. Overview Print can print up to four times test results.

① Patient Information

② single test gray, digital, total deviation probability,

graphics deviation probability plots. Using a
non-standard testing can not print probability plots.

③ Summary and reliability

indicators and vision
indicators

6.10.4 Screening test report:

Suitable for screening test libraries and special libraries, test parameters, patient data, test
date, test time printed on the top of the report . This index will help determine the reliability
of patient response.

３３
 Visual Field Series

The reliability index:

1) fixation Monitoring: refers to the current fixation monitoring mode
2) Stimulating cursor: refers to the current cursor size, color
3) Fixation target: fixation target used in the current test
4) Background light: the current test background brightness
5) loss of fixation: 5/20, 5 is the blind spot number the patient can see. 20 is the total
number of blind spot tests. During the test, the system will projected 5% points on the
physiological blind spot to detecte the patient's fixation. When the ratio exceeds 20%,
“XX” will be printed on the back of the number in order to cause doctor attention.

Strategy: The current strategy used for the test. Screening test has three options: two regions,
three regions, quantify defects.

False positive: x% determined based on the patient response time, the response times
beyond the limits of the response was recorded as a false positive. In the old test method: full
threshold, fast threshold will select 10 point to test again. Once data is larger than first time, it
is written as a false positive. When x% greater than 15%, it will be followed by XX to cause
operator attention.

False negative: x% selected 10 points to test again. The second test is smaller than the first
time, it is written as false negative. When x% greater than 15% followed by XX cause
operator attention.
３４
 Visual Field Series

Test time: time to complete the current test

Screening test pattern: DB map consisited of three strategies for screening (two regions, three
regions, defect quantification)

Two areas - visible point with O, not visible by ■;

Three regions - visible point with O, the relative defect with ╳ , absolutely defect by ■;

Defect quantification - visible point with O , defect value (in dB).

Screening test printouts specific content:

３５
 Visual Field Series

Blue visual target Red visual target

White visual target standard
standard parameters: size standard parameters: size
parameters: size as grade Ⅲ
grade Ⅴ grade III
Three Single Overview Three Three
Test Single Overview Single Overview
in one vision Analysis in in
Project vision Analysis vision Analysis
Report Report Report one one
10-2 √ √ √ √ √ √ √ × √
Threshold 24-2 √ √ √ √ √ √ √ × √
test 30-2 √ √ √ √ √ √ √ × √
library
60-4 √ × × √ × × √ × ×
Macular √ × × √ × × √ × ×
Nasal
√ × × √ × × √ × ×
step

Test Project Three in one Report Single vision Report Overview Analysis Report

10-2 √ × √
Threshold 24-2 √ × √
test
30-2 √ × √
library
60-4 √ × ×
Macular √ × ×
Nasal step √ × ×

Test Project Screening test library Three in one Single vision Overview Analysis

Screening test library √ × × ×

Special test library √ × × ×

３６
 Visual Field Series

6.11 Save and print report

After generating the report, click on the " " icon size, set the print size, then

click on " "to the report.

6.12 Document management

Entry query, click the query, the query results shows the patient document saved.
Double-click the document can open it to view the patient's test results.

３７
 Visual Field Series

7. Common Terms
Different light threshold: at a constant background illumination, if visibility of a stimulation
light spot (cursor) is 50%, the stimulation intensity of the light spot is the different light
threshold.

Short-term fluctuations: one perimetry inspection (usually within 20 minutes), one fixed
checkpoint for several times threshold detection, the discrete appeared is called short-term
fluctuations.

Long-term fluctuation: light threshold measured in different time have difference.

Inconsistent of light thresholds measurement results measured in two hours or days interval
called long-term fluctuations.

Vision Island: light sensitivity as Altitude, Area as the island range, vision can be described
as a three-dimensional visual Island remain "blind sea". Each point on the retina has a
corresponding position on the island. Foveal parts has the highest light sensitivity, it
constitutes the pinnacle of the island; while light sensitivity of the peripheral retinal has lower
peripheral vision, it constitute an altitude on the peripheral portion of the lower island.

Line of sight: the vertical height of any point on the island means the visual acuity of the
point; connection points in the same vertical height is the line of signt.

Physiological blind spot: correspondence to the optic nerve temporal fixation point 10 °
-15 °, an unseen area, known as the physiological blind spot. Physiological blind spot in the
vision island is a deep hole.

Tubular vision or center Island: Vision Extreme concentric narrowing, only 5 °

-10 °center vision remain.

Fan-shaped or wedge-shaped defects: fan-shaped defect, tip points to physiological blind

spot, mainly seen in the temporal visual field defect.

Quadrant defect: also known as quadrant hemianopia, two boundary defects were a vertical
line and a horizontal diameter line, that the scope of defects points is a quadrant of vision.

３８
 Visual Field Series

Hemianopia: visual field defect bounded by lines horizontal diameter line or vertical diameter
is called hemianopia. Hemianopia can be divided into vertical hemianopia (defect in vertical
diameter line), horizontal hemianopia (defect diameter horizontal line as the boundary, also
known as "semi-blind," in nerve fiber bundle visual field defects), ipsilateral hemianopia (the
right or left side of the eyes), the opposite side of the hemianopia (twin or double temporal
nasal).

Acular avoid: mainly seen in vertical hemianopia, when the dividing line between the blind
side and visible side go through the fixation point, to avoiding eye area, leave about a 5 °
field of vision in the center.

Dark spots: refers to the abnormal visual loss area or disappears area, when comparing with
the region and its adjacent area, light sensitivity decreases. Besides physiological blind spots
and dark spots of blood vessels, all dark spots of vision are considered abnormal.

Central dark spots: dark spots covering the fixation point with vision loss. It showes lesions
involving the fovea of the retina in the macula or optic nerve fiber bundles.

Blind central dark spots: central scotoma coving physiological blind spot, it indicates optic
fiber bundle damage the macula.

Paracentral dark spots: generally refers to less dark spots of 5 °outside, 25 °inside the
center, more common in the arcuate retinal nerve fiber bundle damage.

Arcuate dark spots: Refers to curved dark spots above or below the fixation point.

Ring dark spots: refers to the upper and lower arcuate scotoma which butt into the ring, it
seperates the visible region into two parts: the center and the surrounding area.

Relative dark spots: Refers to the dark spots disappeared when increasing the intensity of
the stimulate.

Absolute dark spots: Refers to thr invisible spots even when increasing the cursor to the
maximum brightness, physiological blind spot is absolutely typical dark spots.

３９
 Visual Field Series

Junctional dark spots: damage caused by the side of the optic nerve and chiasm junction.
The performance is the ipsilateral and contralateral central scotoma temporal quadrant
hemianopia.

Hemianopia dark center spots: central dark spots with hemianopia nature of dark. Spots is
limited to half of the central area, no more than the diameter of the vertical or horizontal line
diameter line.

Nasal step: the same threshold level, such as the line of sight in the nasal path is nasal step.

Limitations indentation: local light sensitivity decreased, but not form dark spots. Nasal
step, the temporal side of the line of sight, such as a wedge indentation is typical limitations
indentation.

Diffuse indentation: refers to full-field optical sensitivity coherence decreased. In kinetic

perimetry, such as the performance of all sight concentric narrowing; static perimetry is
manifested consistency DB value decreased , light threshold universality increased.

４０
 Visual Field Series

8. Maintenance
8.1 Maintenance
1. First turn on power of the monitor, and then turn on the computer main unit. When shut it
down, first turn off computer power, then turn off power of monitor.
2. Regular disk scan and defrag.
3. Keep the room should clean and dry, it is better to use air conditioning.
4. If not using the instrument for long time, regularly energized the main uniy (typically
three times a week, every time 4 hours).
5. If the device fails, you should notify the manufacturer or ask a professional service
personnel.
6. Clean chinrest part before each testing. After checking, clean again for next use.
7. Cleaning and disinfection: Use a clean gauze dampened with clean water to wipe vision
balls.
8. Gills bracket disinfection: Use cotton dampened with rubbing alcohol to wipe the
medical bay cheek to disinfect.
8.2 Additional notes

Movable multi-socket should not be placed on the ground.

Other removable perforated outlet or extension cord is strictly prohibited to access to

the systems.

Maximum allowable load of the movable multi-socket is 220V 10A.

Movable multi-socket can only be used to supply power to the system. Other
components connect the socket of the system may result in the following dangers:
1. The system does not work;
2. Movable multi-socket overloaded, damaged Movable multi-socket;
3. Cord overload;
4. Motor unpredictable danger

Operator should touch the patient and network power components at the same time.

４１
 Visual Field Series

When using this system, operator can not simultaneously touch the patient and printers,
computers and other non-medical electrical equipment.

9. Transportation and Storage

9.1 Pay attention to moisture, sun protection, anti-inversion during the transport process and
avoid excessive vibration and impact.
9.2 The instrument can be stored at a relative humidity: ≤ 90%; Ambient temperature: -5 ℃ -
55 ℃; Atmospheric pressure range: non-corrosive gases and airy interior of 500hPa ~ 1060
hPa.
9.3 For short distance transpotation, connection line between instruments should be separate
handling.
10. Graphical Symbols Explanation
10.1 Graphical Symbols on the device

Type BF applied part

Note

Earth wire

AC

Disconnect（Power）

Contected（Power）

10.2 Graphical Symbols on the Packaging Box

Avoid the rain;

４２
 Visual Field Series

Up to 10 layer

Up

Fragile

11. Trouble Shooting

11.1 Trouble Shooting
Symptom Analysis Trouble shooting
Print blank paper Out of ink Replace the ink cartridge or cartridges
Paper with static electricity
Tapping or shaking the paper;
Printer jams Paper size does not match the
Use paper that meet the specification
specifications
COMS settings are missing Reset COMS parameters
Power supply voltage is low or
Replacing the power supply
too high
Chassis-line running loose Shutdown, re-line
The system can
Cards inside the computer loose Reconnect each card
not start or
Memory are loose or damaged Reconnect or replace the memory
crashes
Virus infection antivirus
Run the program crashes or
exit the program, restart your computer
prompt an error
Hard disk is damaged Replace Harddisk
Color display card is powered off Connect line, turn on power
Display card not connect well Reconnect display card
Boot no display Signal cable of display card not
Reconnect
connect well
Display card damaged Replace color display card
Responder do not Connection line damaged Welding cable
work Button damaged Replace button

４３
 Visual Field Series

Control card damaged Replace or repair control card

12.Installation
12.1 Installtion
Find “Khsetup” directory in E, double-click

the icon to enter the installation interface.

1. Software Instation
Click on “Setup” behind "1. Projection perimeter software "
to install the software.

2. Driver Instalation

Click “ Setup” behind“2. driver (softdog, digital card, capture card) ", and click “Next”and
then select "Install" in the dialog that appears;
choose "still Continue. "Wait (Figure 6) appears, select" Copy files from "and click “ ok”.
Select "finish" to complete the driver installation. Then re-
Start the computer.

图3

４４
 Visual Field Series

Check Capture Card Driver: After installation, find "Sound, Video and game controllers " in

"Device Manager" where you can see the three drivers list as (Figure 7).

Video capture
card installed
sucessfully.

Pic7

４５
 Visual Field Series

UNIQUE OPTICS INC.

Address: 18800 NE 19th AVE, STE 406 – 33180 - Florida – USA
E-mail: info@uniqueoptics.com
Web: www.uniqueoptics.com

４６