Nidek Ark760a Manual

NIDEK
AUTO REF/KERATOMETER
Model ARK-760A
OPERATOR’S MANUAL
BEFORE USE OR MAINTENANCE, READ THIS MANUAL.
This Operator’s Manual contains information necessary for operation of the NIDEK
AUTO REF/KERATOMETER Model ARK-760A.
This manual provides information on operating procedures, cautions for safety,
specifications, accessories, and maintenance suggestions. The instrument complies
with ISO 10342 (Ophthalmic instruments - Eye Refractometers). IEC 60601-1 and
UL2601-1 standards are applied in this manual. The dioptric powers are indicated
with reference wavelength λd=587.56nm. This manual is necessary for correct
use. Especially, cautions for safety and operating procedures must be thoroughly
understood before using the instrument. Be sure to keep this manual together with
the instrument and read it whenever needed.
There are no user-serviceable parts inside the instrument except a printer paper and
fuses. Therefore, if you find any problems or have questions about the instrument
during operation, please contact your authorized distributor.
MEDICAL ELECTRICAL EQUIPMENT

34VK
UL2601-1
CAN/CSA C22.2 NO. 601.1
WITH RESPECT TO ELECTRICAL SHOCK, FIRE AND
MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH
UL260l-1 AND CAN/CSA C22.2 NO. 601.1
(This applies only to the equipments whose power source is 100/120Vac.)

Table of Contents
Page
§1 INTRODUCTION ........................................................................................................ 1-1
1.1 Outline of the Product ................................................................................................. 1-1
1.2 Classification .............................................................................................................. 1-1
1.3 Symbol Information .................................................................................................... 1-2
§2 SAFETY ........................................................................................................................ 2-1

2.1 Operation .................................................................................................................. 2-1
2.2 Storage ...................................................................................................................... 2-2
2.3 Placement ................................................................................................................. 2-2
2.4 Installation ................................................................................................................ 2-2
2.5 Wiring ....................................................................................................................... 2-3
2.6 After Use .................................................................................................................. 2-4
2.7 Maintenance and Checks .......................................................................................... 2-4
2.8 Disposal .................................................................................................................... 2-5
2.9 Labels ....................................................................................................................... 2-6
§3 CONFIGURATION ..................................................................................................... 3-1

§4 OPERATING PROCEDURES .................................................................................... 4-1
4.1 Operation Flow ......................................................................................................... 4-1
4.2 Preparation for Measurement ................................................................................... 4-2
4.3 Objective Power (AR) and Corneal Curvature (KM) Measurements ....................... 4-6
4.3.1 When using the auto-tracking function ........................................................... 4-6
4.3.2 When not using the auto-tracking function ................................................... 4-13
4.4 Unaided Visual Acuity Test .................................................................................... 4-19
4.5 Subjective Refinement............................................................................................ 4-22
4.6 Red/Green (RG) Test .............................................................................................. 4-32
4.7 Cylinder Test .......................................................................................................... 4-33
4.8 Near Vision Test ..................................................................................................... 4-34
4.9 Corneal Size (CS) Measurement ............................................................................ 4-38
4.10 Pupil Size (PS) Measurement ............................................................................... 4-40
4.11 Pupil Distance (PD) Measurement ....................................................................... 4-42
4.12 Measuring Sagittal Radius ................................................................................... 4-44
§5 PRINT OUT .................................................................................................................. 5-1

5.1 Printing Measurement Results ................................................................................. 5-1
5.2 Eyeprint ..................................................................................................................... 5-7
§6 OTHER FUNCTIONS ..................................................................................................Page
6-1
6.1 System Setups ............................................................................................................ 6-1
6.2 Setting Date and Time ............................................................................................... 6-11
6.3 Entering Comments .................................................................................................. 6-12
6.4 Measuring Hard Contact Lenses ............................................................................... 6-15
§7 TROUBLESHOOTING GUIDE................................................................................. 7-1

§8 MAINTENANCE ......................................................................................................... 8-1
8.1 Replacing Printer Roll .............................................................................................. 8-1
8.2 Fixing a Bunch of Chin Rest Paper .......................................................................... 8-3
8.3 Replacing Fuses........................................................................................................ 8-4
8.4 Cleaning the Measuring Window ............................................................................. 8-6
8.5 Cleaning Exterior ..................................................................................................... 8-7
8.6 List of Parts for Replacement ................................................................................... 8-7
§9 IC CARD SYSTEM (OPTIONAL) ............................................................................ 9-1

§10 SPECIFICATIONS .................................................................................................... 10-1
§11 ACCESSORIES .......................................................................................................... 11-1
11.1 Standard Accessories ............................................................................................ 11-1
11.2 Optional Accessories ............................................................................................ 11-1
A. Glossary ........................................................................................................................ A-1
B. APPENDIX .................................................................................................................. B-1
C. Index ............................................................................................................................. C-1

[This page is intentionally left blank.]
§1 INTRODUCTION
1.1 Outline of the Product

The ARK-760A is an auto ref/keratometer which is used to measure sphere, cylinder powers and
axis of the corrective lens to aid the patient’s vision properly.
The instrument objectively measures the refractive power of the patient eye with infrared rays
and it subjectively measures the refractive power by using the built-in charts and corrective
lenses.
This instrument has a main body and a measuring unit integrated on one base. On the base is a
chin rest on the patient’s side and a printer on the operator’s side which makes an output of
measurement results. On the main body is a TV monitor, a control panel, and a joystick, which
are used to make alignments or manipulation. The measuring unit has a measuring window,
where the patient looks into and where the infrared ray radiates on the patient’s eye. Also, there
is an auto-tracking mechanism which moves the measuring unit to follow eye movement, and an
auto-shot function, which makes serial measurement start automatically when the instrument
becomes correctly focused.
1.2 Classification
[Classification under the provision of 93/42/EEC (MDD)] Class IIa
ARK-760A is classified into Class IIa system.
[Form of protection against electrical shock] Class I

The ARK-760A is classified as a class I instrument.
The class I instrument is an instrument in which protection against electrical shock does not
rely on basic insulation only, but which includes an additional safety precaution that provides
for a connection of accessible conductive parts to the protective (earth) conductor in the fixed
wiring of the installation. Therefore; accessible conductive parts cannot become activated in
the event of failure in the basic insulation.
Use the power outlet which is equipped with a ground terminal.
[Degree of protection against electrical shock] Type B Applied Part

ARK-760A is provided with a Type B Applied Part.
The Type B Applied Part provides an adequate degree of protection against electrical shock,
particularly regarding the following:
- allowable leakage currents
- reliability of the protective earth ground connection (If applicable)
[Degree of protection against ingress of liquids] IP20

ARK-760A is classified as IP20.*1
ARK-760A is a normal instrument, which is provided with an enclosure not completely
waterproof.
Avoid splashing water on the instrument.
*1 In accordance with IEC 60529

1-2
[Degree of protection against flammability]
The ARK-760A is classified as an instrument not suitable to be used in a potentially flammable
environment.
Do not use near flammable materials.
[Method(s) of sterilization or disinfection recommended by manufacturer]

It is possible to wipe the forehead rest and chin rest with a cloth dampened with alcohol as
necessary.
[Mode of operation]
Classification of ARK-760A: Continuous operation
1.3 Symbol Information

This symbol on the body indicates that caution should be taken. Refer to the operator’s
manual before use.
This indicates that the degree of protection against electrical shock of the applied part is
classified as a Type B Applied Part.
This symbol on the power switch indicates the power is ON.
This symbol on the power switch indicates the power is OFF.
Fuse rating.
This indicates the interface connector for LENSMETER.
This indicates the interface connector for an external computer.
This indicates that the instrument must be supplied only with alternating current.
This indicates the knob for adjusting contrast.
This indicates the knob for adjusting brightness.

§2 SAFETY
In this manual, a Signal Word is used to designate a degree or level of safety alerting,
whose definitions are as follows.
CAUTION: Indicates a potentially hazardous situation which, if not

avoided, may result in minor or moderate injury or
property damage.
Even the cases mentioned in CAUTION may result in serious injury under a
certain situation. Be sure to observe the instructions of CAUTION.
2.1 Operation
CAUTION
• Never disassemble or touch the inside of the instrument.
This may result in an electric shock or instrument malfunction.
• Be sure to use the wall outlet which meets the requirements of power specification.
If the line voltage is too high or too low, the instrument may not give full performance.
Malfunction or a fire also may occur.
• Never yank the power cord to disconnect from wall outlet but hold the plug while
disconnecting.
This can weaken the metal core of the cord and may result in a short circuit or an
electric shock.
• Do not place the instrument on the power cord.

The sheath of the cord becomes ragged and may cause an electric shock or a short circuit.
• If the metal core of the power cord is exposed, power turns on and off by shaking the
cord, or cord/plug gets so heated that one cannot hold it, it means that the cord is
damaged. Immediately replace the cord.
This may cause an electric shock or a fire.
• Do not use the instrument for other than the intended purpose.
NIDEK will not be responsible for accidents or malfunction caused by carelessness.
• In the event of a malfunction, do not touch the inside of the instrument, but remove the
power cord and contact your authorized distributor.
• The measured values of objective refractive power obtained by the ARK-760A are
intended to be used as a reference of lens prescription for the correction of visual acuity
with spectacle or contact lenses. Manifest refraction must be used as the basis for
spectacle or contact lens prescription.
• In advance of a measurement of each patient, wipe the forehead rest and chin rest with
a clean cloth. Moreover, remove one chin rest paper for each patient if a bunch of the
chin rest papers is fixed on the chin rest. If necessary, wipe the forehead rest and chin
rest using a cloth dampened with rubbing alcohol.
2-2
CAUTION
• Information on the avoidance of overexposure to potentially hazardous optical radiation (ISO
15004: 1997)
Spectrally weighted photochemical radiances LB and LA give a measure of the potential that
exists for a beam of light to cause photochemical hazard to the retina. LB gives the measure
for eyes in which the crystalline lens is in place. LA gives this measure either for eyes in which
the crystalline lens has been removed (aphakes) and has not been replaced by a UV-blocking
lens or for the eyes of very young children.
The value stated for this ophthalmic instrument gives a measure of hazard potential when the
instrument is operated at maximum intensity and maximum aperture. The values of LA or LB
for the ARK-760A are sufficiently low as shown on the following page.
The retinal exposure dose for a photochemical hazard is a product of the radiance and the
exposure time. For instance, at a radiance level of 1 mW/(cm2•sr), 240 min irradiation of the
dilated (8 mm diameter) pupil would cause the retinal exposure dose level to attain the
recommended exposure limit. If the value of radiance were reduced to 0.1 mW/(cm2•sr), ten
times that time (i.e. 2400 min) would be needed to reach the recommended limit. The
recommended exposure dose is based on calculations arising from the American Conference
of Governmental Industrial Hygienists (ACGIH) - Threshold Limit Values for Chemical
Substances and Physical Agents (1995 - 1996 edition).
The following page shows the graph of spectrum output for the ARK-760A. Patients will be
at low risk of acute optical radiation with the ARK-760A. However, it is recommended that
the intensity of light directed into the patient’s eye be limited to the minimum level which is
necessary for diagnosis. The total of the retinal exposure dose must be carefully watched for
infants, aphakes and persons with diseased eyes who are at greater risk when other ophthalmic
instruments with a high level of radiance are used in conjunction.
2-3
CAUTION
Spectrum output of all light source during AR measurement (maximum light intensity)
ARK-710A / 光放射ｴﾈﾙｷﾞｰ / AR測定時
6
放射照度：(μW/c㎡)
3
Irradiance:
0
300 400 500 600 700 800 900 1000
波長：(nm)
Wavelength:
Spectrum irradiance
*1 LA (µW/cm2/sr) 380 - 700 nm 0.788
*2 LB (µW/cm2/sr) 305 - 700 nm 0.089
Spectrum output of all light source during KM measurement (maximum light intensity)
ARK-710A / 光放射ｴﾈﾙｷﾞｰ / KM測定時
6
放射照度：(μW/c㎡)
3
Irradiance:
0
300 400 500 600 700 800 900 1000
波長：(nm)
Wavelength:
Spectrum irradiance
*1 LA (µW/cm2/sr) 380 - 700 nm 0.008
*2 LB (µW/cm2/sr) 305 - 700 nm 0.001
*1 LA: Spectrally weighted photochemical aphakic source radiance

*2 LB: Spectrally weighted photochemical phakic source radiance
2-4
{ Patient environment
The patient environment represents a space where there is a possibility of direct contact between
the patient or the operator and third person.
When another type of device is used in the patient environment, use a device that complies with IEC
60601-1. If the devices that do not comply with IEC 60601-1 are used, it is necessary to use an
isolating transformer to power the device or to connect the devices to additional protective grounding.
Radius of 1.5 m
2.5 m
1.5 m 1.5 m
2-5
2.2 Storage
CAUTION
• Do not store the instrument in a place where it may get wet or where poisonous gas
or liquid is stored.
• Avoid storing the instrument in an area with excessive heat, humidity, or dust.
To preserve the appearance or internal parts of the instrument, avoid direct exposure to
sunlight.
2.3 Placement
CAUTION
• Do not drag the instrument by its cord or cable.
This may cause possible injury or instrument damage.
• To carry the instrument, hold it from the side with both your hands on its base. (Do not
ever hold the forehead rest to lift up the instrument.)
This may result in possible injury or instrument damage.
2.4 Installation
CAUTION
• Before connecting the power cord or interface cable, provide a stable, level, and open
space.
Since receptacles are under the base unit, the instrument may stumble down and may
cause injury or instrument malfunction.
• Do not install the instrument near water.

If water gets into the internal structure, there is the possibility of electrical shock or
instrument malfunction.
• Install the instrument in a stable and level place where vibration or shock does not occur.
The instrument may not perform measurement correctly or may malfunction.
Also, if the instrument is tripped over because of any accidental shock, it
may result in possible injury.
2-6
CAUTION
• Install the instrument in the following conditions.
A low dust environment
A low light interference environment
A vibration and shock free environment
• Install the instrument in the environment whose condition can be maintained under
the follows. Use the instrument under the following temperature and humidity.
Use environmentTemperature : 10 - 40 ºC
Humidity : 30 - 85% (non-condensing)
• This instrument has been tested and found to comply with the limits for medical devices
to the IEC-60601-1-2: 1993, EN60601-1-2: 1994, Medical Device Directive 93/42/
EEC. These limits are designed to provide reasonable protection against harmful
interference in a typical medical installation. This instrument generates, uses and can
radiate radio frequency energy and, if not installed and used in accordance with the
instructions, may cause harmful interference to other devices in the vicinity. However,
there is no guarantee that interference will not occur in a particular installation. If this
instrument does cause harmful interference to other devices, which can be determined
by turning the instrument off and on, the user is encouraged to try to correct the
interference by one or more of the following measures:
- Reorient or relocate the receiving device

- Increase the separation between the instrument.
- Connect the instrument into an outlet on a circuit different from that to which
the other device (s) are connected.
- Consult the manufacturer or field service technician for help.
2.5 Wiring
CAUTION
• Be sure to use a (HOSPITAL GRADE) wall outlet equipped with a grounding terminal
in order to avoid an electric shock or fire in the event of a power leak.
2-7
2.6 After Use

CAUTION
• If the instrument is not be used for a long time, disconnect the power cord from the wall
outlet.
This may cause a fire.
• When the instrument is not in use, turn off the power switch and place the cover over the
machine.
If the instrument is not covered, dust may affect the measurement accuracy.
2.7 Maintenance and Checks

CAUTION
• Disassembling for service is not permitted except at NIDEK or authorized distributor.
• Be careful not to leave fingerprints or dust on the measuring window.

This will substantially lower the reliability of the measurement results.
• Never use an organic solvent such as paint thinner to wipe the exterior.
This may ruin the surface.
• When the instrument is sent back to NIDEK for repair or maintenance, wipe the surface
(especially, the area where the patient’s skin contacts) of the instrument with a clean
cloth immersed in ethyl alcohol for disinfection.
• Contact NIDEK or your authorized distributor to check whether the instrument needs
measurement accuracy calibration if the AR-measured results are largely different from
the subjective measurements.
2-8
2.8 Disposal
CAUTION
• Follow local governing ordinances and recycling plans regarding disposal or recycling of
device components.
Especially the disposing method of lithium batteries varies according to the government.
As rechargeable lithium battery is used in the insturment, follow the local governing
ordinates and recycling plans when disposing a board with lithium batteries.
• When disposing packings, sort them by the materials and follow the governing ordinances
and recycling plans.
2-9
2.9 Labels
The following labels provide safety information about each part.
or
or
or
or
§3 CONFIGURATION
If optionally ordered:
IC Card System
BTV Monitor
Display Panel
Changing Button
Cover for Switches
Print Button
R/K Button Locking Knob
IOL Button
Printer
Power Switch
Auto-shot Button
UP Button
Auto-tracking Button
DOWN Button
IC Card System (Optional) Display Panel

If the optional IC card system has been Displays refractive powers, CS (corneal size),
ordered, the IC card Reader/Writer should PS (pupil size), and PD (pupil distance)
have been factory-built in this part. measurements. The indicators of R (right) or
L (left) shows the measuring eye side as well
TV Monitor as the eye side of the measurement result on
Displays the patient’s eye, Target, Focusing the display.
indicator, KM (Corneal curvature)
measurements, measuring count, Mire ring Cover for Switches
projected on the patient’s eye, etc. Inside, there are two switches for setting
measurement conditions, a switch for
printing “Eyeprint”, and also knobs for
adjusting contrast and brightness of the
TV monitor display.
3-2
Locking Knob
Used to fix the main body to the base unit. Should be pressed to turn on IOL mode when
To lock the main body, bring the main body measuring an IOL-implanted eye or an eye
to the center of the base unit, and turn the with a Contact Lens (CL) on. If such eye is
knob counterclockwise while pressing it measured without turning on the IOL mode,
down. To temporarily lock the body at any an error may appear and measurement may
position, turn the knob clockwise. not be completed.
Do not lock the main body with this During the subjective refinement and the
locking knob during transport. Otherwise, near vision test, it is used to proceed to the
breakdown of the instrument may result. next step of the programmed sequences.
Used during CS and PS measurements to Used to change modes to select whether to

move the guide lines on the TV monitor. perform AR and KM measurements in
Also used to change VA value when testing succession or separately. The mode
visual acuity. changes in the order of R/K mode (AR and
KM in succession), →OBJ. MEAS. mode
(AR measurement), →K mode (KM
Changes between on/off of the auto-tracking measurement), →R/K mode... .
function. When the auto-tracking function is
on, the instrument automatically controls the
up, down, right, and left movement of the Prints the measurement results if pressed after
measuring part to adjust the alignment. measurement.
Used during CS and PS measurements to Used to change from AR/KM measurements

move the guide lines on the TV monitor. to CS/PS/PD measurements.
Also used to change VA value when testing By pressing this button measurement mode
visual acuity. changes in the order of CS →PS →Manual
PD →CS... .
(To return to AR/KM measurements from
Changes between on/off of the auto-shot CS/PS/PD measurements, press .)
function. It is available only when the During the visual acuity test for distance
auto-tracking function is on. When the vision or cylinder test, used to switch
auto-shot function is on, the instrument among SPH, AXIS and CYL.
automatically starts serial measurement as When testing near vision, used to switch
soon as the instrument is best aligned and between ADD and WD.
in the best focus (AR and KM
measurements). Also used to activate the
recall function during the subjective
refinement and the near vision test.
3-3
Chart Buttons
Start Button
Memory Indicator
Joystick
Dial
Chart buttons
The following six chart buttons are used to present
the chart in front of the patient.
Scenery Chart Button Dot Chart Button

Cross-grid Chart Button Astigmatism Clock dial
R/G Chart Button VA Chart Button Chart Button
3-4
• Cross-grid Chart Button • Astigmatism Clock Dial Chart Button Used
Used to present the cross-grid chart and to present the astigmatism clock dial chart
place the instrument in the addition power and place the instrument in the cylinder test
measurement mode. mode.
Also used to switch between CYL and
• R/G Chart Button AXIS during the cylinder test.
Used to present the Red/Green chart and
place the instrument in the Red/Green Start Button
test (RG test ) mode. Used to start the AR/KM or PD
measurement.
• Scenery Chart Button Also used to change the item number of
Used to present the scenery chart and system parameters.
place the instrument in the objective When pressed during the XC test
measurement mode. Switching between the Chart 1 and the
The switch is also used to switch Chart 2 is done.
between the scenery chart and When pressed during the cylinder
astigmatism clock dial chart during test
the objective measurement. the instrument is put into the XC test
mode.
• VA Chart Button When pressed during testing aided
Used to switch to the mode for testing visual acuity or checking objective
visual acuity. correction
When pressed during the
the instrument is put into the R/G test
Objective measurement mode
mode.
Unaided visual acuity test is enabled.
When pressed during the addition Joystick
power measurement Used to move the main body right, left, back
Near vision test is enabled. and forth. By turning this, the measuring unit
When pressed during the can be moved up and down.
subjective refinement
Aided visual acuity test is enabled. Dial
Also used to switch between the Use to change sphere (SPH), cylinder (CYL),
whole VA chart and single-line chart axis (AXIS), addition (ADD) powers and
during visual acuity test. working distance (WD) value.
• Dot Chart Button Memory Indicator

Used to present the dot chart to place The lamp is illuminated while measurements
the instrument in the cross cylinder are being memorized.
(XC) test mode. The lamp will go out as soon as the
When pressed during the XC test measurements has printed out and the
instrument has begun the next
The XC test for axis refinement and measurement.
that for cylinder power refinement
can be switched.
3-5
Screen indications during objective measurement
Auto-tracking ON Mark
Auto-shot ON Mark
Mire Ring
Cylinder Mode Indication
Focusing Indicator
Measuring Count Target
Indication
Min. Pupil Mark
Screen indications during subjective refinement
Base Values
Mire Ring
Min. Pupil Mark
Cylinder Mode Indication
Focusing Indicator
Target
Operational Message
Auto-tracking ON Mark Auto-shot ON Mark

Shows that auto-tracking function is active. Shows that the auto-shot function is active.
(During objective [AR] and KM (During objective [AR] and KM
measurements) measurements)
3-6
Mire Ring Operational Message
Should be in focus at measurement. With this The message shows the current mode (see
ring projected on the cornea, it is possible to the following table) and the next procedural
observe the corneal shape. When auto- step.
tracking function is on, you may move this
ring close to the target so that the instrument Current mode Message
Objective measurement ≪OBJ. MEAS.≫ ≪R/K≫ ≪K≫
automatically begins alignment (controls the
Unaided VA test ≪VA TEST≫ UNAIDED
up, down, right, and left movement of the main Checking objective ≪VA AR≫
body to make the ring concentric with the correction ≪VA SUBJ≫
target). When the function is off, you should Recalling the data when ≪RECALL≫
manually place the ring concentric with the checking objective LM
target. correction ≪RECALL≫
UNAIDED
Cylinder Mode Indication ≪RECALL≫

AR
Indicates the current cylinder mode. RG test ≪RG TEST≫
TG test ① ≪RG TEST≫
Focusing Indicator TG test ② ≪RG TEST≫
When the auto-shot function is on, indicates XC test ≪AXIS XC TEST≫

≪CYL XC TEST≫
the focusing condition (distance between the
Cylinder test ≪CYL TEST≫
measuring unit and the patient’s eye). (During
Aided visual acuity test ≪VA TEST≫
objective [AR] and KM measurements) Recalling the data when ≪RECALL≫
When the auto tracking function is on, indicates checking aided VA LM
the focusing condition (distance between the ≪RECALL≫
measuring unit and the patient’s eye.) (During UNAIDED
subjective refinement) ≪RECALL≫

AR
Addition power ≪NEAR TEST≫
Target measurement
Used during measurements as a guide to place Near vision test ≪NEAR VA≫
the patient’s eye in the center of the TV Recalling the data when ≪RECALL≫
monitor. checking near VA ADD=0

Final display ≪END OF LEFT EYE≫
≪END OF RIGHT EYE≫
Min. Pupil Mark
Indicates the minimum pupil size measurable.
The instrument may not perform measurement
The icons which appear on the operational
when the measuring pupil is smaller than this
message show the buttons as follows.
mark or eyelash is on this mark.
→ , → , →
Base Values → , → Start Button
The values will be the starting values for the
subjective refinement. The selected AR value , → , , , → Dial
or ex-LM data will be used as the data.
3-7
Contrast Control
Brightness Control
Setting Switch
CYL Mode switch Eyeprint Switch
Auxiliary Switches
3-8
Contrast Control
Used to adjust the contrast of the TV monitor.
Brightness Control
Used to adjust the brightness of the TV
monitor.
Used when setting system parameters, setting

date and time, and writing comments.
Prints only the basic result and an Eyeprint,

which graphically tells the refractive status
of the eye, by pressing it after
measurement.
The eyeprint will be printed out regardless
of the settings in system parameter. Also,
used to select one of parameter setting
modes or date & time setting mode.
Changes the cylinder mode, the reading

direction of cylinder data.
+ mode ........ C y l i n d e r d a t a w i l l b e
indicated by + reading.
- mode ......... C y l i n d e r d a t a w i l l b e
indicated by - reading.
MIX mode .. C y l i n d e r d a t a w i l l b e
indicated by + reading when
the refractive power is
positive for any axis angle. In
other cases, cyl. data will be
indicated by - reading.
· The cylinder mode can be changed even
after measurement.
· Data will be printed out with the mode
status at the time of the printout.
3-9
Forehead Rest Measuring Window
Eye Level Marker
LED for Corneal

Illumination
Chin Rest
PD Window
Chin Rest Knob
From-the-top view
V Control of TV Monitor
Underside View
H Control of TV Monitor
Fuses
Power Inlet
Interface Connectors
3 - 10
Measuring Window Interface Connectors*1
Patient looks at the chart through this window. side :
Connect the interface cable to transfer
Eye Level Marker measured results to an external computer.
A guide for the patient’s eye level for side :
measurement. The height of the chin rest Connect the interface cable from the
should be so adjusted that the center level lensmeter to import measured results from
of the patient’s eye almost aligns with this the lensmeter. If the ARK-760A is
line. equipped with an IC card system, the
connector on side can not be used.
Chin Rest Knob By connecting the Lensmeter to side
Used to moves the chin rest up and down. of the interface connectors and the refractor
You can use the eye level marker as a guide RT-2100/RT-1200 to side, the LM
to adjust patient’s eye level to the (Lensmeter) data can be transmitted to the
comfortable height for measurement. refractor via the ARK.*2 By pressing the
print button on the Lensmeter, the data
Fuses transmission will be started.
Be sure to use the specified ones.
H Control of TV Monitor
Power Inlet Adjusted with a screwdriver when the display
The attached power cord is to be connected does not lock horizontally. Can be found under
here. the main body.
V Control of TV Monitor
Adjusted with a screwdriver when the display
does not lock vertically. Can be found under
the main body.
*1 Accessory equipment connected to the analog and digital interfaces must be certified according
to the representative appropriate national standards (for example, UL 1950 for Data Processing
Equipment UL 2601-1 for Medical Equipment, and CSA C22.2 No. 601-1, EN 60601-1 and
IEC 60601-1.) Further more all configurations shall comply with the system standard IEC
60601-1. Everybody who connects additional equipment to the signal input part or signal
output part configured a medical system, and is therefore responsible that the system complies
with the requirements of the system standard IEC 60601-1. If in doubt, consult the technical
service department or your local representative.
*2 When communicating with the Lensmeter, set communication parameters for each instrument
as follows. For the setting procedure, see the Operator’s Manual of each instrument.
• ARK-760A • NIDEK Lensmeter
53: Baud Rate = 9600 RS-232C = NIDEK
54: Bit Length = 8 Baud Rate = 9600
Parity = Odd
Data Bits = 8
Stop Bits = 1
§4 OPERATING PROCEDURES
4.1 Operation Flow

Power ON

4.2 Preparation for Measurement (p. 4-2)

Measurements
→ 4.3 Objective (AR) and Corneal curvature (KM) measurements (p. 4-6)
→ 4.3.1 When using the auto-tracking function (p. 4-6)
→ 4.3.2 When not using the auto-tracking function (p. 4-13)
→ 4.4 Unaided Visual Acuity Test (p. 4-19)

→ 4.5 Subjective Refinement (p. 4-22)
Checking objective corrections
Red/Green test (RG test )
Cross cylinder test (XC test)
XC test for axis refinement
XC test for cylinder power refinement
Red/Green test (RG test )
Aided visual acuity test
→ 4.6 Red/Green (RG) Test (p. 4-32)
→ 4.7 Cylinder Test (p. 4-33)
→ 4.8 Near Vision Test (p. 4-34)
Addition power measurement
Near vision test
→ 4.9 Corneal Size (CS) Measurement (p. 4-38)
→ 4.10 Pupil Size (PS) Measurement (p. 4-40)
→ 4.11 Pupil Distance (PD) Measurement (p. 4-42)
→ 4.12 Measuring Sagittal Radius (p. 4-44)

5. PRINT OUT (p. 5-1)

Power OFF

(Determine final prescription by subjective refraction.)
4-2
4.2 Preparation for Measurement

1. Turn ON the power switch.
The display panel indicates as shown below. On the TV monitor, you will see the target, focusing
indicator and Min. Pupil Mark in the center, Auto-tracking ON mark, and Auto-shot ON mark on
the top center, Cylinder mode indication on the top right, and Measuring mode, Measuring count,
and KM measurements on the bottom left.
Auto-tracking
ON Mark
Auto-shot
ON Mark
Min. Pupil Mark Target Focusing

Indicator
Just after power-up, the main body makes slight movement to the left and right. The movement
is for determining the initial position for tracking, and not faulty movement.
NOTE
• If “< PD ERR >” message is on the left of
the TV monitor, the instrument may not
recognize the left and right (measurement
may not be performed binocularly), and
also PD (pupil distance) may not be
measured. Check the PD window. If the
PD window is covered by anything,
remove it. If covered by dust, wipe lightly
with a swab with little alcohol to clean it.
If “<PD ERR>” message is indicated on
the monitor even after performing the
corrections described above, install the
instrument in a low light interference
environment since the error may occur
due to the light interference.
4-3
NOTE
• “Err” appears on the TV monitor if the power switch is turned ON on condition that the
printer paper is not set.
To correct the condition, turn ON the power switch again after setting the printer paper
roll into the printer housing. (See “8.1 Replacing Printer Roll”.)
2. Open the cover for switches and set

measurement conditions, etc.
The cover can be opened by sliding it to the
left.
a. Using :
Perform system setups. As to the procedure,
see “6. OTHER FUNCTIONS”.
b. Using :
Set the cylinder mode, indication of cylinder
reading direction.
CYL + .... Indicates cylinder power by + reading.
CYL –..... Indicates cylinder power by - reading.
CYL ± .... Indicates the cylinder power by + reading when the refractive power is positive for
any axis angle. Indicates the cylinder power by - reading in other cases.
(MIX)
* The cylinder mode can be changed even after measurement.
* Data will be printed out with the mode status at the time of printout.
* When the cylinder mode is set to CYL+, the AXIS value in the KM measurement indicates
the angle of the major meridian. In other cases (CYL – or CYL ±), the AXIS value indicates
the angle of the minor meridian.
3. Press to select the measuring mode.
The mode changes in the order of R/K, → OBJ. MEAS, → K, → R/K... .

R/K mode ....AR/KM measurements in succession
R mode ........AR measurement
K mode ........KM measurement
4-4
4. If you are “AR-measuring” an IOL-implanted eye or an eye with a Contact Lens (CL) on,
turn on the IOL mode by pressing .
IOL ON mark appears on the top left of the monitor.
NOTE
• When “AR-measuring” an IOL-implanted
eye or an eye with a Contact Lens (CL)
IOL ON Mark
on, the IOL mode should be turned on. If
such eye is measured without turning on
the IOL mode, an error message may
appear and measurement may not be
completed.
• The IOL mode automatically turns off by

sliding the main body or after printout.
• The IOL mode automatically turns on

when an error occurs for AR measurement
three times. (Auto IOL*1)
5. Prepare the patient’s condition.
1) Clean the forehead rest and chin rest with a

clean gauze.
If a bunch of chin rest papers is fixed
on the chin rest, remove one paper.
2) Instruct the patient to take off his/her glasses

or contact lenses and to have a seat.
3) Instruct the patient to place his/her chin on

the chin rest and to rest his or her forehead
on the forehead rest.
4) Adjust the height of the chin rest by turning

the chin rest knob until the center level of
the patient’s eye aligns with the eye level
marker.
NOTE
• To relax the patient, explain the following before measurement. “This instrument
measures your eye with infrared rays to find which kind of lens fits you. The infrared
ray does not harm to your eyes.”
*1 < Auto IOL >

The on/off of Auto IOL function can be changed in the system parameter. As to the changing
procedure, see “6.1 System Setups”.
4-5
6. Perform rough alignment.
1) Instruct the patient to “Look through the

measuring window. As you will see a picture
of a balloon*2, watch the center of it without
straining.”
2) Manipulate the joystick to place the patient’s

eye on the TV monitor.
By moving the joystick laterally, the main
body moves right, left , back and forth. By
turning the joystick, the measuring unit
moves up and down. Align the eye position
to the measuring point with right, left, up
and down movements. Adjust the focus with
back and forth movements.
NOTE
• If the center of the mire ring is shifted from the center of the pupil and the Min. pupil
mark is on the iris in auto-aligned condition, turn off the auto-tracking function and
bring the Min. pupil mark into the center of the pupil to perform measurement.
*2 The chart which is initially presented in the objective measurement can be changed in the
system parameter.
4-6
4.3 Objective (AR) and Corneal Curvature (KM)

Measurements
4.3.1 When using the auto-tracking function

1. Perform fine alignment and focusing.
Move the mire ring close to the target so that the instrument automatically starts aligning (controls
the up, down, right, and left movement of the measuring unit to bring the ring concentric with
the target).
When auto-shot function is on, the focusing indicator appears.
1) Move the joystick back and forth until the

focusing indicator shows the ideal state
“ ”.
Too close to the patient’s eye
Pull the joystick forward to move the main body away

from the patient’s eye.

Ideal state

Pull the joystick back to move the main body close to
the patient’s eye.
Too far from the patient’s eye
NOTE
• To turn off the auto-shot function, press . To turn it on, press it again.
• Serial measurement starts automatically when the instrument is best aligned and in
ideally focus.
• The auto-shot function is available only when the auto-tracking function is on.
• When the auto-shot function is off, focus manually. The instrument is in ideal focus
when the mire ring is at its thinnest.
4-7
NOTE
• The instrument may not perform correct measurement when the eyelash is on the Min. Pupil
Mark. In such cases, instruct the patient to open his/her eye wide. If the patient can not
open wide, lift the patient’s lid, paying attention not to press against the eyeball.
• The auto-tracking function does not work unless the mire ring is at around the center
of the TV monitor. If the mire ring is off the center, manipulate the joystick to move it
in.
When the position of the mire ring goes
outside of the working range of the
auto-tracking, a limit mark (a pair of
arrows) appears with “<LIMIT>” sign
on the left. In such a case, either move
the joystick in the direction of the
arrows or move the main body back
once to make alignment again. The
measurement will not perform as long
as the limit mark in on.
2. Perform measurement.
Serial measurement starts automatically when the instrument is best aligned and in ideal focus.
NOTE
• Instruct the patient not to blink during measurement.
a. When measuring mode is set to << R/K >>:
You will hear a short beep.

KM measurement will take place.
Measuring count will be shown on the TV monitor.

4-8
NOTE
• When AI mode*1 parameter is set to “NO”, one serial measurement will contain three
shots. The number of shots can be changed in the system parameter.

When selected KM value is obtained and KM measurement completes, the latest value of
KM measurement will be shown on the TV monitor.

You will hear a short beep again.

The patient’s view will be fogged.

AR measurement will take place.
You will hear a long beep, and count of measurement will be shown on the TV monitor.
NOTE
• When the auto-shot function is on, AI Mode activates automatically regardless
of AI mode parameter setting, and the AR measurements will take place in
Highspeed mode*2 without pressing the start button.
• When the auto-shot function is off, the start button should be pressed manually
to start measurements. AR measurements will continue to KM measurements
in the Highspeed mode while the start button is held down.
*1 < AI mode >

This is a mode where the instrument completes a measurement as soon as a selected value is
obtained.
*2 < Highspeed mode >

This mode, when the start button is held down in AR measurement, enables you to keep the fog
throughout the serial measurement. As to the procedure of disabling or reactivating the Highspeed
mode, see “6.1 System Setups”.
4-9

When selected AR Value is obtained, measurement is completed.
“<FINISH>” appears on the left of the TV monitor, and the AR measurement will be
shown on the display panel. The display panel always shows the latest measurement.
NOTE
• If “Error Data” of the parameter is set to “YES” and there are not any variations in the three
measurements, the AR measurement ends. If there is an error data (confidence coefficient=E)
in the measurements, the AR selected value is not obtained.
• If you want to repeat a measurement, press the start button again.

“< FINISH >” sign disappears, and auto-shot function starts again.
• The instrument can memorize up to 10 AR and KM measurements each for right and left
eye.
If the measurements exceed 10, older data will be cleared in turn.
b. When the measuring mode is set to << OBJ. MEAS >>:



4 - 10

When selected AR value is obtained, measurement completes.
shown on the display panel. The display panel always shows the latest measurement.
NOTE

• The instrument can memorize up to 10 AR measurements each for right and left eye.
If AR measurements exceed 10, older data will be cleared in turn.
c. When the measuring mode is set to << K >>:


When selected KM value is obtained and
measurement completes, the latest value of KM
measurement will be shown on the TV monitor.
4 - 11
NOTE
• The instrument can memorize up to 10 KM measurements each for right and left eye.
If KM measurements exceed 10, older data will be cleared in turn.
3. Measure the other eye in the same manner, or enter the unaided visual acuity test or the
programmed subjective refinement.
To start unaided visual acuity test Press .
To start the programmed sequences of the subjective refinement Press .
When the instrument is put into the subjective refinement, a corrective lens of selected
AR value will be placed in front of the patient.
NOTE
• When the parameter “7: Print” is set to “Auto”, printout (auto-printout) will
automatically be done after the objective measurement for both eyes.
Please note that if the instrument goes into the subjective refinement just after the
auto-printout, the subjective tests based on the obtained objective readings cannot
be done. This is because the readings are automatically cleared after the printout.
The auto-printout cannot be done if unaided visual acuity test or subjective refinement
is performed before objective measurements for both eyes are obtained.
• The instrument will automatically enter into the subjective refinement after it obtains
selected AR value on condition that the parameter “21: Auto Subj” is set to “YES”.
Under the condition, the auto-printout cannot be done.
4 - 12
NOTE
• When error or error data*1 appears, the cause may be one of those mentioned below. If
those signs appear again after repeating measurement, check the followings.
a.Patient blinked during measurement.
b.The eyelid or eyelash is on the Min. pupil mark.
c.The patient “s pupil is smaller than the Min. pupil mark. (Let the patient be in a
dark room for a while and wait until the pupil diameter becomes large enough
for measurement.)
d.Retinal reflection is extremely low due to an optical disease such as a cataract.
e.There is some unusual reflection
on the cornea during measurement.
(In this case, measurement may not
be performed unless IOL mode is on.)
f.There is an extreme distortion on the
cornea.
• When AI Mode parameter is set to “NO”, take about three shots for AR measurement.
If the measurement result is not stable, take some additional shots.
*1 < Error data >

Data that the confidence index of AR measurement is “E”. (See “6.1 System Setups”.)
4 - 13
4.3.2 When not using the auto-tracking function

Press once (When pressed again, auto tracking function turns ON.).
Mire ring
1) Manipulate the Joystick so that the center

of the Mire ring and target will be the same.
2) Move the Joystick back and forth to perform

focusing until the Mire ring will be the
thinnest.
Min. Pupil mark

NOTE
• The instrument may not perform correct measurement when the eyelash is on the Min.
Pupil Mark. In such cases, instruct the patient to open his/her eye wide. If the patient
can not open wide, lift the patient’s lid, paying attention not to press against the eyeball.
2. Perform measurement.
Press the start button.
The measuring count will start blinking.
NOTE
• Instruct the patient not to blink during measurement.
4 - 14
a. When the measuring mode is set to << R/K >>:

NOTE
• When AI mode*1 parameter is set to “NO”, one serial measurement will contain
three shots. The number of shots can be changed in the system parameters.

When selected KM value is obtained and KM measurement completes, the latest value of KM
measurement will be shown on the TV monitor.

You will hear a short beep again.


NOTE
• AR measurements will continuously be made in Highspeed mode*2 while the
start button is held down.
*1 < AI mode >

This is a mode where the instrument completes measurement as soon as the selected value is
obtained in AR/KM measurement. But if “Error Data” of the parameter is set to “YES” and there are
not any variations in the three measurements, the AR measurement ends. If there is an error data
(confidence coefficient=E) in the measurements, the AR selected value is not obtained.
*2 < Highspeed mode >

This mode, when the start button is held down in AR/KM measurement, enables you to keep the
fog throughout the serial measurement. As to the procedure of disabling or reactivating the Highspeed
mode., see “6.1 System Setups”.
4 - 15

When selected AR value is obtained, the AR measurement is completed.
“<FINISH>” appears on the left of the TV monitor, and the AR measurement will be shown on the
display panel. The display panel always show the latest measurement.
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NOTE
• If you want to repeat measurement, press the start button again. “< FINISH >” sign disappears
and serial measurement starts again.
• The instrument can memorize up to 10 KM and AR measurements each for right and left
eye. If the measurements exceed 10, older data will be cleared in turn.
4 - 16
b. When the measuring mode is set to << OBJ. MEAS >>:



When selected AR value is obtained, the measurement is completed.
shown on the display panel. The display panel always show the latest measurement.
NOTE
• If you want to repeat measurement, press the start button again.
• The instrument can memorize up to 10 AR measurements each for right and left eye. If AR
measurements exceed 10, older data will be cleared in turn.
4 - 17


When selected KM value is obtained and the
measurement is completed.
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“<FINISH>” appears on the left of the
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TV monitor, and the latest value of KM
measurement will be shown on the TV
monitor. ‫ޝ‬-‫ޞ‬

4 4 #:+5

NOTE
To start the programmed sequences of subjective refinement Press .
When the instrument is placed in the subjective refinement, a corrective lens of
selected AR value will be placed in front of the patient.
4 - 18
NOTE
• When the parameter “7:Print” is set to “Auto”, printout (auto-printout) will automatically be
performed after the objective measurement of the both eyes.
is performed before the objective measurement for both eyes.
• The instrument will automatically go to the programmed subjective refinement after

obtaining the selected AR value on condition that the parameter “21: Auto Subj” is set
to “YES”. Please note that the auto printout will not be done under the condition.
those signs appear again after repeating measurement, check the following.
a. Patient blinked during measurement.
b. The eyelid or eyelash is on the Min. pupil mark.
c. The patient’s pupil is smaller than the Min. pupil mark. (Let the patient be in a
dark room for a while and wait until the pupil diameter becomes large enough for
measurement.)
d. Retinal reflection is extremely low due to an optical disease such as a cataract.
e.There is some unusual reflection on the cornea during measurement. (In this case,
measurement may not be performed unless IOL mode is on.)
f. There is an extreme distortion on the cornea.
• When AI Mode parameter is set to “NO”,

take about three shots for AR
measurement. If the measurement results
are not stable, take some additional shots.
*1 < Error data >

4 - 19
4.4 Unaided Visual Acuity Test

1. Press and place the instrument into the
unaided visual acuity test mode from the
objective measurement mode.
The whole VA chart will be placed in front of
the patient.
A. When using the auto-tracking function:
the target).

“ ”.


Ideal state

*1 For the VA value represented in a decimal, see “B. APPENDIX Conversion table for
representation of VA”.
4 - 20
NOTE
• To turn off the auto-tracking function, press . To turn it on, press it again.
of the TV monitor. If the mire ring is off center, manipulate the Joystick to move it in.
When the position of the mire ring goes outside of the working range of the auto-
tracking, a limit mark (a pair of arrows) appears with “<LIMIT>” sign on the left. In
such a case, either move the joystick in the direction of the arrows or move the main
body back once to make alignment again. The measurement will not perform as
long as the limit mark is on.
B. When not using the auto-tracking function:
To turn off the auto-tracking function, press once. (To turn it on, press it again.)


thinnest and be the sharpest.
4 - 21
3. Check the smallest possible line for the
patient to read.
Check whether the patient can read the letters
on the upper part only, or he/she can read the
ones on the lower part.
4. Present a single-line VA chart.

To start unaided visual acuity test using the VA
chart of 20/20 Press . VA and presented letters

chart of 20/200 Press .
5. Ask the patient whether he/she can read the

chart.
The TV monitor shows the VA value and the
presented letters of the current chart.
6. Press or to change VA chart.

If the patient is unable to read the chart.
Press .
If the patient is able to read the chart.

Press .
7. Repeat steps 5 through 6 until the best

possible VA for the patient is obtained.
To store the VA value of less than 20/200, first
specify the chart of VA 20/200, and then press
additionally.
8. Press to exit from the unaided visual

acuity test.
The VA of the chart being presented will be
stored.
The instrument will go back to the objective
measurement mode.
Pressing the start button will start the objective measurement.
Pressing will put the instrument into the objective correction checking mode of the
4 - 17


When selected KM value is obtained and the
measurement is completed.
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“<FINISH>” appears on the left of the
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TV monitor, and the latest value of KM
measurement will be shown on the TV
monitor. ‫ޝ‬-‫ޞ‬

4 4 #:+5

NOTE
To start the programmed sequences of subjective refinement Press .
When the instrument is placed in the subjective refinement, a corrective lens of
selected AR value will be placed in front of the patient.
4 - 18
NOTE
• When the parameter “7:Print” is set to “Auto”, printout (auto-printout) will automatically be
performed after the objective measurement of the both eyes.
is performed before the objective measurement for both eyes.
• The instrument will automatically go to the programmed subjective refinement after

obtaining the selected AR value on condition that the parameter “21: Auto Subj” is set
to “YES”. Please note that the auto printout will not be done under the condition.
those signs appear again after repeating measurement, check the following.
a. Patient blinked during measurement.
b. The eyelid or eyelash is on the Min. pupil mark.
c. The patient’s pupil is smaller than the Min. pupil mark. (Let the patient be in a
dark room for a while and wait until the pupil diameter becomes large enough for
measurement.)
d. Retinal reflection is extremely low due to an optical disease such as a cataract.
e.There is some unusual reflection on the cornea during measurement. (In this case,
measurement may not be performed unless IOL mode is on.)
f. There is an extreme distortion on the cornea.
• When AI Mode parameter is set to “NO”,

take about three shots for AR
measurement. If the measurement results
are not stable, take some additional shots.
*1 < Error data >

4 - 19
4.4 Unaided Visual Acuity Test

1. Press and place the instrument into the
unaided visual acuity test mode from the
The whole VA chart will be placed in front of
the patient.
A. When using the auto-tracking function:
the target).

“ ”.


Ideal state

*1 For the VA value represented in a decimal, see “B. APPENDIX Conversion table for
representation of VA”.
4 - 20
NOTE
• To turn off the auto-tracking function, press . To turn it on, press it again.
of the TV monitor. If the mire ring is off center, manipulate the Joystick to move it in.
When the position of the mire ring goes outside of the working range of the auto-
tracking, a limit mark (a pair of arrows) appears with “<LIMIT>” sign on the left. In
such a case, either move the joystick in the direction of the arrows or move the main
body back once to make alignment again. The measurement will not perform as
long as the limit mark is on.
B. When not using the auto-tracking function:
To turn off the auto-tracking function, press once. (To turn it on, press it again.)


thinnest and be the sharpest.
4 - 21
3. Check the smallest possible line for the
patient to read.
Check whether the patient can read the letters
on the upper part only, or he/she can read the
ones on the lower part.
4. Present a single-line VA chart.

chart of 20/20 Press . VA and presented letters

chart of 20/200 Press .
5. Ask the patient whether he/she can read the

chart.
The TV monitor shows the VA value and the
presented letters of the current chart.
6. Press or to change VA chart.

If the patient is unable to read the chart.
Press .
If the patient is able to read the chart.

Press .
7. Repeat steps 5 through 6 until the best

possible VA for the patient is obtained.
To store the VA value of less than 20/200, first
specify the chart of VA 20/200, and then press
additionally.
8. Press to exit from the unaided visual

acuity test.
The VA of the chart being presented will be
stored.
The instrument will go back to the objective
measurement mode.
Pressing the start button will start the objective measurement.
Pressing will put the instrument into the objective correction checking mode of the
4 - 22
4.5 Subjective Refinement

The ARK-760A is provided with the programmed sequences of subjective refinement. The
program contains aided visual acuity test by selected AR value, the Red/Green test (RG test),
cross cylinder test (XC test) and aided visual acuity test.
[Flowchart for subjective refinement]
*1 The value can be changed in the system parameter.

4 - 23
1. Press to place the instrument into the
checking mode for the objective (AR)
correction.
The VA charts will appear*1 and the corrective
lens of AR data will be placed.
At the same time, the ex-LM data will be
imported into the ARK-760A (only when the
ARK-760A interfaces with the lensmeter, and
the Lensmeter holds the data in its memory).

Follow step 2 in “4.4 Unaided Visual Acuity
Test”.
3. Verify that the patient can read the chart

aided by the obtained AR data.
1) Verify that the patient can read the presented

VA chart.
• Recall function enables the patient to

compare the objective (AR) readings to
the ex-LM data/visually-unaided state*2.
[Recall function]
When is pressed, the corrective lens of the
objective power will be removed, and the lens
of ex-LM data will be placed instead.
(If there is no LM data, the corrective lens will
be removed and visually-unaided state will be
established. *2)
The TV monitor shows whether the corrective
lens is LM data-based or no lens is placed as
LM or UNAIDED.
To place the lens of previous objective powers,
Currently-placed lens
press again.
LM: ex-LM data
UNAIDED: Visually-unaided state
AR: AR data
*1 The VA chart which will be first presented in this mode can be changed in the system
parameter. (selectable from among whole-VA chart and VA charts of 20/200 - 20/20)
*2 If the parameter “Recall sel.” is set to “AR” and SPH, AXIS or CYL value is changed in step
1), the corrective lens of objective powers will be placed in front of the patient, not visually-
unaided state. This is useful to compare the original objective (AR) data and changed data.
4 - 24
• To test visual acuity*3.
, Used to change the VA chart.
Used to switch between a single-
line chart and whole-VA chart.
• To change SPH, AXIS or CYL valueLet

VA and presented letters
SPH, AXIS or CYL blink with and
change the blinking value using the dial.
To change SPH or CYL
: The value is changed in steps of 0.25D
to minus direction.
to plus direction.
To change AXIS
: The value is changed in steps of 5º to Changeable items (blinking)
minus direction*4.
: The value is changed in steps of 5º to
plus direction*4.
2) Press to exit from the objective (AR) correction checking mode.

The instrument will proceed to the Red/Green test and the Red/Green chart will be
presented.
If the enough VA is obtained in step 1) and an operator judges that it is not necessary to
perform the succeeding tests;
Test the remaining eye, or move on to the near vision test.
NOTE
• When is pressed on condition that the corrective lens of the ex-LM data is placed,
the corrective lens used in the succeeding steps of the test sequences will be the LM
data-based one.
*3 If SPH, AXIS or CYL is changed, visual acuity is stored as subjectively measured VA, not
objectively measured one.
*4 AXIS step can be changed between 5º and 1º in the system parameter.

4 - 25
4. Perform the Red/Green test .
This test is for refining sphere power of the
placed corrective lens.
When the instrument is placed in the test mode,
the fogging (SPH+ 0.5D) will automatically be
introduced to the patient’s view. This is to refine
sphere power correctly, preventing the patient’s
eye from accommodating.
The amount of fog can be changed in the system

parameter.
1) Ask the patient which appears sharper, the

letters on the red side or green side.
2) Refine sphere power using the dial.

If the red side appears sharper;
Turn the dial counterclockwise ( ) by
one step.
If the green side appears sharper; Red Green
Turn the dial clockwise ( ) by one step.
1 step = 0.25D increments
3) Repeat step 1) through 2) until the patient sees the red and green side equally sharp.
NOTE
• This sphere refinement is performed, to bring the circle of least confusion onto the
retina before performing the following XC test for axis refinement .
If the patient cannot see the Red and Green sides equally, make the green side sharper.
4 - 26
4) Press to exit from the Red/Green test .
The instrument will be placed in the cylinder test mode, and the dot chart will be
presented.*1
If the cylinder power is 0.25D*2 or less Go to step 6. Cross cylinder test for cylinder
power refinement.
If the cylinder power is 0.5D or more Go to step 5. Cross cylinder test for axis
refinement.
The above order of the cylinder test depends on the patient’s cylinder power. (See p.4-
22 Flowchart for subjective refinement.)
5. Perform the cross cylinder test for axis refinement.

This test is for refining axis angle
(AXIS) of the corrective lens.
The chart 1 which is currently

presented
1) Ask the patient how the chart appears as follows;
“I would like you to compare two charts. Tell me which chart is sharper. Regard the
current chart as Chart 1.”
Press the Start button. (The presented chart will change.)
“Regard this chart as Chart 2. Which appears sharper, Chart 1 or Chart 2 ?”
Change the presented chart by pressing the start button several times until the patient see
either chart sharper. The selected chart, either 1 or 2 which is blinking, is shown at the
lower right of the operational message.
*1 The chart which initially appears in this mode can be changed in the system parameter. (See
the parameters No. 35 and 37.)
*2 The step can be changed among NO, 0.25D, 0.5D, and 0.75D in the system parameter.
4 - 27
2) Refine AXIS using the dial.
If the chart 1 appears sharper;
Turn the knob counterclockwise ( ) by one step.
Turn the knob clockwise ( ) by one step.
1 step: 5º increments (AXIS step can be changed between 5º and 1º in the system
parameter.)
3) Repeat steps 1) through 2) until Chart 1 and Chart 2 appear equally blur.
4) Press to exit from the cross cylinder test for axis refinement.
The instrument will then go to the cross cylinder test for cylinder power refinement.
6. Perform the cross cylinder test for cylinder

power refinement.
This test is for refining cylinder power (CYL)
of the corrective lens.
Chart 1 which is currently presented
1) Ask the patient how the chart appears to him/her as follows;
“I would like you to compare two charts. Tell me which chart appears sharper. Regard the
current chart as Chart 1.”
Press the Start button. (Chart appearance will change.)
“Regard this chart as Chart 2. Which appears sharper, Chart 1 or Chart 2?”
Change the presented chart by pressing the start button several times until the patient see
either chart sharper. The selected chart, No, 1 or 2, is shown in while at the lower right of
the operational message.
Pressing or during the cross cylinder test will change the presented chart.
(selectable from among the Dot chart, VA charts of 20/200 - 20/20)
4 - 28
2) Refine cylinder power using the dial.
1 step: 0.25D increments
Every time –0.50D is added to the CYL value, 0.25D will be added to the SPH value
(when CYL is shown by – reading).
3) Repeat step 1) through 2) until Chart 1 and Chart 2 appear equally blur.
4) Press to exit from the cross cylinder test for cylinder power refinement.
The instrument will then go to the Red/Green test mode or cross cylinder test mode for
axis refinement.
7. Perform the Red/Green test .

This test is for refining sphere power (SPH)
of the corrective lens.
When the instrument is placed in the test
mode, the fogging (SPH+ 0.5D) will
automatically be introduced to the patient’s
vision. This is to refine sphere power
correctly, preventing the patient’s eye from
accommodating.
The amount of fog can be changed in the

system parameter.
1) Ask the patient which appears sharper, the

letters on the red side or green side.
2) Refine sphere power using the dial.

Turn the dial counterclockwise ( )
by one step.
If the green side appears sharper;
Turn the dial clockwise ( ) by one Red Green
step.
4 - 29
3) Repeat steps 1) through 2) until the patient see the red and green side equally sharp.
NOTE
• If the patient cannot see Red and Green equally, make Red sharper to avoid
overcorrection, unlike the case of the Red/Green test .
4) Press to exit from the Red/Green test .

The instrument will be placed into the aided visual acuity test mode, and the VA chart
of 1.0 will be presented*1.
8. Test aided visual acuity.

VA and presented letters
1) Ask the patient whether he/she can read the

presented chart.
The presented letters and VA value is
shown on the operational message.
2) Press or to change the VA chart.

If the patient is unable to read the chart Press .
If the patient is able to read the chart Press .
*1 The VA chart which will be initially presented in the test mode can be changed in the s y s t e m
parameter. (selectable from among the whole VA chart and VA charts of 20/200 - 20/20)
4 - 30
3) Repeat steps 1) thorough 2) to obtain the best possible VA for the patient to read the chart.
To store the VA value of 20/200 or less, present the VA chart of 20/200 and additionally
press .
• Used to switch between a single-

line chart and whole-VA chart.
• To change SPH, AXIS or CYL value
Let SPH, AXIS or CYL blink with
and change the blinking value using the
dial.
to minus direction.
to plus direction.
To change AXIS
: The value is changed in steps of 5º *2 to minus
direction. Changeable items (blinking)
: The value is changed in steps of 5º *2 to plus

direction.
• The recall function enables the patient to

compare subjective refinements to the ex-
LM data/unaided vision state/AR data.
[Recall function]
When is pressed, the corrective lens of
LM data will be placed into the patient’s
view. (If there is no LM data, no corrective
lens or the lens of AR data*3 will be placed.)
Whether the corrective lens is LM data-
based or AR data-based is shown as LM or
Currently-placed lens
AR on the operational message.
LM: ex-LM data
To place the original lens, press again. UNAIDED: Visually-unaided state
AR: AR data
*2 AXIS step can be changed between 5º and 1º in the system parameter.

*3 The parameter “26: Recall sel.” determines which to select unaided vision state or AR data
when the LM data is not in the memory of the ARK-760A .
“Unaided” Visually-unaided state will be established.
“AR” Corrective lens of AR data will be placed.
4 - 31
4) Exit from aided visual acuity test mode.
To finish the test Press .
To measure the remaining eye
Move the main body to the remaining
eye and measure it in the same manner.
VA of the presented chart at that time will
be stored as final data.
4 - 32
4.6 Red/Green (RG) Test

The Red/Green test which allows sphere refinement is available during objective correction
checking mode and aided visual acuity test mode.
1. Press the start button to place the instrument

into the Red/Green test mode when the
instrument is in the objective correction
checking mode or aided visual acuity test
mode of the programmed subjective
refinement.
The Red/Green chart will be presented.
The auto-fog will not be introduced unlike the
case of the Red/Green test in the programmed
subjective refinement program.

Follow step 2 in “4.4 Unaided Visual Acuity
Test”.
3. Ask the patient, “Which double circle or

letter appears sharper, the red or green
side?”
4. Adjust the sphere power using the dial. Red Green

If the green side appears sharper;
5. Repeat steps 3 through 4 to make both red

and green sides appear equally sharp.
6. To exit from the Red/Green test mode, press

the start button again.
The instrument will go back to the previous
objective correction checking mode or aided
visual acuity test mode.
4 - 33
4.7 Cylinder Test

The cylinder test using the astigmatism clock dial chart is also available on the ARK-760A. The
test is useful when the patient’s response is not satisfactory in the cross cylinder test and each
power cannot be refined accurately. The test is for refining CYL, AXIS or SPH value of the
placed corrective lens.
1. Press to place the instrument in the

cylinder test mode.
The astigmatism clock dial chart will be
presented.

Follow step 2 in “4.4 Unaided visual acuity
test”.
3. Ask the patient, “Does any bar appear

Changeable items [blinking]
especially darker and sharper than the
others?”
4. Refine CYL, AXIS and SPH until darkness

of all the bars appear equal.
Let CYL, AXIS or SPH blink with and
: The value is changed in steps of 0.25D.
: The value is changed in steps of 0.25D .
To change AXIS
the minus direction.
the plus direction.
(AXIS step can be changed between 5º and 1º in the system parameter.)
5. Exit from the cylinder test mode.

Pressing returns the system to the previous mode.
Pressing the start button proceeds to the cross cylinder test programmed in the subjective
refinement. (See p.4-26)
4 - 34
4.8 Near Vision Test

The ARK-760A contains the programmed near vision test. During the test sequences, addition
power which is necessary to prescribe reading spectacles is measured and near vision aided by
addition power can be checked.
[Flowchart for near vision test]
NOTE
• If a patient’s age is less than 50, the obtained addition powers for the patient may vary
each time the test is done.
This is because the test is done respectively for each eye.
1. Press to place the instrument in the

addition power measurement mode.
The cross-grid chart will be presented at 14
inches *1 from the patient’s eye.
±0.50D cross cylinder lens will
automatically be placed.

Follow step 2 of “4.4 Unaided Visual Acuity
Test”.
*1 The near working distance can be changed in the 14 - 28” (35 -70cm) range in the system
parameter.
4 - 35
3. Measure the addition power.
1) Increase the addition power by turning the Expected ADD

Age 45 50 55 60 65 70 75
ADD
dial. (D)
Age
1.50
-45
2.20
-50
2.25
-55
2.50
-60
2.75
-65
3.00
-70
3.25
-75
Recommended
The display panel shows the addition starting ADD ADD
(D)
0.75 1.25 1.50 1.75 2.00 2.25 2.50
power.
It is recommended to start the test with

the addition power according to the
patient’s age as shown in the right table.
2) Ask the patient, “Which appears darker,

horizontal lines or vertical lines?”
3) Refine the addition power by using the dial.

If the vertical lines appear darker;
Turn the knob counterclockwise ( )
by one step.
It the horizontal lines appear darker;
Turn the knob clockwise ( ) by one
step.
4) Repeat steps 2) through 3) until sharpness VA and presented letters

of both lines appear equal.
5) Press to exit from the addition power

measurement mode.
The instrument will be placed into the
near vision test mode and the chart of VA
20/30 will be presented*1.
±0.50 D cross cylinder lens will
automatically be removed.
4. Test the near vision.
1) Ask the patient if he/she can read the

presented chart.
The VA and presented letters are shown
on the operational message.
*1 The VA chart which will be first presented in the near VA checking mode can be changed in the
system parameter. (selectable from among the whole VA chart and VA charts of 20/200 - 20/
20)
4 - 36
2) Press or to change the VA chart.
If the patient is unable to read the chart
Press
If the patient is able to read the chart
Press
3) Repeat steps 1) thorough 2) to obtain the

best possible VA for the patient to read the
chart.
To store the VA value of less than 20/200, present the VA chart of 20/200 and additionally
press .
• Used to switch between a single-line chart and whole-VA chart.

• The recall function enables the patient to
compare subjective refinements with
addition power and without the power.
• It is also possible to change the addition
power (ADD) or near working distance
(WD) value.
Let ADD or WD value blink with and
To change ADD

to the minus direction.
to the plus direction.
To change WD
: WD increases.
Changeable items [blinking]
: WD decreases.
The near working distance (WD) is shown
on the display panel.
NOTE
• If near vision test has been completed for one eye, the near working distance cannot be
changed.
This is because the near working distance must be same for both left and right eyes.
4 - 37
[Recall function]
When is pressed, a corrective lens
without addition power will be placed. 䌒㩷㩷䋭㩷㩷䋰䋮䋷䋵㩷㩷䋭䋱䋮䋵䋰㩷㩷䋱䋸䋰
䌌㩷㩷䋭㩷㩷䋰䋮䋲䋵㩷㩷䋭䋰䋮䋷䋵㩷㩷㩷㩷㩷㩷㩷䋳
To return to the previous state (to place the
addition power), press again. 䌃䌙䌌䋭
䇶䌒䌅䌃䌁䌌䌌䇷㩷㩷㩷㩷㩷㪇㪅㪍㪊㩷㩷㪍㪉㪚㪥㪢㩷㩷
䌁䌄䌄㪔㪇
䌎䌅䌘䌔㸢㩷㩷㪩㪜㪫㸢
4) Exit from the near VA checking mode.

To finish the test Press .
To test the remaining eye Move the main body to the remaining eye and test the
eye in the same manner.
The VA of the current chart will be memorized as the final near VA.
4 - 38
4.9 Corneal Size (CS) Measurement

1. Press in the objective measurement Fiducial line Guide line
mode.
“<< CORNEAL SIZE >>”, a fiducial line,
and a guide line appear on the TV monitor.
The display panel shows as “12.0” which is
the initial value of the CS measurement.
The measuring mode changes as follows for

every press of .
AR/KM → CS → PS → PD
2. Manipulate the joystick to align the left end

of the patient’s cornea with the fiducial line.
3. Move the joystick back and forth to focus

the mire ring.
NOTE
• If the left end of the cornea has been out
of alignment, repeat step 2.
4. Move the guide line on the right of the TV

monitor with or to align it with the
right end of the patient’s cornea.
............. The guide line moves to the right.
(The display panel indication increases.)

...........The guide line moves to the left.
(The display panel indication decreases.)
NOTE
• The indication changes by steps of
0.5mm.
4 - 39
5. Press the start button.
The measured value will be entered.
6. Measure the other eye in the same manner.
NOTE
• When “AI mode” parameter is set to “YES”, and “Print” parameter is set to “Auto”,
the CS measurement should be performed before AR/KM measurement in order to
print data together with AR/KM results.
7. To change back to AR/KM measurement ........ Press .

To go on to PS measurement ........................... Press once.
To go on to PD measurement .......................... Press twice.

4 - 40
4.10 Pupil Size (PS) Measurement

Fiducial line Guide line
1. Press when the instrument is in the

(From CS Measurement, press once; from AR/
KM measurement, press twice.)
“<< PUPIL SIZE >>”, a fiducial line, and a
guide line appears on the TV monitor. The
display panel shows “5.0” which is the initial
value of the PS measurement.
2. Manipulate the joystick to align the left end

of the patient’s pupil with the fiducial line.
3. Move the joystick back and forth to make

focus of the mire ring.
NOTE
• If the left end of the pupil has been out of
alignment, repeat the step 2.
4. Move the guide line on the right of the TV

monitor with or to align it with the
right end of the patient’s pupil.
...........The guide line moves to the right.
(The display panel indication increases.)
...........The guide line moves to the left.
(The display panel indication decreases.)
NOTE
• The indication changes by steps of 0.5mm.
4 - 41
The measured value will be entered and be
shown on the display panel.
6. Measure the other eye in the same manner.
NOTE
the PS measurement should be performed before AR/KM measurement in order to
print data together with AR/KM results.
7. To change back to AR/KM measurement .......................... Press .
To go on to PD measurement .......................... Press once.
To go on to CS measurement .......................... Press twice.

4 - 42
4.11 Pupil Distance (PD) Measurement

A. Auto-PD measurement (When Auto-PD parameter is set to “YES”):
The PD measurement will have been completed during AR/KM measurement.
NOTE
• The PD measurement will not be on the display but will be printed out together with
AR/KM results.
B. Manual PD measurement (When Auto-PD parameter is set to “NO”):
1. Press in the objective measurement mode.

(From PS Measurement, press once; from CS measurement, press twice; from AR/KM
measurement, press three times.)
Display for PD measurement appears on display panel as follows.
2. Instruct the patient not to move his/her head and eyes during measurement.
3. After careful alignment and focusing for

each, press the start button each time for the
right eye and the left eye.
4 - 43
NOTE
• If the patient’s head is tilted, straighten it before starting measurement.
• To measure monocular PD at the same time as the normal binocular PD measurement,

press the start button each time for the right-eye, center, and the left-eye, after careful
alignment for each.
To press the start button at the exact center position, let a patient wear the frame with
the mark on its center and bring the mark in focus.
It is recommendable to use the Pupil distance meter such as NIDEK PM-600 in
order to obtain a precise monocular PD.
• The r (right), c (center), and l (left) signs on the display panel disappears in turn as the
start button is pressed each to show that the location of the respective point has been
taken in.
4. When the measurement completes, the PD value will be shown on the display panel.
NOTE
the PD measurement should be performed manually before AR/KM measurement in
order to print data together with AR/KM results.
5. To change back to AR/KM measurement .......................... Press .
To go on to CS measurement .......................... Press once.
To go on to PS measurement ........................... Press twice.

4 - 44
4.12 Measuring Sagittal Radius

1. Set the Sagittal parameter to “YES”.
For the procedure, see “6.1 System Setups”.
NOTE
• If the Print parameter has been set to
“Auto”, it should be set back to “Manu”.
2. On condition than KM measurement has

been taken, press .
The measuring mode changes to the Sagittal
radius measurement mode : Indicators of L
(Left), R (Right), U (Up), and D (Down) will
appear and the L blinks to show the position of
the illuminated fixation lamp that the patient
would see.
NOTE
• The selected KM value or the latest KM
value will be shown on the TV monitor.
• To quit the sagittal radius measurement,

press .
3. Instruct the patient to look at the red light

on the left hand side and not to move his/her
head.
4. Manipulate the joystick to place the mire

ring concentric with the target.
5. Move the joystick back and forth to focus

the mire ring until it becomes thinnest.
4 - 45
Sagittal radius of the right part of the cornea
will be measured.
“L” changes to “ ”, then “R” starts blinking.
NOTE
• If the measurement is erroneous, “L”
changes to “E (Error)” and “ =NEXT”
message appears. In such a case, repeat
the measurement by pressing the start
button. If “E” remains after repeating
measurement, press to proceed to the
“R” side.
7. Instruct the patient to look at the red light

on the right hand side and repeat steps 4 - 6
for the sagittal radius of the left side of the
eye.
8. Take measurements for D (Down) and U

(Up) sides in the same manner.
When all four measurements for a single eye
are complete, eccentricity value (E=) appears
and the mode returns to R/K mode.
NOTE
• By the serial measurement, selected values for each sides (L, R, U and D) will be
obtained individually, and the eccentricity data will be obtained by calculation on the
basis of the selected values for the 4 sides and KM measurement (either selected or the
latest). When Sagit Axis parameter is set to “AXIS”, these values will be converted for
the angle of the major meridian which has been obtained by KM measurement.
• Concerning the side at which “E” is indicated, the value of the opposite side on the
same meridian will be used for the calculation of eccentricity.
• If the eccentricity is indicated as “E = Err”, press to repeat measurement. Repeating

measurement, however, clears the former data.
4 - 46
9. Repeat the same thing for the right eye.
It is possible to start binocular sagittal radius measurement after KM measurements for both
eyes have been completed.
10. Press to print the Sagittal Radius measurement.
NOTE
• If KM measurement is performed once again without pressing after Sagittal Radius
measurement, the eccentricity data will be recalculated according to the new selected
KM value, which is based on the memorized former data and the newly measured data.
When measuring an additional patient, be sure to press beforehand to print and
clear data.
The followings are sample printouts for the left eye and explanations of each data.
< Sample printout 1 >

* This is the printout for when the Sagit Print parameter is set to “Short”.
4 - 47
< Sample printout 2 >
* This is the printout for when the Sagit Print parameter is set to “All”.
< SAGITTAL > = Sagittal radius on each side

SUP. = Superior side
INF. = Inferior side
TEM. = Temporal side
NAS. = Nasal side
A = Axis of Major meridian (of KM measurement)
(F = Fixation Angle)
S = Sagittal data which the dRo value is added to
or reduced from Sagittal Radius values
e = Eccentricity values of each Sagittal radius
eh = Eccentricity on horizontal meridian
ev = Eccentricity on vertical meridian
E = Total Eccentricity
ASTc = Corneal cylinder at the center
ASTp = Corneal cylinder at the periphery
Rh = Average of corneal curvature on horizontal me-
ridian
Rv = Average of corneal curvature on vertical me-
ridian
Ro = Average of corneal curvature at the center
dRo = Difference of corneal curvature between R1
and R2
dAST = Difference of corneal cylinder between the
center and the peripheral
§5 PRINT OUT
5.1 Printing Measurement Results

1. Press when measurements are complete.
Measured data will be printed out.
NOTE
• If the parameter “Print” is set to “Auto”, and
Objective measurement each for the right and left eye is accomplished without per-
forming subjective refinement or unaided visual acuity test
The measured result will automatically be printed out (Auto-printout).
Unaided visual acuity test or subjective refinement are performed before obtaining
objective measurements for both eyes
Auto-printout will not be done.
• Do not touch the printer paper while printing out.

This may cause loss of text and light printed text.
• The memory indicator will be illuminated while measured data is in the memory, and
as long as the lamp is on, data can be printed anytime you like.
• After printing, the former data will be cleared when the next measurement is begun.
• When the memory indicator is off, the serves to feed the paper.
Memory Indicator
5-2
< Sample Printout 1 >
Patient number
Space for name and sex
Measuring date and time
Vertex distance
Near working distance
Unaided visual acuity
Objective measurements, Confidence index

S = Sphere, C = Cylinder, A = Axis
<Selected AR value>
Aided visual acuity by objective corrections
LM data
Subjective refinements
Aided visual acuity
Addition power, Near visual acuity
R1 = Minor meridian
R2 = Major meridian
AVE = Average of R1 and R2
KM measurement for the right eye
CYL = Corneal cylinder
deg = Corneal cylinder axis
CS measurement, PS measurement for the right eye
R1 = Minor meridian
R2 = Major meridian
KM measurement for the left eye
CS measurement, PS measurement for the left eye
Pupil distance (Monocular PD)
NOTE
• This sample shows the printout for the Print Form on condition that the parameters
have not been changed since shipment (standard print).
5-3
Description of printout contents
Patient number
Space for name and sex
Measuring date and time ( ’)
Vertex distance *1
Near working distance *2
Unaided visual acuity *3
Objective measurements for the right eye ( ‘ ),
Confidence index *4 ( ‘ )
S = Sphere, C = Cylinder, A = Axis
Selected AR value *5
SE value *6 ( ‘ )
Objective measurements for the left eye ( ‘ ),

Confidence index * ( ‘ ), S = Sphere, C = Cylinder, A = Axis
4
Measurable range over error *12

Selected AR value *5
SE value *6 ( ‘ )
Aided visual acuity by objective corrections
LM data*7
Subjective refinements for the right eye

SE value for the right eye
Eyeprint for the right eye *8 ( ‘

)
Subjective refinements for the left eye

SE value for the left eye
Eyeprint for the left eye *8 ( ‘

)
Aided visual acuity
Trial lens data *9 ( ‘

)
CL conversion value *10 ( ‘

)
5-4
ADD power, Near VA
KM measurement for the right eye ( ‘

)
R1 = Minor meridian
R2 = Major meridian
<Selected KM value> *11
CS measurement, PS measurement for the right eye
KM measurement for the left eye( ‘

)
R1 = Minor meridian
R2 = Major meridian
<Selected KM value> *11
CS measurement, PS measurement for the left eye

Pupil distance , (Monocular PD) , Near PD *13
Comment *14
5-5
NOTE
• The numbers that follows each descriptions show the Print Form. Parameters setting required
to print the contents.
........Printed out when the parameter is set to “Short”.
When selected value is not obtained, “ ’ ” will be printed out.
........Printed out when the parameter is set to “User”.
With this setting, printing or not printing “ ’ ” depends on the setting of
parameter items # 11 - 20.
*1 < Vertex distance >

The distance between the corneal vertex to the posterior surface of the spectacle
lens.
*2 < Near working distance >

Used in near vision test and near PD calculation. Selectable between 35 - 70 cm and 14 - 28
inch in the system parameter.
*3 <Unaided VA>
The VA examined on condition that no corrective lens is placed.
If the parameter “28: VA display” is set at “Frac.” (when VA is shown in fraction), only a
denominator for the numerator 20 appears on the printed paper.
*4 < Confidence index >

One of 6 steps (9, 8, 7, 6, 5, or E) will be printed out. “E” stands for error data.
5-6
*5 < Selected AR value >
Printed out when more than three objective measurements (without error or error data) are in the
memory.
*6 < SE (Sphere Equivalence) value >

Calculated for selected AR value (or the latest value when the selected AR value has not been
obtained), subjective refinements and CL conversion value.
*7 < Ex-LM data >

The former LM data of the patient obtained by using the lensmeter. If the following conditions
are met, the data will appear on the printed paper.
• The Lensmeter is interfaced with the ARK-760A.
• The lensmeter holds the LM data in its memory.
• The subjective refinement was done.
*8 < Eyeprint >

Tells graphically the patient’s refractive status based on the selected value (or subjective
refinements if subjective refraction has been done). The eyeprint has 8 patterns.
Emmetropia Astigmatism Simple myopic astigmatism
Myopia Myopic astigmatism Simple hyperopic astigmatism
Hyperopia Hyperopic astigmatism
*9 < Trial lens data >

The data that selected AR value (or subjective refinements if the subjective refinement has
been done) examined and indicated by the cylinder mode (cylinder reading direction) which
would make the sphere trial lens have lower power for convenience.
5-7
*10 < CL conversion value >
The value that the selected AR values (or subjective refinements if the subjective refinement has been
done) are converted into CL values, letting the vertex distance (VD) be 0 mm.
*11< Selected KM value >

Printed out when more than three KM measurements (without error data) are in the memory.
*12 < Measurable range over error >

Err +o .........The spherical power is over the measurable limit of + side in the objective
measurement.
Err -o ..........The spherical power is over the measurable limit of - side in the objective
measurement.
Err co ..........The cylindrical power is over the measurable limit in the objective measurement.
When the Error Code parameter is set to “YES”, the error code will be printed out.
*13 < Near PD >

PD for near work distance of 14 inch (factory setting). Use it for prescription of reading
glasses or multifocal lenses.
*14 < Comment >

It is possible to enter some letters or marks as you like on the printout. For the procedure of
entering comments, see “6.3 Entering Comments”.
5.2 Eyeprint
Aside from normal printouts, serves to print
the Eyeprint based on selected AR value or latest
value (or subjective refinements if the subjective
refinement has been done), and PD value.
This will be printed out regardless of the setting
in the system parameter. It will help you to ex-
plain to the patient the refractive condition of
his/her eyes. The Eyeprint has 8 patterns, the
same as that on the normal printout described
in “5.1 Printing Measurement Results”.
§6 OTHER FUNCTIONS
6.1 System Setups

The ARK-760A is equipped with a function to change parameters of several system conditions
according to the operator’s use. The way of confirming and changing each parameter are described
as follows.
1. Press button.
The TV monitor displays “PARAMETER SET << 1/7 >>”, and the display panel shows the
setting content and the parameter item number.
Setting content Item number
2. Establish the mode which contains the desired item, referring to the parameter table on
pages from 6-4 to 6-10.
For each press of , the setting mode changes in the order shown below.
Setting mode 1 (Item # 1 - 10) → Mode 2 (Item # 11 - 20) → Mode 3 (Item # 21 - 28) → Mode
4 (Item # 31 - 37) → Mode 5 (Item # 41 - 49) → Mode 6 (Item # 51 - 60) → Mode 7 (Item # 61
- 63) → Date & Time setting mode → Setting mode 1 → ······
6-2
3. In the selected mode, press .
Each contents will be printed as follows.
No. Item Content

6-3
4. Make the desired item number appear on the display panel.
For each press of the start button, the item number increases.
NOTE
• Pressing the start button on the condition that the last number of the mode is shown
makes the first item number of that mode appear again.
5. By pressing or , change the setting.
NOTE
• Refer to the parameter table on the next page for the setting contents.
• Underline indicates factory setting. The factory setting may vary according to
destination.
6. To finish setting ........................................ Press .

To go on to the date and time setting ...... Press .
NOTE
• The parameter setting will be kept in memory even though the power is cut off due to
an internal battery*1.
*1 The battery is rechargeable. When you are operating the instrument for the first time after
unpacking or when the instrument has not been operated for a long time (longer than 1 month),
the clock may reset to zero, and system parameters and comment settings may return to factory
settings. In such a case, turn on the power and leave it “ON” for a while to recharge the battery.
The battery needs 24 hours for a full charge. If you are using the instrument 8 hours a day, the
battery will be fully charged for three days. Once the battery is fully charged, the instrument
operates normally for daily use.
Rechargeable lithium battery is used in the instrument. When disposing of the battery-mounted
board, follow local governing ordinances and recycling plans regarding disposal or recycling
of device components.
(The lithium Battery is not user replaceable.)
6-4
Parameter Table
< Setting Mode 1 >
No. Items Contents
1 Step 0.01D / 0.12D / 0.25D
2 Vertex D. 10.5mm / 12mm / 13.75mm /
15mm / 16.5mm
3 KM Unit mm / D
4 KM Display R1, R2 / AVE, CYL
5 Axis Step 1° / 5°
6 Meas. Mode Con. / Nor.
7 Print Manu. / Auto / NO
8 AI Mode YES / NO
9 Econo. Print YES / NO
10 Print Format Short / User
[Item No. 1] The indication step of SPH and CYL data for objective (AR) measurement as well
as the step of corneal refractive power measurement (permitting the corneal curva-
ture radius to be converted to refractive power).
[Item No. 2] The distance between the corneal vertex to the posterior surface of the spectacle
lens when patient wears them.
[Item No. 3] Selection of whether to indicate the corneal curvature with radius (mm) or refractive
power (D).
[Item No. 4] Selection of the KM measurement indication between R1 (Minor meridian) & R2
(Major meridian), and AVE (Average of R1 and R2) & CYL (corneal cylinder).
[Item No. 5] The indication step of AXIS data in the objective (AR) measurement result.
[Item No. 6] The way of fogging during objective (AR) serial measurement.
Con. ....................... By holding down the start button, the fog keeps on throughout
the serial measurement. It is useful for children who do not
fixate their eyes long.
Nor. ........................ The fog will be released for each measurement even though the
start button is held down. It is useful for patients who accom-
(Highspeed mode) modate easily.
[Item No. 7] The way to start printing, or not printing.
Manu. .................... Data can be printed out by pressing .
Auto ....................... Data will be printed out after AR measurement is completed.
(Only active when AI mode parameter is set to “YES”.)
NO ......................... Data will not be printed out.
[Item No. 8] Selection of whether or not to use the AI mode.
When set to “YES”, the serial measurement completes when the selected AR value
is obtained. But if “Error Data” of the parameter is set to “YES” and there are not any
variations in the three measurements, the AR measurement ends. If there is an error data
(confidence coefficient=E) in the measurements, the AR selected value is not obtained.
[Item No. 9] Selection of whether or not to use the economical print function.
When set to “YES”, the printing will come out with narrow line-spacing so that the
printer roll can be saved.
[Item No. 10] The format of printing measurement results. (See “5. PRINT OUT”.)
Short ...................... Only the restricted data will be printed out. (Short print)
User ....................... Items that are specified in parameter item # 11 - 20 will be printed
out.
6-5
< Setting Mode 2 >
No. Items Contents
11 Patient No. YES / NO
12 Patient No. 0001-9999
13 Name Print YES / NO
14 Date Format Y.M.D / M.D.Y / D.M.Y / NO
15 AR Print All / Shot
16 KM Print All / Short
17 SE Print YES / NO
18 Eye Print YES / NO
19 TL Print YES / NO
20 CL Print YES / NO
[Item No. 11] Selection of whether or not to print the patient number.
[Item No. 12] The setting of patient numbers.
......................... The patient number increases.
......................... The patient number decreases. (The works as a reset but-
ton, if pressed at first, and the value resets to “0001”.)
[Item No. 13] Selection of whether or not to provide spaces for writing the patient’s name and sex
on the printout.
[Item No. 14] The format of date on the printout.
Y.M.D = Year, Month, Day
M.D.Y = Month, Day, Year
D.M.Y = Day, Month, Year
N O = No printing
[Item No. 15] The print format of objective (AR) measurement result.
All ......................... All data and selected values are printed out.
Short ...................... Only the selected values are printed out.
[Item No. 16] The print format of KM measurement.
All ......................... All data and selected values are printed out.
Short ...................... Only the selected values are printed out.
[Item No. 17] Selection of whether or not to print SE values for the selected AR value (or the latest
value when the selected AR values have not been obtained) and subjective mea-
surements.
[Item No. 18] Selection of whether or not to print Eyeprint.
[Item No. 19] Selection of whether or not to print trial lens data, which is based on the selected
AR values or subjective refinements.
[Item No. 20] Selection of whether or not to print CL conversion values, which are based on the
selected AR values or subjective refinements, and SE values of the CL conversion
values.
6-6
< Setting Mode 3 >
No. Items Contents
21 Auto Subj. YES / NO
22 RG1 program YES / NO
23 RG2 program YES / NO
24 Fog for RG1 0D / 0.25D / 0.5D / 0.75D / 1.0D
25 Fog for RG2 0D / 0.25D / 0.5D / 0.75D / 1.0D
26 Recall sel. Unaided / AR
27 Subj Axis 1° / 5°
28 VA Display Dec. / Frac.
29
30
[Item No. 21] Selection of whether or not to enter the subjective refinement mode automatically
just after the ARK-760A has completed the objective (AR) measurement and ob-
tained selected AR value.
[Item No. 22] Selection of whether or not to perform the Red/Green test in the programmed
subjective refinement.
[Item No. 23] Selection of whether or not to perform the Red/Green test in the programmed
subjective refinement.
[Item No. 24] Selection of amount of fogging which is automatically introduced in the patient’s
view during the Red/Green test of the programmed subjective refinement.
[Item No. 25] Selection of amount of fogging which is automatically introduced in the patient’s
view during the Red/Green test of the programmed subjective refinement.
[Item No. 26] Selection of the corrective lens when using the recall function in a state that the ex-
LM data is not in the memory.
Unaided ................. No corrective lens will be placed (Visually unaided state will
be established).
AR ......................... Corrective lens of the selected AR data will be placed.
[Item No. 27] The indication step of AXIS data for subjective refinements.
[Item No. 28] Selection of whether or not to print VA in decimals or fractions.
If the parameter “VA display” is set at “Frac.” (when VA is shown in fraction), only
a denominator for the numerator 20 appears on the printed paper.
6-7
< Setting Mode 4 >
No. Items Contens
31 Obj. Chart Scene / Astig
32 Cor. VA check ALL, 20/200, 20/80, 20/60, 20/50,
20/40, 20/30, 20/25, 20/20
33 Cor. VA test ALL, 20/200, 20/80, 20/60, 20/50,
20/40, 20/30, 20/25, 20/20
34 ADD VA ALL, 20/200, 20/80, 20/60, 20/50,
20/40, 20/30, 20/25, 20/20
35 XC Chart DOT, 20/200, 20/80, 20/60, 20/50,
20/40, 20/30, 20/25, 20/20
36 XC test CAC NO / 0.25D / 0.5D / 0.75D
37 XC auto VA YES / NO
38
39
40
[Item No. 31] Selection of the chart which appears during objective (AR) refraction.
Scene ..................... Scenery chart
Astig ...................... Astigmatism clock dial chart
[Item No. 32] Selection of the VA chart which initially appears just after the instrument enters the
objective (AR) measurement checking mode.
[Item No. 33] Selection of the VA chart which appears initially just after the instrument enters the
aided visual acuity test mode.
[Item No. 34] Selection of the VA chart which initially appears just after the instrument enters the
near vision test mode.
[Item No. 35] Selection of the chart which initially appears just after the instrument enters the
cross cylinder test mode.
DOT....................... Dot chart
[Item No. 36] Generally, the XC test is performed in the order of:
Axis refinement → cylinder power refinement
If CYL ≤ the setting value, the XC test is performed in the order of:
Cylinder power refinement → axis refinement → cylinder power refinement
NO ......................... In all cases, the test proceeds with the order of axis refinement
→ cylinder power refinement.
[Item No. 37] Selection of whether or not to present the chart of the patient’s VA when instrument
goes into the cross cylinder mode and the patient’s VA is less than 40.
6-8
< Setting Mode 5 >
No. Items Contents
41 Conf. Index YES / NO
42 Near PD YES / NO
43 Working D. 35-75mm / 14-28 inch
44 Auto IOL YES / NO
45 Auto PD YES / NO
46 KM Continue 1-10 (3)
47 Beep High / Low / NO
48 TV Auto-OFF YES / NO
49 Ref. Index N= 1.3375 / 1.336 / 1.332
50
[Item No. 41] Selection of whether or not to print confidence index.

[Item No. 42] Selection of whether or not to print Near PD data.
[Item No. 43] Setting of the near working distance, which is referred to as near vision test or near
PD calculation, between 35 - 70 cm (5 cm steps). After these, there are options of
in-inch indication between 14 - 28 inches (2 inch steps).
[Item No. 44] Selection of whether or not to use the Auto IOL function.
When set to “YES”, the IOL mode automatically turns on after three times of erro-
neous measurement during the objective (AR) measurement.
[Item No. 45] Selection of whether or not to measure PD during objective (AR) measurement.
(Applies only when measuring both eyes.)
[Item No. 46] Setting of the number of the serial measurement for KM measurement in R/K or
K mode.
[Item No. 47] Selection of the tone of beeps, which sound during measurement.
[Item No. 48] Selection of whether or not to use the Auto-OFF function
. When set to “YES” and there is no operation for more than 5 minutes, the TV monitor turns off
automatically and the display panel shows time. The monitor ON condition recov-
ers by pressing any button.
[Item No. 49] Selection of the corneal refractive index.
6-9
< Setting Mode 6 >
No. Items Contents
51 I/F Mode NIDEK
52 I/F Format All / Short
53 Baud-Rate 9600 / 4800 / 2400 / 1200
54 Bit Length 7/8
55 CR Code YES / NO
56 Error Print YES / NO
57 Error Code YES / NO
58 Error Data YES / NO
59 IN port (LM) NIDEK
60 LM Data Prt. YES / NO
[Item No. 51] Setting of the instrument to communicate with.

NIDEK .................. Communicating with a NIDEK-brand instrument
(There is no option besides “NIDEK”.)
[Item No. 52] The format of sending data. Selectable between “All”, which sends out all data
measured, and “Short”, which sends out only the restricted data.
[Item No. 53] Selection of baud-rate (bit transmission speed) for communication.
[Item No. 54] The bit number for a single character used for communication.
[Item No. 55] Selection of whether or not to attach CR (carriage return) code at the end of sending
data.
[Item No. 56] Selection of whether or not to print error message for objective (AR) measurement.
[Item No. 57] Selection of whether or not to display error code for AR/KM measurement and AR
printing.
[Item No. 58] Selection of whether or not to display and print error data of AR measurement.
(When set to “YES”, “Err” appears after erroneous measurement and then the data
blinks to show that it is an error data.)
[Item No. 59] Setting related to the lensmeter to be connected to side.*1 Never change
the setting.
[Item No. 60] Selection of whether or not to print the communication data for the lensmeter con-
nected to side by the printer built in the ARK.*1
When the parameter is set to “YES”, the printout of the data will come out from the
printer by pressing the print button of the lensmeter. Use the lensmeter provided
with the function of printing out the communication data. For details, refer to
Operator’s Manual of the lensmeter.
*1 side of the ARK cannot be used if the ARK is equipped with an optional IC card Reader/Writer.
6 - 10
< Setting Mode 7 >
No. Items Contents
61 Sagittal YES / NO
62 Sagit Axis AXIS / FIX
63 Sagit Print All / Short
64
65
66
67
68
69
70
[Item No. 61] Selection of whether or not to measure Sagittal radius after KM measurement in R/K or
K mode.
[Item No. 62] Selection of whether or not to convert the sagittal radius measurement for the axis
of the major meridian which has been obtained by KM measurement. To convert
data, choose AXIS.
[Item No. 63] Selection of the print format of sagittal radius measurement.
All ......................... All data is printed out (See page 4-47).
Short ...................... Only sagittal radius value and the total eccentricity is printed
out (See page 4-46).
6 - 11
6.2 Setting Date and Time

1. Press .
2. Press seven times so that the date and time setting mode will be established.
The TV monitor shows “CLOCK SET” while the display panel shows the date with the “year”
blinking. The blinking indicates that the number is changeable.
Year Month Day
NOTE
• The clock stops during date and time setting. It restarts when the setting mode is
released by pressing or .
3. Press the start button to blink the position that you want to change.
The blinking order is as follows.
Year → Month → Day → Hour → Minutes → Year → ······
4. Press or to change the setting.

.............................................. The number increases.
.............................................. The number decreases.
5. Repeat steps 3. and 4. to set whole contents of date and time.
6. After setting desired items, press to release the mode.

If you press instead of , the mode returns to the parameter setting mode 1.
NOTE
• The internal clock will be working even though the power is cut off due to an internal
battery. If the date and time setting goes wrong, recharge the battery. (See page 6-3,
*1)
6 - 12
6.3 Entering Comments

1. Turn off the power switch.
2. While pressing down , turn on the power.

The following will be printed out.
< Sample Printout >
Parameters
Parameters
for servicing
Date & time
Comment
Model
6 - 13
3. Press eight times to establish the mode for entering comments.
The following appears on the display panel.
Character code Line No. Figure No.
NOTE
• It is possible to input up to 24 × 2 characters.
Figure No.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
1
2
Line No.
4. Make the desired figure number and the desired line number appear on the display panel.
By pressing the start button, the figure number increases. By pressing the start button after
figure number 24 is displayed, the line number changes.
5. Press or to change the character code to the desired one.

...................................... The character code increases.
...................................... The character code decreases.

For the character code, refer to the character code table on the next page.
6 - 14
Character Code Table
The following characters (marks) are available to input.
First digit of character code
2 3 4 5 6 7 8 9 A b
0 SPC 0 @ P P ̆ ࠲ ࡒ
1 ! 1 A Q a Q ‫ޕ‬ ࠕ ࠴ ࡓ
2 “ 2 B R b R ‫ޟ‬ ࠗ ࠷ ࡔ
3 # 3 C S c S ‫ޠ‬ ࠙ ࠹ ࡕ
4 $ 4 D T d T ‫ޔ‬ ࠛ ࠻ ࡗ
5 % 5 E U e U ࡮ ࠝ ࠽ ࡙
6 & 6 F V f V ࡥ ࠞ ੑ ࡛
7 ‘ 7 G W g W ࠔ ࠠ ࠿ ࡜
8 ( 8 H X h X ࠖ ࠢ ࡀ ࡝
Second digit of 9 ) 9 I Y i Y ࠘ ࠤ ࡁ ࡞
character code A ∗ : J Z j Z ࠚ ࠦ ࡂ ࡟
B ; K [ k [ ࠜ ࠨ ࡅ ࡠ
C , < L ¥ l { ࡖ ࠪ ࡈ ࡢ
D = M ] m } ࡙ ࠬ ߳ ࡦ
E . > N n ࡚ ࠮ ࡎ 䉘
F / ? O o ߩ ࠶ ࠰ ࡑ q
< Example >

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
1 N I D E K A R K - 7 6 0 A
2
· If you want to input the letter N in the figure number 7 of the line number 1, display
“4E 1-7” on the panel.
6. Repeat 4. and 5. to enter your comment.
7. After entering the comment, press to release the setting mode.

If you press instead of , the mode returns to the parameter setting mode 1.
NOTE
• The internal clock will be working even though the power is cut off due to an internal
battery. If the date and time setting return to the initial one (NIDEK ARK-760A),
recharge the battery. (See page 6-3, *1)
6 - 15
6.4 Measuring Hard Contact Lenses

An optional contact lens holder is necessary for
measuring contact lens.
1. Fix the mount for CL holder onto the upper

end of the head rest post and fix it with the
fixing screw.
2. Fill the concave top of the CL holder with

water.
3. Put the contact lens in water with the

measuring surface facing upward.
When measuring the concave surface, place the
lens with the concave surface up. When
measuring the convex surface, place the lens
the other way.
NOTE
• Be careful not to let bubbles get under the
lens or water or dust on the lens.
4. Insert the pin of the CL holder into the cavity

on the top of the mount and turn the holder
with the measuring surface facing toward the
measuring window.
5. Select KM measurement mode and measure

the lens in the same manner as usual KM
measurement.
NOTE
• When measuring the convex surface of the contact lens, axis angle can be read directly.
When measuring the concave surface, however, the measured axis should be read
inversely to Y axis.
• Soft contact lenses cannot be measured.

§7 TROUBLESHOOTING GUIDE
In the event that the instrument does not work correctly, correct the problem according to the
following table before contacting your authorized distributor.
Symptom Suggestion
・Thepower cord may not be well connected to the outlet.
Reconnect it securely.
・Thepower switch may not have been turned on. Check the
The TV monitor and display panel
power switch.
does not turn on.
・The fuses may be blown. If so, replace the fuses with new
ones.
・The auto-OFF function may have been executed. Try to

recover the ON condition by pressing any button.
The TV monitor does not turn on
(cannot see well) even though the ・The brightness may be darkly adjusted. Open the cover for
power is on.
switches and adjust the brightness by turning the brightness
control.
The monitor display disappears ・The auto-OFF function may have been executed. Try to
suddenly. recover the ON condition by pressing any button.
・The TV display is not horizontally or vertically locked. Adjust
The monitor display runs.
it with the H or V control.
・The locking knob may be fixing the main body. Loosen the
locking knob which is beside the joystick.
The main body cannot be moved
laterally. ・The locking knob may be braking the main body. Loosen
the lockinig knob which is beside the joystick.
・Check the printer paper. If the paper is out, set in a new

printer roll.
The instrument does not print.
・The Print Form. parameters may be set to "NO". Reset the
Print Form. parameters.
7-2
Symptom Suggestion
The printer does operate, however, ・The printer roll may be set with the wrong side up. Set it
printed results cannot be obtained. with the correct side up.
・The auto-tracking button may not be on. Turn on the
tracking function by pressing .
・The auto-shot button may not be on. Turn on the auto-shot

function by pressing .
・Such asroom illumination may be reflecting on the cornea.

Change the location and try again.
・The auto-tracking function or auto-shot function does not

work on some eyes such as keratoconus or lately operated
Auto-tracking function or auto-shot on corneas. In such a case, turn off the auto-tracking
function does not work. function to perform measurement.
・The patient who has substantial ocular ataxia or who cannot

fixate his/her eyes, there are cases that auto-tracking
function or auto-shot function does not work. In such cases,
turn off the auto-tracking function and start a measurement.
・Ifthe instrument is installed in the vicinity of window where

the instrument is exposed to sunshine, light interference may
adversely affect these functions. Change the installed
position of the instrument and perform a measurement
again.
・The patient may have blinked during measurement. Instruct
the patient not to blink, and try again.
・The eyelid or eyelashes may be obstructing the

measurement. Instruct the patient to open the eye widely. If
his/her opening is not enough, open it with your hand,
paying attention not to press against the eye ball.
"Err" appears. ・The pupil may be too small for measurement. Let the
patient be in a dark room for a while until the pupil opens
enough, and try again.
・If you are measuring an IOL-implanted eye or an eye

wearing a CL, press and try again.
IOL appears on the monitor.
・The data may have exceeded the measurable limit.

Date and time setting goes wrong, or ・The internal battery may be dead. Turn the power on and
the system parameters and comment leave it for 24 hours to recharge the battery.
settings return to the factory settings.
* If the problem cannot be solved by following the suggestions above, contact your authorized distributor.
§8 MAINTENANCE
8.1 Replacing Printer Roll

When a red line appears on the side of the printer paper, it means that the paper is running short.
In such a case, stop using the printer and replace the roll with a new one.
NOTE
• Replace the printer paper with the power switch turned off.
• Do not run the printer without paper.

It ruins the printer head.
• Do not pull the paper in the printer forcefully. This may cause malfunction of the
printer.
1. Pull the printer cover to open.
2. Flip up the lever on the left side, and turn

the gear on its left backward in order to
rewind the paper.
3. Pull up the shaft to take out the used paper

roll, and then remove the shaft out of the roll.
8-2
4. Insert the shaft in the new printer roll.
5. Set the roll into the printer housing.
NOTE
• If the roll is set in such a way that the
paper becomes upside down, it is not
possible to print data on the paper.
6. Make sure the paper is not jagged, cut it

cleanly, then pass the paper through the
printer as shown on the figure on the right.
NOTE
• When the paper comes to point “ A ”, turn
the gear forward to feed the paper.
7. Pass the paper through the printer cover.
NOTE
• To remove the slack of paper, turn the gear
forward.
8. Flip down the lever and push the printer

cover towards the main body.
8-3
8.2 Fixing a Bunch of Chin Rest Paper

1. Disconnect two fixing pins from the chin rest.
2. Take out proper numbers of chin rest paper from a pack of chin rest paper.
It is impossible to fix a whole bunch of chin rest paper. Be sure to fix the bunch with 6mm
width or less. Pay attention not to scatter the chin rest papers.
3. Insert the fixing pins into the holes in the

chin rest papers. Fixing pin
Insert the disconnected pins into both holes of
the bunch of chin rest paper.
Bunch of
chin rest paper
4. Fix the bunch of chin rest paper onto the chin
rest.
1) Insert the pins into the hole in the chin rest
while holding both fixing pins and bunch of
chin rest paper.
2) Push the pins into the holes of the chin rest with the other hand.
8-4
8.3 Replacing Fuses

If the instrument does not work even though the power switch is ON, fuses may be burnt out. In
such a case, replace them.
CAUTION
• Perform replacement work in a stable and open space.
If the instrument falls, it may malfunction.
• Never use a fuse other than the specified one.

This may cause fire.
1. Turn off the power and remove the power

cord.
2. Lock the main body to the base unit with

the locking knob and lay it down gently.
3. Turn the fuse holders counterclockwise as

indicated by an arrow with a screwdriver
and remove them.
4. Pull out the fuse holders from the base unit.

8-5
5. Remove the used fuses from the fuse holders.
6. Insert new fuses into the fuse holders.
7. Turn the fuse holders clockwise while

pressing them down with the screwdriver
and set it into the main body.
CAUTION
• If fuses blow frequently, do not touch the inside of the instrument but contact your authorized
distributor.
If you touch inside the instrument, you may get an electrical shock.
8-6
8.4 Cleaning the Measuring Window

When the measuring window gets fingerprints or dust on it, the reliability of the measured value
will be lowered substantially. Check the dirt on the measuring window before use, and then
clean it if it is dirty.
1. Blow off the dust on the measuring window with a blower.
2. Wrap the lens cleaning paper around a thin

stick such as a chopstick (or cotton swab)
and wipe the glass of the measuring window
with a material moistened with alcohol.
Use a thin stick which will not damage the glass.

(Never use hard objects such as a metal
product.)
Wrap a cleaning paper around the tip.
Wipe the measuring window lightly from center
to outside along an arc.
Pay attention not to put alcohol onto the sensor

window and cover, etc. except the measuring
window.
3. Check if the window is cleaned using a

penlight. If not, clean it again with a new
cleaning paper.
Apply light with a penlight and change the view

angle to check the dirt clearly. Penlight
Be sure not to wipe the sensor window except

the central measuring window with alcohol.
Wipe the dirt of the sensor window with a dry
cleaning paper.
8-7
8.5 Cleaning Exterior

When covers or panels become dirty, wipe with a dry and soft cloth. For stubborn dirt, immerse
the cloth in a neutral detergent, wring well, and wipe. Finally wipe with a dry and soft cloth.
NOTE
• Never use an organic solvent such as paint thinner.
It could ruin the surface of the instrument.
8.6 List of Parts for Replacement

Printer roll Order Number
Printer roll 8062-00001
Bunch of chin rest paper 32903-M047
Fuse (100/120V ~) 80402-02116
Fuse (200-220/230-240V ~) 80402-02113
§9 IC CARD SYSTEM (OPTIONAL)
If the ARK-760A is equipped with an IC card system*1, it can transmit measured results to the
IC card.
There are two ways to transmit data to the IC card.
A. To transmit data without pressing .
1. Take a measurement.
2. Insert the IC card into the slot of the Reader/

Writer.
Data will be written on the IC card and the card
will come out automatically.
NOTE
• With this procedure, data in the ARK-
760A will be cleared after data
transmission.
B. To transmit data by pressing .
1. Insert the IC card into the slot of Reader/Writer.
2. Take measurement.
3. Press .
Data will be printed out and at the same time written on the card. The card then will come out
automatically.
NOTE
• In this case, data in the ARK-760A will not be cleared.
*1 When the ARK-760A is equipped with an IC card system, the interface connector on
side can not be used.
§10 SPECIFICATIONS
{Objective measurement of refractive power (AR measurement) (VD=12mm)
· Spherical power (S)
Measurable range -18.00D - +23.00D
Indication step 0.01D/0.12D/0.25D
· Cylindrical power (C)
Measurable range 0D - ± 8.00D
[Accuracy*1]
Deviation from the
Criterion Measuring range
nominal value
Spherical and 0.00 to ± 10.00D ± 0.25D

cylindrical vertex
power >10.00D (absolute) ± 0.50D
· Cylinder axis (A)

Measurable range 0º - 180º
Indication step 1º / 5º
[Accuracy*1]
Deviation from the
Criterion nominal value of
the ARK
0.25D to ± 0.50D ± 10°
Cylinder axis for

>0.50D to 3.00D ± 5°
cylinder power
>3.00D ± 3°
*1 The accuracy specifications are based on the results of eye

model testing performed in accordance with ISO 10342:
1997, Ophthalmic Instruments - Eye Refractometers.
* Cylinder axis shall be indicated as specified in ISO 8429.
· Minimum pupil diameter φ2.5mm
measurable
· Vertex distance 0mm/10.5mm/12mm/13.75mm/15mm/16.5mm
· Relaxation of
accommodating eye Auto-fogging system
10 - 2
{Measurement of corneal curvature (KM measurement)
· Corneal curvature (R1, R2, AVE)
Measurable range 5.00mm - 10.00mm
Indication step 0.01mm
Accuracy ±0.05mm
· Corneal refractive
Measurable range 33.75D - 67.50D (n=1.3375)
Corneal
refractive index n = 1.3375/1.336/1.332
· Corneal astigmatism (CYL)

Measurable range 0D - ±10.00D
Indication step 0.01D /0.12D/0.25D
· Corneal cylinder of astigmatism
Indication step 1º / 5º
· KM measurement range φ3.3mm on cornea (For corneal curvature of 7.7mm)
· Size of mire ring φ2mm on cornea (For corneal curvature of 7.7mm)
{Measuring time
· Objective (AR) measurement
0.3 seconds/eye
· KM measurement Less than 0.1 second/eye
· Serial measurements Less than 2 seconds/eye
{Subjective measurement of refractive power

· Spherical power (S)
Measurable range -13.50D - +18.50D(VD = 12mm)
Indication step 0.25D
· Cylindrical power (C)
Measurable range 0D - ±8.00D
Indication step 0.25D
· Cylinder axis (A)
10 - 3
· Test contents Red/Green test (Auto-fogging system is available.)
Cross cylinder test
Crosscylindertestforcylinderpowerrefinement ±0.25D
Crosscylindertestforcylinderaxisrefinement ±0.25D
Near vision test XC method (±0.5D)
{Visual acuity test

· Measurable range 20/200, 20/80, 20/60, 20/50, 20/40, 20/30, 20/25,
20/20
· Chart Alphanumeric characters
{PD measurement
· Measurable range 30 mm - 85 mm (For Near PD : 28 mm - 79 mm when WD=35cm)
· Indication step 1 mm
{CS measurement
· Measurable range 10.0mm - 14.0mm
· Indication step 0.5mm
{PS measurement
· Measurable range 1.0mm - 10.0mm
· Indication step 0.5mm
{Sagittal Radius measurement

· Measurable angle 25º each from the center (Up, Down, Temporal side, Nasal side)
· Sagittal radius
measurement
Measurable range 5.00mm - 10.00 mm
Indication step 0.01mm
· Eccentricity (E) -4.10 - +2.05
10 - 4
{Printout
· Date and time of measurement, and Patient number
· Vertex distance
· Near working distance
· Objective (AR)
measurements Maximum 10 stored measurements for both right and left eyes,
Selected value (when there are 3 or more measurements), Latest
value (When there are 2 or less measurements)
· KM measurements Maximum 10 stored measurements for both right and left eyes,
Selected value (when there are 3 or more measurements),
Latest value (When there are 2 or less measurements)
· Subjective measurements Unaided VA
Aided VA by objective corrections
Aided VA
Distance power
Addition power
Near VA
· PD measurements Measured value of Distance PD
Calculated value of Near PD
(For Near working distance between 35 cm - 70 cm, changeable
in steps of 5 cm.)
· Corneal size measurement
· Pupil size measurement
· Ex-LM data (available only if a line is imported from the lensmeter)
· CL conversion value
· SE (Sphere Equivalence) value
· Err (Measurable range over error)
· Trial lens data
· Eyeprint
10 - 5
{Chart
· VA chart 9 (20/200, 20/80, 20/60, 20/50, 20/40, 20/30, 20/25,
20/20, whole VA chart)
· Scenery chart
· Red/Green chart
· Dot chart
· Cross-grid chart
· Astigmatism clock dial chart
{Alignment observation
· 5 inch TV monitor
{Measurement indication
· LED digital display
· TV monitor display
{Interface
· Interface which complies with RS -232C standard
Outputs all data except eye print which can be printed out.
{Cross-slide travel
· Back and forth : 36 mm, right and left : 85 mm, up and down : 28 mm
{Working range of auto-tracking

· φ4 mm on cornea
{Power source*1
· A. 100/120Vac (±10 %) 120VA 50/60Hz
B. 200 - 220/ 230 - 240Vac (±10 %) 120VA 50/60Hz
{Dimensions
· 260 (W) × 485 (D) × 451 (H) mm 20 kg
*1 The electrical rating, A or B for the instruments is factory-configured.

10 - 6
{Environmental conditions (In transference and storage)

· Temperature – 40ºC - 70ºC
· Humidity 10 - 100% (Non-condensing)
{Environmental conditions (In use)

· Temperature 10ºC - 40ºC
· Humidity 30 - 75% (Non-condensing)
· Atmospheric pressure 700 - 1060 hPa
*Specifications are subject to change without notice for improvement.

ACCESSORIES
§11
11.1 Standard Accessories
4 Fuses (2 of them are located in the body.)
4 rolls of Printer paper (One of them is set in the printer.)
1 Power cord
1 Dust cover
1 sheaf of Chin rest paper
11.2 Optional Accessories

IC card system (Factory-built option)
Video output (Factory-built option)
Interface cable
Model eye
Contact lens holder
A. Glossary
The following terms are used to help you to understand the contents of this manual. Before reading this
manual, read thorough and understand the following.
· AI Mode
A mode where the instrument completes AR/KM measurement as soon as the selected
values are obtained. But if “Error Data” of the parameter is set to “YES” and there are not any
variations in the three measurements, theAR measurement ends. If there is an error data (confidence
coefficient=E) in the measurements, the AR selected value is not obtained.
· AR Measurement
Refractive power measurement which is objectively performed.
· Auto IOL
A function where the instrument automatically turns on the IOL mode after three times of
erroneous AR measurement.
· Auto-shot
A function where the instrument automatically starts serial AR or KM measurement as
soon as the instrument is best aligned and in ideal focus.
· Auto-tracking
A function where the instrument automatically controls the up, down, right, and left
movement of the measuring part to make alignment. The auto-tracking function works in
a range of 4 mm in diameter on the cornea.
· CL Conversion Value
The value that the selected AR values (latest value if the selected AR values have not been
obtained or subjective refinements if the subjective refinement has been done) are converted
into CL values, letting the vertex distance (VD) be 0 mm.
· Comment
It is possible to enter some letters or marks as you wish on the printout. The instrument
accepts up to 24 letters × 2 lines as a comment.
· CS
Abbreviation of Corneal Size.
· Eyeprint
Tells graphically the patient’s refractive status based on the selected AR value (the latest
value when the selected value has not been obtained or subjective measurement when the
subjective refinement has been done).
· Highspeed Mode
The mode where the start button is held down in AR measurement, and you are enabled to
keep the fog throughout the serial measurement.
· KM Measurement
This is to measure radius of corneal curvature.
A-2
· Limit Mark
Two arrows which appear in the center of the TV monitor when the position of the alignment
light goes out of the working range of the auto-tracking. “<LIMIT>” sign appears
simultaneously.
· Measurable Range Over Error

Err +o .......... The spherical power is over the measurable limit of + side in objective
measurement.
Err -o ........... The spherical power is over the measurable limit of - side in the
objective measurement.
Err co .......... The cylindrical power is over the measurable limit in the objective
measurement.
· Min. Pupil Mark

Indicates the minimum pupil size measurable.
· Near PD
Prospective PD at near, which is calculated by preset near work distance of 14 inches
(factory setting).
· Near Working Distance

Distance between the eye and the watching target, when one sees the target through reading
glasses or multifocal glasses.
· PD
Abbreviation of Pupil Distance.
· PS
Abbreviation of Pupil Size.
· RG Test
Abbreviation of Red/Green test. This test is for refining sphere power.
· SE (Sphere Equivalence) Value

The value that 1/2 of the cylinder value is added to the spherical value. Calculated for
selected value (the latest value when the selected value has not been obtained), subjective
refinement and CL conversion value.
· Selected AR/KM Value

The center value of the measured values which are put in order in the computer.
· Trial Lens Data

The data where the selected AR value (the latest value when the selected value has not
been obtained, or subjective refinements if subjective refinement has been done) is examined
and indicated by the cylinder mode (cylinder reading direction) which would make the
sphere trial lens have lower power for convenience.
A-3
· Vertex Distance
The distance between the corneal vertex to the posterior surface of the spectacle lens.
· XC Test
Abbreviation of the cross cylinder test. In the test, cylinder axis and power is refined by
using the cross cylinder lens.
Conversion table for representation of VA
B. APPENDIX
See the following table for the converted VA into decimals.
C. Index
A E
AI mode ............................................ 4-8, 4-14 Entering Comments .................................. 6-12
Alignment observation.............................. 10-5 Err +o .......................................................... 5-7
AR and KM Measurements ........................ 4-6 Err -o ........................................................... 5-7
Auto IOL..................................................... 4-4 Err co .......................................................... 5-7
Auto-PD measurement ............................. 4-42 Error data ........................................ 4-12, 4-18
Auto-shot Button ........................................ 3-1 Eye Level Marker ....................................... 3-9
Auto-shot ON Mark ............................. 3-5, 4-2 Eyeprint .............................................. 5-6, 5-7
Auto-tracking Button .................................. 3-1 Eyeprint Switch .......................................... 3-7
Auto-tracking ON Mark ...................... 3-5, 4-2 F
Auxiliary Switches ..................................... 3-7
Locking Knob ............................................. 3-1
B Focusing Indicator .............................. 3-5, 4-2
Brightness Control ...................................... 3-7 Forehead Rest ............................................. 3-9
Fuses ........................................................... 3-9
C
H
Confidence index ........................................ 5-5
Changing Button ......................................... 3-1 H Control of TV Monitor ........................... 3-9
Character Code Table ................................ 6-14 Highspeed mode ............................... 4-8, 4-14
Chart ......................................................... 10-2 I
Chin Rest .................................................... 3-9
Chin Rest Knob .......................................... 3-9 IC Card System ................................... 3-1, 9-1
CL conversion value ................................... 5-7 Interface .................................................... 10-5
Cleaning Exterior ........................................ 8-7 Interface Connectors ................................... 3-9
Comment .................................................... 5-7 IOL Button .................................................. 3-1
Contrast Control ......................................... 3-7 IOL ON Mark ............................................. 4-4
Cover for Switches ..................................... 3-1 J
Cross-slide travel ...................................... 10-5
Joystick ....................................................... 3-3
CS Measurement ............................. 4-38, 10-3
CYL + ......................................................... 4-3 K
CYL - .......................................................... 4-3 K mode ....................................................... 4-3
CYL ± ......................................................... 4-3
CYL Mode switch ...................................... 3-7 L
Cylinder Mode Indication ........................... 3-5 Labels.......................................................... 2-7
Cylinder test .............................................. 4-33 LED for Corneal Illumination .................... 3-9
Cross cylinder test Limit mark .................................................. 4-7
for axis refinement .................................... 4-26 List of Parts for Replacement ..................... 8-7
Cross cylinder test for M
cylinder power refinement ........................ 4-27
Manual PD measurement.......................... 4-42
D Measurable range over error ....................... 5-7
Dimensions ............................................... 10-5 Measurement indication ........................... 10-5
Display Panel .............................................. 3-1 Measurement of corneal curvature ........... 10-1
DOWN Button ............................................ 3-1
C-2
Measuring Count ........................................ 3-5 S
Measuring Hard Contact Lenses............... 6-15 SE value ...................................................... 5-3
Measuring time ......................................... 10-2 Selected AR value ....................................... 5-3
Measuring Window ..................................... 3-9 Selected KM value ...................................... 5-4
Memory Indicator ....................................... 3-3 Setting Date and Time .............................. 6-11
Min. Pupil Mark ......................................... 4-2 Setting Switch ............................................. 3-7
Mire Ring .................................................... 3-5 Start Button ................................................. 3-3
N Subjective measurement of
Near PD ...................................................... 5-4 refractive power ....................................... 10-2
Near vision test ......................................... 4-34 Subjective refinement .............................. 4-22
Near working distance ................................ 5-2 Symbol Information ................................... 1-2
System Setups ............................................. 6-1
O
T
Operation Flow ........................................... 4-1
Objective measurement Target .................................................. 3-5, 4-2
of refractive power ................................... 10-1 Trial lens data ............................................. 5-3
Troubleshooting Guide ............................... 7-1
P TV Monitor ................................................. 3-1
Parameter Table .......................................... 6-4 U
PD Measurements ............................ 4-42, 10-3
PD ERR ...................................................... 4-2 Unaided visual acuity ............................... 4-19
PD Window ................................................. 3-9 UP Button ................................................... 3-1
Power Inlet .................................................. 3-9 V
Power source ............................................. 10-5 V Control of TV Monitor ........................... 3-9
Power Switch .............................................. 3-1 Vertex distance ..................................... 5-2, 5-3
Preparation for Measurement ..................... 4-2
Print Button ................................................ 3-1 W
Printer ......................................................... 3-1 When measuring mode is set to
Printing Measurement Results .................... 5-1 << R/K >>.......................................... 4-7, 4-14
Printout ..................................................... 10-4 When not using the auto-tracking
PS Measurement .............................. 4-40, 10-3 function ........................................... 4-13, 4-20
R When the measuring mode is set to
<< K >> .......................................... 4-10, 4-17
Recall function ....................... 4-23, 4-30, 4-37 When the measuring mode is set to
Red/Green test ....................... 4-25, 4-28, 4-32 << R >>............................................. 4-9, 4-16
Replacing Fuses .......................................... 8-4 When using the auto-tracking
Replacing Printer Roll ................................ 8-1 function ............................................. 4-6, 4-19
R/K Button.................................................. 3-1 Working range of auto-tracking ................ 10-5
RK mode ..................................................... 4-3
R mode ........................................................ 4-3
* Specifications are subject to change without notice for improvement.
NIDEK CO., LTD. : 34-14, Maehama, Hiroishi-cho, Gamagori, Aichi 443-0038, Japan
(Manufacturer) Telephone: (0533) 67-6611
Facsimile: (0533) 67-6610
NIDEK CO., LTD : 6th Floor, Takahashi Bldg., No.2, 3-chome, Kanda-jinboucho
(Tokyo Office) Chiyoda-ku, Tokyo 101-0051, Japan
Telephone: (03) 3288-0571
Facsimile: (03) 3288-0570
Telex: 2226647 NIDEK J
NIDEK INCORPORATED : 47651 Westinghouse Drive Fremont, California 94539, U. S. A.
(United States Agent) Telephone: (510) 226-5700
Facsimile: (510) 226-5750
NIDEK SOCIETE ANONYME : Europarc 13, rue Auguste Perret, 94042 CRETEIL, France
(Authorized Representative) Telephone: (01) 49 80 97 97
Facsimile: (01) 49 80 32 08
2004. 01
32160-P902J
Printed in JAPAN

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NIDEK

MEDICAL ELECTRICAL EQUIPMENT

(This applies only to the equipments whose power source is 100/120Vac.)

§2 SAFETY ........................................................................................................................ 2-1

§3 CONFIGURATION ..................................................................................................... 3-1

§5 PRINT OUT .................................................................................................................. 5-1

§7 TROUBLESHOOTING GUIDE................................................................................. 7-1

§9 IC CARD SYSTEM (OPTIONAL) ............................................................................ 9-1

A. Glossary ........................................................................................................................ A-1

B. APPENDIX .................................................................................................................. B-1

C. Index ............................................................................................................................. C-1

1.1 Outline of the Product

[Form of protection against electrical shock] Class I

[Degree of protection against electrical shock] Type B Applied Part

[Degree of protection against ingress of liquids] IP20

*1 In accordance with IEC 60529

[Method(s) of sterilization or disinfection recommended by manufacturer]

1.3 Symbol Information

This symbol on the power switch indicates the power is ON.

This symbol on the power switch indicates the power is OFF.

This indicates the interface connector for LENSMETER.

This indicates the interface connector for an external computer.

This indicates the knob for adjusting contrast.

This indicates the knob for adjusting brightness.

CAUTION: Indicates a potentially hazardous situation which, if not

• Do not place the instrument on the power cord.

ARK-710A / 光放射ｴﾈﾙｷﾞｰ / AR測定時

ARK-710A / 光放射ｴﾈﾙｷﾞｰ / KM測定時

*1 LA: Spectrally weighted photochemical aphakic source radiance

• Do not install the instrument near water.

- Reorient or relocate the receiving device

2.6 After Use

2.7 Maintenance and Checks

• Be careful not to leave fingerprints or dust on the measuring window.

R/K Button Locking Knob

IC Card System (Optional) Display Panel

Used during CS and PS measurements to Used to change modes to select whether to

Used during CS and PS measurements to Used to change from AR/KM measurements

Scenery Chart Button Dot Chart Button

• Dot Chart Button Memory Indicator

Cylinder Mode Indication

Min. Pupil Mark

Screen indications during subjective refinement

Min. Pupil Mark

Cylinder Mode Indication

Auto-tracking ON Mark Auto-shot ON Mark

Cylinder Mode Indication ≪RECALL≫

When the auto-shot function is on, indicates XC test ≪AXIS XC TEST≫

measuring unit and the patient’s eye.) (During UNAIDED

subjective refinement) ≪RECALL≫

monitor. checking near VA ADD=0

CYL Mode switch Eyeprint Switch

Used when setting system parameters, setting

Prints only the basic result and an Eyeprint,

Changes the cylinder mode, the reading

Forehead Rest Measuring Window

Eye Level Marker

LED for Corneal

4.1 Operation Flow

→ 4.4 Unaided Visual Acuity Test (p. 4-19)

4.2 Preparation for Measurement

Min. Pupil Mark Target Focusing

2. Open the cover for switches and set

3. Press to select the measuring mode.