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OM t of c.iii - Vision Research Coordinating Center - Washington ...

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1/1/2005 Chapter 8 Corneal Curvature and Topography page 8-16<br />

Patient confidentiality is maintained as follows: From the main menu select<br />

patient examination. If new, enter the patient’s full CLEK ID number into the “Patient<br />

Last Name,” “Patient First Name,” and “Patient ID #” fields.<br />

The measurement procedure is as follows:<br />

(1) Insert CLEK Syquest disk (or equivalent).<br />

(2) From main menu select Patient Examination.<br />

(3) Enter Operator’s Initials. Select OD and appropriate exam protocol button.<br />

(Note: EyeSys System 2000 has four exam protocol buttons. Select one that will<br />

automatically save the Eye Image and Exam Data. For additional information, see<br />

“Custom Exam Protocol Setup” below).<br />

(4) Choose patient. (If new, enter the patient’s full CLEK ID number into the<br />

patient “Last Name,” “First Name,” and “Patient ID #” fields, and enter CLEK as the<br />

group. Once you have chosen the patient you are ready to capture an image.<br />

(5) Position the patient with his or her chin resting comfortably on the chin rest<br />

and forehead on the forehead rest.<br />

(6) Ask the patient to fixate the blinking green light inside the central ring using<br />

the eye being tested.<br />

(7) Align and focus the instrument by placing the central reflected ring inside the<br />

square.<br />

(8) While maintaining centration and focus, adjust the joystick to bring the cross<br />

hairs into the center <strong>of</strong> the white circles located in the horizontal, peripheral regions <strong>of</strong><br />

the image.<br />

(9) Ask the patient to blink and maintain fixation on the green light upon eye<br />

opening (as widely as possible).<br />

(10) Upon eye opening and after verification <strong>of</strong> centration and focus, press the<br />

enter key on the keyboard.<br />

(11) Verify that processed image has been digitized correctly. If OK, press accept.<br />

Edit (delete) points placed on the lid margin and/or limbal rings. DO NOT add points.<br />

(12) Discard pupil placement.

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