O W N E R ’ S M A N U A L

F O R A T L A S M O D E L 9 9 1
A T L A S E C L I P S E ™ M O D E L 9 9 2

REV. C PN 48113-1

HUMPHREY SYSTEMS
A Division of Carl Zeiss, Inc.
5160 Hacienda Drive
Dublin, California 94568
P.O. Box 8111
Pleasanton, California 94588

(1) 877-486-7473

All rights reserved © 1995, 1996 - 1998 by Humphrey Systems.

Tradmarks: MasterVue is a registered trademark of Humphrey Systems.

Windows and Windows 95 is a trademark of Microsoft Corporation. IBM is a
registered trademark of the International Business Machines Corporation. Zip
is a trademark of the iomega Corporation. GlidePoint is a registered trademark
of Cirque Corporation.

This book may not be reproduced in whole or in part by any means of infor-
mation storage, retrieval, or reproduction without permission. For information,
call or write to Humphrey Systems.
TABLE OF CONTENTS

1 INTRODUCTION
System Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
ATLAS Instrument and Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Ethernet Lan Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Network Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Twisted-Pair Installation Cables and Connectors . . . . . . . . . . . . . . . . . . . . . . . 1-7
Using Network Operating Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-7
Network OS Drivers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Setting Up the ATLAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10
Safety Regulations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10
Using this Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13
Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

2 PATIENT EXAMS
Full Exam Versus QuickVue Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Full Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
QuickVue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Aligning and Focusing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Position the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
How to Get the Best Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Align the Projection Head and Focus the Image . . . . . . . . . . . . . . . . . . . . . . . .2-3
Capture the Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Configuring Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Shutting Down the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Conducting the Full Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Building Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Saving the Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Displaying Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8
Conducting the QuickVue Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

3 REVIEWING PATIENT DATA

Data Views and Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
MasterVue Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Opening the MasterVue Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Selecting Data to Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
 Using the Map Scale Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Standard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
AutoSize . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Custom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
MultiVue Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Open the MultiVue Displays Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Select the MultiVue Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Printing the Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10

4 ALTERNATE VIEWS
Open MasterVue Control and Select View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Corneal Power Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Diopter Scale Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Statistical Indices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
MultiVue Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Tangential Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Diopter Scale Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
MultiVue Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Numerical View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Diopter Scale Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
MultiVue Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Keratometry View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
MultiVue Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Photokeratoscope View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
MultiVue Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
Profile View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
MultiVue Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14

5 DATABASE MANAGEMENT
Database Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Opening the Utilities Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Backup the Hard Disk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Backup all Data to Media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Backup New Data to Media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Format Media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Reload Hard Disk from Media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Archiving and Restoring Examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
FileVue™ Archiving . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Archive Exams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Archive Oldest Exams without Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Select by Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Select by Doctor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Select by Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Select Specific Exams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Archive Exams to Media/External Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Restore Exams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Exporting and Importing Exams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Export Exams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Import Exams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Maintaining the Database . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Edit Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Select Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Edit Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15
Delete Patient Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15
Add New Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
Edit Exams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
Select Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Select Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Edit Exam Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Save Exam Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Edit Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Delete Exam Infomation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Edit Doctor Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18
Add Doctor Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18
Change Doctor Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19
Delete Doctor Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19
Edit Group Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19
Add Group Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20
Edit Group Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20
Delete Group Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20
Edit Operator Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20
Add Operator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-21
Edit Operator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-21
6 OPERATING ENVIRONMENT
Change Preferences Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
General Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Selection Lists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Install New Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Set Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Set the Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Set the Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Changing Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

7 PRINTING
Printing to the Color Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Printing to a Slide File . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Printing to an Image File . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5

8 TROUBLE SHOOTING AND MAINTENANCE

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
General Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Specific Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Symptoms/Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Troubleshooting Zip Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Calibration Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Mount Calibration Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Run Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Care and Cleaning of the Calibration Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

9 MASTERFIT CONTACT LENS MODULE (OPTIONAL)

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
To Install this Software onto your System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Quick Guide to Using this Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
MasterFit Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Fluorescein View Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
MasterFit Set-up Tasks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Lens Designs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-8
To Add a New Lens Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9
Lens Laboratories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9
To Add a New Lens Laboratory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9
Doctor Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10
To Assign Doctor Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10
 Contact Lens Fitting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10
If Topographic Fitting/Shape Fitting Method . . . . . . . . . . . . . . . . . . . . . . . . . 9-10
If Keratometric Fitting/Custom Fitting Method . . . . . . . . . . . . . . . . . . . . . . . 9-11

10 MASTERNET™ COMMUNICATIONS SOFTWARE

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Activating MasterNet™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Configuring e-mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Preparing and Sending Patient Exams and E-Mail . . . . . . . . . . . . . . . . . . . . . . . 10-2
Selecting Exams to Send . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Attaching an e-mail message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Sending or queuing mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3
Sending an e-mail message without an exam attached . . . . . . . . . . . . . . . . . . 10-5
Receiving Patient Exams and E-Mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
To retrieve e-mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
To import selected exams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
To import all retrieved exams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
Viewing and Processing Mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Viewing and processing the Sent E-Mail log . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
To view the cover letter of an exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
To change the sorting of the Mail Queue log . . . . . . . . . . . . . . . . . . . . . . . . .10-8
To delete mail from the Mail Queue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Viewing and processing the Received E-Mail log . . . . . . . . . . . . . . . . . . . . . . 10-9
To view the cover letter of an exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
To change the sorting of the Received Mail log . . . . . . . . . . . . . . . . . . . . . . .10-9
To import exams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
Connecting to Technical Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-10

11 ADVANCED REFRACTIVE DIAGNOSTICS MODULE (OPTIONAL)

12 SIMULATED ABLATION MODULE (OPTIONAL)

13 HEALING TREND DISPLAY/STARS™ (OPTIONAL)

14 PATHFINDER™ CORNEAL ANALYSIS (OPTIONAL)

15 SPECIFICATIONS
Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-1
Environmental Requirements (No Condensation) . . . . . . . . . . . . . . . . . . . . . . . 15-1
Electrical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-1
User Input Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-1
Output Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-1
 Operating System and Data Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-1
Data Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-2
Data Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-2
Communication File Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-2

16 WARRANTY AND SERVICE CONTRACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-1

A GLOSSARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

I INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I-1
1 INTRODUCTION

SYSTEM OVERVIEW
The Humphrey ATLAS™ Model 991 and Atlas Eclipse Model 992
(referred to herein as ATLAS) Corneal Topography Systems are
diagnostic instruments that measure the curvature of the cornea of the
eye, and produce a topographical map. This map can be viewed on a
computer screen and printed in color. The information can be used to
help diagnose eye pathology and make surgical decisions.

The ATLAS is controlled by an IBM-PC-compatible personal computer

and uses a customized software platform driven by Microsoft Windows
95™.

During an examination, the patient’s chin is positioned in the chin rest

assembly in front of the projection head. The clinician administering the
exam aligns the projection head and, using a joystick, focuses on the
patient’s eye and activates the system.

The ATLAS projects a series of light rings onto the cornea of the eye.
The reflected images are detected and captured by a video camera. The
instrument determines corneal curvature values by measuring the
distance between the rings. These are converted by the software into a
topographical map of the cornea.

The ATLAS usually displays the map of the cornea in a range of

diopters. You can modify the scale of the display, and customize the
display to show a specific range of diopters. You can also display the
data in various formats, save the displays, print them, and make them
into slides, as well as convert the data to image files which can be
viewed on any computer using the proper software.

In addition, optional software modules allow you to use the corneal

measurement data in other ways. For example, the optional Contact
Lens Module lets you use the corneal measurements to fit contact
lenses, the Advanced Refractive Diagnostics module provides diagnostic
evaluations of refractive surgery patients, and PathFinder Corneal
Analysis identifies abnormal corneas based on statistical indices derived
from a normative database.
ATLAS Instrument
and Components
The ATLAS consists of several components mounted on a power table.
Please refer to the following illustration to identify the components of
your system.

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 Color Printer

Keyboard

Zip Drive

Liquid Crystal Display (LCD) or TFT

Screens and Images appear on the LCD display. You may tilt the LCD
display by pushing the corner of the instrument screen. There are four
positions available, each of them defined by a click.

It is possible to view the ATLAS software in either 640 x 480 resolution

(ATLAS LCD display) or in 1024 x 768 resolution (external SVGA
monitor). See page 6-4 for information about changing the display.

Keyboard and GlidePoint™ pad with Control Buttons

The keyboard is used to type in information, such as names, birth dates,
and examination remarks. It may also be used for E-mail
communication using the MasterNet™ software.

By touching the GlidePoint Pad, a pointer is moved around the screen.

Selections are made by pressing the left blue control button, or by
quickly tapping and releasing “clicking” the pad. The right blue button
can be used to perform certain functions under Windows ‘95. The
pointer must be touching the place on the screen that you wish to
activate in order to select a function.

Color Printer
A variety of printers can be used with the system, but generally any
Windows compatible printer can be connected to the ATLAS. Other
printer options may be available and can be discussed with Technical
Service. Please refer to the owner’s manual enclosed with your printer
for routine maintenance and set up procedures.

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 Chinrest Assembly
LCD Screen

Projection Head
Assembly

Joystick

Computer GlidePoint Pad with

Control Buttons

Projection Head Assembly and Joystick

The projection head houses the lamp, placido disk and video cameras
that project and capture an image. The illustration above shows the
components of the ATLAS.

The joystick moves the base of the unit from side to side and back and
forth for positioning. The base can also be locked in place when you
move the unit by turning the joystick counter-clockwise until it stops.

The joystick is also used to focus the image. The button on top of the
joystick activates the camera and captures the image.

Chin Rest Assembly

The chin rest assembly cradles the patient’s chin and forehead during an
examination. The chin rest can be adjusted vertically to align the
patient’s eye with the canthus marks. The illustration below shows the
parts of the chin rest assembly. This special dual chin rest is made
exclusively for the corneal topography instrument to eliminate the nose
shadow during an exam.

The left chin rest is positioned at an angle for the right eye, and the
right chin rest is angled for the left eye.

The chin rest (from the patients perspective) is labeled with blue arrows
to indicate the head position for both right and left eyes. The patient
should be instructed to place their chin in the appropriate side
depending on which eye is being examined.

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 Forehead Rest

Canthus Marks

Chin Rest

Computer
The computer is an IBM-compatible unit with a hard disk drive. It also
has a 3 1/2” drive, which uses standard 3 1/2” diskettes. An external,
optional iomega Zip drive is used for archiving and backing up of data.
The Zip drive uses special 100 MB disks designed solely for use with the
iomega drive.

External Hard Drive

An iomega Zip drive can be attached to the parallel port on the side of
the ATLAS (printer connection) and is highly recommended for each
ATLAS System. This unique external hard drive serves a dual function.
It can archive exams to free up more hard drive space on the computer,
or it can be used to backup data for protection in the event of a
computer failure. The Zip drive is located on drive F.

Please refer to the installation instructions included with the iomega Zip
drive or to the following for more information:
Keyboard Serial port Parallel port for
connector connection (not printer and/or
port operational) Zip drive

Floppy drive

Modem or Networking Model, patent, and serial VGA port (for Video In port
PCMCIA sockets numbers with certification high resolution (not operational)
(interchangeable) stickers and electrical external
requirements. monitor)

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 The iomega Zip drive attaches directly to the parallel port and includes a
printer pass-through feature that allows the use of the Zip drive or the
printer. Power must be applied to the Zip drive in order for the printer
to operate.

• Attach both the cable from the computer’s parallel port and the printer
cable to the printer icon connector on the Zip drive.

The iomega Zip drive uses 100 MB disk cartridges for easy and
convenient operation. There is a disk cartridge eject button for disk
cartridge removal. In an emergency (use only when power is
disconnected), a disk cartridge may be ejected by inserting a jumbo
paper clip into the rear hole next to the printer icon.

The Zip drive has a green power light indicator and an amber data light
indicator that flashes whenever data is transferred to or from the drive.

IMPORTANT: It is highly recommended that you back up your data

often. Humphrey may not be able to assist you in the recovery of
important exam data in the event of a hard drive failure.

Ethernet Lan Interface

CAUTION
These notes are intended to be used by a systems administrator or
networking consultant. Do not attempt to install the ethernet
interface without in-depth knowledge of the ethernet network.

The hardware and software considerations when setting up a network

using the Ethernet LAN interface are described below.

Should you need further information on Ethernet standards, you may

contact the IEEE Standards Office at this address:

IEEE STANDARDS OFFICE

The Institute of Electrical and Electronics Engineers, Inc.
445 Hoes Lane
P.O. Box 1331
Piscataway, NJ 08855-1331
Telephone: (201) 562-3800

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 Using Network
Operating Systems
The Humphrey ATLAS Model 991 and ATLAS Eclipse Model 992 are
equipped with a PCMCIA slot for network/modem connections. Please
contact Humphrey for a list of approved network PCMCIA cards.

The most common method of using the Humphrey ATLAS/Ethernet

LAN interface is by means of a “network system”. In some cases the
network operating system is part of the computer’s operating system. In
other cases (as with DOS and Windows 3.1) the network operating
system is provided separately. One example of a network operating
system for DOS is Novell’s Netware, which supports server-client
communications. That is to say, a central computer that runs Netware as
its network operating system provides file server and network services
to the distributed systems connected to the LAN. Each node on the
network must also have a compatible network operating system
installed.

Modern network architectures are based on the OSI model which

defines layers of software between the network hardware, the network
operating system, and the applications that use the network services. At
the “bottom” level is the actual Ethernet cable and the hardware
interface, in this case, the Little Board/486i’s LAN interface. A driver is
used to talk directly with the hardware, masking any unique differences
in the hardware from the layers above it, including the network
operating systems. Several network operating system drivers compatible
with the Humphrey ATLAS LAN hardware are provided on the hard
drive in the \ethernet directory. The driver is the only unique software
needed to use the LAN interface. The supported network operating
systems provide the other layers in the OSI model.

Network OS Drivers
The following Ethernet drivers are provided on the hard disk in the
ethernet directory. The table shows what driver to use with each
network operating system. For instance, if you are using Netware 4.1 on
a network server, you would use the SMC9000.LAN driver.

Driver installation procedures vary from one network operating system

to another. No detailed description can be given here. Follow the
instructions that come with the network operating system you choose
for your system.

NOTICE TO ALL NETWORK USERS:

Below is a list of all supported network drivers qualified and tested by

Humphrey for use with the ATLAS.

If the drivers intended for use are not listed here, Humphrey cannot
insure or guarantee that these drivers will work with the ATLAS.

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 It will be up to the individual network administrator or systems operator
to install, set up, and maintain Ethernet drivers that are not listed here,
as they are not supported by Humphrey.

Program Name Vendor Function Driver Name

DOS Client on Novell ODI on server
NOVELL 3.XX Server
Netware 4.1 Server Novell ODI on server SMC9000.LAN
Driver
Netware 3.11 Server Novell ODI on server SMC9000.LAN
Driver
Netware 2.2 Server Novell IPX on server SMC9000.LAN
Driver
Netware ODI Novell ODI on
SMC9000.COM
Workstation Driver workstation
OS/2 ODI Novell ODI on workstation SMC9000.SYS
Workstation
Requester
WINDOWS for Novell ODI on Windows
Workgroups for Workgroups
NOVELL 3.XX Server
Lan Manager Microsoft NDIS for DOS SMC9000.DOS
Lan Manager Microsoft NDIS on Windows SMC9000.DOS
for Workgroups
Lan Manager Microsoft NDIS for Windows SMC9000.SYS
NT 3.1 and NT 3.5
Lan Manager Microsoft NDIS for OS/2 SMC9000.OS2
on server
WINDOWS for Microsoft NDIS 2.X and ODI
Workgroups
PEER Network
Table 1-11
Note: Table 1-1 reflects the currently available drivers. Other drivers
may become available in the future. Please contact Humphrey Systems
Technical Support if your driver is not listed here for an updated list.

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 Turning the System On and Off
It is highly recommended that the ATLAS, printer and Zip drive be
powered on at the same time, via a power strip. If this is not possible,
then turn on the ATLAS by pressing the power switch on the right side
of the instrument, then press the Zip drive power switch, followed by
the power switch on the front of the printer.

To shut down the system, select “SHUT DOWN” from the main menu
which will allow Windows ‘95 to shut down properly. Failure to shut
down the system properly can result in fatal system errors.

Note: The Zip drive needs to be powered on and connected in order for
the computer to recognize it and assign a drive for it to use. This must
be done in the “boot up” process of the computer.

SETTING UP THE ATLAS

The ATLAS is installed by a technician when it is first delivered to

your office. Ordinarily, you won’t have to disassemble or reassemble the

instrument after this initial setup.

If you should need to replace any of the components, you must be sure
that the cables are connected properly.

The side panel for the ATLAS for Models 991 and 992 have modem
and ethernet PCMCIA sockets to allow the user to connect any style or
type of modem or networking card using standard "plug and play"
capabilities. Windows '95 may install the software for the modem or
networking card automatically, or ask the user to insert the installation
disk that was provided by the manufacturer of the PCMCIA card.

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 These sockets are interchangeable, i.e., the modem or networking card
can be inserted into the same socket, or a combination modem/network
PCMCIA card can be used for dual functionality.

NOTE: Please see the user installation instructions for the type of
modem or networking card that is being installed. Humphrey Systems
does not assume any liability or responsibility for the installation,
troubleshooting, repair, or maintenance of third party hardware or
software. Only limited technical support may be provided by Humphrey
in the event of a problem. Please refer to the ATLAS User Manual,
pages 1-9 for a list of approved network drivers for the ATLAS system,
or contact Humphrey Technical Support for a list of approved
PCMCIA network/modem cards.

Below is an illustration of the side panel configuration:

Keyboard Serial port Parallel port for

connector connection (not printer and/or
port operational) Zip drive

Floppy

Modem or Networking Model, patent, and serial VGA port (for Video In port
PCMCIA sockets numbers with certification high resolution (not operational)
(interchangeable) stickers and electrical external
requirements. monitor)

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SAFETY REGULATIONS
The ATLAS should be used in a cool, dry and dust free setting. To
prevent electric shock, the instrument must be plugged into an outlet
with earth ground.

The ATLAS is designed to operate from one of two AC line voltages.

These are: 115V, 230V at 50/60 HZ. Before connecting the power cord
to the ATLAS or any peripherals, check to ensure that the instrument
and peripheral voltage selections are correct. The ATLAS fuse is located
next to the power plug insert. Refer to the Routine Maintenance Section
for further information.

Caution:
This instrument is not anesthetic proof. DO NOT use in the presence
of flammable anesthetic since this creates a risk of explosion.

Although your instrument is designed for continuous operation, it

should be turned off when not used for an extended period of time.

• The ATLAS is equipped with a three prong plug. The instrument

should be plugged into an outlet with a ground receptacle. If the
plug does not fit the outlet, contact an electrician.

• The ATLAS is classified as Type B, class I protection equipment. To

prevent electric shock, the instrument must be plugged into an earth
ground outlet.

• DO NOT disable or remove the ground pin.

• DO NOT overload your AC outlet.

• If the cord or plug is damaged, do not continue to use the

instrument. Electrical shock or fire hazard may result. Call customer
service for a replacement.

• To prevent possible shock hazard, do not touch the exposed pins of

the serial, modem, and keyboard connectors and the patient
simultaneously.

• The ATLAS has ventilation openings to allow for the release of heat
generated during operation. If these openings are blocked, built-up
heat can cause failures which may result in a fire hazard.

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 • DO NOT cover the instrument with a dust cover while it is powered
on.

• DO NOT operate the instrument in a wet or moist environment.

The instrument is an ordinary equipment without water entry
protection.

• DO NOT spill liquid on the instrument.

• DO NOT use accessories that are not designed for this instrument.
Use only those parts recommended by Humphrey Instruments to
achieve optimum performance and safety.

• To ensure the safety of the patient and operator, peripheral

equipment such as the printer, shall comply with appropriate safety
standards such as DIN VDE 0750/IEC 601-1/CSA 22.2 No.
601.1/UL2601-1.

• DO NOT connect or disconnect cables while power is on.

• Avoid splashing or spilling solvent onto the faceplate of the ATLAS

when cleaning the patient head mount assembly. The chin cup and
forehead rest should be cleaned following each examination with a
disinfectant such as isopropyl alcohol. If splashing does occur,
gently wipe the faceplate clean with a soft lens tissue to avoid
spotting.

As with many electrical instruments, the ATLAS generates radio

frequency and may cause interference to radio, television reception and
other instruments. If this equipment does cause interference to radio or
television reception, the following measures may be necessary:

1. Plug the instrument into a different outlet so that the instrument and
the receiving device are on different branch circuits.

2. Reorient the TV or radio antenna.

3. Reorient the instrument with respect to the TV or the radio.

4. Move the receiving device and the instrument away from each other.

5. Use only shielded communication cables.

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 The following symbols appear on the instrument:

Symbol on power switch indicates that the Power is OFF

Symbol on power switch indicates that the Power is ON

Indicates that there are important operating and

maintenance instructions included in the User’s
Manual.

Indicates the presence of uninsulated high voltage inside

the instrument. Risk of electric shock. Do not remove
the instrument cover.

Indicates fuse.

Parts of the instrument that touch the patient are of type

B according to IEC standards.

USING THIS MANUAL

Contents
The ATLAS Owner’s Manual provides:

• Descriptions of instrument features and instrument setup

procedures

• Procedures for performing various tasks with the instrument

• Illustrations of screen displays

• Troubleshooting, Calibration and Technical Specification Sections

• An Appendix that includes a Glossary and Index

Organization
The manual is organized into 12 chapters, as follows.

Chapter 1 — Introduction
Contains an overview of the instrument and its functions, instrument
setup and safety precautions.

Chapter 2 — Patient Exams

Describes how to conduct two kinds of eye examinations: Full Exam
and QuickVue Exam.

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 Chapter 3 — Reviewing Patient Information
Describes how to use the MasterVue Control to select an alternate data
view, such as Numerical, Keratometry, or Photokeratoscope.
Also describes how to use the MultiVue Displays option to select
comparative displays, such as Trend with Time or OD/OS Compare.

Chapter 4 — Alternate Views

Describes how to display alternate views using the MasterVue Control.
Also provides descriptions and features of alternate views: Axial Map,
Tangential Map, Refractive Power Map, Elevation Map, Irregularity
Map, Numerical View, Keratometry View, Photokeratoscope View, and
Profile View.

Chapter 5 — Database Maintenance

Describes the database system, and explains how to add, edit, delete,
and save information about patients, exams, doctors, group, and staff.

Chapter 6 — Operating Environment

Describes how to change preferences, such as displays and printer
settings. Also describes how to set the date and time.

Chapter 7 — Printing
Describes how to print data on the color printer, other color printers,
and color slides.

Chapter 8 — MasterNet™ Communications Software

Describes how to send and receive patient files and E-mail using the
MasterNet™ software.

Chapter 9— Troubleshooting and Maintenance

Describes how to:

• Troubleshoot your instrument.

• Run the calibration program to check the accuracy of your

instrument.

• Clean and care for your instrument.

Chapter 10 — MasterFit™ Contact Lens Module (Optional)

Describes how to use the ATLAS to fit contact lenses using topographic
or keratometric fitting methods.

Chapter 11 — Advanced Refractive Diagnostics (Optional)

Chapter 12 — Simulated Ablation Module (Optional)

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 Chapter 13 — Healing Trent Display (Optional)

Chapter 14 — PathFinder Corneal Analysis (Optional)

Chapter 15 — Specifications
Lists the ATLAS instrument specifications.

Chapter 16 — Warranty and Service Contract

Describes the warranty coverage on the ATLAS and the optional
Service Contract.

Appendix
Contains a Glossary of terms as well as an Index for reference.

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2 PATIENT EXAMS

FULL EXAM VERSUS

QUICKVUE EXAM
The ATLAS offers two types of examinations: Full Exam and
QuickVue.
Full Exam
Full Exam is a comprehensive eye examination. It provides up to four
different images of the patient’s eye and allows you to select the best
image. The information is usually displayed as an Axial Map and can be
used to:

• Display data in other graphical formats, known as views, or

maps such as Numerical View, Keratometry View,
Photokeratoscope View, Profile View, Tangential Map,
Refractive Power Map, Elevation Map and Irregularity Map.

For descriptions of these alternate views, see Chapter 4.

• Display data from previous examinations to compare eye-to-

eye differences and trends over time, as well as overviews of a
particular exam.

Use the MultiVue Display to compare exams. See Chapter 3.

• Print the display.

For instructions on printing , see Chapter 7.

Patient Data must be entered to use the Full Exam feature. All input is
optional except patient name and right eye/left eye designation. The
patient and exam information is automatically saved in the database on
the hard drive.
QuickVue
QuickVue is a screening tool used for high-volume or routine
diagnostics. It captures a single image that may be saved and/or printed
after the examination. QuickVue does not require any data input prior
to the exam, and the exam may be printed without saving on the hard
drive.

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ALIGNING AND
FOCUSING
For both Full Exam and QuickVue, you will need to:

• Position the patient.

• Align the projection head and focus the image.

• Capture the image.

Position the Patient
1. Seat the patient facing the projection head. Position the patient’s chin
on the patented ATLAS chinrest. Use the vertical adjustment knob to
move the chin rest up or down to fit the patient. The patient’s mouth
should be closed and the eyes should be in line with the canthus
marks just below the forehead rest. See the illustration below.

2. Make sure the patient’s head is aligned properly at a 45° angle in the
ATLAS chinrest with the chin centered in the proper position. The
chin should be pressed firmly down in the chinrest.

3. Be sure the patient’s forehead is pressed against the forehead rest.

4. Ask the patient to look at the red fixation light while you align the
projection head.
How to Get
the Best Images
1. Ask the patient to blink just before you capture the image. This
causes a tear to be distributed evenly over the cornea.

2. If the patient has ptosis, have an assistant stand to the side of the
instrument and hold the patient’s eyelid up, being careful not to block
the optical path of the instrument or press on the patients eye.

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 3. If the patient has dry eyes and the reflected image appears very faint,
or the reflected rings are too broken or irregular to process accurately,
you may need to apply artificial tears to the patient’s eye.

4. Ask the patient to open both eyes wide just before you capture the
image.

Align the Projection

Head and Focus the
Image
1. Check to see that the joystick is unlocked by turning it counter-
clockwise. The projection head should move forward, backward, and
from side to side easily.

2. Position the projection head by moving the base until the live image
of the eye appears on the screen. Adjust the height of the instrument
by rotating the joystick handle until the rings appear.

3. Center the crosshairs anywhere inside the smallest ring of the live
image.

4. Move the joystick forward and back to focus the clearest image of the
smallest ring.

5. The instrument’s Cone of Focus™ alignment enhancement feature

makes capturing the image easy. You do not have to center the crosshairs
exactly in the center of the smallest ring. Setting the crosshairs anywhere within
the first ring will ensure high accuracy and repeatability.

Capture the Image

1. When the crosshairs are centered on the live image and the image is
in clear focus, ask the patient to blink and then open their eyes wide.

2. Quickly make any minor corrections to the focus. Then press the
button on the top of the joystick to capture the image.

For descriptions of common image capturing problems, see

“Troubleshooting” in Chapter 8.

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SHUTTING DOWN A "Shut Down" button is located on the Main Menu screen,
THE SYSTEM just below the Utilities button. This allows the instrument to be shut
down without encountering any problems or errors, or leaving any
other applications open prior to the shut down. For Models 991/992
running Windows ‘95, the Shut Down button will take you to a screen
which says “It is safe to shut down your computer.” Clicking on the Shut
Down button with Models 910/920/990 will send the software to the DOS
prompt, at whichpoint the system can be simply turned off at the power
switch.

CONFIGURING REMARKS Flexibility when entering patient data, groups and adding
comments is the purpose of the "Configure Remarks" feature
which is user programmable according to personal preferences.
This button is located in the Utilities menu.

With this feature remarks can be added, deleted, and edited and

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 will appear in the "Build Remarks" screen when conducting an exam.
Also, new categories of remarks can be entered and saved along with
the already pre existing remarks that come pre-loaded in the software.

Once a list is edited, the user can move the order of the remarks boxes
around by holding down the control key on the keyboard, and
dragging with the glidepad button. The size of the box can be
increased or decreased, and completely new boxes can be added
to the current selection of remarks boxes as well.

After editing or adding to the list of remarks, simply highlight the

remarks you wish to add to that patients data, and click OK. The
remarks will automatically be added to the comments at the bottom of
the screen when viewing the patients topography.
CONDUCTING A Using the "Full Exam" allows multiple images up to a maximum
FULL EXAM of four of any combination of OD or OS in any sequence. The ATLAS
Eclipse Model 992 comes equipped with automatic eye detection.
Infrared sensors are located in the chinrest and determine which eye is
being imaged, eliminating the need for the operator to input the data.

After capturing an exam in the "Image Capture" screen, the software

will prompt you to take another picture or exit and save the processed
image. If taking an exam with an ATLAS Eclipse, the chin rest
sensors will automatically identify which eye was taken, and any
combination or sequence of right eyes or left eyes can be taken up to a
maximum of four.

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 If taking an exam with an ATLAS, the software will prompt you to
select an eye. Also, if the chin rest sensors were not able to determine
which eye was imaged when using an ATLAS Eclipse, the software
will prompt you to select an eye. This is most often caused by patient
movement, or incorrect positioning in the chinrest.

The Full Exam selection, view, and save function has been designed
to increase office efficiency and speed when capturing multiple images.
Full Exam allows you to capture multiple images of either OD or OS
within the same full exam sequence. It also allows remarks, groups,
and operator data to be entered in within the same screen as the
processed image. ATLAS users will have to identify which eye was
imaged and will be prompted by the software, while ATLAS Eclipse
users will not due to the automatic eye detection features in the chin
rest sensors of the Eclipse.

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 After patient data has been entered the exam can be saved, canceled, or
preexisting remarks can be added from the "Build Remarks" button.

BUILDING REMARKS Entering pre-existing, edited, or new remarks that have been added
from the configure remarks button can be done from the "Build
Remarks" screen simply by highlighting the appropriate boxes and
clicking 'OK". These remarks automatically become attached to the
patient's record, and can be used as a way of identifying particular
exams. This is especially helpful when viewing older exams, or when
someone other that the original user is viewing the exam at a later
date.

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SAVING THE EXAM Multiple OD and OS images can be captured within the same Full
Exam sequence enabling the operator to capture up to four exams in
any combination of OD or OS that is desired. Clicking on "Save" in
the Full Exam screen will process that exam and then display the map
along with any unprocessed images.

Any exams that aren't saved and do not display a map will be
discarded after clicking on "Views". This button will then take you to
the default single or multivue screen.

DISPLAYING THE If multiple OD and OS images have been processed, the software will
PROCESSED IMAGES choose the two most recent images and display these two images in the
OD/OS Compare Display. If multiple OD or OS images have been
selected, then the Trend with Time Display will be shown with the
exams in chronological order.

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Conducting the
QuickVue Exam
To begin the QuickVue Exam, click the QuickVue Exam button on
the Main Menu.

1. Position the patient, and align and focus the image.

For directions on aligning and focusing , see page 2-2.

2. Press the button on the joystick to capture the image. A single image
is captured, and the default view is displayed.

3. The QuickVue Exam is complete. At this point, you may:

• Print the screen by following the instructions in Chapter 7.

The Quick Print function will not automatically save the
exam.

• Save the Exam by clicking on the Options button. Then click

on the Save button, and the Patient Information screen
appears. See the instructions on page 2-6.

• Return to the Main Menu to perform another examination or

task by clicking on the Options button. Then return to the
Main Menu by clicking on Return.

Note: You may print the results of a QuickVue exam immediately

without saving the data to the hard drive. To do so, click on the options
button, then click on print screen, then OK. An input box will appear
for the patient name and eye designation. Enter the required information,
then click OK.

Note: The QuickVue exam will not be saved automatically.

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3 REVIEWING PATIENT DATA

DATA VIEWS AND

DISPLAYS
Patient data can be reviewed as a single map or view or as:

• An alternate data view, such as Tangential Map, Refractive

Map, Elevation Map, Irregularity Map, Numerical,
Keratometry, Photokeratoscope, or Profile view.

• A comparative display of more than one exam, such as Trend

with Time or OD/OS Compare Display.

The MasterVue Control allows you to select alternate data views.

The MultiVue Displays option allows you to select comparative displays

and Optional Modules.

MASTERVUE CONTROL
The MasterVue Control lets you select the patient and exam to be
reviewed. You may also change to an alternate view.
Opening the
MasterVue Control
There are two ways to open the MasterVue Control.

• From the Main Menu, click the Review button. The

MasterVue Control appears.

• If a view is already displayed on the screen, place the pointer

anywhere on the view, and tap on the Glide pad once, or press
the left Glide pad button. The MasterVue Control appears.
Selecting Data
to Review

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 Select Patient

Patient names are listed in alphabetical order in the patient list.

1. Scroll down the patient list by placing the arrow on the button to the
right of the patient list and holding it down until the name you want
appears.

2. Move the pointer to the name you want and click to select. That
name now appears in the selection box at the top of the list.

3. To speed the search, you can type the first several letters of the last
name in the selection box at the top of the patient list. This will call
up the patient you wish to select, after enough letters have been
entered.

Select Exam

After you have selected a patient, the exams for that patient are
displayed in a list. Select the exam you want to review by clicking on it.

Select View

For complete descriptions of all data views, see Chapter 4.

If you want a view other than the Axial Map, click on the drop-down
arrow next to the view name. Then select the new view from the drop-
down menu.

When the selected patient exam and view are correct, click the OK
button. The selected view appears.

Exam Selection

From the MasterVue Control, you can also set preferences for:

• selecting patients and exams by Group

• formatting how the exam list is displayed.

1. On the MasterVue Control, click the Exam Selection button. The

Exam Preferences screen appears.

For instructions on setting up Groups, see Chapter 5.

2. In the Select Patients by Group box, click on the drop-down menu

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 next to the group name. Then click on the group you want to select
exams from (e.g., Cataract or Keratoconus).

3. In the Select Patients by Doctor box, click on the drop-down menu

next to the doctor’s name. Then click on the doctor you want to
select exams for.

4. In the Organize Exams By box click on the circle next to the

organization you want. The Date/Time option lists exams in
chronological order, from earliest to latest. The OD/OS option lists
all OD exams first, followed by OS exams.
5. When you are finished setting exam selection preferences, click the
OK button. The MasterVue Control reappears.

The Set Preferences button on the MasterVue Control is used to change the Map
display. For complete instruction on using this button, see “Axial Map” in Chapter
4.

USING THE MAP SCALE

After you have selected a patient, an exam, and the desired map or view,
the selection appears on the screen.

The data in the Map displays can be shown in four different

diopter/millimeter scales:
•Standard

• AutoSize

• Custom

• Uniform (MultiVue Display only, see page 4-3 for a

description of the uniform scale)

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 The colors of the corneal display correspond to the values shown on
the scale at the left of the screen. Each color represents a different
value.

Red, orange, and yellow are “hot” colors and show the steeper areas of
the cornea. Green is an “intermediate” color. Light and dark blue are
“cool” colors and show the flattest areas.

Note: The scale can be changed from diopters to millimeters in the Change
Preferences screen according to user preferences.

When you change the scale, the display changes to show the new
diopter values.
Standard
The Standard scale default ranges from 38.5 to 50.0 in 0.50 diopter
increments. This scale can be changed to a user defined default in the
Utilities Menu from the Change Preferences screen under change
Standard Scale. The Standard Scale can be set to user defined defaults,
or it can be reset to the default scale, simply by clicking on this button
and manually setting the Standard Scale to the user preferences.

To display the data in Standard scale, click the Standard button.

AutoSize
AutoSize uses the steepest and flattest readings from the map to set the
minimum and maximum values of the scale in diopter increments as
small as 0.25 diopters. These values are unique to any given map.
AutoSize typically provides the most detail.

Note that the scale range is a minimum of 6 diopters. Thus, on a map

where the data varies by less than 6 diopters, the minimum and
maximum values on the AutoSize scale won’t match the minimum and
maximum values of the map data.

To display the data in AutoSize scale, click the AutoSize button.

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 Custom
Custom is used to change the diopter increments and the range of the
scale. You can select diopter increments from .25 to 3.75 by clicking on
the up and down arrows. You can move the entire range by positioning
the cursor on the slide, holding the GlidePoint button down, and
dragging the range up or down.

To display the data in Custom scale, click the Custom button.

MULTIVUE DISPLAYS
MultiVue Displays let you compare more than one exam or more than
one view of the same exam as well as to set preferences for the single
display. The current MultiVue displays are:

• Single Display

• Trend with Time Display

• Difference Display

• OD/OS Compare Display

• Exam Overview

• Custom Display
Open the MultiVue
Displays Screen
1. Use the MasterVue Control to select the patient, exam, and view you
want. This becomes the currently active exam.

For instructions on using MasterVue Control, see page 3-1.

2. Select MultiVue Displays by clicking the MultiVue button. The
MultiVue Displays screen appears.
Select the
MultiVue Display
Select one of the following views by clicking on the button next to the
name of the view. Then click OK.

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 Single Display
If you want to return to the single-image view, select Single Display.
Then click OK. You can change the default of the Single View display
by resetting the MultiVue preferences.

For instructions on setting MultiVue preferences, see page 3-9.

Trend with Time Display

The Trend with Time Display shows the currently active exam and up
to three previous exams for the same eye. The exams are displayed in
chronological order from top left to bottom right (oldest exam in upper
left corner, and current exam in bottom right).
If there are not enough previous exams to fill all four screen positions,
“No Exam Found” will appear in one or more positions in the display.

Difference Display

The Difference Display shows the previous exam for the same eye in
the first position, the currently active exam in the second position and
the diopter power difference between the two. The display also shows a
Standard diopter scale of ± 2 diopters and an AutoScale diopter scale
adjusted to accommodate the widest range of the two exams.
If you want to compare an earlier exam, click the GlidePoint control
button on the exam image you want to replace. The MasterVue Control
appears. Select the exam from the list, and click the OK button. The
new exam will be displayed and the Difference Map will be recalculated.

For instructions on using MasterVue Control, see page 3-1.

Note: You can compare exams from other patients, as well as different exams for the
same patient. If you select multiple patients, the title of the display will change to

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 “Custom Display,” and the name of the previously selected patient will change to
“multiple patients.”

For more information about the Custom Display, see page 3-8.

OD/OS Compare Display

For instructions on setting MultiVue preferences, see page 3-9.

The OD/OS Compare Display shows the currently active exam and the
most recent exam of the other eye. This display shows two different
views of the two eyes. You can select which data view appears as the
second view by setting MultiVue preferences.

For example, the following screen shows an Axial Map comparison in

the top half of the screen and a Keratometry View comparison in the
bottom half of the screen.

If you want to compare different exams, click the GlidePoint pad

control button on the exam image you want to replace. The MasterVue
Control appears. Select the exam from the list, and click the OK button.
The new exam will be displayed and the Difference Map will be
recalculated.

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 For instructions on using MasterVue Control, see page 3-1.
Note: You can compare exams from other patients, as well as different exams for the
same patient. If you select multiple patients, the title of the display will change to
“Custom Display.”

For more information about the Custom Display, see below.

Exam Overview Display

The Exam Overview Display shows four separate views of the same
exam. You may select which views appear in this display by setting
MultiVue preferences.

For instructions on setting MultiVue preferences, see page 3-9.

Custom Display

The Custom Display shows up to four different exams. You may select
any combination of patients, exams, and views. This display is useful for
slides and other visual presentations.

There are two ways to open a Custom Display. First, you can select

Custom Display from the MultiVue Display screen. Second, you can
turn any MultiVue Display described previously into a Custom Display.
Click on any view to open the MasterVue Control. Then select an
alternate view and click the OK button.

Set MultiVue Preferences

MultiVue preferences determine which data views will appear in the

single-image display, the second view of the OD/OS Compare Display,
and the Exam Overview.

For instructions on using MasterVue Control, see page 3-1.

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 1. To set Multivue preferences, use the MasterVue Control to select a
patient, exam, and view.

2. Select MultiVue Displays by clicking the MultiVue button. The

Multivue Displays screen appears.

3. Click on the Set Preferences button. The Display Preferences screen

appears.

4. Use the Installed Views list box to set your view preferences on this
screen. Click on an installed view in the list, “drag” the view into the
desired box, and then release the GlidePoint button.

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 Single View Default

5. The view that appears in this box will appear when Single Display is
selected on the MultiVue Displays screen.

6. Difference Map View — only axial map and tangential map views can
be loaded in this selection box.

OD/OS First View and Second View

7. These views will appear in the upper and lower halves, respectively, of
the OD/OS Compare Display.

Exam Overview

8. The views listed here will comprise the Exam Overview Display.
Note that the views will be arranged in the same order as they appear
in these boxes.

9. When you have finished setting preferences, click on the OK button.

PRINTING THE DISPLAY

For complete instructions on printing, see Chapter 7.
Whenever you have data displayed on the screen, you can print the
screen image by clicking the Options button, and then selecting Print
Screen.

If you want to print the curvature values at a particular point, position

the cursor over that point and press the space bar on the keyboard. The
display “freezes” with the values at the current cursor location displayed.

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4 ALTERNATE VIEWS

The MasterVue Control lets you select an alternate view of the data
captured by the instrument. Several alternate views are available, and
they are described in the following sections of this chapter.

OPEN MASTERVUE
CONTROL AND SELECT
VIEW
For complete instructions on how to select a data view, see Chapter 3.
1. There are two ways to open MasterVue Control:

• First, you can click the Review button on the Main Menu.

• Second, when any data view is displayed on the screen, you

can place the GlidePointer on the active view and click either
control button. You may also tap the GlidePoint to activate
this function.

• For example, if the Axial Map is displayed, place the

GlidePointer anywhere on the display and click the GlidePoint
control button. The MasterVue Control appears on the display
as shown in the following illustration.

2. Select a view by clicking on the arrow next to the name of the

current view. Then select the new view you want from the drop-down
menu.

3. Click the OK button.

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AXIAL MAP

Description
The Axial Map displays the curvature of the cornea as a topographical
map, using 24 colors to represent dioptric power.

Colors

The colors of the corneal display correspond to the diopter values

shown on the scale at the left of the screen. Each color represents a
different diopter value.
Red, orange, and yellow are “hot” colors and show the steeper areas of
the cornea. Green is an “intermediate” color. Light and dark blue are
“cool” colors and show the flattest areas.

Distance

Distance is measured in millimeters and is displayed as:

• distance from the vertex or center of the image displayed

• distance from the center of the pupil.

Location

Location is described in degrees as a semi-meridian or angle

corresponding to the points on the circle surrounding the cornea.

You can move the pointer arrow to any part of the map and determine:

• diopter power

• radius of the curvature in millimeters (mm)

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 • distance from the vertex and its location on the semi-meridian
(S-merid)

• distance from the pupil and its location on the semi-meridian.

These values are displayed in the upper left of the screen.

Pupil Size
The pupil size marker locates and determines the size of the pupil
which is outlined on the corneal map. This value is displayed to the left
of the map under the Shape Factor value.

The large crosshair on the map denotes the point at which you are
located on the view. This is usually the vertex or “geographic center” of
the map or view. The smaller crosshair enclosed by a circle denotes the
center of the pupil, or “optical center” of the eye. The triangle identifies
the apex of the cornea as defined a best fit ellipsoid to the corneal
surface.
Diopter Scale Options
The data in the Power Map can be displayed in four different
diopter/millimeter scales:

• Standard — default ranges from 38.5 to 50.0 in 0.50 diopter

increments. This scale can also be set to user defined settings
in the Utilities Menu under Change Standard Scale.

• AutoSize — uses the steepest and flattest readings from the

individual power map to set the minimum and maximum
values of the scale in diopter increments as small as 0.25
diopters. Note that the scale range is a minimum of 6
diopters. Thus, on a map where the data varies by less than 6
diopters, the minimum and maximum values on the AutoSize
scale won’t match the minimum and maximum values of the
map data.

• Custom — user-specified diopter increments, and maximum

and minimum values.

• Uniform — uses the dioptric value information from all the

maps displayed. The ranges are based on the collective values
of the combined maps, automatically setting the steepest and
flattest powers based on this information in .25 diopter
increments or more, depending on the exams displayed.

Note: The uniform scale can only be accessed when viewing a MultiVue Display.

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 Statistical Indices
NOTE: A thorough explanation of statistical indices is given in chapter 14,
PathFinder Corneal Analysis.

Corneal Irregularity Measure (CIM)

Corneal Irregularity Measure (CIM) is a statistical measurement which

uses topographic data from the central area of the cornea and compares
it to the best fit surface found. It determines the regularity or irregularity
of the corneal surface used for vision. The CIM measurement
determines how much the actual corneal surface varies from a smooth
fitted toric surface in microns. The fitted surface includes any regular
astigmatism which may be present.

CIM measures the type of irregular astigmatism which cannot be

corrected with spectacle lenses. CIM values range from .35 to .50 in
normal shaped corneas, and 1.0 and higher in abnormally shaped
corneas. The higher the value, the more irregular the corneal surface is.

The CIM value is located on the display under the numerical values for
power, vertex, and semi-meridian.

Shape Factor Value

The shape factor gives a measure of the flattening or steepening of the

cornea along its flattest meridian. This value should be used in
conjunction with the CIM value to gain the most information about the
cornea. Shape Factor is a derivative of eccentricity, a value well known
to contact lens fitters.

The Shape Factor is useful in contact lens fitting and in identifying

unusual or pathological corneal shapes. The shape factor is based on a
best fit general ellipsoid to the corneal surface. This takes into account
the effects of astigmatism and other corneal irregularities.

The Shape Factor ranges from 0, a spherical shape, to 0.3, a slightly

aspherical shape, in normal corneas. Corneas with shape factors greater
than .50 exhibit greater than normal peripheral flattening. If the shape
factor increases beyond 1.0, high irregularity, as may occur with
keratoconus, is indicated. In these instances, the message “Irregular
Cornea” will appear with the shape factor value. Corneas which have
been reshaped or altered using refractive surgery procedures, typically
exhibit negative shape factors. When a shape factor is displayed that is
more negative than -0.1, the message “Oblate Cornea” will appear with
the shape factor value.

If there are not enough points available to reliably fit the corneal shape,
if the fit is judged poor, or the shape factor is too negative a number to
be judged accurately, the message “Insufficient Data” will appear instead
of the shape factor value.

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 The value of both the CIM and Shape Factor measurements can be
seen with serial topography over time. Judging whether these statistical
indices are increasing or decreasing over time may indicate a worsening
pathology or a healing trend.

The Shape Factor is located on the Map display below the CIM value.

Simulated “K”
Readings

The simulated K readings are a measurement which most closely

matches the readings of a standard Keratometer. These readings may
vary slightly from automated or manual Keratometer readings
depending on the placido rings location on the corneal surface.

MultiVue Displays
Map data can be displayed as a:

• Single Display

• Trend with Time Display

• Difference Display

• OD/OS Compare Display

• Exam Overview

• Custom Display

For descriptions of these MultiVue Displays, see Chapter 3.

The following sample shows the Corneal Power Map as a Difference

Display.

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 Preferences
Set Preferences

This option is used to change only the Axial Map, Refractive Power
Map, or Tangential Map display. The settings in Set Preferences allow
the Map to be displayed with or without the pupil demarcation, the
rectangular grid, the Apex marker, the extrapolation options, and the
CIM and Shape Factor Values.

1. To change the Map setup, click the Set Preferences button on the
MasterVue Control. The View Preferences screen appears.

2. To change a setting, click on the square or circle next to the

description. For the extrapolate, pupil and grid options as well as CIM
and Shape Factor, an X appears if the setting is active and disappears
if the setting is inactive. The extrapolation option adds an additional 1
mm of peripheral coverage to the map, allowing a larger display to be
seen.

3. When you have finished setting preferences for the Map, click the OK
button. The MasterVue Control appears. Note: The preferences you
set will apply to all subsequent Map displays until you change the
preferences again.

4. Display the Map by clicking OK on the MasterVue Control.

TANGENTIAL MAP

Description
The Tangential Map displays the cornea as a topographical map, but
bases the calculation on the local curvature of a given meridian. It
should be used along with the Axial Map, or sagittal display, to gain
more insight into the corneal shape.

The Tangential Map bases its calculation on a different mathematical

approach or algorithm and is also known as instantaneous or local

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 curvature. This algorithm is more accurate at calculating the periphery
of the cornea, due to the fact that it doesn’t assume that the eye is
spherical, and doesn’t make as many assumptions about its shape.
Tangential may also recognize sharp transitions in power more easily,
and eliminates the “smoothing” appearance of the topographical map as
seen in the Axial Map or sagittal view. This is often useful in following
healing trends after surgery or in viewing a pathologic eye.

Colors

The colors of the corneal display correspond to the values shown on

the scale at the left of the screen. Each color represents a different
value.

Red, orange, and yellow are “hot” colors and show the steeper areas of
the cornea. Green is an “intermediate” color. Light and dark blue are
“cool” colors and show the flattest areas.

Distance

Distance is measured in millimeters and is displayed as:

• distance from the vertex or center of the image displayed

• distance from the pupil or the apparent center of the image of

the pupil.

Location

Location is described in degrees as a semi-meridian or angle

corresponding to the points on the circle surrounding the cornea.

You can move the pointer arrow to any part of the map and determine:

• diopter power

• radius of the curvature in millimeters (mm)

• distance from the vertex and its location on the semi-meridian

(S-merid)

• distance from the pupil and its location on the semi-meridian.

These values are displayed in the upper left of the screen.

The large crosshair denotes the point at which you are located on the
view. This is usually the vertex or “center” of the map or view. The
smaller crosshair enclosed by a circle denotes the center of the pupil, or
visual axis of the eye. The triangle indicates the apex of the cornea as
measured from the topographical map.

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 Diopter Scale Options
The data in the Power Map can be displayed in four different diopter
scales:

• Standard — default ranges from 38.5 to 50.0 in 0.50 diopter

increments. This scale can also be set to user defined settings.

• AutoSize — uses the steepest and flattest readings from the

power map to set the minimum and maximum values of the
scale in diopter increments as small as 0.25 diopters. Note that
the scale range is a minimum of 6 diopters. Thus, on a map
where the data varies by less than 6 diopters, the minimum
and maximum values on the AutoSize scale won’t match the
minimum and maximum values of the map data.

• Custom — user-specified diopter increments, and minimum

and maximum values.

• Uniform — uses the dioptric value information from all the

maps displayed. The ranges are based on the collective values
of the combined maps, automatically setting the steepest and
flattest based on this information in .25 diopter increments or
more, depending on the exams displayed.

Note: The uniform map can only be accessed when viewing a MultiVue Display.

MultiVue Displays
Tangential Map data can be displayed as a:

• Single Display

• Trend with Time Display

• Difference Display

• OD/OS Compare Display

• Exam Overview

• Custom Display

For descriptions of these MultiVue Displays, see Chapter 3.

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 VIEW PREFERENCES

GENERAL PREFERENCES
X Extrapolate
MAP PREFERENCES
X Show Pupil
X Show Grid
X Calculate CIM and Shape Factor

Preferences
Set Preferences

This option is used to change only the Axial Map, Refractive Power
Map, or Tangential Map display. The settings in Set Preferences allow
the Map to be displayed with or without the pupil demarcation, the
rectangular grid, the Apex marker, the extrapolation options, and the
CIM and Shape Factor Values.

1. To change only the Corneal Power Map or Tangential Map setup,

click the Set Preferences button on the MasterVue Control. The
View Preference screen appears.

2. To change a setting, click on the square or circle next to the

description. For the extrapolate, pupil and grid options as well as CIM
and Shape Factor, an X appears if the setting is active and disappears
if the setting is inactive.

3. When you have finished setting preferences for the Map, click the OK
button. The MasterVue Control appears. Note: The preferences you
set will apply to all subsequent Map displays until you change the
preferences again.

4. Display the Map by clicking OK on the MasterVue Control.

NUMERICAL VIEW
Description
Numerical View displays the diopter values for up to 5 circular areas or
zones on the cornea from 0 mm to 10 mm. The color of the numbers
represents the flatness or steepness of the cornea and corresponds to
the scale displayed on the left.

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 The average curvature for each zone and the average overall curvature
are displayed in diopters on the left side of the screen.
Diopter Scale Options
The data in the Numerical View can be displayed in three different
diopter scales:

• Standard — default ranges from 38.5 to 50.0 in 0.50 diopter

increments. This scale can also be set to user defined
settings.

• AutoSize — uses the steepest and flattest readings from the

power map to set the minimum and maximum values of the
scale in diopter increments as small as 0.25 diopters. Note that
the scale range is a minimum of 6 diopters. Thus, on a map
where the data varies by less than 6 diopters, the minimum
and maximum values on the AutoSize scale won’t match the
minimum and maximum values of the map data.

• Custom — user specifies the diopter increments as well as

upper and lower dioptric values.

MultiVue Displays
Numerical View data can be displayed as the following:

• Single Display

• Trend with Time Display

• OD/OS Compare Display

• Exam Overview

• Custom Display

The sample below shows the Numerical View as an OD/OS Compare

Display.

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KERATOMETRY VIEW

Description
The Keratometry View provides information simulating the data
obtained using a Keratometer. This view also provides readings for each
semi-meridian in three zones:

• Central (0-3 mm)

• Intermediate (3-5 mm)

• Peripheral (5-7 mm)

The steepest semi-meridian in each zone is displayed in red diopter

values; the flattest meridian is in blue diopter values.

The data is listed by semi-meridian and zone on the left of the screen.
The Simulated Keratometer values at the top left of the display are
computed in a similar way to the computations performed by
Keratometers commonly used to measure the central 3 mm.

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 MultiVue Displays
The Keratometry View data can be displayed as the following:

• Single Display

• Trend with Time Display

• OD/OS Compare Display

• Exam Overview

• Custom Display

The sample following shows the Keratometry View as a Trend with

Time Display.

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PHOTOKERATOSCOPE
VIEW
Description
Photokeratoscope View is the actual image of the eye as captured by the
video camera.

MultiVue Displays
The Photokeratoscope image can be displayed as the following:

• Single Display

• Trend with Time Display

• OD/OS Compare Display

• Exam Overview

• Custom Display

The sample following shows the Photokeratoscope View in an Exam

Overview Display.

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PROFILE VIEW

Description
In the top portion of the screen, the Profile View plots the steepest and
flattest meridians. The inset boxes show the location of each meridian.
To plot other meridians, click on the colored circle in one of the inset
boxes and drag the circle to the location you want.
The central gray box marks the pupil’s relationship to the profile view.
The pupil indicator tracks the pupil from the Axial Map and displays it
on the Profile View to indicate the actual visual center of the eye.

The bottom part of the screen plots the difference in diopters between
the steepest and flattest meridians shown in the top part of the screen,
and the amount of corneal coverage is displayed in millimeters below.
MultiVue Displays
The Profile View image can be displayed as the following:

• Single Display

• Trend with Time Display

• OD/OS Compare Display

• Exam Overview

• Custom Display

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HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ ALTERNATE VIEWS / 4-15
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5 DATABASE MANAGEMENT

DATABASE MANAGEMENT
DATABASE DESCRIPTION
The ATLAS maintains a database containing patient and exam
information. The database is stored on the instrument’s hard disk drive.
This database is essential to the MasterVue Control and MultiVue
Display capabilities.

Maintaining this database throughout the life of your instrument

requires the use of several important functions:

Backup — Uses high-capacity media to create a complete duplicate of all

information on the hard drive. When performed regularly, this
procedure protects against the loss of valuable exam information in the
event of hardware failure.

Archive/Restore — Uses disks or external drives to free hard drive space

when the hard drive is approaching capacity. This procedure should be
used only when the message box is displayed warning you that the hard
drive is nearly full. You do have the opportunity to archive at any time
however. Information about the exams will remain in the database after
archiving. Only the data files are moved to the disk or external drive.

Export/Import — Uses standard media to replicate an exam for use on

another ATLAS instrument. The original exam files remain on the
original system.

Data Maintenance — Allows you to change a patient’s name, delete an

exam or patient, or correct the database in other ways.

OPENING THE
UTILITIES SCREEN
Database maintenance functions are available from the Utilities screen.

1. Open the Utilities screen by clicking the Utilities button on the

Main Menu.

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 2. Select the option you want by clicking on the button next to the
description.

BACKUP THE
HARD DISK
An important part of maintaining your records is backing up, or
copying, all the data on the hard drive to disk. This gives you a backup
copy of all your records. If the data on your hard disk is damaged in
any way, you can use the backup copy to restore the records to your
hard disk.

Back up your data using the Backup Hard Disk option in the Utilities.

It is recommended that you backup the hard disk every day, if possible.
If you conduct patient exams on particular days of the week, you
should back up at the end of those days. You may want to run the
backup utility overnight to minimize the down time during office hours.

We recommend that you keep two versions of your backup media. You
can then alternate the media, using the oldest version to do your current
backup.

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 DATABASE MANAGEMENT
Open the Backup Screen by clicking the Backup button on the Utilities
screen.

BACKUP ALL DATA

TO MEDIA
For instructions on formatting media, see “Format Media” below.
This backup option copies all data on your hard disk to media. If you want to copy
only new data, see ”Backup New Data to Media” above.

Before you attempt to back up your hard disk drive, be sure you have a
formatted media.

1. To back up all the data on your hard drive to media, click the
Complete button on the Backup screen. A message box appears.

2. Insert a formatted media in the media drive. Then click OK.

BACKUP NEW DATA

TO MEDIA
For instructions on formatting media, see “Format Media” below.
This backup option copies new data on your hard disk to media. If you want to copy
all data, see ”Backup All Data to Media” above.

Before you attempt to backup your hard disk drive, be sure you have a
formatted media.

1. To backup only the data that has changed since your last backup, click
the Standard button on the Backup screen. A message box appears.

2. Insert a formatted media in the tape drive. Then click OK.

FORMAT MEDIA
Before you can use a new media to backup your system, you must
format it if the media has not been preformatted by the manufacturer.
This allows the computer to read the media. You only need to format a
media the first time you use it. If you later want to reuse a formatted
media (and write over the data stored on it), you do not need to format
it again.

1. To format media for backing up the data on your hard drive, click the
Format button on the Backup screen. A message box appears.

2. Insert the media in the drive. Then click OK.

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 Warning:
Reformatting media will cause all previous data to be lost.

RELOAD HARD DISK

FROM MEDIA
The entire contents of the hard drive can be reloaded from the media in
the event of a hardware failure. Call Humphrey Systems Technical
Support for instructions on reloading your hard drive. If your hard disk
must be reloaded from media, any exams taken since your last backup
will be lost.

ARCHIVING AND
RESTORING
EXAMINATIONS
When the hard disk is nearing capacity, the instrument will prompt you
to archive examinations on media or external drive using the
Archive/Restore option in the Utilities function. The instrument
prompts you to archive exams when the hard drive is nearing capacity.
You may archive at any time however.

To archive patient examinations, you may let the instrument select the
oldest exams on the hard disk. Or you can manually select:

• all exams assigned to specific groups,

• all exams for the patients of specific doctors,

• all exams for specific patients,

• specific exams.

The selected exams are removed from the hard disk and stored on
external hard drive or media.

To restore patient exams, you select the exams from the external drive
or media, and create a list. The exams on the list are restored to the
hard drive.

Note: Exams which have been archived cannot be read on other instruments. To
look at exams from other instruments, use the export/import function.

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 DATABASE MANAGEMENT
Open the Archive/Restore screen by clicking the Archive button on the
Utilities screen.

FILEVUE™ ARCHIVING
Archive Exams
1. To archive patient exams, click the Archive button on the
Archive/Restore screen.

2. Click on the button next to the drive you want to use. Then insert a
disk in the selected drive or select the external disk. Click OK. The
Select Archive Mode screen appears.

This screen lets you choose how you want to select exams for archiving.
Archive Oldest Exams
Without Selection
3. To let the instrument archive the oldest exams on the hard disk
without any additional manual selection, click on the Begin button.
Then go to “Archive Exams to Media/External Drive” on page 5-9.

Select by Groups

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 4. To select exams by group for archiving, click on the Groups button
on the Select Archive Mode screen. The Archive by Groups screen
appears.

5. The box on the left shows the groups to be archived. To exclude a

group from archiving, click on the group name to select it. Then click
on the Remove Selected button. The group name will move from
the left box to the right box, Groups to Exclude.

Use the Remove All button to exclude all groups currently selected.
Use the Add Selected and Add All buttons to move groups from the
excluded list back to the archive list.

When you are finished selecting groups to archive, click on the Archive
button. Then go to “Archive Exams to Media/External Drive.”

Select by Doctor

6. To select exams by doctor for archiving, click on the Doctors button

on the Select Archive Mode screen. The Archive by Doctor screen
appears.

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 DATABASE MANAGEMENT
7. The box on the left shows the doctors’ exams to be archived. To
exclude a doctor’s exams from archiving, click on the doctor’s name
to select it. Then click on the Remove Selected button. The doctor’s
name will move from the left box to the right box, Doctors to
Exclude.

Use the Remove All button to exclude all doctors currently selected.
Use the Add Selected and Add All buttons to move doctors names
from the excluded list back to the archive list.

When you are finished selecting doctors’ exams to archive, click on

the Archive button. Then go to “Archive Exams to Media/External
Drive” on page 5-9.

Select by Patients
8. To select exams by patient for archiving, click on the Patients button
on the Select Archive Mode screen. The Archive by Patients screen
appears.

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 9. The box on the left shows the patients to be archived. To exclude a
patient’s exams from archiving, click on the patient’s name to select it.
Then click on the Remove Selected button. The patient’s name will
move from the left box to the right box, Patients to Exclude.

Use the Remove All button to exclude all patients currently selected.
Use the Add Selected and Add All buttons to move patient names
from the excluded list back to the archive list.

When you are finished selecting patients’ exams to archive, click on the

Archive button. Then go to “Archive Exams to Media/External Drive”

located on page 5-9.

Select Specific Exams

10. To select specific exams for archiving, click on the Exam button on
the Select Archive Mode screen. The Archive Exams screen appears.

11. The box on the left shows patient names. The middle box shows the
exams associated with each patient. To select an exam, first click on
the patient’s name. Then click on the specific exam you want to
archive. The exam will move from the middle box to the right box,
Archive Exams.

Use the Move All button to select all exams for a given patient. To
“unselect” an exam, click on the exam in the Archive Exams box.

When you are finished selecting exams to archive, click on the Archive
button. Then continue with “Archive Exams to Media/External Drive.”

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 DATABASE MANAGEMENT
Archive Exams to
Media/External Drive
12. A message appears telling you how to label the external drive.
Remove the media and label it as instructed. Then insert the media
back into the drive.

13. The instrument archives the exams and displays a message telling
you how many exams were archived. Click OK.

14. If you are finished archiving exams, click Cancel. Then click
Return to return to the Utilities Menu.

RESTORE EXAMS
Restoring exams is required only when you want to view exam data that
was previously archived. To restore a patient exam, you must know on
which media the examination was archived. There are two ways to locate
the correct media.

For complete instructions on how to open MasterVue Control, see Chapter 3.

• From the MasterVue Control, select the patient name from

the patient list, click on the archived exam, and then click on
OK. A message box appears asking if you want to restore the
archived exam. When you click Yes, the media label for the
archived exam appears.

• Or, you may insert any media in the appropriate drive, click on
utilities then Archive/Restore. After you have selected the
exams to be restored, a message box will display the labels of
the required disks.

1. Insert the media containing the exam(s) you want to restore in the
appropriate drive.

2. Click the Restore button on the Archive/Restore screen. A message

box appears telling you how much room is available on the hard disk,
and asking if you wish to continue. Click Yes if there is enough room
to restore the exam(s).

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 For instructions on archiving exams, see page 5-5.

Click No if there isn’t enough room. You’ll then have to archive other
exams to make room for the exam(s) you want to restore.

3. The Restore Exams screen appears.

4. The box on the left shows patient names. The middle box shows the
exams associated with each patient. To select an exam, first click on
the patient’s name. Then click on the specific exam you want to
restore. The exam will move from the middle box to the right box,
Restore Exams.

Use the Move All button to select all exams for a given patient. To
“unselect” an exam, click on the exam in the Restore Exams box.

When you are finished selecting exams to archive, click on the

Restore Now button. A message box appears telling you which
media you will need.

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 DATABASE MANAGEMENT
5. Insert the media, and click on the drive you want to use.

6. The instrument restores the exam(s) and displays a message telling

you how many exams were restored. Click OK.

7. If you are finished restoring exams, click Cancel. Then click Return
to return to the Utilities Menu.

EXPORTING AND
IMPORTING EXAMS
The Export/Import option in the Utilities function lets you export, or
copy, examinations from the hard drive to media. You can also import,
or add, exams to the instrument from media.

Unlike archiving, exporting does not remove the exam data from the

hard drive. Exporting and importing are used to transfer exams from
one computer system to another.

To export or import exams, click the Export button on the Utilities

screen. The Export/Import screen appears.

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 Export Exams
1. To export patient exams, click the Export button on the
Export/Import screen. A message box appears.

2. Click on the button next to the drive you want to use. If necessary,
insert a media in the selected drive. Click OK.

A message box appears telling you how much room is available on the
target media. Click Yes to continue if there is enough room to export

the exam(s).

Click No if there isn’t enough room. You’ll have to use another

media to export the exam(s).

3. The Export Exams screen appears.

4. The box on the left shows patient names. The middle box shows the
exams associated with each patient. To select an exam, first click on
the patient’s name. Then click on the specific exam you want to
archive. The exam will move from the middle box to the Export
Exams box located on the right.

Use the Move All button to select all exams for a given patient. To
“unselect” an exam, click on the exam in the Export Exams box.

When you are finished selecting exams to export, click on the Export
Now button.

5. The system exports the exams. A message box appears telling you
when the export has been completed. Click OK.

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 DATABASE MANAGEMENT
6. If you are finished exporting exams, click Cancel. Then click Return
to return to the Utilities Menu.
Import Exams
1. To import patient exams, click the Import button on the
Export/Import screen. A message box appears.

2. Click on the drive you want to import from. If necessary, insert the
media in the selected drive. Click OK.

3. A message box appears telling you how much room is available on the
media you will import to, and asking if you wish to continue. Click
Yes if there is enough room to import the exam(s).

For instructions on archiving exams, see page 5-5.

Click No if there isn’t enough room. You’ll then have to archive other
exams to make room for the exam(s) you want to import.

4. The Import Exams screen appears.

5. The box on the left shows patient names. The middle box shows the
exams associated with each patient. To select an exam, first click on
the patient’s name. Then click on the specific exam you want to
import. The exam will move from the middle box to the right box,
Import Exams.

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 Use the Move All button to select all exams for a given patient. To
“unselect” an exam, click on the exam in the Import Exams box.

When you are finished selecting exams to archive, click on the

Import Now button.

6. The instrument imports the selected exam(s). A message box appears

telling you when the import has been completed. Click OK.

7. If you are finished importing exams, click Cancel. Then click Return
to return to the Utilities Menu.

MAINTAINING
THE DATABASE
To change information about patients, exams, doctors, groups, and
operators in your database, click on the Data button on the Utilities

screen. The Database Maintenance screen appears.

The Database Maintenance screen lets you add, edit, delete, and save
information about each of these database categories.
Edit Patient Records
Edit patient records by clicking on the Patients button. The Edit
Patient Record screen appears.

This screen lets you select a patient, edit patient information, add a new
patient, or delete a patient’s record.
Select Patient
All patient names are listed in alphabetical order. Scroll up or down to
find the patient’s name by clicking on the arrow to the right of the
patient list, or “pulling down” the list by using the GlidePointer. Select
the patient you want by clicking on the patient’s name.

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 DATABASE MANAGEMENT
After you have selected the patient, the name and any information
previously entered — such as patient number, gender, birth date, and
doctor — is displayed in the Edit Patient Information box.

At this point, you may edit the patient information or delete the patient
record completely.
Edit Patient
Information
1. Enter or change the patient’s identification number by clicking in the
Patient # field. Then type the identification number.

2. If you want to change the patient’s name, click in the First Name or
Last Name field. Then type the new name.

3. Select the patient’s gender by clicking on the Male or Female button.

4. Enter or change the patient’s birth date by clicking in the Birth field.
Then type the digits of the patient’s birth date in month-day-year
format.

You cannot enter a doctor’s name directly into the Docto r or Referred by field. If you
need to add a Doctor to the database, see “Edit Doctor Information” on page 5-18.

5. If you want to select or change the name in the Doctor field, click on
the drop-down arrow next to the doctor’s name. Then select the
doctor’s name from the drop-down menu.

6. If you want to select or change the name of the referring Doctor,

click on the arrow in the Referred by field. Then select the doctor’s
name from the drop-down menu.

7. After editing the patient information, you may select another patient
record to edit.

8. When you have finished editing patient records, click the Done
button. A message box appears.

9. Click Yes or No. The Database Maintenance screen appears.

Delete Patient Record
1. Scroll to the patient record you wish to delete by clicking on the
arrow to the right of the patient list, or by “pulling down” the list box

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 with the GlidePointer. Then click on the patient’s name.

2. Click the Delete button at the bottom of the screen. A message box
appears.

Caution: Delete permanently removes the patient and exam information.

3. If you are sure you want to delete the patient record, click the Yes
button. The patient’s record and all examinations are removed from
the database.

4. At this point you may:

• Select another patient from the patient list by clicking on the

patient’s name.

• Return to the Database Maintenance screen by clicking on the

Done button. Then click on Yes to save the information.
Add New Patient
You can add a new patient from the Edit Patient Record screen. To do
so, click on the Add New Patient Record at the bottom of the screen.
Then fill in all patient information as described in “Edit Patient
Information” on page 5-15.

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 DATABASE MANAGEMENT
Edit Exams
Edit exam information by clicking on the Exams button on the
Database Maintenance screen. The Edit Exam Record screen appears.

The Edit Exam Record lets you select an exam, and change the Eye,
Group, and Exam Remarks (including Supplemental Remarks).
Select Patient
All patient names are listed in alphabetical order. Scroll up or down to
find the patient’s name by clicking on the arrow to the right of the
patient list, or by “pulling down” the list with the GlidePointer. Then
click on the patient’s name.
Select Exam
After you have selected a patient, the exams for that patient are
displayed in the Select Exam box, beginning with the most recent.
Select an exam to edit by clicking on the exam.

The exam number, exam date, and any information previously entered,
such as doctor and operator, are displayed.
Edit Exam Information
1. To change the Eye, click on the circle next to OD or OS.

2. If you want to change the Group from the current setting, click on
the drop-down arrow next to the group name. Then select the Group
from the drop-down menu.

You cannot enter a Group directly into this field. If you need to add a Group to the
database, see “Edit Group Information” on page 5-19.

3. Enter or edit Exam Remarks by clicking in the Exam Remarks field.

Then type any additions or corrections. A total of 80 characters are
allowed in the field.

4. To add or edit Supplemental Remarks, click on the Supplemental

Remarks button. Then enter remarks in the large text window. When
you are finished, click on the Done button. The window will close.
Save Exam Information
At this point you may:

• Select another exam to edit.

• Return to the Database Maintenance screen by clicking on the

Done button. Then click on Yes to save the information.
Delete Exam
Information
1. To delete an exam, first select the exam.

2. Click on the Delete button at the bottom of the screen. A message

box appears.

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 3. If you are sure you want to delete the exam, click the Yes button.
The exam and all its images are removed from the database.

Caution: Delete permanently removes the exam information.

4. At this point you may:

• Select another exam.
• Return to the Database Maintenance screen by clicking on the
Done button. Then click on Yes to save the information.

Edit Doctor
Information
Edit doctor information by clicking on the Doctor button on the
Database Maintenance screen. The Edit Doctor Information screen
appears.

The Edit Doctor information screen lets you add, change, or delete a
doctor’s name. You may also designate the doctor’s association as
“Clinic” or “Referred.”

The Doctors who practice at the facility using this equipment should be
identified as “Clinic.” The doctors who have referred patients and sent
copies of exam files for import into this instrument should be identified
as “Referred.”

You can also designate the doctor’s status as “Active” or “Inactive.”

Add Doctor Name
1. Enter the doctor’s name by clicking in the Name field and clicking on
the Add New button. Then type the name.

2. Select the doctor’s association by clicking on the Clinic and/or

Referred button. You can select both associations.

3. Select the doctor’s status by clicking on the Active or Inactive

button.

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 DATABASE MANAGEMENT
4. Click on the Save button.
Change Doctor
Information
1. Select the name of the Doctor you want to edit by clicking on the
name in the Doctor list.

2. Click in the Name field. Then type the corrections.

3. Select the doctor’s association by clicking on the Clinic and/or

Referred button. You can select both associations.

4. Select the doctor’s status by clicking on the Active or Inactive

button.

5. Click the Save button. This will associate the new doctor name with
all of the patients who were associated with the previous doctor’s
name.
Delete Doctor Name
1. Select the name of the doctor you want to delete by clicking on the
name in the doctor name list. Then click the Delete button. A
message box appears.

2. Click the Yes button. The doctor’s name is removed from the doctor
list and from any patient records and exams.

Caution: Delete permanently removes the doctor information from the database.

When you have finished editing doctor names, click the Done button to
return to the Database Maintenance screen.
Edit Group Information

Edit Group information by clicking on the Group button on the

Database Maintenance screen. The Edit Group Information screen
appears.

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 The Edit Group Information screen lets you add, change, or delete a
group name. You may also enter information about the group.
Add Group Name
1. Enter the group name by clicking in the Name field and clicking on
the Add New button. Then type the new group name.

2. Enter information about the group by clicking in the Remarks field.

Then type any remarks you want to record for this group.

3. Click the Save button.

Edit Group Name
1. Select the group you want to edit by clicking on the group name in
the Select Group field.

2. Click in the Name field. Then type any changes to the group name.

3. Enter information about the group by clicking in the Remarks field.

Then type any remarks you want to record for this group.

4. Click the Save button. This will replace the old group with the new
group in all exams saved with the old group association.
Delete Group Name
1. Select the group you want to delete by clicking on the group name in
the Select Group field.

2. Click the Delete button. A message box appears.

3. Click the Yes button. The group is removed from the group list and
from any exam records.

Caution: Delete permanently removes the group information from the database.

When you have finished editing groups, click on the Done button to
return to the Database Maintenance screen.
Edit Operator
Information

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 DATABASE MANAGEMENT
Edit operator information by clicking on the Operator button on the
Database Maintenance screen. The Edit Operator Information screen
appears.

The Edit Operator Information screen lets you add, or change operator
names. These names are used to select the operator for each exam.
Add Operator
1. Enter the operator by clicking in the Name field and clicking on the
Add New button. Then type the operator’s name.

2. Select either Active or Inactive status for the operator.

3. Enter the operator’s initials in the Initials box.

4. Click the Save button.

Edit Operator
1. Select the name you want to edit by clicking on the name in the
Select Operator box.

2. Click in the Name field. Then type the changes.

3. Select either Active or Inactive status for the operator.

4. Edit the operator’s initials in the Initials box.

5. Click the Save button. The edited operator name replaces the original
operator name for all exams associated with the old operator name.

The operator names which have been labeled inactive will still appear in
database maintenance, but will not display when taking new exams.

When you have finished editing operator information, click on the

Done button to return to the Database Maintenance screen

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6 OPERATING ENVIRONMENT

The ATLAS instrument allows you to customize certain screen displays

to include only the information you want to see. In addition, you can
change general information such as the clinic name and the default
operator’s name that appear when you enter exam information. This
chapter describes how to change these “operating environment”
settings. The chapter also describes how to install new software and set
the current date and time.

CHANGE PREFERENCES
SCREEN
You can change the settings for general displays, and selection lists by
using the Change Preferences screen in the Utilities function.

1. Open the Change Preferences screen by clicking the Utilities button

OPERATING ENVIRONMENT
on the Main Menu. The Utilities screen appears.

2. Select Change Preferences by clicking on the Change button. The

Change Preferences screen appears.

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 The Change Preferences screen lets you:

• Change the clinic name and select which information is shown

in general displays, such as clinic name, Doctor’s name, and
exam remarks.

• Select the default settings in the selection lists for Doctor,

operator, and group.
General Displays
Clinic Name

1. If you want to change the Clinic Name, press and hold the left
GlidePoint or press the left control button and drag the cursor across
the name. Then press the Delete key on the keyboard. This clears the
name field.

2. Enter the new clinic name by typing the name in the Clinic Name
field.

Default Scale

Select the default scale you want to use in data displays. You may choose
either Standard, AutoSize or Custom by clicking on the circle next to
the scale you want.

General Displays Settings

Indicate whether or not you want the doctor’s name, clinic name, and
exam remarks to appear on the screen. To add or remove an item, click
on the square next to the description. An X appears if the setting is
active and disappears if the setting is inactive.
Selection Lists
The “default” settings in the Selection Lists are the names that will first
appear when you enter a new exam on the Exam Information screen.
You can, of course, change these settings from the default on the Exam
Information screen, but you should choose a default that will not have
to be changed very often. For example, the default setting for Operator
should be the name of the operator who conducts most of the ATLAS
instrument exams.

To change the default settings for Doctor, Operator, or Group, click on

the drop-down arrow next to the name or group. Then select the name
or group from the drop-down menu.
For instructions on database maintenance, see Chapter 5.

To add or delete a name from these lists, use the Data Maintenance
option.

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INSTALL NEW
SOFTWARE
This option lets you install new software options from media provided
by Humphrey Instruments.

1. Click on the Install button on the Utilities screen. A message appears

asking you to insert a specific media,
2. Look for media with the exact name that appears on the screen.
Insert this media into the appropriate drive. Then click OK.

3. Follow the directions on the screen and in the software release notes
and instructions that come with the new software to complete the

OPERATING ENVIRONMENT
installation.

SET DATE AND TIME

You can change the date and time for the system by using the Set Date
and Time option in the Utilities function. Click on the Set button on
the Utilities screen. The Date & Time Screen appears.

Set the Date

Set the new date by moving the GlidePoint arrow to the calendar
portion of the screen. Click on the appropriate calendar day. Use the
arrows located next to the year and month field to obtain a drop down
list of options. Highlight your selection and then click OK.
Set the Time
Set the time by moving the pointer to the Time field. Then type the
time in the following format:
hour:minutes:seconds
Note: Time is displayed in “12-hour” format; for example, the time will be shown
as 5:30:00 PM, rather than 17:30:00.

After you have set the date and time, click OK.
Note: It is possible to set up Windows so that the time and date may be entered and
displayed in European or “military” format, using a 24-hour clock. Please contact
your distributor or Humphrey Technical Support for assistance in changing the date
and time format.

CHANGING DISPLAYS
It is possible to view the ATLAS software in both 640 x 480 (ATLAS
LCD Screen) and 1024 x 768 resolution (external SVGA monitor). To
view the software in 1024 x 768 resolution, connect an external SVGA
monitor into the port marked VGA located on the side of the ATLAS.

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REV. C PN 48113-1
 Reboot the system, and a message box will appear. Click on High
Resolution to view on the external SVGA monitor (1024 x 768 format)
only. To view the software on both SVGA and LCD screens, click on
Low Resolution. Do not disconnect the SVGA monitor while in High
Resolution mode, or both screens will become blank. If the SVGA
monitor becomes disconnected, reconnect the SVGA monitor, or
simply turn the system off, then back on again.

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REV. C PN 48113-1
7 PRINTING

The ATLAS lets you print a color copy of a patient exam in any view
using the color printer attached to the unit. You can also send an exam
to:

• a slide file in order to prepare a color slide from the display.

• an image file in order to use the display in other computer

programs such as desktop publishing or presentation
programs.

In addition, you can set various printer preferences such as page

orientation, background color, and multiple copies.

PRINTING
TO THE COLOR PRINTER
1. Before you print an exam, be sure the printer is turned on and the
“On Line” light is lit.

2. Check the paper supply in the printer paper tray.

3. Display the patient exam and view you want to print.

4. • If you are printing the Axial Map, you can print the curvature
values for a specific area of the display by moving the
GlidePointer to that area and pressing the space bar on the
keyboard once. The values and coordinates for the GlidePointer
position are “frozen” in the display. The Options screen then
appears.

• If you do not wish to select curvature values for a specific area,

simply click the Options button. The Options screen appears.

PRINTING
Options

Mult Multivue Displays

Save Save Exam

Print Print Screen

Cancel Cancel

Return Return to Main Menu

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 5. Click the Print button. The Printer Setup screen appears.
6. If you want to hide the patient’s name in the printed image, click the
box next to Hide Patient Name.

7. In the Output To field, select Printer.

8. In the Print Quality field, select either Draft for faster printing at
lower resolution, or Presentation for slower printing at higher
resolution. Presentation mode may not be available in some printers.
If this is the case, the presentation mode option will be grayed out on
the screen.

Draft mode provides two features not available with Presentation

mode. First, it allows you to continue taking exams while the printer
is printing. Second, Draft mode allows you to send up to 10 displays
to the printer at a time. The printer will then print each display in
turn.

9. In the Background Color field, select either White or Black as the

background color. White is the default setting for printed images.

10. In the Orientation field, select either Portrait or Landscape. The

illustration below shows the difference between portrait and

landscape orientation.
Note: The Portrait setting produces an 8 1/2” x 11” print. The image is smaller,
but the printing time is faster. The Landscape setting produces an 11” x 8 1/2”
print. The image is larger, but the printing time takes several minutes longer than the
Portrait setting.

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 11. Click the OK button. A message appears indicating that the image is
being printed.

PRINTING
TO A SLIDE FILE
To prepare color slides of an image, you will need to “save” the image
to a file on media such as a floppy disk. You can then send this file to a
photography service for processing into a color slide.

1. Display the patient exam and view you want to send to a slide file.

2. • You can “freeze” the curvature values for a specific area of the
display by moving the GlidePointer to that area and pressing the
space bar on the keyboard once. The values and coordinates for
the GlidePointer position will be set in the display. The Options
screen then appears.
Options

Mult Multivue Displays

Save Save Exam

Print Print Screen

Cancel Cancel

Return Return to Main Menu

PRINTING
3. Click the Print button. The Printer Setup screen appears.

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 4. If you want to hide the patient’s name in the slide, click the box next
to Hide Patient Name.

5. In the Output To field, select Slide File.

6. In the Background Color field, select either White or Black as the

background color. Black is the default setting for color slides.

7. In the Output File Type field, select the graphic file format you
want to use. The following graphic file formats can be produced:

• Windows bitmap — BMP

• Compuserve GIF — GIF

• Zsoft PCX/DCX — PCX

• Tagged Image File Format (TIFF 5.0) — TIF

8. Click the OK button.

9. A screen appears asking you to enter the drive and file name of the
slide file.

Type the drive and file name in the following format:

a:\filename
a:\ designates the 3 1/2” disk drive in the instrument. The file name
can be up to eight characters long, with no spaces. The instrument will
enter the three-character extension corresponding to the file format
(i.e., BMP, TIF, PCX, or GIF). For example, exam004.bmp is a valid file
name.

10. Insert a blank disk into drive a. Then click OK. The instrument
prints the slide file on the disk in drive a.

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REV. C PN 48113-1
PRINTING
TO AN IMAGE FILE
Printing a display to an image file produces a file that can be used by
other computer programs, including word processors, drawing
programs, or presentation graphics packages.

• Windows bitmap — BMP

• Compuserve GIF — GIF

• Zsoft PCX/DCX — PCX

• Tagged Image File Format (TIFF 5.0) — TIF

1. Display the patient exam and view you want to print to an image file.
Use the MasterVue Control and MultiVue Display options.

2. • If you are printing the Corneal Power Map, you can print the
curvature values for a specific area of the display by moving the
cursor to that area and pressing the space bar on the keyboard
once. The values and coordinates for the cursor position are
“frozen” in the display. The Options screen then appears.

• If you wish to select the default (vertex) curvature values, simply

click the Options button. The Options screen appears.

Options

Mult Multivue Displays

Save Save Exam

PRINTING
Print Print Screen

Cancel Cancel

Return Return to Main Menu

3. Click the Print button. The Printer Setup screen appears.

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 4. If you want to hide the patient’s name in the slide, click the box next
to Hide Patient Name.

5. In the Output To field, select Image File.

6. In the Background Color field, select either White or Black as the

background color. White is the default setting for image files.

7. In the Output File Type field, select the graphic file format you
want to use. Several options are available, and you should choose the
format that is compatible with the graphics software you will be
using.

8. Click the OK button.

9. A screen appears asking you to enter the drive and file name of the
image file.
Type the drive and file name in the following format:

a:\filename
9. a:\ designates the 3 1/2” disk drive on the instrument. The file name
can be up to eight characters long, with no spaces. The instrument
will enter the three-character extension corresponding to the file
format (i.e., BMP, TIF, PCX, or GIF). For example, exam004.bmp is
a valid file name.

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 10. Insert a blank disk into drive a. Then click OK. The system prints
the image file on the disk in drive a.

Note: The only difference between an image file and a slide file is that the image file
has a white background by default, while the slide file has a black background by
default.

PRINTING

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ PRINTING / 7-7

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7-8 / PRINTING HUMPHREY ATLAS™ AND ATLAS ECLIPSE™
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8 TROUBLESHOOTING AND MAINTENANCE

TROUBLESHOOTING AND MAINTENANCE

TROUBLESHOOTING

General
Troubleshooting
If you have problems with your Atlas instrument, you should call the
Humphrey Technical Support Line. However, before you call, you
should check the following items.

• Be sure the power cables to the computer, printer, and other

peripherals are plugged in securely.

• Be sure the power switches on the computer, printer and

other peripherals are ON.

• Check the cable connections on the side of the Atlas to be

sure that all cables are connected securely. Refer to Instrument
Overview and setup for further information.
Specific Problems
The following lists several common problems that you may encounter.
Each problem includes a description of the symptoms and the
suggested solution.

Symptoms/Solutions
1. When you are entering names or other information on the
keyboard, numbers appear instead of letters.
The Num Lock key on the keyboard may have been accidentally
pressed. When this key is pressed, some of the keyboard keys are
converted to numeric entry, rather than alphabetical characters. To
return to alphabetical entry, press the Num Lock key, which is located at
the top of the keypad on the right side of the keyboard. When Num
Lock is turned off the light below the words “Num Lock” will be unlit.
2. No video image appears on the screen.
Check cable connectors, call Technical Support if problem persists.

3. The projection head does not move easily.

Check the lock at the base of the projection head by turning the joystick
counter-clockwise to loosen. This lock should be tightened only when
the instrument is being moved. During normal operation, leave the lock
completely loosened.

4. The printer does not print.

Make sure that the printer is on. When the printer power is turned on,
the “ON LINE” light on the front of the printer will be lit. Check
paper and check cable connections.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ TROUBLESHOOTING AND MAINTENANCE / 8-1

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 5. The instrument “hangs,” (i.e., the screen remains frozen, and
keystrokes and GlidePoint clicks have no effect).
Turn the instrument off. Then wait one or two minutes before turning
the instrument back on.

6. The instrument displays a “contrast” error during a patient

exam.
This message may occasionally occur with patients who have light irises.
If the message appears for every exam, call Technical Support. The
system may need re-calibration.

7. The instrument displays a “centering” error during a patient

exam.
This message will appear if the image was captured without proper
centering or with improper focusing. Recapture the image after focusing
and centering.

8. Green dots are missing from the captured image during a

patient exam.
The missing green dots represent data points that were not available for
calculation due to insufficient image contrast or improper focus, broken
or missing rings, or rings which cross over one another.

9. “Printer out of paper” message appears.

Refill the printer’s paper tray.

Troubleshooting
Zip Drive
10. Green power light does not come on, or the Zip disk cannot be
inserted.
Make sure you are using an iomega Zip power supply and that it is
connected to the Zip drive as shown in the installation guide. Make sure
the power supply is plugged into a working power outlet.

11. Instrument does not start up properly after the Zip drive is
installed.
Turn off the instrument and disconnect power from the Zip drive. Turn
on the instrument first, then immediately connect the Zip power (or use
a power strip to turn on both at the same time).

12. The Zip drive is not assigned a drive letter.

• Turn off the instrument and disconnect power from the Zip drive.
Turn on the instrument first, then immediately connect the Zip power
(or use a power strip to turn on both at the same time).
• Make sure the data cable that came with the Zip drive is being used.
• Check all connectors and connections. Make sure all cables are
attached to the correct connectors and that all cable connections are
straight and secure.
• Make sure the Zip drive is connected to the parallel printer port.

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 TROUBLESHOOTING AND MAINTENANCE
13. Data transfer problems or drive operation is erratic.
Make sure the Zip cable is correctly and completely connected to both
the Zip drive and the instrument. Tighten all connector screws firmly
and evenly, both on the connection to the Zip drive and to the
instrument.

14. Instrument hangs on reboot or does not operate correctly.

Turn off the instrument first and disconnect power from the Zip drive.
Turn on the instrument, then immediately connect the Zip power (or
use a power strip to turn on both at the same time).

MAINTENANCE
Calibration Check
The calibration check tests the instrument to make sure it is providing
accurate measurements. A calibration bar with three mounted spheres is
placed in the chin rest assembly. Using the Calibration option in the
Utilities function, capture a series of sphere images that are analyzed to
see if the measurements are within the defined diopter ranges. The
calibration test is performed on 35, 42.25, and 55 diopter spheres.

We recommend that you run the calibration option at least once a month.
Mount Calibration Bar
Place the calibration bar in the area provided on the chin rest. Be sure
the spheres are facing the projection head.
Run Calibration
1. To run the calibration option, click Utilities on the Main Menu. Then
select the Test Calibration option by clicking the Test button.

2. The Calibration menu screen appears. Click on the Test button.

3. Focus the projection head on the largest sphere (35D) on the

calibration bar.

4. Align the projection head by centering the crosshairs in the smallest

ring of the image displayed.

5. When the image is aligned and focused, press the button on the
joystick to capture the image. A message screen appears listing the
results as one of the following:

• UNDER —
Image capture was under the acceptable diopter value.

• OVER —
Image capture was over the acceptable diopter value.

• PASS —
Image capture was within the acceptable diopter value.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ TROUBLESHOOTING AND MAINTENANCE / 8-3

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 Note: If the calibration test fails, first clean the front surface of the spheres with a
soft cloth and repeat the calibration test before calling Technical Support.

6. If you want to continue the calibration procedure, click Yes. If you

want to redo the first measurement, click No.

7. Continue to align, focus, and capture images for each sphere.

8. When you have finished analyzing images for all of the spheres, a
message screen appears showing the final results of the calibration
test. You may print the results at this time. If the system fails the
calibration test, first try cleaning the calibration spheres with a soft
cloth. If your system fails again, call the Humphrey Technical
Support number for assistance.

9. The calibration test procedure is finished. Remove the calibration bar

frame from the chin rest.

Care and Cleaning of

the Calibration Bar
The calibration bar should be cleaned with alcohol and wrapped in a
soft cloth. Care should be taken not to scratch the surface of the
spheres.

Cleaning
The exterior of the ATLAS should be kept free of dust. Clean the
exterior with a dry cloth. If necessary, you can use a mild cleaning
solution, but be sure you do not allow moisture inside the instrument,
keyboard, printer, or projection head. In addition, DO NOT use a
cleaning solution on the faceplate or cone.

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9 MASTERFIT™ CONTACT LENS MODULE (OPTIONAL)

INTRODUCTION
MasterFit incorporates contact lens fitting capabilities and features
that are commonly used worldwide, as well as the inclusion of several
new features that should benefit all users of the software. Aspherical
fitting designs, using corneal eccentricity to fit the lens, and displaying
the final lens position on the cornea are just of few of the options
that this flexible and feature rich software package has to offer. The
software can be used to streamline the fitting process, decrease the
number of lens refits, and reduce the rejection rate of ordered lenses.

Also, it is so easy to use that it is not necessary for the doctor to inter-
act with the software after preprogramming the lens designs, nomo-
grams, lens style, and laboratories into the computer. The user is then
able to select the doctors choice of lens, simulate the fluorescein pat-
tern on the computer, and print the results, allowing the initial and
intermediary fitting steps to be assigned to the technician using the
software. After the doctor observes the fit of the trial lens chosen by
the software and performs the overrefraction, the final lens prescrip-
tion can be ordered from the lab by e-mail, greatly improving office

MASTERFIT™ CONTACT LENS MODULE

efficiency and patient satisfaction.

ACCESSING THE
MASTERFIT CONTACT LENS From the MasterVue Control Screen: (the Control Screen appears
MODULE after selecting REVIEW from the Main Menu):

1. Select a patient from the patient list and a patient visit

from the exam list.
2. Click on MultiVue and select MasterFit Contact Lens
Module listed under Optional Modules, OR, Pull down
the Select View list box and select MasterFit Contact
Lens Module.
3. Click OK. This brings up the Fluorescein View
Screen, which is the main MasterFit screen.
Note: You can select a patient exam directly from the
Fluorescein View Screen if you are fitting more than
one patient.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ MASTERFIT CONTACT LENS MODULE / 9-1
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FROM ANY MAP OR VIEW 1. Click on OPTIONS.
2. Click on MultiVue Displays.
3. Select MasterFit Contact Lens Module listed under
Optional Modules.
4. Click OK. This brings up the Fluorescein View
Screen.

FLUORESCEIN VIEW The Fluorescein View is the first screen in the MasterFit Contact Lens
SCREEN Module, and the main fitting screen.

Sph X Cyl @ Axis Enter the patient’s refraction here.

Calculate Rx Click here for MasterFit lens calculations.

Show
Fluorescein Click here to show the fluorescein pattern for this lens.

Show Details Click here to show the details of the fitting results.

OverRx Click here to get to the Over Refraction screen.

Click here to save the refraction and lens

SaveRx information with the patient’s record.

Pictured below is the FLUORESCEIN SCREEN, (FIG. 1) which shows

the lens power, diameter, base curve, optical zone and
secondary and peripheral curves that were calculated by the software.
This screen also shows the tear film clearance plot, noting the tear layer
thickness between the back surface of the contact lens and the cornea,
in microns. The MasterFit software uses highly accurate elevation data
to obtain the lens/cornea relationship. The flat axis is shown by filling
in the tear film clearance plot in fluorescent green. The steep axis is
marked by a darker green line parallel to the flat axis. The red circle
next to the axis number identifies the current axis of the red bar on the
fluorescein pattern. Likewise, the red triangle shows the default of the
axis 90 degrees away. The default parameters are the flattest and steepest
axis, however, the red bar can be moved to any location on the eye to
observe the corresponding tear film clearance on the plot. By placing
the pointer on the circle at the end of the red bar and simultaneously
holding down the blue button on the left of the glidepad, the axis can
be changed to the desired location.

Markers have also been added to the edge of the fluorescein pattern to
denote the default flat and steep axis as calculated by the software. The

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 FLUORESCEIN VIEW (FIG 1.)
Fitting Method Keratometric- uses information calculated from the “K” values
obtained in the 3mm zone combined with the manufacturers fitting
guide. If you have entered nomograms to alter the fit of the lens
based on corneal astigmatism, eccentricity, or flat or average K’s,
these will also be used in the final calculation of the lens fit.

MASTERFIT™ CONTACT LENS MODULE

Topographic- this method uses the topographic values calculated by
Humphrey nomograms using curvature and elevation information
outside of the central 3 mm zone. Humphrey nomograms use a
unique index called Shape Factor which is defined as eccentricity
squared. It uses the eccentricity of the corneal surface to determine
the shape of the eye as compared to a normal. By squaring the eccen-
tricity index, negative shape factors can be calculated as in the case of
a post refractive surgery or orthokeratology patient. This indicates an
oblate cornea (flatter in the center, steeper in the periphery). Positive
shape factors imply a prolate cornea, (steeper in the center, flatter in
the periphery). This fitting method does not use “off the shelf ” lenses,
manufacturers fitting guides, or other user defined nomograms. This
nomogram fits the lens based on a 10 micron tear film apical clearance
in the vertical meridian combined with a “fulcrum” or bearing at the 5
mm horizontal meridian. It then fits the cornea with the best possible
lens using these customized lens parameters.

Base Curve This box highlights the calculated base curve. Use the up/down arrows to
increase/decrease the base curve. The base curve and power are intricate-
ly related. Changing one parameter also makes a change to the other.
Each time you change the base curve you will need to recalculate the fluo-
rescein pattern by clicking on the “Show Fluorescein” button to observe

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ MASTERFIT CONTACT LENS MODULE / 9-3
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 the new fit.

This box highlights the doctor preferred lens diameter for the selected
Lens Diameter lens design. Click on the up/down arrows to increase/decrease the
diameter. The diameter and optical zone are also related using the stan-
dard fitting relationship between these two parameters.
Increasing/decreasing the diameter also increases/decreases the optical
zone size. You will need to recalculate the fluorescein pattern after
changing these parameters to observe the new fit.

This number shows the contact lens power based on the

Power entered refraction. Changing the base curve will also change the
power of the lens that was calculated and vice versa. The calculation of
the cylinder power of the contact lens is not based on the corneal
astigmatism that was read from the topographical map. The cylinder
power is calculated from the input box using the patients current
refraction. If you wish to add more or less cylinder power to the final
power calculation than the refraction calls for, (as in the case of
residual astigmatism) you should make changes to the cylinder power
of the refraction from the input boxes.

Select Exam Click here to select another patient or exam from the MasterVue
Control List.

Click here to access the Worksheet, which can be viewed as the contact
Worksheet
lens order form, showing the final fitting calculations. This screen can
be e-mailed to a contact lens lab for fitting instructions or printed for
filing in the chart.

The preferences button is used to access the custom screens which

Preferences
allow for input or editing of data about Lens Types, Lens Nomograms,
Shape Adjustment based on Eccentricity, Doctor Preferences and
Laboratories. This information can be input by the doctor for preferen-
tial fitting selections as default parameters or to design lenses for certain
types of conditions, pathologies, and difficult or unusual fits.

Options Click here to access Preferences, Print Screen, Cancel, or Return to Main
Menu.

By clicking on the SHOW DETAILS button, (FIG. 2), you can see
the fitting sequence and methodology that the software chose to fit the
lens, and any pertinent comments about the parameters used to fit the
lens. You may also determine the success of the fit based on the nomo-
gram used.

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 SHOW DETAILS/FLUORESCEIN SCREEN (FIG. 2)

This screen will also show the position of the lens as it was fit on the
eye by the software. The software will automatically find the best posi-
tion for the lens to fit on the cornea, and display this position in a text
message located directly beneath the fluorescein pattern. This
lens/cornea relationship is determined from elevation data and the

MASTERFIT™ CONTACT LENS MODULE

shape of the eye. The software will use this calculation to display the
horizontal and vertical location of the lens as it relates to the vertex
(center) of the cornea.

The Axial Map (FIG. 3) can also be displayed along with the
Fluorescein View by clicking on the Axial button. This allows you to
see curvature changes on the map as they relate to the elevation values
on the tear film clearance plot or simulated fluorescein pattern.

Click here to access the Axial Map View. This screen combines the rec-
Axial Map
ommended contact lens fitting specifications, fluorescein view, clearance
plot and axial map on one screen.

This button activates only after calculating Rx.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ MASTERFIT CONTACT LENS MODULE / 9-5
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 FLUORESCEIN/AXIAL MAP SCREEN (FIG. 3)

The Lens Designs Screen consists of three subscreens, LENS

LENS DESIGNS SCREEN TYPES, NOMOGRAMS, AND SHAPE ADJUST. All of the
screens must be preprogrammed in order for you to utilize their full
capabilities. You need only program the screens one time unless there
are changes that need to be made. These three screens allow the fitter
to 1) add various lens types that are not available in the default list, 2)
make adjustments to the base curve according to the astigmatism on the
cornea from specific user defined preferences, and 3) use the “shape” or
eccentricity of the cornea to adjust the nomogram in order to obtain a
better fitting contact lens.

LENS DESIGNS/LENS The Lens Designs/Lens Types Screen (FIG. 4 ) allows you to pro-
TYPES SCREEN gram the software to fit the types of lenses that are common to a spe-
cific manufacturer or company. Most commonly used lenses can be
found in any of the popular publications of currently available lenses.
Other lesser known proprietary or protected lens designs may have to
be obtained from the companies themselves. You can access this screen
by clicking on the preferences screen from the Fluorescein View, and
then clicking on Lens Types. This screen allows you to program any type
of currently manufactured lens (spherical, aspherical, front toric, back
toric) into the software for future use. You will need to know the para-
meters of the lens and the restrictions that the manufacturer has put on
the lens before utilizing this function,( i.e., base curve, powers, diame-
ters, peripheral and secondary curves and their available incremental
steps).

9-6 / MASTERFIT CONTACT LENS MODULE HUMPHREY ATLAS™ AND ATLAS ECLIPSE™
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 LENS DESIGNS/TYPES SCREEN (FIG. 4)

MasterFit does require some initial data input in order to use the pre-
determined lens fitting types. So that the desired lenses may be input,
the user must know the manufacturer’s suggested recommendations and
the proper fitting methodology or be capable of making their own
selection for a specific type of lens. This only has to be done once in
order to complete the selection of lenses that you want to specify. It

MASTERFIT™ CONTACT LENS MODULE

need only be altered if the manufacturer’s recommendations change, or
a new lens design is added to the current selection.

This feature allows for specific types of lenses to be entered into the
Lens Types software based on the restrictions that have been placed on it by the
manufacturer of the material or lens. It is activated by clicking on the
Lens Types button. Front toric, back toric, bi-toric, and spherical
designs can be selected from this screen by clicking on the drop down
list box. This feature is very useful when programming lens types into
the software that are not currently offered in the default list.

The software allows for fitting aspheric lenses by the eccentricity value
that has been assigned to the lens. Once the aspheric box is
highlighted, the eccentricity can be entered into the form field. The
eccentricity can be adjusted by clicking on the up or down arrows to
increase or decrease the value. [The lens can then be categorized as a
front toric, back toric, or bi-toric according to the manufacturers
design.]The design can also be saved in millimeters or diopters
according to the operators choice by highlighting the box next to the
desired design.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ MASTERFIT CONTACT LENS MODULE / 9-7
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 The diameter of the lens and the increments in mm in which it is manu-
factured can be set by clicking on the diameter drop down list box. If
the diameter that you wish to choose for a specific lens is not in the list
box, you can create a new diameter by clicking on the “New” button.
Clicking on the “Copy” button will copy the current lens diameter and
its associated nomogram, allow you to make any adjustments that are
necessary, and then rename the Lens Design. The “Clear” button will
clear all of the diameter input boxes and allow you to begin again.
“Delete” will delete the displayed lens diameters, “Save” will save the
current lens diameter, and “Cancel” will cancel the entered diameter.
These boxes are all located next to the diameter box itself and relate only
to changes made to the diameter of the lens.

The sphere and cylinder in diopters and the incremental steps can also
be input using the up/down arrow keys. This will set the dioptric sphere
and cylinder powers as well as the incremental steps that this lens is
manufactured. The optical zone diameter of the lens can be set in the
same way described above as can the flat and steep base curves in the
case of a toric fit.

The secondary and peripheral curves as well as their width can be pro-
grammed in this screen as well. The secondary and peripheral curves
may be absolute or relative. If these curves are absolute, then they may be
entered manually without having any relationship to the base curve or
lens diameter. Relative curves imply that the radius of curvature of the
secondary and peripheral curves are based on additions to the base
curve of the lens, and the width of these curves are a percentage of the
lens diameter. The mathematical calculation that takes place from these
input boxes will determine the final radius and width of the peripheral
and secondary curves. Once the lens type input is completed, save the
lens type by entering the name of the lens and clicking on “Save”. This
new lens will now become a permanent selection in the MasterFit
Module.

Once a lens is programmed into the software, it can be manipulated,

changed or copied according to the users preferences. The buttons next
to the Lens Design (New, Copy, Delete, Save, and Cancel) are all used to
perform the various functions as they relate only to the entire design of the
lens itself.
LENS DESIGNS/SHAPE The Lens Design/Shape Adjust screen (Fig. 5) allows the user to
ADJUST SCREEN adjust the lens fit according to the eccentricity of the cornea. The eccentricity
of the cornea is determined by its shape and directly affects the fitting
of the lens. The desired parameters should be entered to adjust the

9-8 / MASTERFIT CONTACT LENS MODULE HUMPHREY ATLAS™ AND ATLAS ECLIPSE™
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 nomogram to fit to the flat or average “K”, according to the eccentricity
entered in the “From” and “To” boxes. This allows a nomogram to be
adjusted to fit the lens from the eccentricity of the cornea. If the
nomogram calls for adjustments to be made according to the astigma-
tism on the cornea, (see Lens Nomograms below), then both of these
nomograms will take affect. If only one type of fitting adjustment is
entered the nomogram will use only that adjustment. To access this
screen click on the Shape Adjust button from the Lens Designs screen.

LENS DESIGNS/SHAPE ADJUST SCREEN (FIG. 5)

LENS DESIGNS/LENS The Lens Designs/Lens Nomograms Screen (Fig. 6) permits the
NOMOGRAMS SCREEN user to adjust the manufacturers lookup table (fitting guide) to fit a lens
precisely according to their own preferences. The adjustments to the
base curve can be to the average or flat “K” relative to the corneal astig-
matism that is read by the topography software’s simulated K readings.
These lookup tables are already pre-programmed into the software for

MASTERFIT™ CONTACT LENS MODULE

the lenses that exist in the database. The adjustments will make the lens
fit differently from the way the manufacturer intended. The adjust-
ments can be input into the data boxes with a few simple keystrokes, or
can be entered by clicking on the up or down arrows to find the right
selection.

A back, front, bi toric or spherical lens can be selected by clicking on

the appropriate list box and highlighting the desired fitting preference.
Secondary and peripheral curves and their widths can also be entered
into the data boxes provided. These curves can be calculated according
to absolute or relative values. If absolute is selected, the curves will be
automatically calculated according to the preset numbers that are input.
If relative is selected, the secondary and peripheral curves and widths
will be calculated relative to the base curve and diameter. In other
words, the final secondary and peripheral curvatures would be calculated
as additions to the overall base curve while the widths of the secondary and
peripheral curves would be calculated as as a percentage of the overall diame-
ter that was selected for that particular lens. This unique fitting relation-
ship between the base curve, diameter, and the secondary and peripheral
curves is currently used by many contact lens laboratories to achieve a
more satisfactory fitting result.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ MASTERFIT CONTACT LENS MODULE / 9-9
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 LENS DESIGNS/NOMOGRAMS SCREEN (FIG. 6)

Nomograms This selection allows you to adjust a manufacturers nomogram, or create

Nomograms one of your own, to meet specific fitting requirements.
The base curve can be adjusted to fit flatter or steeper than “K” based
on the amount of corneal astigmatism. You can set the software to
recommend a fit based on fitting to the “Flat K” or the “Average K”.
This feature is useful if the manufacturers recommended fitting guide
does not meet the doctors own specifications.

In the Astigmatism “From” and “To” boxes, enter the amount of

astigmatism that exists on the cornea, and adjust the base curve flatter
(negative number) or steeper (positive number) than “K” depending on
the amount of astigmatism. Also keep in mind that along with the astig-
matism adjustment, fitting “on K”, or “flatter than K” will ultimately
affect the final fit of the lens. By clicking on the drop down list box
under the “Fit To” column, you can change whether or not the base
curve adjustment will be made to the flat K or average K. This will
adjust the manufacturers fitting table that has already been programmed
into the software to fit your own preferences. Use the up/down arrow
keys to help you input the data in the boxes.

NOTE: When entering adjustments to the base curve in diopters, the sign of the
adjustment will be the opposite in mm. In other words, fitting steeper than “K” by
.25 diopter would cause the adjustment to be +.25, while fitting flatter than “K” by
.25 diopter would cause the adjustment to be -.25D. Conversely, fitting steeper
than “K” by 0.1mm would cause the adjustment to be -.01, while fitting flatter
than “K” by 0.1mm would cause the adjustment to be +0.1.

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 The secondary and peripheral curves and their associated widths can
also be input into the boxes in the same way. There are five rows of
data that can be input to adjust the base curve and secondary and
peripheral curves. You do not have to fill in all of the boxes, but if there
is astigmatism on the cornea that is not accounted for in the nomogram,
or no peripheral curve information is entered in the boxes, the software
will not be able to adjust the nomogram for this possibility. This new
fitting table will allow you to design your own nomograms based on
doctor preferences. When you are done entering the data, save the new
lens nomogram by entering a new lens design name in the entry box
labeled Lens Designs.

The following buttons are used to input new or edit existing lens designs:
New
Click here to enter a new lens design.

Clear This erases all entries in lens parameter table.

Delete This gives you the option to delete a lens design and associated fitting parame-
ters.
Save
Click here to save the lens design and associated fitting parameters.

MASTERFIT™ CONTACT LENS MODULE

Cancel Erases new lens design entry before it is saved.

The following are used to input new or edit existing lens diameters:
New
Click here to enter a new lens diameter.

Delete This gives you the option to delete a lens diameter and associated fitting para-
meters.
Save Click here to save the lens diameter and associated fitting parameters.

Cancel Erases entry and returns to the previous lens.

TO ADD A NEW LENS

1. From the Lens Design Screen, click on Lens Types.
DESIGN/NOMOGRAM:
2. Click on NEW next to the lens type, enter the new
lens name, and click on SAVE.

3. Click on NEW (next to diameter box).

4. Enter a lens diameter and click on SAVE with the

appropriate design also loaded

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ MASTERFIT CONTACT LENS MODULE / 9-11
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 5. Add one or more rows of lens fitting parameters. You
may use the keyboard to enter this information OR the
up/down arrows in each box. When using the key-
board, use the TAB key to move the cursor to the next
box.

6. Click on SAVE when you have finished entering the

parameters for that lens diameter.

7. Repeat Steps 4 - 6 for other diameters of the same lens

design.

8. Repeat Steps 1 - 7 for other new lens designs.

9. Use the Comment box for any optional remarks you

want to associate with the lens design. Point and click
inside the Comment box to begin entering your text.

NOTE: From both the Lens Types/Designs Screen and Lens

Types/Nomograms Screen, you can exit to the Doctor Preferences
or Lab Preferences setup screens by clicking on the buttons which
are described in detail below.

LAB PREFERENCES Contact Lens Laboratory Preferences ( FIG. 7) can also be entered to
include the name, address, telephone, fax, and e-mail address of the
doctors favorite lab, contact lens distributor or other source where the
lenses are obtained, or the supplier of a particular brand of lens materi-
al. Once this information is entered, the technician can send the final
fitting information as well as the topographical map to the lab with a
few simple keystrokes from the Worksheet via e-mail using the
MasterNet Communications Software. The lab can then design the
lens from the e-mail message, or consult with the doctor, in the case of
the more difficult cases, to obtain the best fit for the patient using the
actual topography data.

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 LAB PREFERENCES SCREEN (FIG. 7)

You will need to become familiar with the Lab Preference Screen in
order to add information about the contact lens labs you deal with. To
view this screen from the Fluorescein View Screen, click on PREFER-
ENCES, then click on LABS, or from Doctor Preferences or Lens
Designs Screens, click on Lab Preferences.

MASTERFIT™ CONTACT LENS MODULE

New Click here to add a new laboratory.

Delete Click here to delete a laboratory from the lab list.

Cancel Click here to erase visible entries.

Save Click here to save lab information.

Done Click here to return to the Fluorescein View Screen.

DOCTOR PREFERENCES The Doctor Preferences Screen (FIG. 8) uses the Lens Designs,
SCREEN Lens Types, Lens Nomograms, and Lab Preferences programmed
into the system by the operator. Once you have customized the screens
mentioned above to reflect the lenses you prefer, you can choose one
lens design as the default selection for each doctor or fitter in your
office. Similarly, you can add the names of lens laboratories or distribu-
tors that you deal with and choose one as the default setting for each
doctor. You can also program other important settings that allow the
doctor’s preferences to be automatically selected for each fit.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ MASTERFIT CONTACT LENS MODULE / 9-13
REV. C PN 48113-1
 DOCTOR PREFERENCES SCREEN (FIG. 8)

Setting the Doctor Preferences can be accomplished in this way:

1. Select the doctors default name from the drop

down list. The doctor names are entered in
the Change Preferences screen in Utilities
from the Main Menu of the MasterVue soft-
ware.

2. Add a new lens design/style from the data

base that you have programmed.

3. Set the desired default diameter of the lens

from the drop down list. If the diameter that
you wish to use is not shown, then you must
enter it from the Lens Designs screen.

4. Select a fitting style and cylinder convention. The

fitting style uses the topographic or keratometric
fitting method, and the cylinder convention denotes
plus or minus cylinder.

5. Set the curvature display to millimeters or

diopters.

(WARNING: CHANGING AN EXISTING DESIGN FROM MIL-

LIMETERS TO DIOPTERS OR VICE VERSA WILL DELETE
THE EXISTING LENS DESIGN AND CREATE A NEW ONE)

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 6. Set the eye image overlay. The fluorescein
pattern can be “painted” over the image of the
eye with two settings: the translucent setting
will allow the eye image to be seen through the fluo-
rescein pattern, while the opaque setting will
not, however the surrounding eye anatomy can still be
seen in the captured image from both settings.
Turning the image overlay to the off position will
show the opaque fluorescein pattern only with no eye
image.

7. Set the toric threshold to your preference, this thresh-

old will control the toric lens prompt. The default
preference is set at two diopters. Be advised that the
toric threshold prompt for a keratometric fit may be
different than the threshold for a topographic fit for
the same patient. The topographic fit uses informa
tion outside of the central 3mm that may not be
accounted for in the keratometric fit. The toric fit
indicator may not prompt you when using the topo
graphic fit even though the keratometric fit prompt

MASTERFIT™ CONTACT LENS MODULE

did, or vice versa, even for the same patient. This is
because of the location on the eye at which the soft
ware is looking for the astigmatism, (centrally or mid-
peripherally) and the thresholds at which you have
set the prompt to activate.

Once the default parameters have been set, save the changes by clicking
on the “Save” button. Click on “Done” to return to the Fluorescein
View. Clicking on the “Cancel” button will cancel all entries that you
have made to the Doctor Preferences.
TO ADD A NEW LENS
1. Click on NEW and enter the name of the new
LABORATORY:
laboratory.

2. Point and click in the Address box. Enter the street

address. TAB to the next field. Repeat for all fields.
Save
3. Click on SAVE.
Done
4. Click on DONE to return to the Fluorescein View
Screen or DOCTOR PREFS to go the Doctor
Preference Screen.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ MASTERFIT CONTACT LENS MODULE / 9-15
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 Sending the data via e-mail using the MasterNet Communications
Software is done from the WORKSHEET, (FIG.9).

WORKSHEET SCREEN (FIG. 9)

The Worksheet shows the final lens fitting calculations that are obtained
from the fitting, including any trial lens information or remarks that the
lab may require. The Worksheet also allows you to e-mail a lens order
or consultation, including the topographical map, to your lab of choice.
Entering laboratory information in the form fields in the Lab
Preferences screen allows you to instantly default to the lab of choice,
or select another lab for transmission of the data.

The GENERAL INSTRUCTIONS (FIG. 10), screen allows any

other pertinent information relating to the ordering of the lens to be
input, and from this screen the information can be sent directly to the
lab of choice to allow the lens design to be made. This screen is option-
al and does not have to be completed in order to send the order via e-
mail.

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 GENERAL INSTRUCTIONS SCREEN (FIG. 10)

INSTALLING THE IMPORTANT: CLOSE ALL OPEN WINDOWS PROGRAMS

MASTERFIT SOFTWARE BEFORE BEGINNING THE INSTALLATION ON A STAND
ALONE PERSONAL COMPUTER!

1) Insert the disk labeled MasterFit Contact Lens

MASTERFIT™ CONTACT LENS MODULE

Module Disk 1 into the proper drive, (A or B) on the
computer,
2) Click on Utilities, then Install New Software
3) Follow the onscreen instructions, clicking on “yes” or
“OK” to the system prompts
4) Click on OK when asked to install the software to the
c:\clens directory
5) Allow the system to reboot and the software to install
6) Do not install this software until you have first
installed the A5 MasterVue operating software onto
your system. To install this software, refer to the
operators manual.

QUICK GUIDE TO USING 1) Select the patient and exam you wish to view from the
THIS MODULE: MasterVue Control Screen, and click on MasterFit
Contact Lens Module from the list box, or,

2) From any single view display, click on options, then

select MultiVue Display/Optional Modules, and click
OK.

3) From the Optional Modules list, click on the

MasterFit Contact Lens Module

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ MASTERFIT CONTACT LENS MODULE / 9-17
REV. C PN 48113-1
 4) Select the type of nomogram that you wish to fit with,
Topographic or Keratometric. (If your selection is
Keratometric, you must also select the lens type and
design from the preprogrammed information you have
entered.)

5) Enter the refraction of the patient to calculate the

power of the contact lens.

6) Click on Calculate to obtain the power of the contact

lens. The details of the fitting results will appear.

7) Click on Show Fluorescein to obtain the simulated

Fluorescein pattern.

8) Adjust the base curve to make any minor adjustments

to the fit, if necessary, and click on Show Fluorescein.
You can adjust the base curve settings by clicking on
the up/down arrow buttons next to the base curve
data box.

9) To view the Axial Map and the Fluorescein pattern

side by side, click on the button labeled Axial Map,
the click on Show Fluorescein, and a side by side
comparison will be displayed. You may print any of these
views along with the final lens parameters that you
have calculated.

10) If the module is “grayed out” in the software, you

must load it using the installation instructions
listed above.

NOTE: FOR MORE DETAILED INSTRUCTIONS ON SETTING UP

AND DISPLAYING THE CUSTOMIZED DOCTOR, LAB, AND LENS
PREFERENCES, SEE THE ATTACHED INSTRUCTIONS OR REFER
TO THE ATLAS MANUAL CHAPTER 9.

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blue ticks show the default position of the flat axis while the red ticks show the steep axis. This allows the
doctor to judge the fit of the chosen lens based on the simulated fluorescein pattern in any
meridian (axis) that is desired.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ MASTERFIT CONTACT LENS MODULE / 9-19
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9-20 / MASTERFIT CONTACT LENS MODULE HUMPHREY ATLAS™ AND ATLAS ECLIPSE™
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10 MASTERNET™ COMMUNICATIONS SOFTWARE

OVERVIEW

MasterNet™ allows you to send and receive patient files and e-mail with
other MasterVue™ software users anywhere in the world. If you have
any questions or problems contact the Technical Support Department at
Humphrey Systems at (800) 341-6968.

ACTIVATING
MASTERNET™

To activate the MasterNet software, you must first have a user ID and a
password. Choose a name for your user ID that fits the doctor or office
name, i.e.,
[email protected].
The ID must appear exactly in the format shown in lower case letters
and may consist of a maximum of eight letters. Be careful not to
confuse “o’s” and zeros as they are read differently by the software.

Once you have selected your user ID, notify Humphrey Technical
Support Department by mail or telephone.

Once Technical Support has been notified, they will supply you with a
password. This password is private to your office and should not be
shared with others. This will ensure that correspondence via e-mail and
patient exams are kept confidential.

Configuring e-mail

MASTERNET™

1. Click on MasterNet™ in the Main Menu.

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 2. Click on Utilities in the MasterNet™ menu.

Following is an example of the e-mail configuration menu which will

now appear:

POP HOST masternet.com

POP USER Your chosen user ID goes here, e.g. jsmith
POP PASSWORD (This number will be provided by Humphrey
and will show up as asterisks when you type it in.)
REAL NAME Type in the real name of the doctor or
office
SMTPP SERVER masternet.com
RETURN ADDRESS Your e-mail address, e.g.
[email protected]
goes here)
HOST PHONE
NUMBER To automatically enter the masternet.com
number click Reset Default. If a “9” is required
for an outside line, you must enter 9 before the
masternet.com number by moving the cursor to
the left of the number and typing “9,”. If you
are in the 510 area code, delete “1510”. If you are
using a local server instead of masternet.com,
type in that number just as you would dial it from
your phone.

Note: If a line has to be selected first before hearing a dial tone, such as a multiple
phone line, MasterNet will not work from that line. MasterNet needs a phone line
like one used for a FAX machine.

PREPARING AND
SENDING PATIENT
EXAMS AND E-MAIL
Selecting exams
to send

1. Click on MasterNet™ in the Main Menu.

2. Click on Send in the MasterNet™ menu.

3. Click Prepare. This accesses patient files.

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 4. Click on the patient’s name. The exams associated with this name will
appear in the next list box.

5. Click on the exam(s) you wish to send. They will appear in the queue
box.

To move all exams associated with a patient into the queue box, click
Move All.

6. Click Queue E-Mail. The system now prepares the exams for
sending.

Attaching an
e-mail message
As soon as exams have been added to the queue a cover letter screen
will appear so that an e-mail message can be composed to attach to the
exams. To compose a message.

1. Click in the To line. The address list will appear.

2. Move the cursor to the left of the desired name on the address line.
A small arrow will appear. When it does, click on it. the name will
highlight indicating it is chosen.

If the name wanted is not on the list

1. Click Add a Name.

2. Type in the real name. Press Enter. The cursor will move to the next
line.

3. Type in the person’s e-mail address exactly as it is written, e.g.,

[email protected]
Press Enter.

4. Click Done. The name and e-mail address will be added to the list.

5. Move the cursor to the left of the name on the address line. A small
arrow will appear. When it does, click on it. The name will highlight
MASTERNET™
indicating it is chosen.

When the addressee is selected

1. Click Done.

To copy or “cc” another person or persons

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 1. Click on the cc line. The address list will appear.

2. Click on the name or names desired by moving the cursor to the left
of a name until the arrow appears and click. The selected names will
be highlighted.

3. If the person’s name does not appear on the address list add to the
list using Add a Name. Then select the new name by clicking on it.

4. Click Done.

To compose the e-mail message

1. Move the cursor to the subject box. Type in the subject.

2. Move the cursor to the message box. Type in the message (i.e.:
patient history).

Sending or
queuing mail
This is a good time to make sure the phone line is connected to the
phone jack on the side of the ATLAS (see Section 1) and into a data
line phone jack in the wall.

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 To send the e-mail immediately

1. Click “Send Now”. Only the selected exam will be sent. The mail
will be encoded into a format that is unreadable by others as the red
bar moves across the screen.

2. Click Yes (if you are ready to have the modem dial). A dial tone will
be heard along with other noises and beeps coming from the modem
and the transmission will begin. It takes about 30-40 seconds per
exam to transmit the data to Humphrey via Masternet. When the
modem is done transmitting the line will disconnect and will return
back to the prepare e-mail screen.

To add the exam to the queue to be sent at a later time.

1. Click Done.

To send queued mail

1. Click on MasterNet™ in the Main Menu

2. Click on Send in the MasterNet™ menu

3. Click on Send in the Send menu. The send mail queue will appear.
Exams which have not been sent will be highlighted in red.

To view or edit mail before sending

1. Select the exam you wish to view by moving the cursor to the left of
the name desired. When the small arrow appears, click it. The line will
highlighted in blue to show it is selected.

2. Click View/Edit Selected Mail. The cover letter will appear. You
may edit it at this time. You may also print it by clicking Print.

To send selected mail from the queued mail list

1. Select the exam or exams you wish to send by moving the cursor to
the left of the name desired. When the small arrow appears, click it.
The line will be highlighted in blue to show it is selected.
MASTERNET™
2. Click Send Selected Mail. Only the selected exam will be sent.
The mail will be encoded into a format that is unreadable by others as
the red bar moves across the screen.

Note: You cannot send mail that has been previously sent. If you select sent mail you
will be informed.

3. Click Yes (if you are ready to have the modem dial). A dial tone will

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 be heard along with other noises and beeps coming from the modem
and the transmission will begin. It takes about 30-40 seconds per
exam to transmit the data to masternet.com. When the modem is
done transmitting the line will disconnect and will return back to the
Mail Queue screen. The instrument will advise how many pieces of
mail have been sent.

To send all mail in the queue

1. Click Send All Mail. All mail in the queue will be encoded into a
format that is unreadable by others as the red bar moves across the
screen.

2. Click Yes (if you are ready to have the modem dial). A dial tone will
be heard along with other noises and beeps coming from the modem
and the transmission will begin. It takes about 30-40 seconds per
exam to transmit the data to masternet.com. When the modem is
done transmitting the line will disconnect and will return back to the
Mail Queue screen. The computer will advise how many pieces of
mail have been sent.

Sending an e-mail
message without an
exam attached
To communicate via e-mail with other colleagues without attaching an
exam.

1. Click on MasterNet™ in the Main Menu

2. Click on Send in the MasterNet™ menu

3. Click on Write. The cover letter screen will appear Compose an

e-mail letter and send it to the desired addresses in the manner that
was described above.

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RECEIVING PATIENT
EXAMS AND E-MAIL

This function allows the operator to receive incoming exams and

messages.

To retrieve e-mail
1. Click on MasterNet™ in the Main Menu

2. Click on Receive in the MasterNet menu.

3. Click on Yes (if you are prepared for the modem to dial). A dial tone
will be heard along with other noises and beeps coming from the
modem and the transmission will begin. It takes about 30-40 seconds
per exam to transmit the data from masternet.com. When the
modem is done transmitting the line will disconnect and will return
back to the Received E-Mail screen. The computer will advise how
many pieces of mail have been received.

Before exams can be viewed they must be imported. Mail which has
been retrieved but not imported is highlighted in blue. You need not
import all the exams you have retrieved at once but can import selected
exams.

To view the cover letter of a piece of e-mail

You may wish to view the cover letter of a retrieved piece of e-mail to MASTERNET™
see if you wish to import it. Often there is more than one patient exam
included in a piece of e-mail. By viewing the cover letter you can see
how many exams are included and which patients they are for.

1. Select the piece of mail you wish to view by moving the cursor to the
left of the name desired. When the small arrow appears, click it. The
line will be highlighted in blue to show it is selected.

2. Click View Selected Mail. The cover letter will appear.

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 3. If the name of the sender is not currently in the address list a dialog
box will appear and ask you if you wish to add the name and address.
If you do, click yes.

4. You will find the list of exams included at the bottom of the text
portion of the cover letter.

5. If you wish a hard copy of the cover letter, click Print.

To import
selected exams

1. Select the piece or pieces of mail you wish to import by moving the
cursor to the left of the name desired. When the small arrow appears,
click it. The line will be highlighted in blue to show it is selected.

2. Click Import Selected Exams. The pieces of mail selected will be

imported and their printing will change from blue to black to show
this.

3. Sometime not all the files associated with the patient’s exam have
been sent to you. Often the bit map (.BMP), the video image of the
eye itself, is not sent to save transmission time. If a file has not been
sent, a dialog box will inform you. If you still want to import the
exam, click Yes. If you wish to import all the selected exams
regardless if files are missing, Click Yes to All.

4. If name of the patient whose exam you are importing is already in

your data base but the patient information is different in some way
you must resolve this difficulty for your instrument. Click in the circle
in front of the response of your choice from those offered in the
dialog box. Then Click OK.

5. If an exam you are importing is already in your data base, the

computer will ask you what to do. If the exam you are importing has
files missing (see step 3) you may not want to substitute it for the
exam already in your data base.

To import all
retrieved exams
1. Click Import All Exams. All retrieved pieces of mail will be
imported and their printing will change from blue to black to show
this.

2. Sometime not all the files associated with the patient’s exam have
been sent to you. Often the bit map (.BMP), the video image of the
eye, is not sent to save transmission time. If a file has not been sent, a

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 dialog box will inform you. If you still want to import the exam, click
Yes. If you wish to import all exams regardless if .BMP files are
missing, Click Yes to All.

3. If name of the patient whose exam you are importing is already in

your data base but the patient information is different in some way
you must resolve this difficulty for your instrument. Click in the circle
in front of the response of your choice from those offered in the
dialog box. Then Click OK.

4. If an exam you are importing is already in your data base, the

computer will ask you what to do. If the exam you are importing has
files missing (see step 2) you may not want to substitute it for the
exam already in your data base.

VIEWING AND
PROCESSING MAIL
1. Click on MasterNet™ in the Main Menu

2. Click on View Mail in the MasterNet™ menu

Viewing and processing

the Sent E-Mail Log

1. Click Sent in the View & Process Mail menu.

To view the
cover letter of an exam
You may wish to view the cover letter of a piece of mail in the mail MASTERNET™
queue log.

1. Select the piece of mail you wish to view by moving the cursor to the
left of the desired name. When the small arrow appears, click it. The
line will be highlighted in blue to show it is selected.

2. Click View/Edit Selected Mail. The cover letter will appear. You
may also print it by clicking Print.

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 To change the sorting
of the Mail Queue log
The mail in the Mail Queue log is sorted either by date or alphabetically
by the name of the addressee. To change the sorting method

1. Click on circle before Date or Addressee in the Sort By box.

To delete mail from the

Mail Queue

After you have sent queued mail the mail will still remain on the Mail
Queue log. When you wish to remove mail from the log:

1. Select the mail you wish to delete by moving the cursor to the left of
the desired name. When the small arrow appears, click it. The line will
be highlighted in blue to show it is selected. Continue until you have
selected all the pieces of mail you wish to delete.

2. Click Delete Selected Exams. The exam name will no longer appear
on the log.

Viewing and processing

the Received E-Mail log

1. Click Received in the View & Process Mail menu.

To view the
cover letter of an exam

You may wish to view the cover letter of a piece of mail in the received
mail log.

1. Select the mail you wish to view by moving the cursor to the left of
the desired name. When the small arrow appears, click it. The line will
be highlighted in blue to show it is selected.

2. Click View /Edit Selected Mail. The cover letter will appear.

3. If the name of the sender is not currently in the address list a dialog
box will appear and ask you if you wish to add the name and address.
If you do, click yes.

4. You will find the list of exams included at the bottom of the text
portion of the cover letter.

5. You may also print it by clicking Print.

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 To change the
sorting of the
Received Mail log

The mail in the Received Mail log is sorted either by date or

alphabetically by the name of the sender. To change the sorting method

1. Click on circle before Date or From in the Sort By box.

To import exams

You may have chosen to retrieve mail but did not chose to import the
exams at the time. When you wish to import an exam so that you can
view it and work with it on your ATLAS system.

1. Select the mail you wish to import by moving the cursor to the left of
the desired name. When the small arrow appears, click it. The line will
be highlighted in blue to show it is selected.

2. Click Import Selected Exams. The exams selected will be imported

and the text will change from blue to black to show this.

3. Sometime not all the files associated with the patient’s exam have
been sent to you. Often the bitmap (.BMP), the video image of the
eye itself, is not sent to save transmission time. If a file has not been
sent, a dialog box will inform you. If you still want to import the
exam, click Yes. If you wish to import all the selected exams
regardless if files are missing, Click Yes to All.

4. If name of the patient whose exam you are importing is already in

MASTERNET™
your data base but the patient information is different in some way
you must resolve this difficulty for your instrument. Click in the circle
in front of the response of your choice from those offered in the
dialog box. Then Click OK.

5. If an exam you are importing is already in your data base, the

instrument will ask you what to do. If the exam you are importing
has files missing (see step 3) you may not want to substitute it for the
exam already in your data base.

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 To delete exams from
Received E-Mail list

Even after exams are imported into the ATLAS data base the record
will remain on the Received E-Mail log. From time to time you will wish
to remove names from the log.

1. Select the mail you wish to delete by moving the cursor to the left of
the desired name. When the small arrow appears, click it. The line will
be highlighted in blue to show it is selected.

2. Click Delete Selected Exams. The name will no longer appear on

the log.

Caution: If mail is deleted from the Received Mail log before the exams are
imported the exams will be lost. They cannot be retrieved again from masternet.com
because when they are first retrieved they are removed from the mail server memory.

CONNECTING TO
TECHNICAL SUPPORT
This function allows the Technical Support Department at Humphrey
Instruments to connect to your computer via the modem.

1. Make sure the phone line is connected to the phone jack on the side
of the ATLAS (see Section 1) and into a data line phone jack in the
wall.

2. Call the Technical Support Department at Humphrey Instruments at

1(800) 341-6968. Tell them your problem and give them the number
of the phone line connected to your computer.

3. Click on MasterNet™ in the Main Menu

4. Click on Tech Support in the MasterNet™ menu. The

pcANYWHERE Waiting icon will appear at the bottom of the
screen.

5. When the Technical Support Department at Humphrey Instruments

has completed their on-line diagnosis, they will release the system.
Click on Tech Support.

6. Click Yes in the pcANYWHERE host box.

7. Click on Return to begin accessing the MasterVue™ software again.

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11 ADVANCED REFRACTIVE DIAGNOSTICS MODULE

ADVANCED REFRACTIVE DIAGNOSTICS MODULE

The Advanced Refractive Diagnostics Module is a refractive surgery tool
that gives the doctor a comprehensive, in depth overview of the
refractive state of the cornea. It consists of four views that provide a
new and different way of looking at the curvature, power, elevation, and
irregularity of the corneal surface. The value of this module is that it
allows the clinician to evaluate the corneal surface in several different
ways, utilizing information from each map to make surgical and
diagnostic decisions. The four views that make up this module will be
described in detail below as they appear on the screen. You may set up
the maps in any configuration, or change these maps if you prefer to
look at other ones instead. This can be set up from the display
preferences in the MultiVue displays.

AXIAL MAP- Axial is another term used to describe the sagittal

reading. This map shows the curvature of the cornea in diopters based
on the original mathematical calculation used for the standard corneal
map common to most users of corneal topography systems.

The axial map is a simple way of describing the overall shape of the
cornea. This curvature or shape map may obscure small details but will
give a gross approximation of the corneal curvature. Axial maps
assume the cornea is a spherical shape instead of a true asphere, and
therefore incur more error in the periphery as a rule. Even though
values are given in diopters or millimeters, the axial map is actually a
calculation of curvature values instead of power values. Although these
two values are intimately related, there is not a one to one
correspondence. There may be a difference in the power values that are
shown for an axial map and a refractive power map on the same patient.
This is also true when comparing an axial map with a tangential map.

REFRACTIVE MAP- this map resolves the problems in calculating

what is known as “true refractive power", since the axial map is a
measure of curvature. The Refractive Map shows the power of the eye

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ ADVANCED REFRACTIVE DIAGNOSTICS MODULE / 11-1
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 in its refractive state measured in diopters. This map uses the arc step
algorithm reconstruction, along with Snell’s Law, to measure the
refractive nature of light rays as they pass through the corneal surface.
This calculation takes into account spherical abberiation and more
closely matches the true dioptric power of the cornea.

The portion of the map that is of most importance in a Refractive

Map will be the central cornea lying over the patients pupil, as this is
where visual performance is assessed. Dilated pupil size can also play a
factor in visual function, however, especially in dark conditions.
Refractive Power Maps may differ from Axial Maps in their readings of
power and radius for the same patient. The biggest differences may be
seen in the periphery and on eyes that have had refractive surgery or
exhibit a pathology such as keratoconus.

The value of the Refractive Map, then, is to determine the true

refractive state, or power that the cornea is capable of refracting. This
may be useful in determine the outcome of a refractive laser procedure
to determine post operative refraction results.

ELEVATION MAP- this map describes the difference in “height” or

elevation of the cornea as compared to a reference surface measured in
microns. Placido disk topography systems can derive elevation data
from the corneal surface if a unique “arc step” algorithm along with
magnification and high resolution reflection and location of the placido
rings is used to reconstruct the data. Elevation is different not only in its
unit of measurement --microns- but also in the way the information is
obtained, calculated, and displayed.

When displaying elevation maps, a best fit spherical surface that most
closely matches the corneal surface is used for comparison. The
software will choose which surface will be the best fit for a particular
eye, and this will vary from patient to patient. The computer then
attempts to “fit”, or superimpose, this sphere onto the corneal surface.

Elevation is described as the difference between the best fit sphere and
the actual corneal surface measured in microns. Elevation values can be
positive or negative numbers. The reason for this is that the corneal
surface can fall “above” or “below” the best fit reference sphere. The
best way to describe this map would be to imagine a cross-section of
the cornea, similar to a profile view, and how the corneal surface might
pass through, fall below, or rise above a reference surface if it were
plotted out on a graph.

Positive elevation measurements indicate that the corneal surface is

above the reference sphere at that point while negative measurements
indicate that the corneal surface is below the reference sphere. Positive
numbers correspond to the red or “hotter” colors on the elevation map
while negative numbers correspond to the blue or “cooler” colors on

11-2 / ADVANCED REFRACTIVE DIAGNOSTICS MODULE HUMPHREY ATLAS™ AND ATLAS ECLIPSE™
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 ADVANCED REFRACTIVE DIAGNOSTICS MODULE
the map. This may not always be true, however, as very high
astigmatism (red color) on an axial map may show up as a negative
number on an elevation map. This is due to the fact that the corneal
surface is “falling away” or sloping at a faster rate away from the
reference surface than the rest of the cornea. Therefore it never
“crosses through” the profile of the reference surface as described
above. This can create confusion as clinicians are used to looking at the
hotter colors as “steeper” on the axial map and the cooler colors as
“flatter”. One must remember that in elevation maps the measurement
is an elevation “difference” from a best fit sphere, and the axial and
elevation maps cannot be compared point to point in this manner.

The value of measuring the corneal surface in microns is that small

elevations or depressions on the corneal surface created by surgery or
pathology can be carefully documented in microns, giving the clinician a
level of detail not possible using the well-known curvature maps. An
example of this would be an excimer island, measured in microns, to
determine finite detail of the elevation or height of this post operative
complication. This could lead to a more exact retreatment strategy for
the surgeon by giving him/her a better idea of how much corneal tissue
needs to be treated as well as the area that needs the most attention.
The ability to define, quantify and diagnose a true keratoconus patient is
also of great importance, and this condition can usually be ruled out or
diagnosed with an elevation map, eliminating the confusion between
true keratoconus and corneal warpage or asymmetric astigmatism.

Another example of where elevation is valuable would be a “divot” or

depression created by an RK incision or PRK ablation. Measuring in
fine detail, the elevation map can indicate where an incision may be too
deep, or a laser ablation not evenly formed on the corneal surface. This
also helps the surgeon decide a proper strategy for retreatment, or to
confirm a patients complaints of visual problems that may not be seen
with any other diagnostic instrument. These elevations and depressions
can be seen in even more detail by using the Irregularity Map.

IRREGULARITY MAP- the irregularity map shows the amount of

surface irregularity on the cornea. The irregularity map uses much the
same technique as the elevation map to obtain its information, but takes
the best fit surface methodology one step further by using a best fitted
toric surface as the reference. This eliminates any toricity which the eye
may have, and after subtracting out both the spherical and cylindrical
components, displays the “noise” or irregularity which can directly affect
vision and describes this value as a “wavefront error”.

Wavefront error describes the condition of the light rays as they pass
through the corneal surface and are refracted onto the retina through
the clear media and crystalline lens in the human eye. The greater the
concentration of wavefront error, the more the light is not refracted
properly onto the retina, which can result in aberrations- often described
by patients as ghosting, halos, or glare- even though the patient may be
able to read the eye chart fairly well. This is usually described as
HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ ADVANCED REFRACTIVE DIAGNOSTICS MODULE / 11-3
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 “quality of vision” and can cause great visual discomfort to the patient
even though they may see well using conventional vision testing
methods.

Negative readings represent the blue colors on the map, and

demonstrate elevation “below” a best fit toric surface. The higher the
wavefront error (in microns), the hotter the colors become, indicating
greater irregularity. Wavefront Error higher than 5 microns has been
shown to be visually significant to the patient. The value of the
irregularity map then, is to define and quantify which areas on the
corneal surface are the most irregular. The most important area on the
corneal surface that can be affected by high wavefront error is the pupil
area, or visual axis, as this will be the area that most affects the visual
outcome. Since this map is a measurement of visual quality, no
extrapolation is used or necessary to correctly display the information,
so these maps will appear slightly smaller than the other maps on the
screen.

1) Insert the diskette into the proper drive on the computer, then from
the Main Menu, click on Utilities, then Install New Software.

TO INSTALL THIS MODULE 2) Follow the onscreen instructions, clicking on “yes” or “OK” to the
system prompts. The software will load after the system has rebooted.

3) This module may only be viewed after loading Revision A5 of the

MasterVue software.

1) From the MasterVue Control screen, click on the patient and exam
that you wish to view, then click on MultiVue, or
TO ACCESS THIS MODULE 2) From any single view display, click on options, then MultiVue Display,
then OK.

3) Select the Advanced Refractive Diagnostics Module, then OK, and

the four maps will appear in the order described above.

4) If you wish to change the order of the views, the exam, or patient
you have selected, simply click on the view (map) you wish to change,
and from the MasterVue Control screen select the new patient, exam, or
view that you wish to change to. After clicking OK, your new selection
will appear.

5) Only one patient, exam and eye may be viewed at a time in the
Advanced Refractive Diagnostics Module. If this module is “greyed
out” in your software, then the software has not been loaded onto the
instrument. This must be done in order to view this module. For more
information on installing the software onto the instrument, please refer
to the instructions for installing new software.

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12 SIMULATED ABLATION MODULE

This software module allows the doctor to simulate an excimer laser

ablation on the corneal map. Using known values to determine the

SIMULATED ABLATION MODULE

depth and centration of the ablation, as well as the pupil interaction
with the ablation zone, a laser ablation can be accurately simulated by
the computer. Single and multizone ablations may be simulated with
this software.

These known values can be input into the data boxes and calculated to
obtain a simulation of what a spherical (PRK) or astigmatic (PTK) laser
ablation might look like on the eye even before the surgery is ever done.
This tool can then be used for patient education, pre-surgical
information gathering purposes, or to compare pre-op and simulated
post-op results to determine the final result of the surgery. Another
useful function of the Simulated Ablation Module is to compare the
“perfect” ablation that the computer simulates with the actual ablation
itself to monitor the homogeneity and uniformity of the ablation
created on the eye by the excimer laser.

Once the data is input into the computer, the operator can determine
the depth of the proposed ablation in microns, or manipulate the
optical zone of the ablation for better centering over the visual axis to
account for pupil decentration. You may also increase or decrease the
size of the pupil in its dim light (dilated) state to determine interaction
with the edge of the ablation zone. Interaction of the pupil with the
ablation zone edge often accounts for patient complaints of ghost
images, and glare and halos from oncoming headlights while driving at
night.

Multizone ablations can also be performed by selecting Zone 2 and

entering the parameters of the second ablation that you would like to
perform. This is useful when the first ablation does not perform as you
expected, when there is any residual toricity or myopia on the cornea
that requires further treatment, or for simulating a high diopter, multi-
pass/multi-zone ablation.

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REV. C PN 48113-1
 To reset the ablation and clear the previous simulation, clear the entry in
the refraction box and click on “Ablate”.
TO INSTALL THIS
MODULE
1) Insert the proper diskette into the floppy drive on the computer, then
from the Main Menu, select Utilities, then Install New Software.

2) Follow the onscreeen instructions, selecting “OK” and “yes” when

the software prompts you.

3) The system will reboot, and the software module will then load. You
must install Revision A5 first in order to install or view this module.
TO ACCESS THIS
MODULE
1) From the MasterVue Control screen, click on the patient and exam
that you desire to view.

2) Click on Simulated Ablation from the Views list box, then click OK.

3) The Simulated Ablation display will appear showing the axial map,
and the input data boxes.

4) Enter the refraction of the patient. Include any cylindrical

component and the axis.

5) Enter the desired post-op refraction that you wish the patient to have.

6) Manipulate the ablation zone over the visual axis by clicking on the
Horizontal or Vertical arrow buttons to decenter the ablation to the
desired position. (the default position will be the corneal vertex)

7) Adjust the pupil size to the desired diameter by clicking on the arrow
buttons to increase or decrease the size of the pupil.

8) Click on Ablate Zone 1 to perform a single zone ablation. The map

will then reflect the simulation.

9) Clinical on Ablate Zone 2 to perform multizone ablation. Repeat

the steps above. The new zone that you chose will then reflect that
simulation. You may toggle back and forth between Zone 1 and Zone 2
to check the simulated ablation pattern.

10) To view the final parameters after the ablation has been performed,
click on Parameters, and the results will be displayed on the screen with
the simulation.

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 11) You may view the Simulated Ablation in a MultiVue Difference
Display by clicking on the Options button, then selecting MultiVue
Display, then Simulated Ablation Difference Display.

12) Click on Simulated Ablation Difference, then OK, and the pre-op
and simulated “post-op” maps will appear with the difference in
power/curvature calculated below in the difference map.

13) If this module is “greyed out” in your software then it has not been
loaded onto the system software. To load this software, please see the
installation instructions.

SIMULATED ABLATION MODULE

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13 HEALING TREND/STARS™ DISPLAY

HEALING TREND/STARS™ DISPLAY

This five map display provides information on the surgical and healing
changes that take place on the eye after corneal surgery. It is not limited
to laser surgery, but can be useful in monitoring changes which take
place on the cornea after RK, LASIK, and PK surgery. It can also be
useful to follow contact lens induced change over time, to determine the
effect that the lens is having on the cornea. The display takes the first
two maps selected, (pre-op and first post-op map if you are viewing a
post surgery patient) and calculates the difference to document surgical
change. It also shows the difference between the first post-op map and
the most recent map to display the amount of healing change which is
currently taking place on the cornea. This is the most common way of
viewing the Healing Trend Display.
However, any three maps can be used to document changes over time
for various types of patients. The computer will chronologically select
the exams by date if the user does not select the following two exams.
You can select multiple exams by using the “pick and point” method.
This allows you to click on multiple patient exams to design the display
that you want to see without having to return to the MasterVue control
screen. The first exam you click on will show up as the first map, the
second exam clicked on will show the second map, etc.
Since the purpose of this display is to document change or difference
over time, only power and curvature maps are shown. The Healing
Trend Display relies on differences in serial topography to show a
“trend” in the curvature or power of the cornea as it heals after surgery
or is fit with a contact lens. This is useful in monitoring surface changes
and their effect on vision, and aids in the decision to make further deci-
sions depending on the healing process.
HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ HEALING TREND/STARS™ DISPLAY / 13-1
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TO INSTALL THIS MODULE 1) Insert the floppy diskette into the appropriate drive on the computer.
From the Main Menu, click on Utilities, then on Install New Software.
2) Follow the onscreen instructions, clicking on “yes” or “OK” to the
system prompts. The computer will reboot and load the new software.
3) You must install the Revision A5 MasterVue operating software first
in order to load this module.
TO ACCESS THIS MODULE 1) From the MasterVue Control screen, click on the patient and exam(s)
that you wish to view using the “pick and point” method described in
the Revision A5 instructions, then click on MultiVue, or
2) From any single view display, click on Options, then select the
MultiVue Display, then click on OK.
3) Click on the Healing Trend/STARS Display, then OK, and the exams
that you selected will be displayed in chronological order, if you selected
only one exam, for a maximum of three exams. The software will load
the exams automatically in order of oldest to newest, in order to show
the healing trend. If there are not enough exams(three) for the selected
patient to complete the display, a box will appear labeled “no exam
found” where the computer was unable to locate an exam either
chronologically or at all. A maximum of three exams can be selected for
this display, as the two lower displays are difference displays.
4) The “pick and point” method of selecting exams has now been
implemented into the MasterVue Control screen. This allows the user to
select up to three exams for the optional Healing Trend Display without
having to click on the “OK” button first. The exams that are being
selected for viewing in this display will be highlighted on the screen in
green, while the active exam will be highlighted in gray.
5) Right and left eyes may not be displayed together on the screen at the
same time, nor can multiple patients. Only the Axial Map, Tangential
Map, Simulated Ablation Map, and Refractive Power Maps can be
viewed in this module.
6) If this module is “greyed out” in the software, then the module has
not been loaded onto the system software. For more instructions on
how to load the software, see the installation instructions.

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 HEALING TREND/STARS™ DISPLAY
If the Healing Trend Display is chosen after selecting any combina-
tion of three exams, it will show these exams in chronological order
from left to right, regardless of the order in which the user selected
the exams from the MasterVue Control screen. This feature allows
for more flexibility and ease of use when viewing the Healing Trend
Display by allowing any combination of exams to be automatically
loaded in their proper chronological order to see the trend.
To use the pick and point method, place the pointer at the beginning
of the exam description until you see a small check mark. Then hold
down the control (Ctrl) key on the keyboard and either click the left
mouse button or glidepad control button simultaneously. This will
activate pick and point for the exams that you want to highlight and
display. This feature will work only for the Healing Trend Display, and
will only work from the MasterVue Control screen once. To use the
pick and point feature again, you must exit out of the MasterVue
Control screen and reenter. The displays will automatically default to
the most current exams in chronological order if the user does not
override that selection with their own choices.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ HEALING TREND/STARS™ DISPLAY / 13-3

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14 PATHFINDER™ CORNEAL ANALYSIS

INTRODUCTION PathFinder Corneal Analysis is a software program designed

specifically for corneal topography to identify abnormal, pathologic,
and normal corneas based on statistical indices derived from the
Humphrey ATLAS™, ATLAS Eclipse™ and MasterVue™ Corneal
Topography systems. Some of these indices are exclusive to
Humphrey corneal topography, and therefore make this software
analysis unique when compared to other software programs available

PATHFINDER™ CORNEAL ANALYSIS

that examine the cornea for pathology or abnormal surface conditions.

The three statistical indices that PathFinder uses to gauge the shape,
regularity, and toricity of the corneal surface are Corneal Irregularity
Measurement (CIM), Shape Factor (SF), and Mean Toric
Keratometry(TKM). Isolating and identifying normal versus
abnormalpopulations using these three parameters by examining
hundreds oftopography exams has been done in order to achieve the
high level ofsensitivity and specificity that the software is able to
accomplish.

STATISTICAL INDICES AND Shape Factor (SF) is a measure of the asphericity of the cornea, and
NORMAL POPULATIONS aderivative of eccentricity, which is a well known calculation of
cornealshape used by contact lens fitters. Shape factor can be used
todetermine whether the corneal is more oval or elliptical shaped,
byassigning a factor, or index, to represent the shape of that surface.
Shape factors are unique and different from eccentricity in that it is
possible to calculate a negative, or oblate shape, as well as a positive,
or prolate shape. The less spherical, or more elliptical the cornea is in
the horizontal meridian, the more the cornea will resemble a prolate
shape. One could imagine this shape being like an egg turned on its
pointed end, as in this example, where the center of the cornea is
much steeper in curvature than the periphery. Highly positive or
prolate shape factors may imply that a pathology such as keratoconus
may exist. The less spherical, or more elliptical the cornea is in the
vertical meridian indicates an oblate shape. This shape would be the
reverse of the egg on it's pointed end, and would resemble an egg
lying on its side, such as this .

This type of negative or oblate shape would mimic a post refractive

surgery eye, with the center being flatter than the periphery. A perfect
sphere would therefore have a Shape Factor of zero, and would
resemble the shape of a perfect circle, such as this .

Normal Shape Factors usually range from .13 - .35 in the normal
population but can be in the .2 - .3 range. When the shape factor
reaches .7 and above, the cornea begins to exhibit a more conical
shape, and usually indicates some sort of pathology or abnormal
shape.

HHUMPHREY ATLAS™ AND ATLAS ECLIPSE™ PATHFINDER™ CORNEAL ANALYSIS / 14-1

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 Shape Factor ranges occur in the human population as follows:

Normal - .13 to .35

Borderline - .02 to .12, .36 to .46
Abnormal - - 1.0 to .01, .47 to 1.0

The normal distribution in the human population appears as a bell

shaped curve where the mean value is .24 while 96% of the
population falls between 0 and .46.

The mathematical
2
formula for shape factor is:
Ep = e = 1 - pp where Ep is a prolate shape
and
2
Eo = _-e _
2
1-e where Eo is an oblate shape.

Corneal Irregularity Measurement (CIM) is a number or index

assigned to represent the irregularity of the corneal surface. The
higher the irregularity index, the more uncorrectable or uneven the
surface is optically, thereby highlighting irregular astigmatism that
often results in visual distortions. CIM uses the thousands of data
points within the first ten rings of the corneal topography data to
determine the difference in "height" or elevation between the patients
cornea and a perfect model toric cornea. The difference between the
perfect model and the actual cornea is measured in microns and the
standard deviation is taken. This is defined as CIM. Higher CIM
values, then, would tend to indicate a worsening pathology such as
keratoconus, due to the inherent corneal thinning and "wrinkling" of
the corneal surface that the pathology causes. High CIM indices can
also be observed in post refractive surgery corneas due to the
irregularity that the surgical procedure and subsequent healing process
cause. CIM normal values appear in the table below; they range from

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 0.4 to 0.8 or 0.9 microns, depending on the model. The higher the
number becomes, the more abnormal it is. When CIM values are
measured at 1.0 microns and above, severe corneal distortion is
usually present.

Models 991 & 993 Models 992 & 995

Normal - 0 to 0.80 0 to 0.90

PATHFINDER™ CORNEAL ANALYSIS

Borderline - 0.81 to 1.00 0.91 to 1.10
Abnormal - >1.00 >1.10

67% of the population falls in the normal range. The infrared Models
992 & 995 have more noise, which accounts for the difference in the
ranges. A bell shaped distribution curve is not seen due to the fact
that no negative numbers can be calculated using CIM, resulting in a
skewed distribution plot.

Models 991 & 993 Models 992 & 995

Mean Toric "K" (TKM) is the value which is derived using

elevation data from a best fit toric reference surface as compared to
the actual cornea. Two values are calculated at the apex of the flattest
meridian and their mean is determined. This is described as the mean
value of apical curvature. The higher the TKM index becomes, the
greater likelihood that excessive corneal toricity exists, which often
leads to keratoconus. By fitting the topography of the patient's cornea
to a best fit reference toric, all of the correctable sphere and cylinder
can be accounted for in the topographical data, thereby giving the
most accurate toric representation of the patient's cornea possible.

HHUMPHREY ATLAS™ AND ATLAS ECLIPSE™ PATHFINDER™ CORNEAL ANALYSIS / 14-3

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 The ranges for TKM in the population are as follows:

Normal - 43.1 to 45.9

Borderline - 41.8 to 43, 46 to 47.2
Abnormal - 36 to 41.7, 47.3 to 60

The distribution appears as a bell shaped curve where the mean value
for TKM is 44.5 and 96% of the population falls between 41.25 and
47.25 diopters.

Definition of Conditions Isolating and identifying normal versus abnormal populations has
Identified by PathFinder been determined using the three statistical indices (CIM, SF, MTK) in
the examination of hundreds of topography exams. These exams act
as a control group for the software to identify when a cornea is
normal, just as when there is an abnormal condition.

Normal- The cornea is typically aspherical in shape with TKM, CIM

and Shape Factor in the normal range. No abnormal topography
patterns such as inferior steepening or abnormal elevation or
curvature can be seen. These corneas may have a history of soft
contact lens wear but no family history of keratoconus, excessive or
irregular astigmatism, or rigid lens wear.

Corneal Distortion- (also known as pseudokeratoconus) is a

condition caused by excessive RGP lens wear, where the poor fitting
lens actually causes the inferior cornea to bulge outward, mimicking
keratoconus on the topographical map, while no clinical or slit lamp
findings are evident. The abnormal topography pattern may resolve or
improve in a relatively short time period after removing the lens. The
topographic pattern usually shows the cornea "bulging" rather than
steepening abnormally, and there may also be signs of a compression
ring, where the lens is "biting" or digging into the cornea. Some
visual distortion symptoms may accompany this condition but usually
diminish quickly after discontinuing lens wear. CIM may be outside
normal limits, while Shape Factor and TKM remain within normal
limits.

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 Sub-Clinical Keratoconus-(also known as forme fruste keratoconus)
is usually distinguishable with the typical inferior nasal steepening
topography pattern, but the cornea does not yet exhibit slit lamp
findings typical of keratoconus. The steepening is noticeable on
topography but can be well under 50 diopters at the apex of the cone.
Often there is a history of the disease in the family, or the refractive
history is unstable with a measurable increase in both myopia and

PATHFINDER™ CORNEAL ANALYSIS

astigmatism over the past several years. There may also be an
inability to wear contact lenses, along with visual symptoms (reduced
VA, ghosting, light sensitivity). CIM and TKM are likely to be
outside normal limits in this condition, while Shape Factor will be
within normal limits to slightly outside normal limits.

Keratoconus- is defined as the true pathological condition which

causes thinning and wrinkling of the cornea, along with a cone-like
protrusion of the cornea in it's later stages. Keratoconus can also
produce high regular astigmatism, irregular astigmatism, and inferior
steepening topographical patterns (usually nasal). Abnormal corneal
findings observed under biomicroscopy to confirm a true keratoconus
diagnosis may include but are not limited to: Vogt's striae, Munson's
sign, Flesicher's ring, corneal ectasia, stromal thinning and superficial
scars in Descemet's membrane. All three statistical indices, CIM,
Shape Factor, and TKM will likely be outside normal limits with this
condition.

Note: Decisions involving surgical procedures should be made

only after considering total clinical information, and not on the
basis of a single index or measurement.

To Access the PathFinder PathFinder can be accessed two ways within the software. From the
Corneal Analysis Main Menu screen, click on "Review", then select the patient and
exam that you wish to evaluate. Select PathFinder Corneal Analysis
from the drop down “Views” list box. Click on "OK" and the
software will run and instantly provide the analysis using the standard
Axial Map. The software can also be run from the MultiVue
Displays/Optional Modules Screen. By clicking on the entry labeled
"PathFinder Corneal Analysis" after selecting the desired patient and
exam, the software will display the findings. Scaling can be changed
from .25 diopter to .50 diopter increments simply by clicking on the
AutoSize or Standard buttons respectively. To print the analysis,
return to the Main Menu, or cancel the selection, click on Options,
and follow the onscreen prompts.

HHUMPHREY ATLAS™ AND ATLAS ECLIPSE™ PATHFINDER™ CORNEAL ANALYSIS / 14-5

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PATHFINDER CORNEAL There are four different results that can be displayed when using the
ANALYSIS SCREEN software, depending on the analysis:
EXAMPLES
The final result of the PathFinder
Corneal Analysis is shown here .

CIM is a measure of irregularity

taken from the difference between
a best fit toric model and the
actual corneal surface itself using
highly sensitive elevation data.

Shape Factor is a measure of the

asphericity of the cornea, and a
derivative of eccentricity, a well
known measurement of corneal
shape.

The red area of the bar indicates

the abnormal range, while the
TKM is the mean toric keratometry yellow is borderline and the green
measured as the difference is within normal limits. The index
between a best fit toric surface and for this particular cornea is denoted
the mean apical corneal curvature. above the bar and it’s location on
the bar is indicated by an arrow.

NORMAL RESULT

NORMAL RESULT USING THE PATHFINDER CORNEAL ANALYSIS (FIG. 1)

The results of this analysis confirm a normal diagnosis as the

statistical indicators CIM and SF are within normal limits while the
TKM index is only borderline or slightly abnormal. If the TKM
continues to increase or the CIM rises to an abnormal level over time,
this cornea could be identified as corneal distortion. This may
indicate a need to follow the patient long term to evaluate any
changes that may be taking place.

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CORNEAL DISTORTION
RESULT

PATHFINDER™ CORNEAL ANALYSIS

CORNEAL DISTORTION RESULT USING THE PATHFINDER CORNEAL ANALYSIS (FIG. 2)

This PathFinder analysis shows how corneal distortion from rigid

contact lens wear can create abnormalities on the corneal surface
including a high CIM, while the other indices remain within the
normal range. In the past, corneal topography patterns such as this
have been confused for keratoconus due to the inferior steepening
seen in red on the topographical map. This bulging is actually created
by the ill fitting lens, mimicking the inferior steepening pattern seen
with keratoconus. With PathFinder, however, the artificial
intelligence of the software is able to make the distinction between
the two conditions and come to the correct conclusions.
SUSPECT SUBCLINICAL
KERATOCONUS RESULT

SUBCLINICAL KERATOCONUS RESULT USING PATHFINDER CORNEAL ANALYSIS (FIG. 3)

Subclinical Keratoconus is an often misunderstood condition that may

remain undiagnosed and can go undetected for years due to the fact
that clinical signs and symptoms haven't yet appeared. In this
example, with a very high CIM, slightly abnormal shape factor and a

HHUMPHREY ATLAS™ AND ATLAS ECLIPSE™ PATHFINDER™ CORNEAL ANALYSIS / 14-7

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 TKM outside of normal limits, the diagnosis is confirmed using
PathFinder. The inferior steepening topographical pattern and
displaced apex only serve to reinforce the findings of the corneal
analysis software. This case demonstrates subclinical keratoconus
due to the fact that no clinical slit lamp findings were visible to
indicate a diagnosis, but the topographical findings along with mild
visual symptoms suggest otherwise.
SUSPECT KERATOCONUS
RESULT

KERATOCONUS RESULTS USING THE PATHFINDER CORNEAL ANALYSIS (FIG. 4)

Using the corneal analysis software to identify keratoconus is easily

done using the statistical indices, which are all severely abnormal in
this case, as well as the classic topography pattern consistent with a
more advanced cone. The real value of the software comes in its
ability to track and quantify any changes that may take place over
time. For example, although this patients topography looks quite
remarkable, vision is stable with a rigid contact lens and clinical
symptoms are minimal. Following the patient yearly with the
PathFinder Corneal Analysis software may show a trend for
stabilization wearing the lens or even a worsening pattern with the
indices continuing to increase over time. In this way the disease
progress can be followed more closely, and even slight changes for
better or worse can be quantified.

EXPLANATION SCREENS By placing the pointer on any of the colored bars which show the
statistical index results and clicking once, you can access the
explanation screens which show the normal population distribution
curve and a short explanation of that particular index. This
explanation also includes the normal ranges and a general statement
as to what abnormal readings for this index might indicate. This
screen will remain the same for each patient as it is designed to give a
reference to the user to show where a particular patient might fall in
the normal population distribution. This screen also serves to help
educate both the user and the patient as to the meaning of each of the
descriptors used in the PathFinder Corneal Analysis.

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EXPLANATION SCREENS An example of each of the three explanation screens is shown below:
(CONTINUED)

PATHFINDER™ CORNEAL ANALYSIS

Clicking on any of the three The information box includes a
colored bars will pop up the description of the index, normal
information box for that ranges, and suggestions.
particular index. Clicking on “OK” will make the
box disappear.

THE PROBABILITY DISTRIBUTION SCREEN FOR NORMAL TKM STATISTICAL INDEX (FIG. 5)

Each screen describing a particular index has its own set of

probability distribution parameters as well as its own distribution
curve. The distribution curve shows how and where a normal vs.
abnormal population falls within a given range of numbers. Any
populations falling within the red area represent the part of the
population that is abnormal for this index, while the population
falling within the green range represents normals. The yellow range
is a borderline or slightly abnormal population. The text at the
bottom of the chart gives a brief explanation of what that particular
statistical index means and how it may affect the health of the cornea,
or what abnormal readings for that index may indicate.

HHUMPHREY ATLAS™ AND ATLAS ECLIPSE™ PATHFINDER™ CORNEAL ANALYSIS / 14-9

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EXPLANATION SCREENS
(CONTINUED)

THE PROBABILITY DISTRIBUTION SCREEN FOR CIM STATISTICAL INDEX (FIG. 6)

THE PROBABILITY DISTRIBUTION SCREEN FOR SHAPE FACTOR STATISTICAL INDEX (FIG. 7)

CONCLUSIONS The PathFinder Corneal Analysis software can be a very useful tool
for confirming a diagnosis of keratoconus, uncovering an "occult" or
subclinical keratoconus, distinguishing contact lens distortion from
true keratoconus, pre-screening prior to refractive surgery, and
establishing a normal baseline topographical map of the corneal
surface. Revealing these conditions at an earlier stage may allow the
practitioner to recommend another course of treatment, suggest
alternative methods of visual rehabilitation, or simply change an ill
fitting contact lens. PathFinder is simple, quick, and easy to use, and

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 provides a colorful, intuitive, graphical display for patient education
and diagnosis. It is also useful as a screening tool, especially in large
practices or refractive surgical centers where pathology or irregularity
of the corneal surface is a key inhibitor to a successful surgical
outcome. Contact lens fitting professionals will also see the benefits
of PathFinder's analysis of the corneal surface in judging whether or
not a rigid or soft toric lens is fitting poorly on the cornea or is simply

PATHFINDER™ CORNEAL ANALYSIS

worn out and in need of replacement. This in turn results in a higher
quality of care, as well as time and money saving benefits to both the
patient and the doctor.

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15 SPECIFICATIONS

SPECIFICATIONS
MODEL 991 MODEL 992

DIMENSIONS

Height 18.0" (457mm) 18.0" (457mm)

Width 12.3" (313mm) 12.3" (313mm)
Depth 18.3" (466mm) 18.3" (466mm)
Weight 38 lbs (17kg) 43 lbs (20kg)

WORKING DISTANCE
70mm 70mm

FIELD OF VIEW
11.4mm 12.5mm

NUMBER OF RINGS
20 22 (18 superiorly)

DIOPTRIC RANGE
9 to 108 diopters 9 to 108 diopters

OPTICS

High resolution CCD High resolution CCD

camera camera

REPEATABILITY, TEST
OBJECTS*
± .10 diopters ± .10 diopters

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 MODEL 991 MODEL 992

REPEATABILITY, NORMAL
CORNEAS
± .25 diopters ± .25 diopters

LUMINOSITY
Visible Infrared

ELECTRICAL
REQUIREMENTS
100/120/220/240/ 100/120/220/240/
volts AC ± 10% volts AC ± 10%

SAME FOR BOTH MODELS

VOLTAGE
100-120/220-240 VAC

CURRENT
2A MAX/1A MAX

FREQUENCY
50-60 HZ

FUSE
T3.15 A, 250 V, Slow Blow

* Measured with calibration sphere across the working distance range.

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16 WARRANTY AND SERVICE CONTRACT

WARRANTY
For one year from the date of delivery to the original purchaser, Seller
warrants its ATLAS (“the instrument”) to be free from defects in
material or workmanship. In the event of failure, Seller’s obligation is
limited to repairing or replacing on an exchange basis parts which have
been promptly reported by the Purchaser during such one-year period as
being defective and are so found by Seller upon inspection.

Warranty Procedure
The procedure for warranty claims shall be as follows:

WARRANTY AND SERVICE CONTRACT

1. When the Purchaser believes the instrument is defective, he shall
promptly report the defect to the Seller. The Seller shall provide
repair to the Purchaser’s instrument.

2. This warranty covers all parts, labor, travel, and expenses for the
warranty period. At the Seller’s discretion, the repair of the ATLAS
may be made in the Seller’s Repair Depot. In this case, all shipping
costs will be paid by the Seller unless the Purchaser’s ATLAS is found
upon inspection not to be eligible for repair under the warranty, in
which case the Purchaser shall be responsible for one half the
shipping costs.

3. If the instrument is determined to be ineligible for repair under the

warranty, Seller will so notify Purchaser, and repairs desired by the
Purchaser will be performed at Seller’s normal rates.

4. All replaced parts become the property of the Seller.

Exclusions
This warranty does not cover consumable items such as operating
supplies, paper, printer ink cartridges, disk media and will not apply if
repair or parts replacement is required because of accident, neglect,
misuse, transportation or causes other than ordinary use, or by supplies
that do not meet the proper operating specifications of the Seller. The
warranty does not apply if the configuration of the computer has been
altered, or if software not supplied by the Seller has been used. This
warranty also does not apply to any articles that have been repaired or
altered except by the Seller.

All data stored on the hard disk, external zip drive and disk media are
the Purchaser’s records, and it is his or her responsibility to preserve the
integrity of the files. Seller is not responsible for the loss of patient files
stored on the hard disk, external drive, or disk media. Customers are
responsible for restoring their own data after a hard disk has been
repaired.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ WARRANTY AND SERVICE CONTRACT / 16-1
REV. C PN 48113-1
 The entire risk as to the quality and performance of the software is with
the Purchaser. The Seller does not warrant that the software will meet
the Purchaser’s requirements, that the operation of the software will be
uninterrupted or error-free, or that all software errors will be corrected.
The Purchaser assumes the responsibility for the selection of the
programs and hardware to achieve the Purchaser’s intended results, and
for the installation, use, and results obtained from the instruments and
programs.

This warranty does not extend to any disk media that has been damaged
as a result of accident, misuse, abuse, or as a result of service or
modification by anyone other that the Seller. Should such software
prove defective following its purchase, the Purchaser (not the Seller)
assumes the entire cost of all necessary service, repair, or correction.
The Seller shall have no liability or responsibility to the original
Purchaser or to any other person or entity with respect to any claim,
loss, liability, or damage caused or alleged to be caused directly or
indirectly by any software supplied by the Seller.

This disclaimer includes but is not limited to any interruption of

services, loss of business or anticipatory profits, or any incidental,
consequential, and / or other damages of any kind resulting from the
purchase, use, or operation of the instrument or any software supplied
by the Seller. Some states do not allow the limitation or exclusion of
implied warranties or of incidental or consequential damages, so these
limitations and exclusions concerning the Seller’s software may not
apply.

Every reasonable effort has been made to ensure that the product
manual and promotional materials accurately describe the instrument’s
specifications and capabilities at the time of publication. However,
because of ongoing improvements and product updates, the Seller
cannot guarantee the accuracy of printed materials after the date of
publication and disclaims liability for changes, errors, or omissions.

Seller shall in no event be liable to the Purchaser for the loss of profit,
loss of use or consequential damages. Purchaser agrees that Seller will
not be liable for any damages caused by Purchaser’s failure to fulfill the
Purchaser’s responsibilities as to proper installation, use, management,
and supervision of the instrument. This warranty shall only apply to the
original Purchaser and shall not, in any way, be transferable or
assignable.

THE FOREGOING WARRANTY IS IN LIEU OF ALL

WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT
LIMITED TO, THE IMPLIED WARRANTY OF

16-2 / WARRANTY AND SERVICE CONTRACT HUMPHREY ATLAS™ AND ATLAS ECLIPSE™
REV. C PN 48113-1
 MERCHANTABILITY OR WARRANTY OF FITNESS FOR A
PARTICULAR PURPOSE. (ALL INSTRUMENT SPECIFICATIONS
ARE SUBJECT TO CHANGE WITHOUT NOTICE.)

SERVICE CONTRACT
A Warranty Extension Agreement (Service Contract) is available after
the one-year warranty period expires. This Warranty Extension is for
one year and is subject to the Terms and Conditions applicable to the

WARRANTY AND SERVICE CONTRACT

specific instrument. Please contact Customer Service for details.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ WARRANTY AND SERVICE CONTRACT / 16-3
REV. C PN 48113-1
16-4 / WARRANTY AND SERVICE CONTRACT HUMPHREY ATLAS™ AND ATLAS ECLIPSE™
REV. C PN 48113-1
Appendix GLOSSARY OF TERMS

Alternate View
A data display other than the standard Corneal Power Map (e.g.,
Numerical View, Photokeratoscope View).

Archive
Process of removing exams from the hard disk and saving them on an
external drive or disk media; used for freeing hard drive space on the
computer.

Backup
Process of using high-capacity media to create a complete duplicate of
all information on the hard disk.

Button
An object displayed on the media screen that can be selected with the
GlidePoint and activated by clicking.

Calibration Bar
Frame with three mounted spheres that is placed in the chin rest
assembly in order to capture images used to calibrate the system.

Calibration Test
Process of checking the ATLAS system to make sure it is providing
accurate measurements.

Chin Rest
Assembly that cradles the patient’s chin and forehead during an
examination.

Clicking
To quickly press and release a button on the GlidePoint while the
GlidePoint is positioned over a selection on the screen.

Computer

GLOSSARY
ATLAS instrument component that contains the central processing unit,
random-access memory, and disk drive.

Contact Lens Module

An optional software module that allows you to use data captured by
the ATLAS instrument to fit contact lenses.

Corneal Power Map

Data display that shows the curvature of the cornea as a topographical
map, with 24 colors representing ranges of dioptric power.

Cursor
Blinking bar shape on the computer screen that shows where the next
character you type will appear.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ GLOSSARY / APPENDIX-1

REV. C PN 48113-1
 Custom Display
A MultiVue display that shows up to four exams, which can represent
any combination of patients, exams, or data views.

Database
A complete record of all patient and exam information in the
instrument. The database is stored on the instrument’s hard disk.

Default Settings
Settings that first appear in Selection Lists when new records are added
to the system. These settings can be changed via the Change
Preferences option on the Utilities Menu.

Difference Display
A MultiVue display that shows the currently selected exam, the previous
exam for the same eye, and the dioptric power differences between the
two.

Dioptric Scale Controls

Screen controls that allow you to adjust the dioptric scale used in data
displays, such as the Corneal Power Map.

Disk
Standard IBM-compatible format 3½” disk used to export and archive
small numbers of patient exams.

Drop-Down Menu
A list of choices that drops down from an area of the screen when
activated by the GlidePoint control buttons.

Ethernet
Allows you to network the ATLAS with different computers, printers or
office management systems to share information and exams.

Exam Overview Display

A MultiVue display that shows four separate data views of an exam; the
views that appear in this display can be by set in MultiVue preferences.

Export
Process of copying exams from the hard drive to a Floptical disk or
floppy diskette; typically used to transfer exams from one instrument to
another.

Field
A portion of a screen display that contains information such as a
patient’s name or date of examination.

APPENDIX-2 / GLOSSARY HUMPHREY ATLAS™ AND ATLAS ECLIPSE™

REV. C PN 48113-1
 Fluorescein View
In the optional Contact Lens Module, a data view that shows lens
clearance at any given meridian; this view also includes a cross-sectional
graph that shows microns of contact lens clearance and location of the
plot in millimeters.

Format
Process of electronically preparing a disk media so that it can be used to
store data.

Full Exam
A comprehensive eye examination that captures up to four different
images of a patient’s eye and allows the operator to select the best
image.

GlidePoint
Pad used to move a pointer around the screen and make selections by
“clicking” one of the control buttons located on the two upper corners.

GlidePoint Control Buttons

Buttons located on the two upper corners of the GlidePoint pad. Used
to make a selection after pointing the GlidePointer. Only the left
GlidePoint Button is operational at this time.

Group
A user-defined category attached to exams in order to select them for
retrieval at a later date.

Import
Process of copying exams from a Floptical disk or floppy diskette to the
hard drive; typically used to transfer exams from one instrument to
another.

GLOSSARY
Joystick
Device used to focus the image of a patient’s eye and trigger the image
capture routine.

Joystick Lock
Control located in the joystick locks the projection head in place while
the instrument is being moved.

Keratometric Fit
In the optional Contact Lens Module, a method of fitting lenses that uses
nomograms published by contact lens manufacturers; lens parameters are
defined by using only the central three millimeters of the cornea.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ GLOSSARY / APPENDIX-3

REV. C PN 48113-1
 Keratometry View
Data display that provides information similar to data obtained using a
Keratometer; shows dioptric values for three optical zones: central,
intermediate, and peripheral.

Keyboard
Typewriter-like device used to enter information such as names, birth
dates, and examination remarks.

Landscape Orientation
An image printed across the wide axis of a sheet of paper, i.e., 11” wide
by 8½” long.

Liquid Crystal Display (LCD) Screen

Used for viewing images and exams, similar to a laptop computer
screen.

Main Menu
The MasterVue screen display that first appears when the system is
turned on.

MasterNet™ Communications Software

Allows you to send and receive patient files and e-mail with other
MasterVue™ System users anywhere in the world.

MasterVue Control
Screen that lets you select the patient and exam to be reviewed, as well
as the type of view to be displayed (e.g., Corneal Power Map or
Numerical View).

Media
Standard Media (disk, diskette, IBM Compatible) used to export, backup
and archive patient exams.

Message Box
A small box that “pops” on top of the computer screen display to tell
you important information.

MultiVue Display
Display that lets you compare more than one exam on the screen at the
same time.

Numerical View
Data display that shows the dioptric values for up to five circular areas,
or zones, on the cornea from 0 mm to 10 mm.

OD/OS Compare Display

MultiVue display that shows the currently selected exam and the most
recent exam of the other eye.

APPENDIX-4 / GLOSSARY HUMPHREY ATLAS™ AND ATLAS ECLIPSE™

REV. C PN 48113-1
 Orientation
The way that images are printed, either across the narrow axis of a sheet
of paper (portrait orientation) or across the wide axis (landscape
orientation).

Photokeratoscope View
Data display that shows the actual image of the eye as captured by the
ATLAS system.

Portrait Orientation
An image printed across the narrow axis of a sheet of paper, i.e., 8½”
wide by 11” long.

Printer
Device used to produce color printouts of patient exams.

Projection Head
ATLAS instrument component that projects rings and houses the video
cameras used to capture images of a patient’s eye.

QuickVue Exam
MasterVue screening tool used for high-volume or routine diagnostics
that require only a single image capture.

Restore
Process of placing archived exams back on the hard disk drive.

Selection List
A list of choices, such as patient names or data views, that appear on
the screen; choices can be made by positioning the arrow over a
selection and clicking the GlidePoint button.

Topographic Fit

GLOSSARY
In the optional Contact lens Module, a proprietary method of fitting
lenses that uses the entire curvature of the cornea as drawn from the
ATLAS topographical map of the patient’s eye.

Topographical
A display that graphically represents three-dimensional features.

Trend with Time Display

A MultiVue display that shows the currently selected exam and up to
three previous exams for the same eye.

Utilities
Collection of system “housekeeping” functions such as controlling the
appearance of screen displays, and setting the date and time.

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ GLOSSARY / APPENDIX-5

REV. C PN 48113-1
 Zip Drive
External storage drive which may be attached to your ATLAS
instrument. Used for backing up and archiving exams.

APPENDIX-6 / GLOSSARY HUMPHREY ATLAS™ AND ATLAS ECLIPSE™

REV. C PN 48113-1
Index
A
Add
group name, 5-20
doctor name, 5-18
operator name, 5-21
Add Patient Information screen, 2-5
Aligning and focusing, 2-3
Alternate views, 4-1
Archive
description, 5-4
exam, 5-5
guidelines, 5-4
Archive Patient Records screen, 5-8
AutoSize scale, 3-4
B
Backup
description, 5-1
format media, 5-3
guidelines, 5-2
Backup screen, 5-2
Birthdate
edit, 5-14
enter, 2-6
C
Cable connections, 1-10
Calibration, 8-3
care of calibration bar, 8-4
mount calibration bar, 8-3
run calibration, 8-3
Capture image, 2-3
Change doctor name, 5-18
Change User Preferences screen, 6-1
Chin rest assembly
description, 1-3
Cleaning
calibration bar, 8-4
system, 8-4
Clicking, 1-2
Clinic name, 6-2
Color slides, printing, 7-2
Colors, Corneal Power Map, 4-2
INDEX
Components, 1-1
chin rest assembly, 1-3
computer, 1-4
GlidePoint, 1-2
Joystick, 1-2
LCD Display, 1-2
printer, 1-2

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ INDEX / I-1

REV. C PN 48113-1
 Computer, 1-4
Contents, Operator’s Manual, 1-12
Corneal Power Map, 2-9
CIM, 4-3
colors, 4-2
description, 4-2
Difference Display, 4-6
diopter scale options, 4-3
distance, 4-2
location, 4-2
MultiVue Displays, 4-5
preferences, 4-5
scale controls, 3-3
Shape Factor Value, 4-4
Cross hairs, 2-3
Custom Display, 3-4
Custom scale, 3-4
D
Data maintenance, 5-1, 5-9
Data views, 3-1, 4-1
Database
description, 5-1
management, 5-1
Date, set, 6-3
Default setting
clinic name, 6-2
general displays, 6-2
selection lists, 6-2
group, 6-2
operator, 6-2
doctor, 6-2
Delete
group name, 5-20
patient record, 5-15
doctor name, 5-19
DeskJet printer
description, 1-2
printing to, 7-1
Difference Display, 3-10
Diopter scale, 3-3
AutoSize, 3-4
Corneal Power Map, 4-2
Custom, 3-8
Numerical View, 4-9
Standard, 3-4
Disk drives, 1-4
Distance, Corneal Power Map, 4-2

I-2 / INDEX HUMPHREY ATLAS™ AND ATLAS ECLIPSE™

REV. C PN 48113-1
 Doctor name
add, 5-18
change, 5-19
default setting, 6-2
delete, 5-19
edit, 5-18
select, 2-4
E
Edit
doctor information, 5-18
exam, 5-16
group information, 5-19
group name, 5-20
operator name, 5-21
patient records, 5-15
Edit Exam Record screen, 5-17
Edit Group Information screen, 5-19
Edit Doctor Information screen, 5-18
Exam
archive, 5-5
edit, 5-16
export, 5-11
restore, 5-9
select, 3-2
Exam Information screen, 2-6
Export
description, 5-1
exam, 5-11
Export Exams screen, 5-11
Export/Import screen, 5-11
Eye, selecting, 2-5
F
Format media, 5-3
Full Exam, 2-1, 2-6
Corneal Power Map, 2-9
select image, 2-8
Full Exam screen, 2-4
G
Gender
edit, 5-15
select, 2-5
INDEX
General displays, 6-2
Group name
add, 5-20
default setting, 6-2
delete, 5-20
edit, 5-20
select, 2-6

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ INDEX / I-3

REV. C PN 48113-1
 H
Hard disk, 5-2
back up, 5-2
restore, 5-4
I
Identification number, patient, 2-5
Image
capture, 2-3
focus, 2-3
redo capture, 2-8
select, 2-8
Import
description, 5-1
J
Joystick, 1-3
K
Keratometry View
description, 4-11
MultiVue Displays, 4-12
Trend with Time Display, 4-12
Keyboard, 1-2
L
Location, Corneal Power Map, 4-2
M
Mastervue Control screen, 3-1
Mount calibration bar, 8-3
MultiVue Displays, 3-5
Corneal Power Map, 4-2
Custom, 3-9
Difference Display, 3-7
Keratometry View, 4-11
Numerical View, 4-9
OD/OS Compare, 3-7
Photokeratoscope View, 4-13
MultiVue Displays screen, 3-9
N
Numerical View
description, 4-9
diopter scale options, 4-9
Multivue Displays, 4-10
OD/OS Compare Display, 4-11
O
O.D./O.S., 2-5
OD/OS Compare Display, 4-11
Operating environment, 6-1
Operator
default setting, 6-2
select, 2-4

I-4 / INDEX HUMPHREY ATLAS™ AND ATLAS ECLIPSE™

REV. C PN 48113-1
 Operator name
add, 5-21
edit, 5-21
P
Patient
add record, 2-5
delete record, 5-15
edit record, 5-15
enter name, 2-4
exams, 2-4
position for exam, 2-2
select, 2-4
Patient Information screen, 2-5
Photokeratoscope View
Custom Display, 4-13
description, 4-13
MultiVue Displays, 4-13
Positioning patient, 2-2
Preferences, Corneal Power Map, 4-5
Printer, 1-2
Printing, 7-1
color slides, 7-2
Projection head assembly, 1-3
aligning, 2-2
troubleshooting, 8-2
Q
QuickVue Exam, 2-10
R
Redo image capture, 2-8
Remarks
enter, 2-6
Restore, 5-9
description, 5-1
exam, 5-9
Restore Archived Exams screen, 5-10
Review patient exams, 3-1
Run calibration, 8-3
S
Screens
Add Patient Information, 2-5
Archive Patient Records, 5-7
INDEX
Backup, 5-2
Change User Preferences, 6-2
Database Maintenance, 5-11
Edit Exam Record, 5-16
Edit Group Information, 5-20
Edit Doctor Information, 5-18
Edit Operator Information, 5-21

HUMPHREY ATLAS™ AND ATLAS ECLIPSE™ INDEX / I-5

REV. C PN 48113-1
 Exam Information, 2-6
Export Exams, 5-11
Export/Import, 5-11
Full Exam, 2-4
Mastervue Control, 3-1
Multivue Displays, 3-5
Patient Information, 2-5
Restore Archived Exams, 2-5
Utilities, 5-1, 6-1
Select
exam, 3-2
patient, 3-2
view, 3-2
Selection lists, 6-2
Set date and time, 6-3
Slides, printing, 7-2
Standard scale, 3-4
System
components, 1-1
chin rest assembly, 1-3
computer, 1-4
Display (LCD), 1-2
GlidePoint, 1-2
joystick, 1-2
keyboard, 1-2
printer, 1-2
projection head assembly, 1-3
overview, 1-1
T
Technical Support
hard disk restore, 5-4
troubleshooting, 8-1
Time, set, 6-3
U
Utilities screen, 5-1, 6-1
V
View, select, 3-1
Views, alternate, 4-1
Z
Zip Drive, 1-4

I-6 / INDEX HUMPHREY ATLAS™ AND ATLAS ECLIPSE™

REV. C PN 48113-1