Home

User`s Manual

Contents

1. 2 2 2 2 22 0 00 0 0020 0020 002 0 13 3 Editing of the Program Name We recommend that you rename the user divined program to prevent confusion For example if you name CUSTOM A Children PROGRAM you can easily understand the program It is better to understand to use My Own Standard rather than CUSTOM B Press MENU and select Edit Message and Program Name in order to edit the user defined program name Choose the program name you want to edit and press EXE or SET or F6 Edit When you select CUSTOM A as shown at Figure 159 the initial program name CUSTOM A display on the MSG area The maximum character size of program name is 17 04 10 14 46 EDIT PROGRAM _ STANDARD CUSTOM A CUSTOM 8 CUSTOM C CUSTOM D CUSTOM E CUSTOM F CUSTOM G lt 1 2 ween enn en en en nnn en ene nn nnenenennnnenenenennenenenneneneneeeenenens Digital Refractor GDR 7000 139 13 4 Editing of the Test Name Press MENU and select Edit Message and Test Name in order to edit the user defined test name Choose the test name you want to edit and press EXE or SET or F6 EDIT When you select CUSTOM A1 as shown at figure 160 the initial program name CUSTOM A1 displays on the MSG area You can make 35 test names and write maximum 25 characters in three rows But it Is impossible to change the system provide test name TEST CUSTOM a som Al
2. 20 22 20 2 20 0200 0 00 000 0 0 2 Safety Symbols The International Electro technical Commission IEC has established a set of symbols for medical electronic equipment which classify a connection or warn of any potential hazard The classifications and symbol s are shown below Save these instructions CD I and O on power switch represent ON and OFF ee respectively Type B Isolated patient connection This symbol identifies a safety note Ensure you understand the function of this control before using it Control function is described in the appropriate User s or Service Manual wy Manufactured by xxxx year Identifies the point where the system safety ground is fastened to the chassis Protective earth connected to conductive parts of Class equipment for safety purposes ent ros VAN MEDICAL EQUIPMENT UL2601 1 WITH RESPECT TO ELECTRIC SHOCK CAN CSA C22 2 FIRE AND MECHANICAL HAZARDS ONLY IN NO 601 1 ACCORDANCE WITH UL 2601 1 AND CAN CSA C22 2 NO 601 1 ene n enna nana nn nn en en en enen nnn nn nn nnenenenenennnnnnnnenenenenenens Digital Refractor GDR 7000 3 3 Environment factors Avoid the following environments for operation or storage Where the equipment is exposed to water vapor Don t operate an equipment with a wet hand Where the equipment is exposed to direct sunlight Where the temperature changes extremely Normal operating temperature range is from 10
3. 2 2 2 0 2220 20 2220 0 If you make use of an old fashioned chart projector or a mirro chart not supporting the Von Graefe Chart you can imitate the horizontal Von Graefe chart as follows Spread a general chart readable to patient such as number Randolt Ring Snellen E Press the vertical mask button to leave only one row Press the BDBU button to place the horizontal rotary prism Press the 10 ABU button to place the auxiliary lens Note that if you are to use this method you can neither record extra phoria test result nor refer to the guide window 11 16 Horizontal Coincidence Test Objective To execute the Coincidence and a horizontal phoria test during the subjective test using Coincidence chart Chart Horizontal Coincidence chart Auxiliary Lens 135 Polarizing Filter right 45 Polarizing Filter left Expectation The upper frame for the right eye and the lower frame for the left eye form an ideal square Operation Sequence een nanan en enn nn en ene en Digital Refractor GDR 7000 111 1 Press the Coincidence chart to enter this mode 2 Ask the patient as follows Can you see a suare with a point at the center Are the right and left sides of the upper and lower frames aligned with each other Ifthe upper one is to the right of the lower one esophoria Turn the dial clockwise to add the BO prism till the two frames are aligned Ifthe upper one is left
4. 2 2222 20022200 cee seen eee eee ene 1 1 Features 222 222222222202202222000000000000000000000es000eeeeeeseeee seen 11 2 Notes for using the Instrument 12 3 Component List and Functions 13 Digital Refractor 2 22222000022220 00000002202 13 Junction BOX 2 2 2 2 2222220202020020202 0222 nee e eee e eee e eee seen seen eens eee ee 15 Operation Panel 2 22 2222222 0022 cn 2 16 Various ACCeSSOLie S 22 22 222 22 202220022002002200220020002 202 22ee senses 18 System Installation 21 4 Inspection Modes 2222220000022222200000 22222 22 4 1 Why Inspection Mode is Important 24 4 2 Data Duplication 2 27 4 3 Warning on mode se 28 4 4 PRESET Mode and AUX OFF Mode 29 4 5 Measuring Near and Far Vision 31 5 Co operation with Other Instruments 33 5 1 Setting Chart Projector Opti
5. Can you see one ideal cross 1 To enter this mode press the Polarized mark Cross Chart twice or the SHIFT button If Yes the patient has no phoria And the Polarized Cross Chart at a time All done If No the patient has phoria Continue the test 3 At first ask the patient to measure the horizontal phoria as follows Is the L shape to the left of the 4 shape or to the right of it If Right esophoria Turn the dial clockwise to add the BO prism till they form a cross mark If Left exophoria Turn the dial counterclockwise to add the BI prism till they form a cross mark 4 At secondhand ask the patient to measure the vertical phoria as follows Which shapre is higher 4 shape or shapre If shape left eye with hyperphoria Turn the dial clockwise to add the BU prism till they form a cross mark If 4 shape right eye with hyperphoria Turn the dial counterclockwise to add the BD prism till they form a cross mark 113 1446 POEL Fas A arid deface Rte ain aa ay L i 5 CE lt gt aco Yoo gos if aen maeaea eaae enee eas eenas eanan 11 19 Polarized Cross with the Fixation Point Test Objective To execute the phoria test during the subjective test using the Polarized Cross chart with the Fixation Point chart Chart Polarized Cross with the Fixation Point chart Auxiliary L
6. for the whole step numbers For instance if the user defined program has 10 steps all together and the current step is the 4 4 10 will appear The maximum step of user defined program is 32 The left window shows elements to define and the right one shows value to apply Function buttons are located in the bottom line The F1 BACK button goes to the previous step and the F2 NEXT button to the next step The F3 ADD button adds a new step behind the last one and the F4 INS button insert a new step before the current one Press the F6 OK button to confirm after defining program functions through all steps If there is need to cancel the program editing press the F7 CANCEL button The SHIFT button reveals hidden options SHIFT F1 DEL removes the step which is begin edited SHIFT F3 TEST selects the Test on the left MENU window in a dialog form Likewise SHIFT F4 LENS selects auxiliary lens on the left MENU window in a dialog form Finally SHIFT F5 MSG changes guide messages enn nn en enn nn en enn nn enn ne Digital Refractor GDR 7000 81 We introduce the elements of a user defined program in the left window Test the name of the system test to apply If the Test item is changed the related Chart Data Element Cross Cylinder Fogging and Auxiliary Lens items will be changed at a time if possible To select this press the Chart item directly use the dial or press SHIFT
7. 0 00 c 0 00 A ADD 0 00 ween nnn en en emenn Digital Refractor GDR 7000 99 11 8 Horizontal Maddox Test Objective To execute a horizontal phoria test during the subjective test using the Maddox Rod Chart Maddox Rod chart Auxiliary Lens Horizontal Maddox right Rotary Prism left Expectation The vertical rod for the right eye is united with the Maddox Chart for the left eye Operation Sequence lt gt Press the Maddox Chart to enter the Maddox 2 Turn the dial till the patient says Rod Test mode The prism change window is that the rod is united with the dot Presented in the left top area and the Guide Window in the left bottom area If the vertical rod comes nearer to the right of the dot turn the dial clockwise direction If the rod comes nearer to the left of the dot turn the dial counterclockwise direction This test is ended if the rod is united with the dot R L x gt E 0 00 Y lt 4 gt 0 00 99 100 Digital Refractor GDR 7000 _ 2 2 2222 2020 0020 0020 002 11 9 Vertical Maddox Test Objective To execute a vertical Phoria test during the subjective test using the Maddox Rod chart Chart Maddox Rod chart Auxiliary Lens Rotary prism right Vertical Maddox left Expectation The horizontal rod for the left eye is united with the Maddox Chart for the right eye Operation Sequence lt To
8. 3 4 5 With the exception of UA and FIN other modes are not compulsive In other words it is true that there is no harm loading and modifying the LM data in RK mode or the RK data in SUBJ mode You should remind that RK LM SUBJ modes are only optometry convention as a matter of convenience Optometry in initial mode makes no problem however it is only recommended when there is no need to use other external instruments such as LM or RK and to compare the FIN result It will be better to convent mode into SUBJ directly or after some basic optometry Once duplication had arisen while mode change the other one would not occur when returning to the same mode from another Data duplication occur only once to prevent unintended mistakes that miserably result in data loss In FIN mode LM and SUBJ windows will be shown on the left side at the same time with which you can check the former state LM current state SUBJ and the finally corrected state FIN It is possible to press the PRINT button showing only results because you can change the values and examine your patient s response interactively If SUBJ Startup item is assigned in system option you can modify from which mode data will be duplicated when the SUBJ button is pressed Option are as follows 4 7 TEST amp DATA MANIPULATION 2 SUBJ Startup gt ANY You can choose one among LM RK and ANY The above system option can be set by entering MENU g
9. 4 42 Digital Refractor GDR 7000 _ 2 22 22 22 6 Menu Selection GDR 7000 system supports various functions through menu selection To select menu just press the MENU button and use the arrow buttons or the dial to move and the EXE button to select Menu item are as follows Test Result For showing the results The results can be previewed systematically ie Table and graphical format on the LCD screen before printing System config For the system configuration You can set up all sorts of values related to the system Edit Program For adding and modifying the user defined program up to 10 programs Edit Test For adding and modifying the unit test 1 step user defined program that can be allocated in the chart button area 7 5 35 buttons Edit Message For editing various kinds of message used in program You can edit the name of the user defined program unit test test guide message and the printer footer which is printed on the bottom line of printing paper Aux Lenses For using the auxiliary lens explicitly In general pressing the chart button let the auxiliary Lens to be placed automatically but sometimes it is required to do manually 04 10 14 46 MENU Test Result Edit Program Edit Test Edite Message Aux Lenses aoe eee e eee eee eee eee ee eee eens eee eee sees Digital Refractor GDR 7000 43 If Test Result is se
10. junction Box while the power is on Connect the Operation Panel OP to the Junction box with its interface cable in the 6 pin connector Connect the terminator to one of the 4 pin connectors in the Junction box If the terminator is missed the refractor won t work at all Connect the chart presenting device to the Junction box with its interface cable in one of the 4 pin connectors unless it is not compatible with CAN protocol or is to be Connect the power cord to the Junction Box Before turning on the power make it sure to check the voltage setting of the Junction Box is correct Turn on the power of the chart presenting device Turn on the power of the GDR 7000 system Wait until the Digital Refractor finishes the initialization procedure Check the LCD display or the controller and adjust its brightness and viewing angle by turning the contrast knob and moving the panel back and forth 21 22 Digital Refractor GDR 7000 2 22 0 220220 22 222 0 4 Inspection Modes GDR 7000 system provides various inspection modes in order to satisfy complicated optometry needs Such inspection modes seem to be complicated at first But after you get used to them once you can change modes fast and as a result classify and inspect your patient s data easily There are six modes that GDR 7000 system provides EMPTY mode You can enter this mode when you turn on the power initially or press th
11. on Page 2 of the System Config In the MENU then the complement value with sign will appear under 10A in the lens diagram which can be referred to during measurement fF LENSA DATA MANIPULA THINIZ _ SoG Aare Oneiueker CC Agia Occlusion ALE rhe 51 52 Digital Refractor GDR 7000 2 2220 20 20 2 2 2 7 Basic Operations GDR 7000 system is constructed to manipulate essential functions using the dial and the buttons on the operation panel As we stated before the operation panel is designed to divide button area into several groups and consequently you can handle it with ease Let s examine the commonly used operation methods in advance and then explore the button descriptions with more detail manner 1 SHIFT ALT The SHIFT and ALT buttons play a role to logically expand the physically limited number of buttons For example if you want to execute the dual cross cylinder test normally you change the CC Type item to DUAL in system configuration menu and then press the dots group chart button However here is a simple method to push the dots group chart button and the SHIFT button continuously Then the item which can be converted to DUAL will appear in the function button area Press the F5 and SHIFT buttons simultaneously to complete the DAUL cross cylinder lens setup Also the ALT button is powerful for the system unit test case In other
12. 2 to the direction clockwise Repeat this procedure until there is no difference between 1 and 2 cases See 11 1 Cylinder Axis Test 04 10 16 25PM I 0 ADD 0 00 EJ l STANDARD 63 64 Digital Refractor GDR 7000 _ 8 1 4 Right Jackson Cross Cylinder Test Using the dot Chart CYL The fourth step is to calibrate the CYL value for the right eye minutely on the base of the resultant SPH CYL AXIS values from step 1 Pressing the 1 and 2 buttons one after another during the Jackson Cross Cylinder Test ask which one appears more clear If 1 turn the dial to the direction counter clockwise and if 2 to the direction clockwise Repeat this process until the answer is there is no difference between 1 and 2 cases See 11 2 Cylinder Power Test ooceo 0 8 200C0 0 9 89000 1 0 STANDARO 8 1 5 Verifying the Right Spherical Power Now we finished the monocular test for the right eye verify the right spherical power one more time Use mask for the foregoing inspection if necessary S 0 25 C 0 00 15 A O 0 00 ADD 0 00 STANDARD en en enn en en en nnn en ene nnnnenenenennenenennnnenenennenenenennenenens Digital Refractor GDR 7000 65 8 1 6 Adjustment of the Left SPH CYL AXIS Values The sixth step is to coordinate the SPH CYL AXIS values for the left eye See 8 1 1 Right Adjustment of the SPH CYL AXI
13. C to 40 C Humidity is from 30 to 75 Where it is near the heat equipment Where the humidity is extremely high or there is a ventilation problem 4 Digital Refractor GDR 7000 _ Ye bea Where the equipment is subject to excessive shocks or Where equipment is exposed to chemical material or explosive gas Be careful not to be inserted dust especially metal Don t disassemble the product or open We aren t responsible for it for nothing Be careful not to close the fan located on the lateral or back side of the equipment Don t plug the AC power cord into the outlet before the connection between devices of the equipment is completed This can generate the defect ea en en en enna en nn Digital Refractor GDR 7000 5 Pull out the power cord with holding the plug not the cord Avoid places where the ambient temperature falls below 10 C or exceeds 40 C for normal operation or below 10C or exceeds 40C 14 F 104 F for transportation and storage Humidity should be maintained between 30 and 75 for normal operation transportation and storage Avoid environments where the equipment is exposed to excessive shocks or vibrations 4 Safety Precaution This equipment has been developed and tested according to safety standards as well as national and international standards This guarantees a very high degree of safety for this device The leg
14. MM DD hh mi 12H Date YY MM DD 01 23 Time hh mi ss 01 11 00 75 76 Digital Refractor GDR 7000 _ 2 2 22 2220 20 0 2 2 F Page 6 PRINT OPTION Sets various environments on printing Print subjective specifies items to print while printing the result of the subjective test Choose One among All all the date W O UNAIDED VA the results of the visual function test SUBJ amp FIN ONLY showing only the SUBJ and FIN information and OFF without any subjective test Default value is ALL Print Objective specifies item to print while printing the results of the subjective test Choose one among All all the data RK ONLY showing the RK information only CLM ONLY showing the CLM information only and OFF without any objective test Default value is OFF 3 Print kerato Data specifies whether Kerato value will be printed or not YES or NO can be chosen Default value is NO Print ATest Data specifies whether the preview of the prism test for each phoria test will be printed or not YES or NO can be chosen Default value is NO Preview List specifies whether the results will be shown or not when the PRINT button is pressed YES or NO can be chosen Default value is YES Auto Clear specifies whether the test results will be initialized or not when the PRINT button is pressed YES or NO can be chosen Default values is YES Auto Save speci
15. R button If the left side red is seen more clearly turn the dial clockwise direction If the right side green is seen more clearly turn the dial counterclockwise direction 2 Ask the patient on which ground the Letters in the upper row are seen more clearly red or green After pressing the L button If the left side red is seen more clearly turn the dial clockwise direction If the right side green is seen more clearly turn the dial counterclockwise direction enn nnn en en enn nnn Digital Refractor GDR 7000 103 3 Ask the patient on which ground the letters in the lower row are seen more clearly red or green After pressing the R button If the left side red is seen more clearly turn the dial clockwise direction If the right side green is seen more clearly turn the dial counterclockwise direction After pressing the L button If the left side red is seen more clearly turn the dial clockwise direction If the right side green is seen more clearly turn the dial counterclockwise direction 4 Adjust the binocular balance after the right and left maximum corrected monocular SPH values are balanced If the upper row is seen more If the lower row is seen more clearly clearly turn the dial turn the dial counterclockwise while counterclockwise while pressing R pressing L
16. menm n m n m n a s m n a n u n ns n n n na m nn n Bg E et eae HEREA NN n ee a TE i ST 1 sipa T E crt ce ROE Lt be ot pe Pe A Be a roe THRHAS FRNA r 7 j E E DAAE en en enn en en en nnn en ene nnnnenenenennenenennnnenenennenenenennenenens Digital Refractor GDR 7000 33 5 Co operation with Other Instruments GDR 7000 system can connot various kinds of optical instruments into a single network If you have finished all the necessary mechanical network settings already let s think about the data transfer method from the software point of view Fortunately GDR 7000 system helps the connection with the following instruments Chart Projector Dream Chart Auto Refractormeter Auto Lensmeter We will describe the setting of the options first and then introduce how to load data at the end of this chapter 5 1 Setting Chart Project Option Either chart project or Dream Chart or both of them should be installed for full use of GDR 7000 system We explain here what will be changed in system configuration when installing chart project System option for chart project are as follows 7 7 EXTERNAL INSTRUMENTS Chart connection gt SERIAL Always SERIAL There is no version with which you can directly connect to IR in GCP 7000 This option is automatically set as SERIAL if Chart Device option is changed to GCP 7000 Chart Device gt GCP 7000 Always GCP 7000 Control Type gt OP xA DEC
17. selects proper value according to your chart type For example OP xA DEC type for KOREAN user s exclusive version To set the above system options enter MENU gt system Config and move to page After setting press the F6 button to save your configuration and exit setup It will be helpful to press one of the chart buttons for simple operation test 33 34 Digital Refractor GDR 7000 _ 2 EXTERNAL INSTRUMENT MRK Copy kerato CLM Copy4 CLM Copy ADD Chart Connection SERIAL IR Chart Device Controller Type Reset Type On Clear HARD RESET Installation Type NETWORKED oe Sc a Gee oo 5 2 Setting Dream Chart Option As the above statement either chart project or dream chart or both of them should be installed for full use of GDR 7000 system This time we explain which system configuration will be changed when installing dream chart System option for dream chart are as follows A Chart Proctor 7 7 EXTERNAL INSTRUMENTS Chart Connection gt IR Always IR There is no version with which you can connect directly to SERIAL in space saving chart This option is automatically set as IR if Chart Device option is changed to CDC 3000 v1 0x or CDC 3000 v1 1 Chart Device gt CDC 3000 v1 0x or CDC 3000 v1 1 Trivial mistakes can occur frequently at this point It is necessary to confirm whether space saving charts an upgraded model for CD
18. total 35 unit programs can be defined Let s define a Unit Test for the Red Green filter Custom Al first for an example i 1225PM POG Reece 0 00 A 0 LE S 0 00 Add 0 00 L ES Message r Aum tones If CUSTOM A is selected the display similar to the user defined program editing one described d in chapter 10 1 will appear However the NEXT PREV ADD and INS buttons are nowhere and the Test item is inactivated Of course it should remain inactivated so that the key binding is possible By contrast the Chart can be directly chosen and the CHART LENS and MSG buttons will be shown without the SHIFT button being selected 87 88 Digital Refractor GDR 7000 2222 20 22 We introduce briefly the elements of the Unit Test program in the left window Test cannot be changed directly Chart assigns the chart to present Contrary to the user defined program the relational Chart Data Element Cross Cylinder fogging and Auxiliary Lens item would not be changed at all To select this press the Chart item immediately use the dial or press the F1 button and turn the dial Test Mode Dist specifies near or far Press the F N button or turn the dial to select this Data Element assigns SPH CYL AXS ADD VA BIBO BDBU or ADDVA Use the dial or press the S C A ADD VA BIBO BDBU or N ADD VA button
19. 9 8 1 1 Right Adjustment of the SPH CYL AXIS Values 62 8 1 2 Right Red Green Test 63 8 1 3 Right Jackson Cross Cylinder Test Using the Dot Chart AXIS 63 8 1 4 Right Jackson Cross Cylinder Test Using the Dot Chart CYL 64 8 1 5 Verifying the Right Spherical Power 64 8 1 6 Adjustment of the Left SPH CYL AXIS Value 65 8 1 7 Left Red Green Test 65 8 1 8 Left Jackson Cross Cylinder Test Using the Dot Chart AXIS 65 8 1 9 Left Jackson Cross Cylinder Test Using the Dot Chart CYL 65 8 1 10 Verifying the Left Spherical Power 65 8 1 11 Verifying the Binocular Spherical Power 65 8 1 12 Far Distance Horizontal Vertical Coincidence Test 66 8 1 13 Near Distance Cross Grid Test 67 8 1 14 Near Vision with Additional Spherical Power Test 67 8 1 15 Near Distance Horizontal Vertical Von Graefe Test 68 9 Configurations 22 222 00200220sseeeeee nese eee eeeeeneeeneee 69 9 1 Button Operations 2 220 0 222200000 69 9 2 Description of Options 0 22022 22 71 10
20. Eye assigns BINOCULAR LEFT or RIGHT Use the dial or press the R OU or L button to select this Cross Cylinder assigns 0 25 0 50 DUAL Cross Cylinder Use the dial to select this or press 1 2 buttons to select this Fogging assigns the amount of Fogging by using the dial between 0 and 1 Use SHIFT F6 FOG to plus fogging and SHIFT F7 fog to minus fogging Auxiliary Lens assigns the right and left auxiliary lenses using the dial and the arrow buttons Use the dial or press the F2 button and select with the dial Also Use Open Close buttons Guide Message specifies guide message Use the dial or press the F3 button and select with the dial If you want to undo the current unit test press SHIFT F3 PRESET button Also if you want to clear the current unit test press SHIFT F4 clear button Now we will take the same way with the user defined program to write down a unit test program in which the general VA chart puts on a Red Green mask to takes the place of the Red Green Test At first hand press the Number Chart button The chart with 0 9 25 in 20 20 7 5 in 6 6 will be suitable matching for the patient s visual acuity And press the Red Green filter for Red Green filter masking At this point apply fog by about 0 5D degree after selecting Fogging in the left window And prepare to measure the right S value in Far Distance mode by pressing the F N S and R buttons
21. F3 TEST and turn dial Chart cannot be changed directly as it is combined with the Test Test Mode Dist assigns whether near or far distance Use the F N button or the dial to change near or far distance Data Element assigns SPH CYL AXS ADD VA BIBO BDBU or ADDVA Turn the dial or press the S C A ADD VA BIBO BDBU or N ADD VA button to select this Eye assigns BINOCULAR LEFT or RIGHT Use the dial or press the R OU or L button to select this Cross Cylinder assigns 0 25 0 50 or DUAL Cross Cylinder Use the dial to select this or press 1 2 buttons to select this field Fogging assigns the mount of fogging between 0 and 1 by using the dial 0 12D Step Use SHIFT F6 FOG to plus fogging value and SHIFT F7 FOG to minus fogging value Auxiliary Lens assigns the right and left auxiliary lenses by the dial and arrow buttons Use the dial or press SHIFT F4 and select the lens Also use Open Close button to select Open occuluder lens Guide Message specifies guide message Use the dial or press SHIFT F5 and select the pre edited comment Let s make a user defined program similar to the system defined program For convenience s sake we will confine the step resolving S C A value gt Red Green balance Test gt Cross Cylinder Test using Dots Group Chart AXIS gt Cross Cylinder Test using Dots Group Chart Cylinder gt Red Green balance Test again 1
22. Program Editing 22220 0 0 19 10 1 User Defined Program 2 0 79 10 2 Unit Test Program 222220220 2000000 2 87 11 System Defined Unit Tests 91 11 1 Cylinder Axis Test 2 2 92 11 2 Cylinder Power Test 22 0 0 200000000 92 11 3 Monocular Red Green Test 93 11 4 Jackson Cross Cylinder Test 94 11 5 Dual Cross Cylinder Test 96 11 6 Cross Grid for Distance Test 97 11 7 Finding Dominant Eye for Phoria Test 98 11 8 Horizontal Maddox Test 99 11 9 Vertical Maddox Test 100 11 10 Polarized Binocular Balance Test 101 11 11 Polarized Red Green Test 102 11 12 Worth 4 Dots Test 104 10 Dig
23. Relative Convergence Test Cylinder Test Power Cylinder Power Test Cylinder Test Axis Cylinder Axis Test Red Green Test monocular Red Green Test Cross Cyl Test Power Cross Cylinder Test Power Cross Cyl Test Axis Cross Cylinder Test Axis Cross Grid for Dist Cross Grid for Distance Dominant Eye for Phoria Determining Dominant Eye for Phoria Hor Maddox Rod Horizontal Maddox Rod Test Vert Maddox Rod Vertical Maddox Rod Test Binocular Balance Polarized Binocular Balance Test Polarized Red Green Polarized Red Green Test Worth 4 Dots Worth 4 Dots Test Schober Schober Test Vert Von Graefe Vrtical Von Graefe Test Hor Von graefe Horizontal Von Graefe Test Hor Coincidence Horizontal Coincidence Test Vert Coincidence Vertical Coincidence Test Pola Cross Polarized Cross without Fixation point Test Pola Cross w Fixat n Polarized Crosss With Fixation point Test 9 92 Digital Refractor GDR 7000 2 2 222 20 2022220 0 Stereo Stereo Test Minute Stereo Minute Stereo Test 11 1 Cylinder Axis Test Objective To obtain maximum corrected monocular CYL value during the subjective test using the Clock Dial chart by 30 steps Chart Clock Dial chart Auxiliary Lens None Expectation All the rods on the screen can be seen uniformly clear Operation Sequence 1 Press the R or L b
24. Right eye or SHIFT L Left eye 59 60 Digital Refractor GDR 7000 2 2 22 22 20 2 2 PRINT 18 Print button Prints the measured results Also point the results from other instruments if appropriate system option is set Setting appropriate system option determine whether the results are cleared or store after printing Memorizes patient s record by option up to 60 after printing 1 os 19 Open Close the test window buttons Opens or closes the test window For the pinhole test press the SHIFT button and the OPEN CLOSE left for L or OPEN CLOSE right for R button at the same time 20 Chart Mask buttons Masks the chart in a vertical horizontal dot unit Moves the mask right left up and down Can be used as the button for the cursor movement in configuration menu ALT gt falls into Landolt Ring support mode ALT lt falls into Snellen Letter support mode NOTE Landolt Ring Snellen Letter Conversion function can be available only with GCP 7000 enn enn en en enn nnee Digital Refractor GDR 7000 61 8 Standard Program amp Functions GDR 7000 system provides one system defined basic program and 10 user defined programs to make optometry process more convenient and fast By the system defined program operators can enjoy the various inspections provided with GDR 7000 system Accordingly this ch
25. and up down movements can be done naturally for the mask setting The last hint is the various shortcuts For example if user wants to assign the left eye to the Eye item just press the L button instead of turning the dial Similarly press the R or the OU button to assign value at a time Also if the user want assign S to the Element item press the S button The same is true for the C ADD VA BIBO and BDBU buttons to assign values at a time Also in the FAR or NEAR mode values can be assigned at a time using F N button For Cross Cylinder values can be assigned at a time using 1 2 buttons Test Chart Teat ModedDlat At first glance program editing appears to be very difficult but if you try to make use of it several times you can find this job very easy ween enn en en en nnn en ene nn nnenenennnnenenenennenenenneneneneeeenenens Digital Refractor GDR 7000 87 10 2 Unit Test Program If the user defined program can be understood as it is the Unit Test program is not so hard After pressing the MENU button and select Edit Test and then press the EXE button to enter the Unit Test program editing function Now selecting the Unit Test program window will be popped up on the left side Each item presented here is displayed as the button in chart key area and it means the 1 step unit program which will be execute when the defined button is pressed with ALT Since the chart key area includes 5 7 35 keys
26. button to make use of this option D AXS Step SHIFT sets the basic step for a AXIS value when the SHIFT button is pressed Choose one among 1 5 and 15 Default value is 1 Try turning the dial while pressing the SHIFT button to make use of this option A Step SHIFT sets the basic step for a prism value when the SHIFT button is pressed Choose one among 0 5A 1 0A and 2 0A Default value is 1 0A Try is pressed Choose one among 0 5A 10A and 2 0A Default value is 1 0A Try turning the dial while pressing the SHIFT button to make use of this option LU LENS amp DATA MANIPULATION SPH Step CYL Sign AXS Step SPH Step shift CYL Step shift AXS Step shift Step shift 71 72 Digital Refractor GDR 7000 _ 2 22 2222 20 2 2 B Page 2 LENS MANIPULATION 1 Sets all kinds of lens operations Continued from page 1 S C Auto Occlusion assigns YES or NO whether auto occluding for patients will be executed when the SPH and CYL lenses are changed rapidly Default value is YES 2 CC Type assigns the type for the Cross Cylinder 0 25 0 50 fir DUAL can be selected 0 35 and 0 5 are for the Jackson Cross Cylinder and DUAL is for the Dual Cylinder Default value is 0 25 for the Jackson Cross Cylinder C C Auto Occlusion assigns YES or NO whether auto occluding for patients will be executed when the Cross Cylinder lens is changed rapidly D
27. enn nn en en enn nn Digital Refractor GDR 7000 105 4 spots red green o pink or red green alternately Fusion o red When the right eye is dominant s o ig o Green When the left eye is dominant 3 spots Right eye is ale Two green and one are seen Left eye is One red and one o are seen suppressed Red amp and green t5 are seen at the same time Alternately gt F lickering suppressed Red Oo and preen o are seen at the same time 105 106 Digital Refractor GDR 7000 _ 2 2 2 2222 20 0 0020 0020 002 11 13 Schober Test Objective To execute a phoria test during the subjective test using the Schober chart Chart Schober chart Auxiliary Lens Red Filter right Green Filter left Binocular Rotary Prism Expectation To make the cross mark for the right eye placed the center of the circle Phoria mode Press the Schober chart to enter the 2 Ask the patient as follows Can you see a red cross mark in a green circle If Yes finish this test since the patient has no phoria If No continue this test since the patient has phoria Ask the patient as follows Is the cross mark to the left or right of the circle If Right internal phoria Esoporia Turn the dial clockwise till the cross mark falls to the center of the circle If Left external phoria Exoporia Turn the dial counterclockwise till
28. enter this mode pess the Maddox Chart 2 Turn the dial till the patient says h twice or press the BDBU button and then press that the rod is united with the dot The Maddox chart or press SHIFT button And the Maddox chart at a time The prism change Window is presented in the left top area and the Guide window in the left bottom area Ifthe vertical rod is located up the dot turn the dial clockwise direction Ifthe rod is located under the dot turn the dial counterclockwise direction This test is ended if the rod is united with the dot Vert Maddox Rod R L 0 00 c 0 A 0 00 XW su O Streak mp ats Ver Maddox enn nn en en enn enne Digital Refractor GDR 7000 101 11 10 Polarized Binocular Balance Test Objective To adjust binocular balance during the subjective test Chart Polarized Binocular Balance chart Auxiliary Lens 135 Polarizing Filter right 45 Polarizing Filter left Expectation The upper row for the right eye and the lower row for the left eye appear to be similarly clear Operation Sequence BINOCULAR 1 To enter this mode press the 2 Press the OU button to select all Polarized Binocular Balance fields for both eyes and then apply Chart for by about 0 5D when you can See the upper and lower charts all Together 3 Ask the patient Which row do you see more clearly except for the middle row the upper or
29. in case that you have installed RK series We recommend you to refer to the RK manual for details Thus the setting of GDR 7000 system is described only System option for RK are as follows 7 7 EXTERNAL INSTRUMENTS RK Copy Kerato gt YES Generally YES which determines whether GDR 7000 receives the kerato data or not To set the above mentioned system option enter MENU gt System Config and then move to page After setting press F6 button to save your configuration and exit setup ff EXTERNAL INSTRUMENT MRK Copy kerato YES CLM Copy 4 YES CLM Copy ADD YES Chart Connection SERIAL MGM NONE Chart Device CCP 3100 Controller Type OP xA DEC Reset Type On Clear REIO sR t a HARD RESET Installation Type STAND ALONE NETWORKED ene nnn en en ene nnne Digital Refractor GDR 7000 37 5 4 Setting LM Option First of all make sure that the baud rate in LM LMP system configuration is set to 9600 in case that you have installed LM series We recommend you to refer to the LM manual for details Thus the setting of GDR 7000 system is described only System option for LM are as follows 7 7 EXTERNAL INSTRUMENTS LM Copy ANO Generally NO which determines whether GDR 7000 receives the prism value or not LM Copy ADD NO Generally NO which determines whether GDR 7000 receives the additional power value or not To set the above mentioned system option enter MENU gt System Config and
30. set 10 arc minutes If all the rods including the central fixation point appear to be plain the patient can recognize stereo vision Press F5 button to set NG no good a 1 co SUS BS FARTA i 117 118 Digital Refractor GDR 7000 _ 22 2222 20 0 0020 0220 0enes0 2 11 22 Near Point of Convergence Test Objective To measure the nearest point at which convergence is possible Chart Near Distance chart Auxiliary Lens None Expectation To obtain BREAK and RECOVERY value Operation Sequence N ao 1 Press the N ADD VA button and then the F1 NPC button VA TEST Alternately press the TEST button and then select Near Point of Converg Item and finally press the EXE button to execute this test 2 Hang the Near Distance chart rod and adjust it with readable size for the patient You can also test with a pen 3 While bringing the Near Distance chart or the pen closer to the patient find the spot where the letter on the chart or the top of the pen is divided into two Write down this distance in the F1 BREAK item 4 To the contrary while bringing the Near Distance chart or the pen closer to the patient find the spot where the letter on the chart or the top of the pen already divided join together Write down this distance in the F2 RECOV item Near Point of Convergence BREAK RECOV em ween nnn en en emenn Digital Refractor GDR 7000 11
31. smooth side must be up 4 Pull out the end edge of the paper from the printer cover slot and close the cover B 2 Cleaning 1 Basically keep this instrument clean Don t use volatile cleaners thinner or benzene etc 2 Polish each head and operation panel with a dry cloth containing detergent solution 3 When cleaning lens or glass of this instrument clean it using a soft and dry tissue after removing dirt or other materials on the lens by wind blower B 3 How to power off this machine 1 Turn OFF the power switch 2 Disconnect the power cable
32. the F1 NRA button TEST Alternately press the TEST button and then select Negative Relative Accomm Item and finally press the EXE button to execute this test 2 Press the R L OU button to select the field to measure 3 After pressing the F1 BLUR button place the Near Distance chart with 1 0 VA 20 in 20 20 6 in 6 6 to 40cm away position from the patient s eye Turn the dial to find the spot where the letters on the chart start to fade away If the break spot has been found press the F2 RECOV button to enter recovery mode 4 Find the recovery spot while turning the dial clockwise Press the F6 OK button to finish this test after the recovery spot has been found C Mee ADD KXN Accommedation VA BLUR 0 00 een nana enn enn nn neem neem enna nn nn en en enn nnenenenneneneneenenenens Digital Refractor GDR 7000 121 11 25 Positive Relative Accommodation Test Objective To measure Positive Relative Accommodation during the subjective test Chart Near Distance chart Auxiliary Lens None Expectation To obtain BLUR and RECOVERY value for the right or left eye or for both eyes Operation Sequence 1 Press the N ADD button and then the F2 PRA button Alternately press the TEST button and then select Positive Relative Accomm Item and finally press the EXE button to execute this test 2 Press the R L OU button to select
33. the cross mark falls to the center of the circle Is the cross mark over or under the circle If Over left eye with hyperphoria Press the Schober chart or the BDBU button once more and then turn the dial clockwise till the cross mark falls to the center of the circle If Under the right eye with hyperphoria Press the Schober chart or the BDBU button once more and then the dial counterclockwise till the cross mark falls to the center of the circle 4 After finishing this test press the F6 button to save each results of phoria tests is maintained separately or the F7 button to discard the result ben Me fos EJ yoo EES Tarn the dial clockwise to add the BD prism tili the cross mark comes to the center of the titole Tarn the dial clockwise to add the BI prism till the cross mark comes to the comer Of the circle dial dockwise till the cross mark comes to the center of the circle Press the BORU button and turn the al counterclockwise Gil the cross mare econed bo the cemer of ihe circle 107 108 Digital Refractor GDR 7000 _ 22 2 2222 20 0 0020 0020 002 11 14 Horizontal Von Graefe Test Objective To execute a horizontal phoria test using the Von Graefe chart Chart Horizontal Von Graefe chart Auxiliary Lens 6A BU prism right Rotary prism left Expectation To make the upper vertical rod and the lower vertical rod become verticall
34. then move to page After setting press the F6 button to save your configuration and exit setup T T EXTERNAL INSTRUMENT VAK Copy kerato E No CLM Copy A CLM Copy ADD Chart Connection SERIAL WM None Chart Device CCP 3100 Controller Type OP xA DEC Reset Type On Clear SNO AEN HARD RESET Installation Type eee NETWORKED 37 38 Digital Refractor GDR 7000 2 2 2 2222 20 2 2 2 5 5 Loading Data From RK and LM Here is how to transfer data from RK and LM to GDR 7000 system and load them into the specific mode It is recommended for you to refer to 4 1 for mode description After measuring the patient s eyes or glasses with RK or LM in advance press the PRINT button in RK or LM to print the measured result There is no and simultaneously after printing in RK or LM Of course connecting networks and setting proper configuration option precedes all these procedure The transferred data to GDR 7000 system will be queued in regular sequence and the received data list up to now can be verified by selecting LM and RK in Transferred Data item after pressing the LOAD button When there is no data if the LM or RK button is pressed or LM and RK field is selected in the Transferred Data there will be beep sound twice to give warning Therefore examine network connection in advance before sending data and then try again to press the PRINT button on RK or LM s
35. words instead of pressing the TEST and F2 buttons annoyingly in turn to change into the user defined test list and selecting with the dial one the ALT button with user defined buttons in the chart area combination makes the execution of the user defined unit test possible Like this GDR 7000 system has arranged the function buttons very intuitively Thus it will be worth to try to make the SHIFT button with any other button combination by way of trial if necessary case by case ES o a cZ am DIGITAL REFRACTOR CDRA 3100 ween nnn en en emenn Digital Refractor GDR 7000 53 2 Arrow buttons in the menu and mask area There are arrow buttons both in the menu and the mask area and the role of them is generally overlapped without the case of mask setting For instance when you are moving the cursor in system configuration you can push either the arrow buttons in the menu or in the mask area Likewise either the EXE button in the menu or the menu or the SET buttons in the mask area can be pressed for setting up Through such overlapping of the button allocation an experienced operator in other automatic refractors from other venders can be familiar with GDR 7000 system in a short time a a a a a amp czy me 3 ESC Cancel F6 Ok F7 Cancel and EXE SET Ok buttons These buttons are useful if you are confused to find the exit method in certain dialog or screen On behelf of pressing some buttons aiml
36. 0 10 f BO 0 10 tFPola Criss BO 040 Xi BO Q4 000 YO 0 00 Pois Cross wiFix RO 030 X BO O30 00g Y 0 00 Maddoax R d BO 0 50 X BOOSO 0 00 YO 0 00 Polarized Cross without Fixation Point Polarized Cross with Fixation Point Maddox Rod NEAR NPC PRC Schober Von Graefe Coincidence Polarized Cross without Fixation Point Polarized Cross with Fixation Point Maddox Rod sai A T ae ool anennennennnnnennenneen Digital Refractor GDR 7000 131 FAR Fusion Stereo Minute Stereo Aniseikonia NEAR Fusion Stereo Minute Stereo Aniseikonia Data from Keratometry R1 R2 Test Time 131 132 Digital Refractor GDR 7000 _ 2 0 2 2220 20 0 0020 0020 002 0 As we stated before normally you don t have to print so many results like the previous sample Thus remove the unessential options in system configuration Enter page 6 PRINT OPTIONS in system configuration menu to turn on and off the following options as your needs Print Subjective assigns the item to print when printing the results of the subjective test You can select ALL all data related to the subjective test W O UNAIDED VA without unaided visual acuity it doesn t print Unaided Visual Acuity W O BIN VF without the results of the visual function test it doesn t print Data from binocular Visual Function Test SUBJ amp FIN ONLY shows only SUBJ and FIN information or OFF prev
37. 5 BO 0 504 BO 0 504 BO 0 504 oe BO 0 504 ID PO20319 0001 TEST RESULT Ref amp kerato Data SPH 0 50 SPH 0 50 0 25710 a 0 2510 037 40 37 0 00 0 00 a BE Al R2 y R2 is _ ee occ 47 48 Digital Refractor GDR 7000 2 2 2 22 6 2 System Config ga d F Mnsan ris H dL aea T See chapter 6 for more information 6 3 Edit program and Edit Test oii ABI aid 148 fm pi LE L i i EIl A ji T PEE Ti T a I ur 1 i i i i ear he p 1 1 i i l i i l LEE Edit Progen f See chapter 7 for more information Edi See chapter 13 for more information Digital Refractor GDR 7000 49 49 50 Digital Refractor GDR 7000 2 22 2 20 2 20 222 2 6 5 Aux Lenses If Aux Lenses is selected by pressing the EXE button after choosing the desired item without changing the current state auxiliary lens can be placed in the right left eye Remind that if there has been auxiliary lens can be placed in the right left eye Remind that if there has been auxiliary lens already another one will be placed alternatively without notice Start with the right lens after entering into the initial menu Press the F2 button to change leftward and F1 to rightward It is possible to move to another item using the arrow buttons and t
38. 9 11 23 Near Point of Accommodation Test 5 Objective To measure the Near Point of Accommodation during the subjective test 6 Chart Near Distance chart 7 Auxiliary Lens None 8 Expectation To obtain the Near point of Accommodation for the right or left eye or for both eyes 9 Operation Sequence N aw 1 Press the N ADD VA button and then the F2 NPA button VA TEST Alternately press the TEST button and then select Near Point of Accomm Item and finally press the EXE button to execute this test 2 Hang the Near Distance chart rod and adjust it with readable size for the patient You can also test with a pen 3 Press the R L OU button to select the field to measure 3 While bringing the Near Distance chart or the pen closer to the patient find the spot where the letter on the chart or the top of the pen starts to fade away Write down this distances for the right or left eye or for the both eyes cancre 119 120 Digital Refractor GDR 7000 _ 2 2 2 2 2 2020 0020 0020 002 0 11 24 Negative Relative Accommodation Test 10 Objective To measure the Negative Relative Accommodation Test during the subjective test 11 Chart Near Distance chart 12 Auxiliary Lens None 13 Expectation To obtain BLUR and RECOVERY value for the right or left eye or for both eyes 14 Operation Sequence N g 1 Press the N ADD button and then
39. 9 Oia iiaa Poea SUB REAR F300 EAA oon TR EA 0 00 ru e brar Yan Genata eS J i a a J Paz IE Me 11 15 Vertical Von Graefe Test Objective To execute a vertical phoria test during the subjective test using Von Graefe chart Chart Vertical Von Graefe chart Auxiliary Lens Rotary prism right 10 A BI prism left Expectation To make the right and left horizontal rod become horizontally aligned in the center Operation Sequence 2 Ask the patient as follows Are the two horizontal rods 1 To enter the vertical phoria mode press aligned the vertical Von Graefe Chart twice or use the BDBU button in the If Yes finish this test since the patient has no phoria horizontal Von Graefe Test mode If No continue this test since the patient has phoria 3 Ask the patient as follows Which one is higher among the two horizontal rods If The left one right eye with hyperphoria Turn the dial counterclockwise to add the BD prism till the two rods are horizontally aligned If The right one left eye with hyperphoria Turn the dial clockwise to add the BU prism till the two rods are horizontally aligned 4 After finishing this test press the F6 button to save each results of phoria tests is maintained separately or the F7 button to discard the result 109 110 Digital Refractor GDR 7000 _
40. A PRISM field 13 Button for Function Keys These buttons are for the selection of function keys in the LCD bottom area 14 Escape Button This button is for escaping from the current mode to main examination mode 15 Switching of vision Test Mode This button is for changing between FAR and NEAR 2 Connect for IR chart project D Connect for serial cable PC 3 Connector for Junction Box Explanation 1 Serial interface Port to connect the Operation Panel to an external device with a serial cable Normally this port is used for downloading and upgrading the Operation Panel The type of connector is D SUB 9 pin 2 IR interface Port to connect an interface cable with IR diode at the end of its one side This interface is for communicating with a chart presenting instrument which doesn t support CAN communications 3 Connector for the Junction Box Port to connect the Operation Panel to the Junction Box The type of connector is 6 pin 18 Digital Refractor GDR 7000 _ 2 2 20 2220 00 0220 0 3 4 Various Accessories This section introduces the various accessories included for GDR 7000 system A Accessories for the Digital Refractor Explanation 1 Forehead rest 1EA 2 Face shield 4EA 2EA attached 2EA as spare 3 Near Point Card 1EA 4 Interface cable 1EA CDR lt gt JB 8 pin CAN 3m 5 Near point Rod 1EA 6 Dust Cover 1EA 7 Bolt Cover 2EA 8 Screw Bol
41. Ai AKS 140 0 25 0 25 ADD VA R Neat y Data from Subjective Test FAR Additional Visual Acuity L 0 0 0 00 Visual Acuity L 20 NEAR Visual Acuity Final Data FAR Additional Visual Acuity Visual Acuity wane enn nn en enenenn nn enenennenenenennenenenenennenenenennenenenenes Digital Refractor GDR 7000 129 NEAR eke naa me RA NEAR 0 50 SPH 5 50 0 00 CYL 0 00 0 AS 0 000 ADD 0 00 0 00 0 00 bs Visual Acuity e Hin Visual Function e E Binocular Visual Function Test NPC aaan aaa fem 105MA 67 3 NPC NEAT NPA Jiem 3 03D BLR BRK RCY NRA l peheee NRA 1 00 I 075 FRA OU Lat al conan oN PRA 0 75 I 68 50 lt FAR gt tates FAR BLR BRK RCV NPC Divergence 9 00 11 00 8 00 NPC PRC Comvergence peice tenint sst seinninn PRC i000 1200 900 Schober Schober BOOS XL BO 0 50 100 YC BD O50 Von Graefes BOOS X BO Q Von Graefe 000 Y BD 0 00 Coincid Coincidence oincidence BO 0 30 BO 0 30 BU 0 10 YC BD 0 10 129 130 Digital Refractor GDR 7000 BO Q50 30 BO 0 50 OM Yi BU 050 Pois Cross wiFix 0 00 Xi BO 050 OA YE 0 00 Maddox Rod BO 030 XC BO 0 30 EU 010 Yl BU O10 lt NEAR gt 5 _ R HRK NPC Divergence a00 c00 600 PRC Comvergence 6 00 700 400 Schober BO 1 00 X BO 1 00 O00 YC BD 050 Von Graeffe BO 030 X BO O40 BU O10 Y BD O10 Coimecidence BO 060 Xf BO Q6 BU
42. C 7cm 10cm NPA OU 33cm 2 00D R 33cm L 34cm 4 dots Stereo YES Min Stereo 10 Aniseikonia V YES H NO Fusion NEAR LIST1 LIST2 usTs MEJ Ee ERI LIST2 ADD VA BI BO BD BU NPC NPA Fusion Worth 4 Dots Stereo Minute Stereo Aniseikonia T POD 60 rears There fy A AMP Foyt Gcm AFPA U Shc 3 Sb A Get Li Chern Pum 4 Doty Sturaa Oe Hes Scares 1 1 Digital Refractor GDR 7000 45 LIST3 BLUR BREAK RECOVERY NPC NPA Fusion Worth 4 Dots Stereo Minute Stereo Aniseikonia ID PO20319 0001 s NRC 8 00 15 00 7 00 PRC 7 00 11 00 6 00 UB ry NRC 8 00 15 00 7 00 PRC 7 00 11 00 6 00 OU 4 00 3 50 NRA R 5 00 4 00 L 3 75 3 75 OU 2 00 2 25 PRA R 2 50 2 00 L 2 00 2 00 NEAR LIST1 LIST2 ust3 MES Eza KOI Domnant Eye R NPC 7cm 10cm NPA OU 33cm 2 00D R 33cm L 34cm Fusion 4dots Stereo YES Min Stereo 10 Aniseikonia V YES H NO PRISM Results of Schober Von Graefe Aniseikonia Polarized Cross With the Fixation Point Test Madox Test NPC and PRC Tests ID P020319 0001 PD 64 0 mm HORIZONTAL VERTICAL TEST NAME U 0 70 D 0 70 e Schober 13 50 1350 uo s0 D o 50 1450 14 50 14 50 14 50 L U Coincidence 14 20 14 20 0 60 D 0 60 U 0 70 D0 70 NRC Div Blur Break Recov PRC Con Blur Break Recov 10 00 1300 6 00 NEAR 45 46 Digital Refra
43. C 0 05 Custom A2 ALT C00 0 1 004 0 16 Custom A3 ALT 11 12 4 wyi 8 ast Custom A4 13 5 Editing of the Test Guide GDR 7000 system provides the test guide message to help your eye examination It appears on the left button window of the screen You can also change the test guide message as you want Press MENU and select Edit Message and Test Guide Choose the test guide you want to edit and press EXE or SET or F6 EDIT You can make a new guide message on one of empty slots default value is EMPTY or edit the exiting test guide message It is possible to make 28 test guides and to write 54 characters at every test guide message But you cannot edit the system provided test guide message 139 140 Digital Refractor GDR 7000 _ GUIDE MSG CUSTOM EMPTY Because of the long length of the guide message the intelligent message guide provides the function to copy and paste the message Press F1 SYSTEM in Test Guide editing mode to open the list of the system test guide message Choose the test guide message you need and press F6 COPY to copy the message Return to the test guide list by pressing F2 CUSTOM Select the guide message you want to edit Paste the messaged by pressing SHIFT and F3 PASTE at the same time Press F6 EDIT to start the editing CYL Which figure bs clearer or Zt I seni soled Dig
44. Cylinder Chart Dot group chart Auxiliary Lens DUAL Cross Cylinder Lens Expectation The Dots Group Chart divided into two parts in the same screen can be seen uniformly clear Operation Sequence 1 Select the desired field by pressing the 2 Press the Dots Group Chart to R or L button enter the Cross Cylinder mode SHIFT rs 4 The patient sees the Dots Group 3 Press SHIFT F5 DUAL to Chart as two divided parts Referring change into the DUAL Cross Cylinder to the left guide area showing the location of the two charts as the patient sees them ask the patient as follows Which chart do you see clearly right or left Which chart do you see clearly up or down The answer will be right left or up down After analyzing the location as area 1 or 2 comparing to guide area If the area 1 is seen more clearly turn the dial counterclockwise direction If the area 2 is seen more clearly turn the dial clockwise direction This test is ended if there is no difference in the area 1 and 2 ene nnn en en ene nnne Digital Refractor GDR 7000 97 11 6 Cross Grid for Distance Test Objective To obtain the maximum corrected monocular SPH using Far Cross Grid chart Accommodation Chart Cross Grid for Distance chart Auxiliary Lens Fixed Cross Cylinder Lens Expectation The Horizontal and Vertical rods can be seen uniformly distributed and equally clear Ope
45. DR 7000 117 11 21 Minute Stereo Test Objective To execute the Minute Stereo Test during the subjective test Chart Minute Stereo chart Auxiliary Lens 135 Polarizing Filter right 45 Polarizing Filter left Expectation Starting from the central fixation point clockwise the next rods pair appear to be more and more close and clear to the patient than the previous one Operation Sequence 2 Ask the patient as follows BAN 1 To enter this mode press the Stereo Chart twice or the SHIFT button and the Stereo Chart at a time How do you see the rods from the upper rods in 12 o clock direction to 3 6 and 9 o clock directions one after another with the fixation point at the center If the rods in 12 and 3 o clock directions appear stereoscopically the patient can recognize up to 1 arc minute Press the F1 button to set 1 arc minute If the rods in 3 and 6 o clock directions appear stereoscopically the patient can recognize up to 2 arc minutes Press the F2 button to set 2 arc minutes If the rods in 6 and 9 o clock directions appear stereoscopically the patient can recognize up to 4 arc minutes Press the F3 button to set 4 arc minutes the upper one There is no problem in stereo visual acuity Press F1 to mark OK If the rods in 12 o clock direction and the central fixation point appear stereoscopically the patient can recognize up to 10 arc minutes Press the F4 button to
46. GDR 7000 55 TEST 1 Unit Test button You can choose one among the 24 system provided basic test or the 35 user defined test Press the SHIFT and TEST button at a time to enter the user defined test display 2 Patient s ID Input button Press the ID button to input the patient s ID It is used to check the measured result Press the PD button to enter PD control mode for both eyes and turn on the LED for VD check simultaneously 3 Near Far Vision Mode Conversion button Changes the visual mode between the near and far The header of the digital refractor will be converged mechanically in case of the near working distance ae m 4 Dissociative Prism Selection button Loads the 6 A base up prism for the right eye Loads the 10 Abase in prism for the left eye base in prism can be complemented from 0Aup to 5A You may change this value in the system option value 55 avin DIGITAL REFRACTOR CDR 3100 5 Data Item Selection buttons S Spherical power VA Visual Acuity C Cylinderical Power BIBO Horizontal Prism A Cylinder Axis BDBU Vertical Prism ADD Additional Power TIP Pressing the ALT and C buttons at the same time convert sign to On the other hand pressing with the SHIFT button initializes the corresponding field to zero for the right left and both eyes especially for VA AA a amp 6 Buttons for Function Key execu
47. Press the Landolt Ring Chart in initial display Then the Test item changes to VA Landolt Ring and the Chart item to Landolt Ring 5 Choose the Test and turn the dial to change the Test and Chart Items The simplified method such as TEST or SHIFT Chart is also available If Chart is selected choose Test Mode Dist in the left window continuously and turn the dial to assign BINOCULAR Notice that the Mask buttons cannot be used to move within menu after the VA Chart is selected Instead of this use arrow buttons under the MENU button to move up and down 81 82 Digital Refractor GDR 7000 2 220222 20 2 2 2 Teat Chart Test Moded Dat Press the F3 button to add a new display step for the user defined program Push the Red Green Balance Chart in this display and then the Test item will be changed to Red Green Test and the Chart item to Red Green After selecting the chart subsequently choose the Test Mode Dist itm in the left window and turn the dial to assign FAR Likewise choose the Eye item and turn the dial to assign BINOCULAR 3 aS Test en enn nn en enn nn en Digital Refractor GDR 7000 83 Let s enter the third step Similarly press the F3 button to add the new display for the user defined program Push the Dots Group Chart in this display and then the Test item will be changed to Cross Cyl Test AXIS and the Chart item to Dots G
48. R v1 1 or net v1 0 Controller Type gt OP xA DEC selects proper value according to Chart type ene nnnn en en enn nnn Digital Refractor GDR 7000 35 B CDC 4000 model 7 7 EXTERNAL INSTRUMENTS Chart Connection gt SERIAL Always SERIAL There is no version with which you can connect directly to IR in space saving chart This option is automatically set as IR if Chart Device option is changed to space saving chart Chart Device gt Space saving chart or chart projector Controller Type gt OP xA DEC selects proper value according to Chart type To set the above mentioned system option enter MENU gt System Config and then move to page After setting press the F6 button to save your configuration and exit setup It will be helpful to press one of the chart buttons for simple st alia test Soe ee Bn Be Pe Be ee a ee Chart Ciian KONE Gorntiella Typa amo Ea ola sia sa na nin nla ola na n an iola na nla na ola na nia nia ae ae oe i oe Boe oe m ne u ae Faas Taw Ge cea cee installation Type nia n n o a s a oa n n ola s a na n a ola n a o a n a De e HARG RESET NETWORKED l E E E a E E zi E E l E E a E l E OOO O o Bee eS ee Ree PR RR Re ee eee eee ee 35 36 Digital Refractor GDR 7000 2 22 2 0 22 20 2 2 5 3 Setting RK Option First of all make sure that the baud rate in RK system configuration is set to 9600
49. S Values 8 1 7 Left Red Green Test The seventh Step is to calibrate the SPH value minutely for the left eye on the base of the resultant SPH CYL AXIS values from step 6 See 8 1 2 Right Red Green Test 8 1 8 Left Jackson Cross Cylinder Test Using the Dot Chart AXIS The eighth Step is to calibrate minutely the AXIS value for left eye on the base of the resultant SPH CYL AXIS value from step 6 see 8 1 3 Right Jackson Cross Cylinder Test Using Dot Chart AXIS 8 1 9 Left Jackson Cross Cylinder Test Using the Dot Chart CYL The ninth Step is to calibrate the CYL value minutely for the left eye on the base of the resultant SPH CYL AXIS value from step 6 See 8 1 4 Right Jackson Cross Cylinder Test Using the Dot chart CYL 8 1 10 Verifying the Left Spherical Power Now we finished the monocular test for the left eye verify right spherical power one more time Use mask for foregoing inspection if necessary 8 1 11 Verifying the Binocular Spherical Power Now we finished the monocular test for both eyes verify the right and left spherical power one more time Use mask for the foregoing inspection if necessary 65 66 Digital Refractor GDR 7000 2 2 20 20 2 2 2 Reem SUBJ PRK FARC L s om 0 25 c 0 00 15 A 0 0 00 ADD 0 00 VA 11 15 oNCeG 08 pu 200c0 09 m L 99000 1 0 STANDARD 8 1 12 Far Distance Horizontal Vertical Coincidence Test It performs an i
50. STOM B CUSTOM C CUSTOM D CUSTOM E CUSTOM F CUSTOM G CANCE 135 136 Digital Refractor GDR 7000 0 2222 2020 0020 0020 002 You can rewrite the message by using the buttons as shown at the Figure 154 When you press the key on the operation panel the characters display on the INPUT Each time you press key or turn dial the character is changed for example A gt B gt C gt A gt B gt C if you press the wrong button you are alarmed by beep sound TRHFOD E34 3 cocD osant E DEF pe t GHI Le Foat Kaj inini F MNO f J l i ca PRS TUV errr Se ag F For example when you press Von Graefe Chart button the letters T U V show on the INPUT line If you want to write the alphabet U you should press Von Graefe Chart button 2 times and press SET button But there are some exceptions First if you press number button 0 1 2 3 45 6 7 8 9 is display in the INPUT area also if you press symbol button amp _ t lt gt is displayed in the INPUT area Second if you press space key instead of displaying space in the INPUT area space character is applied directly into the MSG area You can input numbers as the same way When you press the VA chart for the children the number sequence from 0 to 9 displays on the screen Press the same key or turn dial on the operation panel to choose the number When you press SET button in
51. User s Manual Digital Refractor GDR 7000 ene n enn ann nn nn enna e Digital Refractor GDR 7000 1 Safety Information 1 Introduction Safety is everyone s responsibility The safe use of this equipment is largely dependent upon the installer user operator and maintainer It is imperative that personnel study and become familiar with this entire manual before attempting to install use clean service or adjust this equipment and any associated accessories It is paramount that the instructions contained in this manual are fully under stood and followed to enhance safety to the patient and the user operator It is for this reason that the following safety notices have been placed appropriately within the text of this manual to highlight safety related information or information requiring special emphasis All user operators and maintainers must be familiar with and pay particular attention to all warning and cautions incorporated herein Warning indicates the presence of a hazard that could result in severe personal injury death or substantial property damage if ignored Note describes information for the installation operation or maintenance of which is important but hazard related if ignored CAUTION Caution indicates the presence of a hazard that could result in minor injury or property damaged if ignored 2 Digital Refractor GDR 7000 _
52. apter explains the basic recipes for how to use GDR 7000 system and program execution methods by exploring the system defined program carefully from beginning to end See chapter 11 Unit Test for detailed procedures and notice 8 1 Starting the System Providing Basic Program Users should wait until finishing the GDR 7000 system initialization after power recycling For convenience s sake let s begin after changing into the SUBJ mode when entering into the main screen Press the START button to execute the system defined program If the STSRT and SHIFT button are pressed all together program selection menu will be popped up on the left side In this menu you may execute the same system defined program if you choose STANDARD and then press EXE button After the system defined program begins STANDARD the name of the progressing program and 1 15 the current step the number of the whole steps of the program will be displayed at the bottom of the right window to inform the current state 04 10 16 25PM 04 10 14 46 __ PROGRAM _ STANDARD CUSTOM A CUSTOM 8 CUSTOM C i 0 00 ADD 0 00 CUSTOM D CUSTOM E CUSTOM F CUSTOM G 900C0 09 29000 1 0 4 1 2 l 6l 62 Digital Refractor GDR 7000 2 2 2 022 00 2 2 8 1 1 Right Adjustment of the SPH CYL AXIS Values The first step for the system defined program is to coordinate the SPH CYL AXIS va
53. button to increase left button to increase right SPH value SPH value Repeat this process until the whole sections are seen uniformly oo SUBS tS FAR EE 103 104 Digital Refractor GDR 7000 _ 11 12 Worth 4 Dots Test Objective To find suppression during the subjective test It is possible to check the internal or external phoria Chart Worth 4 Dots chart Auxiliary Lens Red Filter right Green Filter left Expectation To check how many dots can be seen Normally 4 points are seen Operation Sequence 1 To enter this mode press the Worth 4 2 Ask the patient how many bright points can Dots Chart Be seen and what color is the lower circle If the patient sees 4 points it means normal fusion If the lower circle appears to be red then the right eye is dominant and if green left If the patient only sees 3 points the right eye is suppressed she he cannot see the upper rhombus shape If the patient only sees 2 points the left eye is suppressed she he cannot see the cross shape Ifthe patient sees 5 points the patient has phoria If the red diamond shape is at the left side external phoria otherwise internal phoria Ifthe patient sees 5 points and the three and the two flickers alternately the right and left eyes are alternately suppressed Perform phoria tests if the patient has phoria explicity
54. ch is selected when the PROGRAM button is pressed Headed by STANDARD user defined programs up to 10 can be change the working style of the PROGRAM button in particular Input Fusion specifies whether the results of the worth 4Dots Test will be recorded or not YES or NO can be chosen Default value is YES Input stereo specifies whether the result of Stereo Test will be recorded or not YES or NO can be chosen Default value is YES 4 Input Coincidence specifies whether the result of Stereo Test will be recorded or not YES or NO can be chosen Default value is YES Fog Balance specifies how much fog from 0 00D to 1 00D will be applied during the Binocular Balance Test Default value is 0 00D Fog Red Green specifies how much fog from 0 00D to 1 00D will be applied during the Red Green Test Default value is 0 00D Startup Mode specifies from which mode system will start when turning on the power or when the system is initialized by the CLEAR button Choose one among ENPTY UA CLM RK and SUBJ Default is EMPTY See chapter 1 for mode description SUBJ Startup specifies from which code data will be copied and used when edtering the SUBJ mode by the SUBJ button Choose one among CLM RK and AAANY Default value is ANY see chapter 1 for mode description TEST amp DATA MANIPULATION 2 Default Program STANDARD Input Fusion Input Stereo Input Coincidence Fog Balance Fog Red Gree
55. ctor GDR 7000 _ 2 22 2 2 For your information these is no separate menu but if the PRINT button is pressed in the table view states the measured results will be printed on paper via internal thermal printer It goes through Test Result display in place of the direct printing on paper if Preview List is set as YES on page 6 of the System Config which appears when the MENU button is pressed Set it as NO if direct printing is needed 6 7 PRINT OPTION Print Subjective SUBJ amp FIN ONLY Print Objective CLM ONLY Print kerato Data Print Test Data Preview List Auto Save Print To Serial Press the F6 button to verify the results in the graphical view It consists of two large parts F1 Trial Lens Data F2 Ref amp Kerato Data and F3 LISTS is provide for the conversion of the screen ES a Se oon eee e eee eee eee eee eee eee eens eee eens nesses eee Digital Refractor GDR 7000 47 Trial Lens Data Illustrates required information in brief to set up the trial lens It also visually displays the S C A BI BO BD BU PD values and the dominant sys Ref amp Kerato Data Illustrates the Ref amp Kerato Data to the screen It also visually display the S C A S E power R1 R2 PD values and the dominant eye ID PO20319 0001 TEST RESULT Trial Lens Data FIN FAR SPH 0 25 SPH 0 25 CYL 0 5015 CYL 0 50 1
56. e CLEAR button UA mode This mode is for the unaided visual acuity test Press the UA button to enter this mode LM mode This mode is for retrieving the data from LM Press the LM button to enter this mode Because loading job doesn t work automatically you should use the LOAD button to receive the data from LM RK mode This mode is for retrieving the data from RK Press button RK button to enter this mode Because loading job doesn t work automatically you should use the LOAD button to receive the data from RK Special Feature GDR 7000 supports standalone and networked modes In the standalone mode if either RK or LM button is pressed the latest transmission datum is automatically loaded You don t need to press LOAD RK EXE buttons consequently 7 7 EXTERNAL INSRUMENTS Installation Type gt STAND ALONE You can choose one between STAND ALONE or NETWORKED The above system option can be set by entering MENU system Config and moving to page 7 After setting press the F6 button to save the new configuration en en enn en en en nnn en ene nnnnenenenennenenennnnenenennenenenennenenens Digital Refractor GDR 7000 23 SUBJ mode This mode is for inspecting with GDR 7000 system Press the SUBJ button to enter this mode You can think this mode as basic one FIN mode for calibrating the value after all the optometry processes are finished Press the FIN button to enter t
57. e Default value is YES VA Auto Set assigns how to set up chart mask while inspecting Visual Acuity POINT ROW or OFF can be chosen Default value is NO 4 Allow Addition specifies whether additional power can be accepted or not YES of NO can be chosen Default value is ROW 6 ADD Estimation specifies whether the Additional Spherical Power will be estimated or not YES or NO can be chosen Default value is NO F lt gt NDATA Link specifies how to reflect the reflect the ADD value between near and far distance SPH ADD adds SPH and ADD SPH only reflects SPH and OFF doesn t reflect anything Default value is OFF Working Distance assigns Working Distance from 35 to 70 cm Default value is 40cm PD Auto Set assigns data source to be referred to for setting PD value RK CLM or OFF can be chosen Default value is RK It is recommended to select RK for PD state because it is easier to measure PD using RK than using CLM _3 7 _ TEST amp DATA MANIPULATION 1 4Display Blur Break Recovery VA Auto Set POINT ROW Allow Addition YES ADD Estimation YES F lt gt N Data Link SPH ADD SPH Working Distance PD Auto Set 73 74 Digital Refractor GDR 7000 _ D Page 4 LENS MANIOPULATION 2 Sets all kinds of inspections and data 4 7 modifications Continued from page 3 Default Program assigns basic program whi
58. ear NO Auto Save NO Print To Serial NO 5 7 Using Internal Database GDR 7000 system keeps the previous patient s records up to 60 persons After the patient s records have been printed completely on paper it goes in the internal memory storage unit of GDR 7000 system by FIFO First In First Out which means first examination data is lost first in the case of out of memory method If you want to retrieve patient s record press the LOAD and SUBJ button in turn to verify the list of the patient With the aid of patient s identifier the desired patient s record can be easily taken out and set to lenses as if it were the data from LM or RK After the pre printed patient s identifier is compared selection can be done with ease See chapter 12 Results and Printout for checking the location of patient s identifier the first part ooo eee e eee eee eee eee eee eee eee eee eee eee eee sees eens Digital Refractor GDR 7000 41 04 10 14 46 LOAD FIN RECENT P000120 0006 P000120 0005 However this function is net factory default Set Auto Save to YES on page 6 in system configuration so as to save patient s record automatically after finishing printing on paper To keep the records of patients more than 60 person use the CDR MATE to save them using the patient management system on PC At PRINT OPTION aa I oe SUBJ amp FIN ONLY Print Onecie CC Print kato Deta er Print Tast Osta
59. ecute this unit test program Consequently the Dual Cross Cylinder will be placed in the right eye the AXS will be reversed on the screen and the numeric chart will be spread You may be worried that the test combined with the basic buttons might be gone away if a unit test is made like this However GDR 7000 system prevents not to override the system provided basic tests absolutely Therefore there is no situation on earth that basic test of your system could not be processed by your accidental or intentional mistakes EDIT TEST bezug ogi e maggi i en en enn en en en nnn en ene nnnnenenenennenenennnnenenennenenenennenenens Digital Refractor GDR 7000 91 11 System Defined Unit tests There are total 29kinds of system defined unit test in GDR 7000 system If you press TEST button and F1 SYSTEM one after another you can see the following list We describe here each test to be referred to for the real optometry process Near VA with ADD Near Visual Acuity with Additional Spherical Power Test Near Point of convrg Near point of Convergence Test Near Point of Accomm Near point of Accommodation Test Near ADD Near Distance Additional Spherical Power Using Cross Grid Test Negative Relative Accomm Negative Relative Accommodation Test Positive Relative Accomm Positive Relative Accommodation Test Negative Relative Convrg Negative Relative Convergence Test Positive Relative Convrg positive
60. efault value is YES 4 S E Fix specifies whether spherical equivalent power will be fixed or not Choose one among CC ONLY for CROSS CYLINDER only CYL MODE for CYK mode only OFF turning off both CC and CYL and ALWAYS turning on both CC and CYL Default value is CC ONLY Retinoscope assigns kind of retinoscopic lenses Select one among 1 5D 2 0D and OFF Default value I 1 5D 10ABI Complement assigns additional prism power up to 0 5A to be placed in 10ABI aux Split prism lens Default value is 2A this option has influence not only on lens but also on various screens showing 10ABI As a result you can understand the current situation with ease AAuto Occlusion assigns YES or NO whether auto occluding for patients will be executed when the prism is changed abruptly Default value is YES Link Atest w X Y A assigns YES or NO whether the left top prism area for phoria and right main area will be synchronized of not Default value if NO LENS amp DATA MANIPULATION anno 2c eee MENE Sees eee eds E nS ine ee ee i i i Lirias Tet w WANA YES ween nnn e nen enn nne Digital Refractor GDR 7000 73 C Page 3 LENS MANIPUATION 2 sets all kinds of inspections and adt modifications A Display assigns the notational method for prism X Y of r O can be chosen Default value is X Y Blur Break Recovery specifies whether the Blur Break Recovery value will be set up YES of NO can be chos
61. ement Clean them before measurement en en enn en en en nnn en ene nnnnenenenennenenennnnenenennenenenennenenens Digital Refractor GDR 7000 15 3 2 Junction Box Junction box plays an important role in the connection among various devices operation panel RK LM GCP 7000 and PC This component supplies not only communication channel but also power channel Connector for amp Connector for Operation Panel Digital Refractor 5 Explanation 1 Connector for CAN based instrument or terminator Port to connect the Junction Box to a chart Presenting device Port to connect the Junction Box to RK or LM Port to connect the Junction Box to another Junction Box Port to connect a terminator for termination Xx Be aware of the 4pin connector 2 Connector for Operation Panel Port to connector the junction box to the Operation Panel Xx Be aware of the 6pin connector 3 Connector for Digital Refractor Port to connect the Junction Box to the Digital Refractor Xx Be aware of the 8pin connector 16 Digital Refractor GDR 7000 _ 20 2220 20 2220 2 3 3 Operation Panel Operation Panel plays an important role as a brain which controls all the devices centrally It is able to control Digital Refractor the communication from RK ref kerato meter LM lensmeter and or PC Explanation 1 2 3 4 5 6 7 LCD display This screen is for information about
62. ene nnnn en en ene en Digital Refractor GDR 7000 89 consequently Afterward press the F6 button to save and exit Finally press the ALT button and the Red Green Filter Chart button to execute this unit test program As a result there will be fogged by 0 5D in the right eye and the Red Green Filter will be placed in the Number Chart EDIT TEST Of course the user defined Red Green Filter Chart can be chosen by doing the TEST gt F2 CUSTOM gt turn the dial procedures one 1S Pw Pogo amp sesame H m C 0 05 Custom AZ a COO 1 909016 Custom A3 ALT t Let s take another example Use a Number Chart instead of the dot Group Chart when processing the Dual Cross Cylinder Test After pressing the MENU buttons select Edit Test and push the EXE button so as to enter the Unit Test Program Edit function and select Dots Group Chart 89 90 Digital Refractor GDR 7000 2 2222 20 2222 2 0 First press the Number Chart Button The chart with 0 6 50 in 20 20 15 in 6 6 will be suitable matching for the patient s visual acuity Assign FAR to the Test Mode item AXS to the Data Element item RIGHT to the Eye item and DUAL to the Cross Cylinder item Then the Cross Cylinder Test can be processed using the Number Chart instead of the Dots Group Chart Push the F6 button to save and press the ALT and the Dots Group Chart button at a time to ex
63. ens 135 Polarizing Filter right 45 Polarizing Filter left Expectation The upper right cross mark for the right sys and the lower left cross mark for the left eye are overlapped into one ideal cross Operation Sequence 2 Ask the patient as follows Can you see one ideal cross 1 To enter this mode press the Polarized Cross Chart mark If Yes the patient has no phoria All done If No the patient has phoria Continue the test 3 At firsthand ask the patient to measure the horizontal phoria as follows Is the L shape to the left of the 4 shape or to the right of it If Right esophoria Turn the dial clockwise to add the BO prism till they form a cross mark If Left exophoria Turn the dial counterclockwise to add the BI prism till they form a cross mark 4 At secondhand ask the patient to measure the vertical phoria as follows Which shapre is higher 4 or If shape left eye with hyperphoria Turn the dial clockwise to add the BU prism till they form a cross mark If 4 shape right eye with hyperphoria Turn the dial counterclockwise to add the BD prism till they form a cross mark Tort the dial clockwise to add the BO priem Gl the vertical bar comes to the ofthe horizontal bar Tuan the dial counterclockwise to mki the BI prise Sil the vertical bar comes to the center of the horizon
64. ens Digital Refractor GDR 7000 69 9 Configurations GDR 7000 system provides various kinds of system configuration menu and thus it is able to optimize optometry environment You may start configuration by pressing the MENU button Then selects System Config and finally press the EXE button It is composed of 7pages and the major categories are as follows LENS MANIPULATION 1 2 TEST amp DATA MANIPULATION 1 2 Before exploring configuration by page sequence all around button method is covered oystem Contig Edit Test Edite Message Aux Lenses 9 1 Button operations Button operations for system configuration are introduced briefly Moving F1 backward and F2 forward buttons are for moving by page Up and Down arrow buttons in the menu and mask area are for moving by field AAANAAGA OS T F E HON E Pack Next 69 70 Digital Refractor GDR 7000 2 2 222022 00 2 2 2 Modifying Values Turn the dial or press the right and left arrow buttons in the mask area to change field value AAARANA mE fig Ea fo ES Cancel You can be at ease when you have made unexpected mistakes Press F3 RESET button to revert to original values of current paged and SHIFT F1 REROAD to revert to all the original values of all over the pages just before Of course RESET and RELOAD are only applicable before saving Edd ea GE Laue Sa
65. ents from printing the results from the subjective test it doesn t print Data from Subjective Test Print Objective assigns the items to print when printing the results of the objective test You can select ALL all data related to the objective test RK ONLY shows only RK information it only prints Data from Refractometer CLM ONLY show only CLM information it only prints Data from lensmeter or OFF prevents from printing the results from the objective test it doesn t print neither Data from Refractometer nor Data from lensmeter Default is OFF Print Kerato Data assigns either YES prints the Data from Keratometry or NO doesn t print it Print A Test Data assigns either YES prints the information about prism among Data from Binocular Visual Function Test or NO doesn t print prism related data PRINT OPTION Print subjective Print Objective Print kerato Data YES Print 4 Test Data YES Preview List YES Auto Clear YES Auto Save Print To Serial en en enn en en en nnn en ene nnnnenenenennenenennnnenenennenenenennenenens Digital Refractor GDR 7000 133 12 3 Print On the Screen If SHIFT PRINT is pressed the summarized information will be shown on the LCD screen GDR 7000 system shows the results divided into NEAR and FAR in a condensed from and helps display conversion by using function buttons See 6 1 Test Results for more information about summary result
66. es eee m m m m m e m e m m e m e Digital Refractor GDR 7000 143 Finally you should put Comment Msg When you turn the dial you see the test guides you make in advance Select the test guide eg User Defined DUAL XC and save it When you execute this program the test guide display on the left window Test Chert Teat ModeiDlat You can write test guide while you make the user defined unit test Suppose you make new user defined unit test as described at the chapter 10 At first make any test guide as described at the 13 5 eg User Defined R G 143 144 Digital Refractor GDR 7000 _ Open the Edit Test window EDIT gt Edit Test Set Chart to Number and R G press Number chart and R G chat Test Mode to FAR Data Element to SPH Eye to RIGHT Cross Cylinder to NONE fogging to 0 25D and Auxiliary Lens to NONE Finally you should put Comment Msg When you turn the dial you see the test guides you make in advance Select the test guide eg User Defined R G and save it When you perform this test the test guide display on the left window EDIT TEST ee ee ee eee ee eed pee ee ee LLELLE 0 00 c 0 00 0 A 0 0 00 atop 0 00 aoe eee m eee e eee m e e e seen seen sees sees sees senses sees eee e m m m m e m e m m e m e Digital Refractor GDR 7000 145 Appendix A Hardware Specification Measurement Range 29 00 26 75D Regula
67. essly to exit with luck GDR 7000 system provides the ESC button consistently In other words whenever the ESC button is pressed it goes to the main display without exception GDR 7000 system provide EXE SET button for the user confirmation Almost every dialog box or menu selection supports EXE SET button Moreover the F6 button is allocated to Ok and the F7 button is allocated to Cancel for convenience Therefore you can make use nearest or convenient one ome amp amp AO Pre ED Ez e 53 54 Digital Refractor GDR 7000 _ 22 2 4 BIBO BDBU and ADD buttons If these are pressed again in the PRISM either vertical or horizontal or ADD mode the reversed screen is changed to square shape and the corresponding lens rotary prism is removed or the ADD mode is temporarily resolved This function is of great use when you show your patient comparing the normal and current state EO OWE WOR 0 00 8 0 00 0 00 85 0 00 0 00 S 0 00 0 00 c 0 00 0 00 c 0 00 0 00 c 0 00 O A o A O O A O 0 O 0 00 xm LO 0 00 O 0 00 xw O 0 00 ADD D 0 00 ve U 0 00 D 0 00 vy amp U 0 00 VA Now it is time when we discuss the features and functions of each button As GDR 7000 system is made to maximize user s convenience you have only to be fully aware of these basic descriptions to proceed into basic optometry DIGITAL REFRACTOR CDR 3100 a Digital Refractor
68. fies whether the test results will br saved or net when the PRINT button is pressed YES or NO can be chosen Default value is NO Print To Serial specifies if the data is transferred to the CDR Mate or the internal printer YES or NO can be chosen Default value is NO In case that the CDR Mate is not used assign NO for printing by the internal printer PRINT OPTION Print Subjective Print Objective Print kerato Data Print 4 Test Data Preview List Auto Clear Auto Save Print To Serial wane en en enna enna en enenen enna nn nnennnennnenenenenneeenneenneeeenens Digital Refractor GDR 7000 77 G Page 7 EXTERNAL INSTRUMENTS Sets various environments on external instruments RK Copy Kerato specifies whether Prism data is transmitted form RK or not YES or NO can be chosen Default value is YES CLM Copy A specifies whether Prism data is transmitted from CLM or not YES or NO can be chosen Default value is NO 3 CLM Copy ADD specifies whether ADD data is transmitted from CLM or not YES or NO can be chosen Default value is NO Chart Connection specifies how to deal with the chart connection Choose one among SERIAL serial IR Infrared and NONE without chart Default value is SERIAL Chart Device specifies the kind of the instrument Choose chart device Default value is GCP 7000 Controller specifies the type of the controller Default is OP xa DEC for Korean user The default value may be c
69. glasses one Pa 1a FD eo S i o FA FrN 0 50 c 0 50 iO A i 0 25 app 0 25 va 0 05 a Te ET n T Al a TT i l RARAN ee ee ee ee A E gt i i Ss Various inspecting modes play an important role not to lose patient s optometry information and hold data for each mode Therefore it is clear that they are inevitable when you survey and analyze all the information ene n enn ann nn nn enna e Digital Refractor GDR 7000 27 4 2 Data Duplication Mode change is always followed by data duplication For example if starting from initial mode and pressing the SUBJ button to enter SUBJ mode you can see that all your previous works are duplicated as they are in the SUBJ Likewise changing some mode including SUBJ to another one causes data duplication But there is con exception UA mode Comparing to others UA mode works in a quite independent way It doesn t have influence on other mode and it is not influenced from others There is a direct compulsive duplication method when changing into SUBJ mode from others If SUBJ Startup is set to LM in TEST amp DATA MANIPULATION 2 on system configuration page 4 it always reproduces the LM data into SUBJ and if RK always from RK into SUBJ Also if ANY which is factory defined initial value from arbitrary mode into SUBJ Data Duplication occurs only once to prevent unintended mistakes For example once duplicatio
70. green If the corrected visual acuity is lower ask the patient to read the bigger letter 34 5 in the higher area 11 4 Jackson Cross Cylinder Test Objective To obtain the maximum corrected monocular CYL and AXIS values during the subjective test using the Jackson Cross Cylinder Chart Dots Group chart Auxiliary Lens Cross Cylinder Lens 025 050 Expectation The Dots Group Chart can be seen uniformly clear in spite of the up and down movement of the Cross Cylinder Operation Sequence enn enn en en enn n Digital Refractor GDR 7000 95 1 Select the desired field by pressing the 2 Press the Dots Group Chart to R or L button enter the Cross Cylinder mode 3 Press SHIFT F6 025 OR F7 050 to 4 While pressing the button 1 and change into the Jackson Cross Cylinder 2 alternately ask the patient with which button he she can be seen clearly 1 or 2 If the result of button 1 is seen more clearly turn the dial counterclockwise direction If the result of button 2 is seen more clearly turn the dial clockwise direction This test is ended if there is no difference in the result of the button 1 and 2 95 96 Digital Refractor GDR 7000 2 0 220 20 20 222 0 11 5 Dual Cross Cylinder Test Objective To obtain the maximum corrected monocular CYL and AXIS during the subjective test using Dual Cross
71. hanged for other countries Reset Type On Clear specifies how to reset while cleaning SOFT RESET or HARD RESET can be chosen Default value is SOFT RESET It is recommended to assign HARD RESET where the power voltage is unstable or there is much electronic noise in your inspection room so as to guarantee the reliable reset i EXTERNAL INSTRUMENTS MRK Copy kerato YES CLM CopyA YES CLM Copy ADD YES Chart Connection IR NONE Chart Device CCP 3100 Controller Type OP xA DEC Reset Type On Clear f SOFT RESET HARD RESET Installation Type ONA NETWORKED 71 78 Digital Refractor GDR 7000 _ 2 2222 20 2 2 The Following table illustrates how to set the external instruments according to the kind of GCP 7000 in brief Chart Type Chart Connection Chart Device CDC 4000 SERIAL CDC 4000 CDC 4000 IR CDC 4000 CCP 3100 SERIAL GCP 7000 So far we looked around all the system options Default values for the frequently used options are pre defined for user s convenience Therefore you may make use of them without change However you can tune your system for your taste little by little after you be accustomed to them more or less ene nnn en en ene nnne Digital Refractor GDR 7000 79 10 Program Editing If user defined programs are made matching for the doctor to use them to and the purpose of the program in advance the training cost will be greatly reduced and the inspect
72. he dial and to another display by the F3 page UP and F4 page DOWN buttons UP to 16 lenses can be chosen through 2 pages with the right let sys F6 forces selected lenses placed and F7 makes it cancel and returns to the original screen EXE corresponds to F6 and ESC to F7 which makes the procedures more quick and convenient PE fee freon Yo at There is a specific case that two lenses are reversed in one line at the same time when choosing lenses This is not a fault but a special automatic function provided by the system which helps to select the right left lenses for user s convenience If you select the Polarized Red Green or PD Check lens the right and left lenses will be simultaneously placed On the other hand lens selection might be limited according to the right and left eyes by the system features 10 A BI Vertical Maddox and Red Filter can be placed exclusively in the right sys but 6 ABU Horizontal Maddox and Red Filter in the left eye only The others can match for both eyes enn enn en en enn nnee Digital Refractor GDR 7000 51 Table 1 shows eee ie lenses usable with GDR 7000 LenRight Polinsed 133 H A Hal ret Jackson Cross LefyRight 10 ABI prism lens can be complemented with the prism value between 0 and 5 You may change this value in system config menu According to this value screen display will be changed slightly Assign the required value in 10ABI complement
73. his mode But there is hidden mode PRESET mode and AUX OFF mode In PRESET mode you can hold lens not to move until finishing your job so that you can freely set the field value without engaging accommodation AUX mode helps you to describe normal chart state for the patients by way of removing auxiliary lens for a while 23 24 Digital Refractor GDR 7000 _ 4 1 Why Inspection Mode is Important You cannot understand why there are so many inspection modes at first It seems that it is enough to start once and then do subjective optometry directly and it is spare of time to start from initial mode and change modes several times But if you consider the following situation you would know that such modes are greatly useful SCENARIO First optometrist measures the patient s vision with RK and inspects his her glasses with LMP Let s think about the following situation 1 When you measure your patient s visual acuity with RK you cannot understand the importance of the modes at this stage Change the S C A values in this order after the patient s state 2 All of a sudden if you want to know the data from RK during subjective optometry Without the aids of powerful mode conversion you should use a sheet of paper and a pencil at your hand or printout inconveniently because the measured values of LCD screen beforehead have already overwritten However with your s
74. ide VD check Windows D Measuring Windows Explanation 1 Measuring Windows patient look at the chart through these windows 2 VD Vertex Distance Check Windows Used to check the patient s VD the distance from a corneal vertex point to the lens 3 Forehead Rest Knob Used to move the Forehead Rest forward and backward in order to adjust the vertex distance VD 4 Level Used to verify that the refractor head is level 5 Near Point Card Used for ADD power measurement 14 Digital Refractor GDR 7000 _ 2 2 22 6 Near Point Rod the distance from the patient s sys to the Near point card is marked in inches and centimeters 7 Horizontal Knob Used to adjust horizontal balance using the 4 Level Patient s side Operator s side ty 5 om Be eea wee ee m Me i oe eem ee oe al SSaaeee ee ee ee rt et ae i zm ft pee eee y E _ Se LAS a ae bii ua k Pae M b 1 a L i u n i j Or Fa i ra aa i ee ee teas 1 EES paid TETTA be 1 Hfi H ii Ji rt yl i fy th ot ae 4 1 Aj ri st Se 7i y fet jp ar Ay mi _ E LL E ok Tr j A Ae Ps _ _ _ _ _ Face Shields Ben ar i PE ere i T H Measuring Window Explanation 8 Forehead Rest Patient s forehead should touch the rest during measurement 9 Face Shields Patient s face touches the shields during measur
75. ide one more time 04 10 14 46 LOAD DATA Transferred Data CLM Database SUBJ Recent When the LM or RK button is pressed or LM and RK field is selected in the Transferred Area there is more than one datum data list will be proped up and the measured value will be shown on the left windows using the arrow keys and the dial to move vertically on the list It is expected to verify the patient s ID on the printed paper from the auto refractometer or the auto lensmeter and then en en enn en en en nnn en ene nnnnenenenennenenennnnenenennenenenennenenens Digital Refractor GDR 7000 39 pick put the desired value The patient s data can be chosen more exactly if you compare the list number and the printed number on paper and then validate it with the preview values Let s select the suitable list and press the EXE button to reflect values to the left window At this time we can see that the S C A values including PD are set automatically to the header or the digital refractor Using the LOAD function leads Quick examination If you want shortcuts such as LOAD LM or LOAD RK press the LM or RK button with the SHIFT button at the same time And then LM or RK lists will come out straightly The more easy method to load from RK or LM is available As you already have seen GDR 7000 system supports stand alone mode In stand lone mode if either RK or LM button is pressed without entering Transfer
76. ing the Cross Grid Test ween nnn e nen enn nne Digital Refractor GDR 7000 125 11 29 Near Distance Additional Spherical Power Using the Cross Grid Test Objective To correct the ADD according to the accommodation using Cross Grid Chart Near Distance Cross Grid chart Auxiliary Lens None Expectation To make the horizontal and vertical rods have the same clarity and the same width similar to Far Cross Grid Test Operation Sequence N apo 1 Press the N ADD button and lower the Near Cross Grid chart to 40cm away position from the patients eye 2 Press the R L OU button to select the field to measure 3 Change the ADD value till the horizontal and vertical rods have the same clarity and width Write down each result for the right and left eye and for the both eyes Turn the dial clockwise direction if the vertical bar is seen more clearly Turn the dial counterclockwise direction if the horizontal bar is seen more clearly 04 10 125 126 Digital Refractor GDR 7000 2 22 2 2222 20 0 0020 0020 002 0 12 Examination Results and Printout After finishing all the inspection processes you may print the results either on the screen or on the paper Since GDR 7000 system provides various options to save printing paper refer the related Chapter 6 Configuration with this chapter 12 1 How to Print Since GDR 7000 system suppo
77. ion will be processed more quickly You will catch two hares at a time Unit test can be reformed to operator s capabilities and thus provides amazing enlargement So you can benefit from this For example when using the Dual Jackson Cross Cylinder you can re define familiar number chart on beharf of the boring dot chart for Unit Test Program Editing function is divided into two part User Defined Program and Unit Test Program Since the Unit Test is thought of as a 1 step uesr defined program if you could edit user defined program in your own way Unit Test follows naturally To begin with let s start from the user defined program 10 1 User Defined Program To edit a user defined program press the menu button first and then select Edit Program and finally press the EXE button Then program selection display will be shown You can here select one from 10 program You cannot select STANDARD i e system defined program Use arrow buttons and the dial to select one for example CUSTOM A and press the button EXE Now editing screen displays itself 04 10 14 46 STANDARD CUSTOM B CUSTOM C Edite Message CUSTOM D CUSTOM E CUSTOM F CUSTOM G 1 2 79 80 Digital Refractor GDR 7000 2 2 20 2 20 2 2 The number 1 1 is appeared on the left top area in editing display The first number stands for the current step number and the second number following
78. islator expects us inform the user expressively about the safety aspects in dealing with the device The correct handling of this equipment is imperative for its safe operation Therefore please read carefully all instructions before switching on this device For more detailed information please contact our Customer Service Department or one of our authorized representatives This equipment must not be used a in an area that is in danger of explosions and b in the presence of flammable explosive or volatile solvent such as alcohol benzene or similar chemicals Do not put or use this device in humid rooms Humidity should be maintained between 30 and 75 for normal operation Do not expose the device to water splashes dripping water or sprayed water Do not place containers containing fluids liquids or gases on top of any electrical equipment or devices The equipment must be operated only by or under direct supervision of a Digital Refractor GDR 7000 _ 2 222 00 2220 00 0220 2 2 properly trained and qualified person Modifications of this equipment may only be carried out by GILRAS s service technicians person Customer maintenance of this equipment may only be performed as stated in the User s Manual and Service Manual Any additional maintenance may only be performed by GILRAS s service technicians or other authorized person The manufacturer is only responsible for effects o
79. ital Refractor GDR 7000 11 13 Schober Test 2 0 0020 0000 00000000000 106 11 14 Horizontal Von Graefe Test 108 11 15 Vertical Von Graefe Test 109 11 16 Horizontal Coincidence Test 110 11 17 Vertical Coincidence Test 112 11 18 Polarized Cross without the Fixation Point Test 113 11 19 Polarized Cross with the Fixation Point Test 114 11 20 Stereo Test 2 2 2 22 2 2 116 11 21 Minute Stereo Test 117 11 22 Near Point of Convergence Test 118 11 23 Near Point of Accommodation Test 119 11 24 Negative Relative Accommodation Test 120 11 25 Positive Relative Accommodation Test 121 11 26 Negative Relative Convergence Test 122 11 27 Positive Relative Convergence Test 123 11 28 Near Visual Acuity with Additional Spherical Power Test 124 11 29 Near Distance Additional Spherical Power Using the Cross Grid Test nnnnn nanan nne
80. ital Refractor GDR 7000 141 x eee AXS Which line is learer than others EMPTY EMPTY EMPTY When you press SHIFT and F1 ERASE in the Test Guide menu you can delete the whole message 04 10 16 25 PM GUIDE MSG CUSTOM D AXS Which line is clearer than others 141 142 Digital Refractor GDR 7000 _ 13 6 Editing of the Printer Footer You can print the prescription data including your shop name or telephone number Press MENU and select Edit Message and Printer Footer to write the printer footer You can write maximum 69 characters in three rows Press F6 OK to save the message iasan g Fa aa Fa aa Ua a s Ya s a Ta aa Ya se Fa aa Ya sa Ta aa Ta 13 7 Input of the guide in the user defined program and the user defined unit test You can write test guide while you make the user defined program Here is some example Support you make a new user defined program as described at the chapter 10 At first make any test guide as described at the 13 5 eg User Defined DUAL XC User Defined R G According to the chapter 10 open the Edit program window MENU gt Edit Program Set Chart to Cumber Test Mode to FAR Data Element to AXS Eye to RIGHT Cross Cylinder to DUAL fogging to 0 00D and Auxiliary Lens to None aoe eee m seen eee E e e e eee e eee e esse sees sees E e m m m e se
81. l it is placed to 40cm away position from the patient s eye so that the patient could see this chart 4 After pressing the F1 BLUR button turn the dial counterclockwise to add BI prism Press the F2 BREAK button by the time the chart starts to fade away If there is no such spot and the chart appears to be divided into two continue the test 7 Continuously turn the dial counterclockwise to ass the BI prism Press the F3 RECOV button by the time the chart is divided into two 8 At this time turn the dial clockwise to subtract the BI prism Press the F6 OK button when the charts come together All done Positive Tela Reog 8 xX 0 00 m 0 00 BLUR BREAK RECOV sur Ea Loo i D Pon J Pos P05 Kaa Bit T CANCLE F 123 124 Digital Refractor GDR 7000 _ 11 28 Near Visual Acuity with Additional Spherical Power Test Objective To inspect the Near VA with ADD Chart Near Distance chart Auxiliary Lens None Expectation To inspect Near VA with ADD for the right or left eye or for both eyes Operation Sequence 1 Press the N ADD VA button and lower the Near Distance Chart VA 2 Press the R L OU button to select the field to measure 3 Write down each result for the right and left eye and for the both eyes Cf This test may be executed after the Near Distance Additional Spherical Power Us
82. lected by pushing the EXE button after selecting the desired item the results can be verified by five ways in each near and far mode Toggling near or far mode can be processed using the function button F1 And four table views and diagram test frame Keratometer Data views can be selected Table view consists or four part List conversion is achieved applying the F2 LIST1 F3 LIST2 F4 LIST3 and F5 PRISM buttons or turning the dial sign will be shown in the field of the table in case of no relevant data But if there are relevant data but the values are met yet measured 0 or space will appear instead of sign Also you can change the notation of horizontal vertical prism in the result screen If you want to use X Y press F6 with SHIFT If you want to use r 0 press F7 with SHIFT Be Ito i 1 i A Aue at a tnar lar A a aut ACE ay i aa a f n AARON T a at iin Lal OLE Pita aY ft mt Die 43 44 Digital Refractor GDR 7000 The following items are illustrated with the corresponding screen LIST1 S C A ADD Additional Spherical Power VA Visual Acuity ID P0203199 0001 FAR 8 00 7 00 OU 4 00 NRA R 5 00 L 3 75 OU 2 00 PRA R 2 50 L 2 00 SUB NRC 8 00 15 00 7 00 PRC 7 00 11 00 6 00 NRC FIN PRC 15 00 7 00 11 00 6 00 3 50 4 00 3 75 2 25 2 00 2 00 PD 64 0 Domnant Eye R NP
83. lts would be of great amount However it is not the ordinary case to do all inspection and to set the printing option FULL in order to save the printing paper Thus only the necessary items will be printed but we are going to describe all the items according to the printing order for illustration There is a printing sample below the left side is the printout and the right side is the item description See chapter 11 Unit Test to know the meaning of the detailed items Date 2002 1209 1135 pn Age 39 Dominant Eye R PD 66 0 61 5 NEAR WD 40cm Ee ves Unaided VA eee i i FAR R OL L 200 700 s00 NEAR 150 a ttt Lensometry Liit ME pe 2 R lt CLM gt L PAR ______ _ _ 1 50 SPH 1 75 000 CYL 025 90 ANS 135 0 25 ADD 4 25 BI 0 50 X BI O50 000 Yi 0 00 Aided VA R OU L 30 30 a Relractometry Data i a FAR __ 350 SFH 6 00 t00 CYL 100 0 lt AXS 10 ge a ag C t ai Patient s identifier Patient s name and sex Inspection Date and TIME Patient s age and the dominant eye PD near Far Unaided Visual Acuity FAR NEAR Data from Lensmeter FAR Aided Visual Acuity Data from Refractometer FAR 127 128 Digital Refractor GDR 7000 _ 2 2 2222 20 0 0020 0020 002 0 eek Subjective Data ee R lt CLM gt L FAR 1 75 SPH 400 0 00 CYL 035
84. lues for the right eye Initial field value is adjusted to SPH for both eyes Push the R or L button to enter monocular test mode and then modify SPH according to the patient s condition Operator can take the next step if all the adjustment has been finished and the patient s monocular visual acuity is matched for the best asl ee 1 2 Ss mp ZN 1 15 ee ES STANDARD ene nnn en en ene nnne Digital Refractor GDR 7000 63 8 1 2 Right Red Green Test The second step is to calibrate the SPH value minutely for the right eye on the base of the resultant the SPH CYL AXIS values from step 1 First ask your patient on which background he she can see the letters more clearly the green background or the red one If green turn the dial to the direction counter clockwise as it is over corrected and otherwise to the direction clockwise as it is under corrected Repeat this procedure until letters on both green and red backgrounds appear equal See 11 3 Monocular Red Green Test 0 25 0 00 20 A O 0 00 ADD 0 00 8 1 3 Right Jackson Cross Cylinder Test Using the Dot Chart AXIS The third step is to calibrate the AXIS value for the right eye minutely on the base of the resultant SPH CYL AXIS values from step 1 Pressing the 1 and 2 buttons one after another during Jackson Cross Cylinder Test ask which one appears more clear If 1 turn the dial to the direction counter clockwise and if
85. mart GDR 7000 system just press the RK button and change into RK mode then you can check the RK data with ease and convenient manner O 25 0 50 O 170 0 50 ADD 0 50 VA enn enn en en enn nnee Digital Refractor GDR 7000 25 3 Now you curiously want to glance over the data from LM As you know by simply applying 2 just press the LM button right now to change mode and then read the data from LM That s all enough PD 64 0 RC FAR 0 25 C 0 50 O A 170 0 50 ADD 0 50 VA 4 In the same way you can allocate the other mode on the subjective optometry which changes the S C A values directly Pressing the SUBJ button yields SUBJ mode Of course you can work in the initial mode However in SUBJ mode you can change modes SUBJ RK LM freely and consequently compare SUBJ RK LM values without cost the loss of data ee OO 0 25 C 0 50 O A 170 0 50 ADD 0 50 VA 25 26 Digital Refractor GDR 7000 _ 22 0 0 2 20 20 2220 0 5 For measuring the unaided visual acuity press UA button to enter UA mode UA mode automatically opens VA fields Furthermore it helps to calculate and how the chart matching for the unaided visual acuity E gt l 6 Nothing can be compared to FIN mode FIN mode helps you to calibrate the final results by comparing the current visual acuity and the former
86. n Startup Mode SUBJ Startup a Digital Refractor GDR 7000 75 E Page 5 TEST ENVIRONMENT Sets various environments on the operation panel itself Language specifies the language type Only ENGLISH is supported at present Background Color specifies the background of the LCD WHITE or BLACK can be chosen Letter on the screen has opposite solor to the background Default value is WHITE 3 Beep Sound specifies whether the beep sound will be turned on or off ON or OFF can be chosen Default value is ON Screen Off specifies the activation idle time of the screen saver Choose one from 0 minute inactive up to 1 hour at intervals of 5 minutes Default value is 10 minutes Test Time Start specifies from when the elapse of time will start to be counted ENTERING SUBJ when the SUBJ button is pressed or BEGINNING TEST when the test begins can be chosen Default value is ENTERING SUBJ Date Display specifies date format shown on the left top area display Choose one among DD MM hh mi 12H DD MM hh mi 24H DD MM MM DD hh mi and MM DD Default value is DD MM hh mi 12H As you know DD stands for date MM for month hh for hour and mi for minute DATE YY MM DD assigns current date YY means years TIME hh mm ss assigns current hour Ss means second EZ TEST ENVIRONMENT E Background Color BLACK Beep Sound OFF screen Off 10 min Test Time Start eR BEGINNING TEST Date Display
87. n had arisen into SUBJ ever the other one would not occur when returning to SUBJ from RK or LM mode Let s think the following situation where data duplication is applied to speed up optometry when SUBJ Startup is set to ANY in TEST amp DATA MANIPULATION 2 on system configuration page 4 1 Starting from the RK data Change mode into RK and then load data from a refractometer At this point if SUBJ button is pressed the RK data will be mechanically copied into SUBJ mode You can modify the RK data directly but such method is not recommended It will be more effective to leave them as the reference data for final decision and to use duplication method into SUBJ 2 Starting from the LM data After changing mode into LM load data from a lensmeter And then press SUBJ button to make automatic copy of the LM data into SUBJ mode Also you can see that changing into SUBJ mode is needed for preserving the reference data instead of working in LM mode 21 28 Digital Refractor GDR 7000 _ 222 20 220 20 2222220 0 3 Finishing with FIN It is possible to change into FIN mode directly after setting the required values in initial mode In case of using neither a refractometer nor a lensmeter you can do the optometry process even more speedily because initial mode is regarded as SUBJ So you can benefit from it 4 3 Warnings on mode Warnings on mode are presented here 1 2
88. n safety reliability and performance of this equipment when the following requirements are fulfilled 1 The electrical installation in the respective room corresponds to the specifications stated in this manual and 2 This equipment is used operated and maintained according to this manual and Service Manual The manufacturer is not liable for damage caused by unauthorized tampering with the device s Such tampering will forfeit any right to claim under warranty This equipment may only be used together with accessories supplies by GILRAS s If the customer makes use of other accessories use them only if their safe usability under technical aspect has been proved and confirmed by GILRAS or the manufacturer of the accessory Only person who have undergone proper training and instructions are authorized to install use operate and maintain this equipment Keep the User s Manual and Service Manual in a place easily accessible at all times for persons operating and maintaining the equipment Do not force cable connections If a cable does not connect easily be sure that the connector plug is appropriate for the receptacle socket If you cause any damage to a cable connector s or receptacle s let the damage s be repaired by an authorized service technician Please do not pull on any cable Always hold on to the plug when disconnecting cables This equipment may be used for the international application related to Visual Acuity Tes
89. ng procedure Decrease the Axis value if the thickest looking rod moves counterclockwise Increase the Axis value if the thickest looking rod moves clockwise 11 3 Monocular Red Green Test Objective To verify the maximum corrected monocular SPH value during the subjective test using the Red Green chart Chart Red Green chart Auxiliary Lens None Expectation The letters on the red and green ground can be seen uniformly clear Operation Sequence 3 Apply fog if necessary and Increase the SPH value by about 0 5D 4 change the SPH value till the 1 Select the desired field by 2 Change into the Red pressing to the R or L Green mode by pressing letters on the red ground can have button the Red Green chart uniform clarity and thickness in the same level as those on the green one Ifthe letters on the red ground left are seen more clearly turn the dial clockwise direction If the letters on the green ground right are seen more clearly turn the dial counterclockwise direction 93 94 Digital Refractor GDR 7000 _ You should not ask the patient like which letters do you see more clearly on the red ground or on the green one According to the patient s corrected visual acuity in case of 1 0 20 in 20 20 6 in 6 6 ask concretely like On which ground do you see the number 29 more clearly red or
90. nspection using the horizontal and vertical coincidence chart among the binocular tests According to the guide execute the phoria and the coincidence test optional and then record the test results See 11 16 Horizontal Coincidence Test and 11 17 Vertical Coincidence Test for further information enn nn en en enn enne Digital Refractor GDR 7000 67 8 1 13 Near Distance Cross Grid Test It checks the Cross Grid Accommodation in near mode According to the guide increase or decrease the ADD value See 11 29 Near Distance Additional Spherical Power Test Using the Cross Grid 13 15 Lj gt i STANDARD 8 11 14 Near Vision with Additional Spherical Power Test It performs the Near VA with ADD test See 11 28 Near Visual Acuity with Additional Spherical Power Test 0 00 AD aR 67 68 Digital Refractor GDR 7000 2 2 2 20 2 2 2 8 1 15 Near Distance Horizontal Vertical Von Graefe Test It performs Near Distance Horizontal and Vertical Von Graefe Test According to the guide do the phoria test See 11 14 horizontal Von Graefe Test and 11 15 Vertical Von Graefe Test 15 15 The End Now we have completed the standard tests including monocular correction right gt monocular correction left gt binocular test gt Binocular Vision Function Test gt near distance test wane enn nn en en ene nn nn enenennen enema seen eneneneeneneneneenenenene
91. of the right and left frames aligned If the right one is higher left eye with hyperphoria Turn the dial clockwise to add the BU prism till the two frames are aligned Ifthe left one is higher right eye with hyperphoria Turn the dial counterclockwise to add the BD prism till the two frames are aligned 3 If you are satisfied with the test result press the F6 button to save each results of phoria tests is maintained separately or the F7 button to discard the result One line equals to about 3 5 aniseikonia 4 Continue this test by asking the following question if necessary Can you see the square with a point at the center Are the two frames of the same size or not ne If Yes the patient has no aniseikonia Press the F1 button to select OK If No the patient has aniseikonia Press the F2 button to select NG enn nn en en enn enn Digital Refractor GDR 7000 113 11 18 Polarized Cross without the fixation Point Test Objective To execute a phoria test during the subjective test using the polarized Cross chart without the fixation Point chart Chart Cross without the Fixation Point chart Auxiliary Lens 135 Polarizing Filter right 45 Polarizing Filter left Expectation The upper right cross mark for the right eye and the lower left cross mark for the left eye are overlapped into one ideal cross Operation Sequence 2 Ask the patient as follows
92. of the lower one exophoria Turn the dial counterclockwise to add the BI prism till the two rods are aligned 3 If you are satisfied with the test result press the F6 button to save each results of phoria tests is maintained separately or the F7 button to discard the result One line equals to about 3 5 anseikonia 4 Continue this test by asking the following question if necessary Can you see the frames with a point at the center Are the two frames of the same size or not ne If Yes the patient has no aniseikonia Press the F1 button to select OK If No the patient has aniseikonia Press the F2 button to select NG A E i EEI lt gt E Lo ye Ga i Er LANL GL L L y Se Se 111 112 Digital Refractor GDR 7000 _ 2 22 222 2020 0000 022020eneenen 11 17 Vertical Coincidence Test Objective To execute a vertical phoria test during the subjective test using the Coincidence chart Chart Vertical Coincidence chart Auxiliary Lens 135 Polarizing Filter right 45 Polarizing Filter left Expectation The right frame for the right eye and the left frame for the left eye make ideal square Operation Sequence 1 To enter this mode press the Coincidence chart twice or SHIFT and coincidence chart at a time 2 Ask the patient as follows Can you see the square with a point at the center Are the upper or lower sides
93. on 33 5 2 Setting Space Saving Chart Option 34 5 3 Setting Auto Refractometer Option 36 5 4 Setting Auto Lensemter Option 37 5 5 Loading Data From Auto Refractoemter 38 5 6 Working with PC 2 022220 22202222022 2 40 5 7 Using Internal Database 40 6 Menu Selection 22 222222222222202020200000e00000000000e0eeeeee000000 42 6 1 Test Result 2222 2222222222222220000000220020000000222 0 43 6 2 System Config 48 6 3 Edit Program and Edit Test 48 6 4 Edit Message 2 2 22 2 49 6 5 AUX Lenses 2222222222222000000002000000000seseeeeeeeee esses 50 7 Basic Operation 2 222 220200222200022222202e22 22 52 8 Standard Program amp Functions 61 8 1 Starting the System Providing Basic Program 61 ene n enn ann nn nn enna e Digital Refractor GDR 7000
94. on and doing so by the ADD button make some difference This changes into near mode thoroughly and that only imitates mode for adjusting the feature it will be recommended that using the ADD button to enter ADD mode if there is near sightedness regardless of long sightedness 0 25 C 0 50 O A 170 ADD VA 31 32 Digital Refractor GDR 7000 2 2 2 22 20 2 2 F4 WD and F5 AGE buttons will be shown in function button area bottom of the LCD screen when you enter the near vision mode including ADD mode At this moment if the SHIFT button is pressed basic WD Working Distance values 35 40 50 60 and 70cm will be displayed on the screen Set relatively large value for average western people who usually have long arm otherwise small value for eastern people F4 is also provided for direct minute input You can make a choice under your condition Age data can be inputted after the F5 button is pressed GDR 7000 system also provides automatic increase and decrease of the tilting angle which result in saving of measurement time After entering the near vision mode including ADD mode you measure how Cae i a oe oe ee oo sn ZS Eo oe oe oe eo much degree your patient can see the chart by lowering the rod with near distance chart Additional spherical power can also be inserted necessary anna nsa noa noa noa noa noa non moa noa n n a a a em e ms ee
95. on screen If you want to print on the paper when looking at summary result on the screen just press the PRINT button once more Also press the F7 Cancel or the ESC button to return to the main screen 133 134 Digital Refractor GDR 7000 _ 13 Edit message 13 1 Introduction GDR 7000 system has the intelligent message editor to rewrite the message You can edit the following message Program Name to change user defined program name Test Name to change user defined unit test name Test Guide to change test guide message in the test Printer Footer to change printer footer in the case of internal printer When you press MENU and select Edit Message the list you can edit appears Select what you want to edit in the initial display and press EXE SET or F6 OK enn nn en en enn enne Digital Refractor GDR 7000 135 13 2 How to use intelligent message editor You can print message by pressing the button on the operation panel figure 154 shows the keys for rewriting the message 7TPHFOD Me S34 2 i I EOAZRA 15 625 4 rd f NFEPHT 10 SEBS f se293 2 54935 24583 5 EMSwWE 15 f boc be M0 Wace te 30 eh acd a 20 The intelligent message editor is divided in the three parts Status amp Configuration of the input button INPUT and MSG 04 10 14 46 EDIT PROGRAM aa STANDARD CU
96. r Spherical Lens 19 00 16 75D Cross Cylinder Prism test 0 12D 0 25D 1 0D 2 0D 3 0D unit Cylinder Lens 0 0 8 75D 0 25D 1D 2D 3D unit Cylinder Axis 0 180 1 5 15 unit 48 80mm 0 5 1mm unit Near Working Distance 35 70cm Rotary Prism Lens 0 20A 0 1A 0 2A 0 5A 1A 2A unit 0 25D Cross Cylinder 0 50D 0 25D split prism lens Dual Cross Cylinder 1 5D 2 0d Measurement Distance 67cm 50cm 445 W X 130 D X 260 H mm 6 3kg Digital Refractor 220 W X 230 D X 188 H mm 1 3kg including internal printer Junction Box 240 W X 70 D X 250 H mm 1 9kg Digital Refractor 5Vdc 3A 18Vdc 4A Control Panel Power Supply Operation Panel 5Vdc 1A 7 2Vdc 1A Junction Box 100 120 200 240 Vac 50 60Hz 1 3A Split dissociative Right Eye 6A BU Prism Left Eye 104A BI 0 5A complement PD Check Lens Fixed Cross Cylinder 0 50D Fixed with the axis set at 90 Lens Visual Field 32 Diameter 32mm l K wr 146 Digital Refractor GDR 7000 _ Appendix B Replacement Cleaning and Power off B 1 Printing Paper Replacement Replace the roll of printing paper as soon as possible after the red line appears on the paper 1 Push the opening button in the right of printer cover 2 Pull the remaining printing paper out 3 Load the roll of paper into the printer case Note check the printing side
97. r rene nnnn nnn n nnn n nnn nn nanan ness eee n seen eens e eee eeeeeeeeeeeeenees 125 12 Examination Results and Printout 126 12 1 How to Print eens 126 12 2 Print on the Paper 2 222 2 127 12 3 Print on the Screen 00 0 0 2225 133 13 Edit Message 222222 enennnn ne en 134 13 1 Introduction 134 13 2 How to use the intelligent message editor 135 13 3 Editing of the Program Name 138 13 4 Editing of the Test Name 139 13 5 Editing of the Test Guide 139 13 6 Editing of the Printer Footer 142 11 30 Input of the test guide in the user defined program and the user defined unit test 142 Appendix A Hardware Specification 145 Appendix B Replacement Cleaning and Power Off 146 ene n enn ann nn nn enna e Digital Ref
98. ractor GDR 7000 11 1 Features Using standard protocol CAN all appliances are connected by daisy chain line As a result GDR 7000 system makes office environment more clean and modest Because 1 or more up to 8 GDR 7000 system and 1 or more up to 4 each LM RK are connected without any additional equipment high utilization and low cost can be achieved Compatibility between GILRAS products enables to manage patients data more easily For example not only S C A value but also KER PD data are gathered automatically from RK Also S C A value prism additional power data are gathered automatically from LM All of these data are presetting to the GDR 7000 system without manual control GDR 7000 system supports near PD 45 75mm and near working distance 35 70cm so you can execute perfect near convergence tests Separated Dual Cross Cylinder lens and automatic occlusion during lens change makes more accurate test result For accurate Phoria and Strabismus test GDR 7000 system support prism measurement by 0 1D unit up to 20D unit Also automatic occlusion during prism change minimizes the examinee s eye adaptation On line guide assist examiners to finish test fast and convenient To analyze result at a glance GDR 7000 system supports table and graphic result display facilities Built in high speed printer saves additional space to install printer equipments and prints test results extremely fast PRESET facul
99. ration Sequence gt Select the desired field by 2 Press Cross Grid for 3 Change the SPH value until the pressing the R or L Distance chart to enter horizontal and vertical rods are button This mode Seen uniformly clearly and thickly If the vertical rod is seen more clearly turn the dial clockwise direction If the horizontal rod is seen more clearly turn the dial counterclockwise direction You should correctly set astigmatism axis and cylindrical power before doing this test to prevent the influence of direct or indirect astigmatism The Cross Grid for Distance test is very helpful to examine the patient with poor accommodation 97 98 Digital Refractor GDR 7000 _ 2 2 220 20 20 2 20 0 11 7 Finding Dominant Eye for Phoria Test Objective TO find the dominant eye for phoria since the patient with phoria has dominant eye in a slightly different way compared to a normal case Chart the Dominant Eye for Phoria chart with GCP 7000 only Auxiliary Lens Red Filter right Green Filter left Expectation To check to which direction follows the fixation point the red or green rod Operation Sequence 1 Enter this mode by pressing the 2 Ask the patient to which direction the Dominant Eye for Phoria chart Fixation point follows red or green If Red the right eye is dominant If Green the left eye is dominant
100. red Area i e not to press LOAD button before the latest transmission datum is automatically loaded You don t need to press LOAD RK EXE buttons consequently 7 7 EXTERNAL INSTRUMENTS Installation Type gt STAND ALONE You can choose one between STAND ALONE or NETWORKED The above system option can be set by entering MENU gt System Config and moving to page7 After setting press the F6 button to save the new configuration EXTERNAL INSTRUMENT E SE o MPR Copy kerato GL Coo ADO Ofer Device Gorboder Type i Aeset Type On Clear MA Zeige HARD RESET i NETWORKED aa ee a ee installation Type ae a ce ae oe 39 40 Digital Refractor GDR 7000 2 2 2 22 5 6 Working with PC GDR 7000 is equipped with the co working with PC function It is possible to connect the serial port in a PC and the CAN board and send the measured data to the PC using the software CDR MATE The data are printed from the printer connected to the PC or sent to the patient management system of the PC It is recommended to set Print To Serial item to YES on page6 PRINT OPTION in system configuration and refer to the CDR MATE user s manual for further information 6 7 PRINT OPTION SUBJ amp FIN ONLY Print Objective CLM ONLY Print kerato Data YES NO Print 4 Test Data NO Preview List NO Auto Cl
101. rein GILRAS reserves the right to make changes in its products or product specifications at any time without prior notice and is not required to update this documentation to reflect such changes Do not hit or drop the instrument The instrument may be damaged if it receives a strong impact The impact can damage the function of this instrument So handle with care Too bright indoor light can influence on the result of accurate measurement If you want to connect this with other equipments consult the dealer Sudden heating of the room in cold areas will condensation on the protective glass in the measurement window and on optical parts inside the instrument In this case wait until condensation disappears before performing measurement Keep clean the objective glass of the examinee side If it is stained with other substance it may effect on error or inaccurate measurements ween enn en en en nnn en ene nn nnenenennnnenenenennenenenneneneneeeenenens Digital Refractor GDR 7000 13 3 Component List and Functions The three basic components of the GDR 7000 system are Digital Refractor Junction Box and Operation Panel In this chapter component lists and functions are explained one by one Also various accessories are summarized in the later part 3 1 Digital Refractor Digital Refractor is most important part of the GDR 7000 system and it is installed in the unit table like CRT series Patient s side Operator s s
102. rom the RK LM by pressing the LOAD button Changes mode by pressing the following buttons UA unaided visual acuity mode LM LM mode RK RK mode SUBJ SUBJ Subjective mode FIN final prescription mode Press the corresponding button with SHIFT if you are to change mode and load data simultaneously In the standalone system if either RK or LM button is pressed the latest transmission datum is automatically loaded ween enn en en en nnn en ene nnnnenenenennenenennnneneneeneneneneenenenens Digital Refractor GDR 7000 59 13 Program Execution button Executes the standard program Executes the user defined program up to 10 by using both SHIFT and START buttons Moves to the next inspection if pressed with the NEXT button Returns to the previous inspection if pressed with both SHIFT and NEXT button 14 Menu Selection and Execution buttons Displays the measured results Sets up system configurations Edits the user defined program unit test and messages Inserts the auxiliary lenses in the Digital Refractor The role of the EXE button is the same as the Ok button 15 Data Modification buttons and Dial Changes the field s value selected by step unit 16 Jackson Cross Cylinder Manipulation buttons Flips the cross cylinder on the Jackson Cross Cylinder Test 17 Eye selection buttons Selection eye to inspect To set the dominant eye press SHIFT R
103. roup After selecting the chart subsequently choose the Test Mode Dist item in the left window and turn the dial to assign FAR Likewise choose the Eye item and turn the dial to assign RIGHT Afterward select the Cross Cylinder item in the left window and assign 0 25 EDIT PROGAAM CUSTOM A Cross Oyl Teet Aale Chart Hots Gropi Teat Moded lat aid peee defined program Push the Dots Group Chart in this display Because we are planning to measure not AXIS but CYL push the Dots Group Chart once more to change the Test item into Cross Cyl Test Power and the Chart item to Dots Group At this moment assign the Test Mode Dist Eye and Cross Cylinder items like 2 EDIT PROGAAM CUSTOM A eet cme ee ES EEE Ennn n En SENESE n n a n p margas Cyt Tesl F ungri me nana n a n a Ma n a ia a naon a E a a a a a a a Sa a aoaaa Aaa Ea a n a a a a a a oa a a a a a a a Ea a aa a a a Cnn en nan 83 84 Digital Refractor GDR 7000 _ 2 5 This is the 5 step Repeat the procedures in 1 ai EDIT PROGAAM CUBTOM A ne ee benka ee so on Since we have finished all steps press F6 to save and exit Push SHIFT PROGRAM to see the program list which we composed just before and choose CUSTOM A to launch this program in practice 0 00 ADD 0 00 EJ CUSTOM A ween nnn en en emenn Digital Refractor GDR 7000 85 There are
104. rts various modes such as EMPTY UA RK CLM SUBJ and FIN it is recommended to consider carefully such modes when printing the results GDR 7000 system follows the rules below Pints the results from the SUBJ mode if the inspection has not performed in the FIN mode Prints the result from the EMPTY mode if the inspection has not performed in the SUBJ mode 3 Always prints the Ref Kerato results from the RK mode If the results from the RK mode have been changed arbitrarily the changed value will be printed Thus changing mode into the SUBJ mode should be necessary when starting with the data from auto automatic Ref keratometer Accordingly You don t have to care about modes since GDR 7000 system prints the results by finding the best fit mode if you have normally carried out inspection using it Nevertheless it is recommended to process and prescribe in the SUBJ and FIN mode Press the PRINT button to print If Preview List is set to YES the PRINT button should be pressed once more To display the results on preview screen push SHIFT PRINT Then the summarized results will be shown either in table and graphical form on the LCD screen We will discuss printing on paper in 12 2 and printing on screen in 12 3 12 2 Print on the Paper Digital Refractor GDR 7000 127 If you configure options do as to carry out all the inspections and print all the results thoroughly the printing resu
105. some hints to be able to build a program more quickly First one is how to select the auxiliary lens and the inspection item After choosing the Auxiliary Lens item in the left window R NONE is automatically reversed in the right window Press SHIFT F4 and the auxiliary lens selection window that is familiar to you will be presented in the left side of the display and required lenses can be placed at a time Choose the right side after selecting RI NONE and the left side after selecting L NONE separately Press SHIFT F3 or the TEST button to spread familiar system and user defined unit test window is appeared in the left side of the display If the required test is selected it will be automatically reflected to the Test item Since users can here select the Unit Test which will be introduced next time there are various combination methods to apply to the program step 1 5 EDIT PROGRAM CUSTOM A TEST SYSTEM Toy TEST SYSTEM _ EEEE awo Near VA Landolt Ring 5 vith ADD VA w FAR Near Point SPH 90900 08 of Convrg RIGHT 99000 1 0 Near Point NONE of Accomm 0 00D R NONE L NONE system_ CUSTO SYSTEM CUSTOM Fas a Fada Fa aa Paaa aa a aa Ea aa Da a a aa aaa 2 i f PT T a ee amm 85 86 Digital Refractor GDR 7000 2 2 2 0222 20 222 2 The next hint is how to apply the mask shifting button is pressed after spreading VA chart right left
106. t System Config and moving to page 4 After setting press the F6 button to save the new configuration enn enn ener enn enne Digital Refractor GDR 7000 29 4 7 TEST amp DATA MANIPULATION 2 Default Program STANDARD Input Fusion NO Input Stereo Input Coincidence Fog Balance Fog Red Green 4 4 PRESET Mode and AUX OFF Mode A PRESET mode In PRESET mode lens doesn t change in spite of converting the S C A VA ADD PRISM values This makes patients comfortable when setting the data by hands from RK or LM unconnected to networking Pressing SHIFT SET buttons make the signal on the right top of the screen PRESET After seeing that you can set the necessary values freely moving around several fields After all the field values are assigned press SHIFT SET one more time to exit PRESET mode and make Digital Refractor load lenses all at once based on these setting values PD 64 0 SUBJ PRESET S 0 00 C 0 25 48 A 142 0 00 ADD 0 00 29 30 Digital Refractor GDR 7000 2 2 0 22 2 2 2 B AUX OFF mode AUX OFF mode temporarily removes auxiliary lenses such as polarized red green fixed cross cylinder 6 ABU and 10ABI during system provided unit tests especially Binocular Balance Polarized Red Green and Stereo tests It will provide great efficiency when you want to remove auxiliary lens for a while to e
107. t Astigmatism Test Phoria Test Stereo Vision Test according to this manual Before every operation visually check the equipment for exterior mechanical damage s and for proper function Do not cover any ventilation grids or slits Immediately turn off and unplug any equipment that gives off smoke en en en en enna enna en enenennnennnnnen nena nnennnnnnnneeeneneeeneneenne Digital Refractor GDR 7000 7 sparks strange noises or odors Battery Serving Danger of explosion if battery is incorrectly replaced Replace only with the same or equivalent type recommended by the manufacturer Dispose of used batteries according to the manufacturer s instructions Digital Refractor is heavy so please fix it on the unit table not to be moved Otherwise heavy equipment crash to fall examinee As a result examinee may be hurt CAUTION To perform automatic POST Power on Self Test Digital Refractor moves left and right side To avoid injury of examinee please keep examinee from Digital Refractor at least 20cm or more during POST initialization CAUTION Do not place your hand or finger between the left and the right side of Digital Refractor Also ensure that the examinee does not place his her hand or fingers there either Otherwise hand or fingers may be hurt 8 Digital Refractor GDR 7000 _ 2 22 2 2022 0020 0020 0ene 0en Contents Safety Information
108. t 2EA en en enn en en en nnn en ene nnnnenenenennenenennnnenenennenenenennenenens Digital Refractor GDR 7000 19 C Accessories for the Junction Box Explanation Accessories for the Operation Panel 1 Printer Paper 3EA 1EA loaded in the printer 2EA as spare 2 Interface cable 1EA OP lt gt JB 6 pin CAN 3m Accessories for the Junction Box 1 Power Cord 1EA 2 Spare Fuse 2EA 250V 5A 3 Terminator 1EA 4 pin 4 Interface Cable 1EA JB lt gt GCP 7000 4 pin cable 3m 20 Digital Refractor GDR 7000 _ 22 0 220 20 22 2220 0 D Optional Accessories i Convert Box for RK Explanation 1 Convert Box for RK 2 Convert Box for LM 3 Convert Box for PC 4 Terminator 5 Interface Cable for Converter Boxes i LM RK PC lt gt Converter Box 9 pin D SUB 2m ii Junction Box or Converter Box lt gt Converter Box 4 pin CAN 3m 6m 10m 20m 6 Interface Cable for Operation Panel 4 pin IR 2m 7 Power Adaptor DC 9V ene n nnn nn en en nnn nn en en enn nnenenennenen ene nnenenennnns Digital Refractor GDR 7000 21 3 5 System Installation Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10 Check the accessories listed in 3 4 and prepare them for installation Connect the Digital Refractor to the Junction Box JB with its interface cable in the 8 pin connector Be sure not to connect instruments to the
109. tal bar clockwise till the horizontal ber comes to fie center of the vertical ber Press the RDBU button Tarn the dial counterclockwise till the horizonti bar comes bo the cater of the vertical bar Correct the horisontal phoria like 1 ani contol the vertical phoria tke 4 Corect the horizantal phoria like 1 amd corect the vertical pbhoria tike J Comect the horisontal phoria hike 2 ami conec the vertical phoria Hika 4 Connect the horizontal phoria like 2 amd correct the vertical phorla tke 3 115 116 Digital Refractor GDR 7000 _ 2 2222 0020 0000 0220 00n0 0 22 11 20 Stereo Test Objective To execute the Stereo test during the subjective test Chart Stereo chart Auxiliary Lens 135 Polarizing Filter right 45 Polarizing Filter left Expectation The upper rod for the right eye appears to be closer to the patient than the lower rod for the left eye 1 Press the Stereo Chart to enter this mode 2 Ask the patient as follows Which rod appears closer the upper or the lower If the upper one There is no problem in stereo visual acuity Press F1 to mark OK If the lower one The patient could have stereo visual acuity but there might be analysis problem Press F2 to mark NG no good If Neither the patient cannot have stereo visual acuity Press F2 to mark NG no good een nanan en enn nn en ene n Digital Refractor G
110. te or select the function keys in the bottom area of the LCD display Are useful to modify increment unit for the SPH CYL AXIS value Execute required instructions on doing job such as program message editing or printing a Digital Refractor GDR 7000 57 7 Buttons for the Unit Test Execute unit test Execute another test assigned to the button if pressed with the SHIFT button For example Von Graefe Cross Hair Aniseikonia and Stereo Test Do the user defined test if pressed with the ALT button To unlink VA charts i e only chart is displayed and other functions related with VA chart are disabled press VA chart with SHIFT button 8 Data Clear button CLEAR SHIFT Removes the field data partly or entirely And initialize Digital Refractor Initializes only the contents on the current mode if pressed with the SHIFT button TIP You may change the behavior of CLEAR button as either SOFT or DARD in the system configuration menu 9 LAMP button LAMP To turn off the LAMP of the chart device To turn off the Backlight of the Operation Panel 10 Escape button ESC Returns to the main display after escaping from the current menu In most situation works as the F6 button 57 DIGITAL REFRACTOR CDR 3100 11 SHIFT ALT button Changes the property of the button to be pressed with or the dial to be turned SSS es ae e 12 Load and Mode Selection buttons Receives data f
111. the Von Graefe chart until it is placed to 40cm away position from the patient s eye so that the patient could see this chart 4 After pressing the F1 BLUR button turn the dial counterclockwise to ass the BI prism Press the F2 BREAK button by the time the chart starts to fade away If there is no such spot and the chart appears to be divided into two continue the test 5 Continuously turn the dial counterclockwise to ass the BI prism Press the F3 RECOV button by the time the chart is divided into two 6 At this time turn the dial clockwise to subtract the BI prism Press the F6 OK button when the charts come together All done Xd 0 00 0 00 BLUR BREAK RECOV T CANCLE j ween nnn en en emenn Digital Refractor GDR 7000 123 11 27 Positive Relative Convergence Test Objective To measure the Positive Relative Convergence test during the subjective test Chart Near Distance chart Auxiliary Lens None Expectation To obtain BLUR BREAK and RECOVERY value Operation Sequence BI BO Ean 1 Press the F N button to select near 2 Press the BIBO button and then the F2 PRC or far mode button Alternately press the TEST button and then select Positive TEST EXE Relative Accomm Item and finally press the EXE button to execute this test 3 In the far mode horizontal Von Graefe Chart will be spread on the screen In the Near Mode lower the Von Graefe chart unti
112. the field to measure 3 After pressing the F1 BLUR button place the Near Distance chart with 1 0 VA 20 in 20 20 6 in 6 6 to 40cm away position from the patient s eye Turn the dial to find the spot where the letters on the chart start to fade away If the break spot has been found press the F2 RECOV button to enter recovery mode 4 Find the recovery spot while turning the dial clockwise Press the F6 OK button to finish this test after the recovery spot has been found HHD tiiti PD 4 0 Cer Jabok JL 0 00 s 000 ooo c o00 O A O neem aoo 9 VA s LL A Sg ELLER aA LEHER Biel E i paH TEN EE ff cance 121 122 Digital Refractor GDR 7000 _ 2 22 2 2222 2020 0020 0020 002 05 11 26 Negative Relative Convergence Test Objective To measure the Negative Convergence during the subjective test Chart Near Distance chart Auxiliary Lens None Expectation To obtain BLUR BREAK and RECOVERY value for the right or left eye or for both eyes Operation Sequence BI BO 1 Press the F N button to select near 2 Press the BIBO button and then the F1 NRC or far mode button Alternately press the TEST button and then select Positive TEST EXE Relative Accomm Item and finally press the EXE button to execute this test 3 In the far mode horizontal Von Graefe Chart will be spread on the screen In the Near Mode lower
113. the lower If the upper row is seen more clearly turn the dial counterclockwise while pressing R button to increase the right SPH value If the lower row is seen more clearly turn the dial counterclockwise while pressing L button to increase the left SPH value Repeat this procedure till the upper and lower rows are seen uniformly clearly If the patient has the dominant eye and the difference is equal to or less than 0 25D maximum 0 5D THE polarized Binocular Balance Test may be omitted because the patient has of course the better sight with the dominant eye When you are examining the patient with the dominant eye the balance point cannot be found with Polarized Binocular Balance Test In such case pass this test with the dominant eye marked 101 11 11 Polarized Red Green Test Objective To adjust the monocular and binocular balance at the same time during the subjective test Chart Polarized Red Green chart Auxiliary Lens 135 Polarizing Filter right 45 Polarizing Filter left Expectation The upper row for the right eye and the lower row for the left eye can be seen uniformly clear Also the letters on the red and green ground appear to be similar when they are seen from the upper row for the right eye and the same is true for from the lower row for the left eye Operation Sequence 1 Press the Polarized Red Green chart to enter this mode After pressing the
114. the middle of the Figure 157 the selected number is inserted If you press SET button again and again the same number is inserted and inserted again in the MSG area In this case If the last character is reached in the end of MSG area the control panel warns you using beep sound Finally check the MSG editing area Arrow shape gt s is are displayed in the MSG area You don t input any character after this symbol wane enn nn en en ene nn nn enenennen enema seen eneneneeneneneneeneneneneens Digital Refractor GDR 7000 137 BACK SPC DEL COO g RDE You can erase the part of or whole message by using BACK SPC or DEL button When you press BACK SPC button the letter before the cursor is deleted and when you _ press DEL button the letter on the cursor is erased DEL button erases the character on the cursor position and the remaining characters move before one by one BACK SPC button erases the previous letter on the cursor position and the remaining characters including cursor position move before one by one You can move the cursor by using the arrow buttons shown at Figure 157 When you press SHIFT F3 RESET and F4 CLEAR display on the screen Press SHIFT and F3 button to revert the original message and press DHIFT and F4 to delete the whole messages You may use F3 button to undo your mistake but this button only affects before saving the message 137 138 Digital Refractor GDR 7000
115. the optometry data and procedures Buttons for Single Test Execution These buttons are for the chart selection and examination execution in the same time With the proper ALT button user defined unit test can be executed Contrast Adjustment Knob This knob is for the adjustment of the LCD display brightness Buttons of Program Execution These buttons are for the execution of system user defined program Buttons of Chart Mask These buttons are for the chart mask row column dot and the mask movement up down left right after the VA chart is presented in the wall Buttons of Eye Selection These buttons are for the Right Left Binocular eye selection Dial This dial changes the value S C A ADD PRISM The direction is left for the right for the Also this dial is used to change the value in the system configuration menu ene n enn ann nn nn enna e Digital Refractor GDR 7000 17 8 Buttons for the Cross Cylinder Operation This buttons are used to flip Jackson Cross Cylinder Lens 9 Print Button this button is for printing the examination result 10 Buttons of Data Loading amp Data Field Selection These buttons are for the selection of data field UA LM SUBJ FIN and loading from LM RK 11 Buttons of Menu Selection amp Execution These buttons are for the selection of system configuration menu item 12 Selection Buttons of Data Element These buttons are most important keys in CDR and for the selection of S C A ADD V
116. ty defers physical lens change until all the necessary lenses are properly set at any states Dialog driven menu and simple function button make it easy to access complicated faculties In addition Using SHIFT ALT key combinations various option and faculties are easily realized To escape from the previous dialog as fast and convenient as possible ESC key is supported For professional examiners 18 visual acuity tests 24 monocular binocular balance tests 35 user defined unit tests are supported Also Standard and 10 user defined programs are supported 12 Digital Refractor GDR 7000 _ 2 20 2220 00 2220 2 The CDR MATE program which supports PC connectivity and PC style printer interface is optional Various binocular balance tests and phoria tests are supported Advanced graphical guide systems for such complicated tests are also available 2 Notes for using the Instrument This machine may be affected and malfunctioned by the electromagnetic wave of cellular phone handie talkie or toy operated by radio Keep this machine away form such radio device that interfere with normal functions The information in this publication has been carefully checked and is believed to be entirely accurate at the time of publication GILRAS assumes no responsibility however for possible errors or omissions or for any consequences resulting from the use of the information contained he
117. utton 2 Press the Clock Dial chart 3 Press the S button to enter to select the desired field To change into astigmatism the spherical power mode and then apply fog till the numbers outside the Clock Dial appear to be clear 5 If the answer is All rods are seen uniformly clear the patient has no astigmatism Others after multiplying the numerical of the rod by 30 press the A button to set the astigmatism 4 Ask the patient which rod he she sees more thickly and clearly than the others 11 2 Cylinder Power Test Objective To obtain the maximum corrected monocular CYL value during the subjective test the Clock Dial chart Chart Clock Dial chart Auxiliary None enn enn en en enn nnee Digital Refractor GDR 7000 93 Expectation All the rods on the screen can be seen uniformly clear Operation Sequence ai 12 4 wigs d 3 ys Tas 1 This test should be done 2 Press the R or L button 3 Press the Clock Dial chart to after setting the Cylinder to select the desired field Change into astigmatism Axis Measurement 4 To enter the Cylinder Power mode press 5 Turn the dial in direction until all rods the Clock Dial chart one more time or can be seen uniformly clear At this time press the C button in astigmatism mode the location of the thickest looking rod can or press the SHIFT button and the Clock be changed If then adjust the Axis as the Dial Chart at a time Followi
118. ve and Cancel the F6 OK button is to save while the F7 Cancel button is to cancel na en ena n nnn nn nn nn en en en en enn nn nena neem enenenennnnnennenenenenenens Digital Refractor GDR 7000 71 9 2 Description of Options Let s find out which options are provided by each page A page 1 LENS MANIPULATION 1 sets all kinds of lens operations SPH step sets the basic step for a SPH value Choose one among 0 12D 025D and 0 50D Default value 0 25D CYL Sign sets the basic sign for a CYL value Either or sign if accepted Default is Press the F7 button or ALT C to change the default sign for a short time and then the sign will be reversed i e gt in moment press the same button combination one more time to return the Original sign 3 AXS Step sets the basic step for a AXIS value Choose one among 1 5 and 15 Default value is 5 A Step sets the basic step for a prism value Choose one among 0 1A 0 2 A and 0 5A Default value is 0 5A SPH Step SHIFT sets the basic step for a SPH value when the SHIF button is pressed Choose one among 1 00D 200D and 3 00D Default value is 1 00D Try turning the dial while pressing the SHIFT button to make use of this option CYL Step SHIFT set the basic step for a CYL value when the SHLFT button is pressed Choose one among 1 00D 2 00D and 3 00D Default value is 1 00D Try turning the dial while pressing the SHIFT
119. xplain your patient procedures on measurement If you press ALT OPEN COLSE left or ALT OPEN COLSE right buttons then the state signal AUX OFF will be shown on the right top of the screen To go one more time or another chart field button 3 29 0 25 AB A 142 ADR 0 00 enn nn en en enn enne Digital Refractor GDR 7000 31 4 5 Measuring Near and Far Vision When we say optometry it almost means far vision In the old days there were so many hypermetropia far sightedness problems but recently according to the development of media such as TV or computer which drives one s eyes very hard myopia near sightedness is getting more and more prevalent From here we mostly assume far vision however there is only one exception additional spherical power specially in case of presbyopia long sightedness which requires near vision test GDR 7000 system is designed to measure both near and far vision If the F N or ADD button is pressed changing mode and tilting by Digital Refractor for measuring near vision occur automatically In case of near vision it is expected that the age and the ordinary near working distance of the patient are to set exactly because personal correction should be made by both of them The near working distance is the ordinary distance for reading books or watching TV and the age determines the flexibility of the crystalline Entering near working distance mode by the F N butt
120. y aligned in the center Operation Sequence J 2 Ask the patient as follows Are the two vertical rods H H 9 1 Press the Von Graefe Chart to enter vertically aligned The horizontal phoria mode If Yes finish this test since the patient has no phoria If No continue this test since the patient has phoria 3 Ask the patient as follows Which one is on the left among the two vertical rods If The upper one Esoporia Turn the dial clockwise to add the BO prism till the two rods are vertically aligned If The lower one Exoporia Turn the dial counterclockwise to add the BI prism till the two rods are vertically aligned 4 After finishing this test press the F6 button to save each results of phoria tests is maintained separately or the F7 button to discard the result If you make use of an old fashioned chart projector or a mirro chart not supporting the Von Graefe Chart you can imitate the horizontal Von Graefe chart as follows Spread a general chart readable to patient such as number Randolt Ring Snellen E Press the vertical mask button to leave only one row Press the BIBO button to place the horizontal rotary prism Press the 6A BU button to place the auxiliary lens Note that if you are to use this method you can neither record extra phoria test result nor refer to the guide window een enn en en enn enne Digital Refractor GDR 7000 10

Download Pdf Manuals

Related Search

Related Contents

¥¥ T-Plus"2" Bed.-Anl. 22.8.97  こちら - i.Bou-GHS GHS対応のMSDS作成ソフト  BENUTZERHANDBUCH  Santa Biblia - Franklin Electronic Publishers, Inc.  Netra 240 Server System Administration Guide - de  BECKMAN COULTER Z Series  M-800DA 取扱説明書  Marmitek X-10 Micromodule  Spray Isolant  取扱説明書[13Jシリーズ(5.6kW)] (2.05 MB/PDF)  

Copyright © All rights reserved. Failed to retrieve file