reference and instruction manual optec...
TRANSCRIPT
REFERENCE And
INSTRUCTION MANUAL
OPTEC® 2300 VISION TESTER
MODEL AFVT NSN 6540-01-375-9031
STEREO OPTICAL CO., INC. 8623 W. Bryn Mawr Avenue, Suite 502, Chicago, IL 60631 USA 1.773.867.0380 or 1.800.344.9500 Fax: 1.773.867.0388 E-mail: [email protected] Website: www.stereooptical.com
© Copyright Stereo Optical Company, Inc 2008 P/N 70226
1
TABLE OF CONTENTS PAGE I.
Features 2-5
II.
Maintenance/Replacement Parts List 6-29
III.
Test Administration 30-35
IV.
Administration of Optional Tests 35-36
V.
Standard Questions & Scoring Procedure A Summary 36-39
VI.
Sample Scoring Key 40-41
VII.
Sample Record Form 42
VIII.
Sample Test Slides/Replacement Slide List Accessory Supply List 43-51
IX.
Glossary 52-53
2
I. MAIN FEATURES (See Figure 1)
1. FOREHEAD ACTIVATOR: Controls illumination inside the Vision Tester. It will only activate the lights when the subject maintains pressure against the activator, insuring the subject to be at a proper distance for testing. When forehead pressure is applied to the bar, the green “Ready” indicator will be illuminated on the control panel and the subject will be ready to be tested.
1A. FOREHEAD ACTIVATOR OVERRIDE: This switch bypasses the Forehead Activator when
necessary to illuminate the test target. The switch works as long as it is depressed. (shown on control panel, Figure 3)
2. HEADREST TISSUE: The tissue cushions the subject’s forehead while allowing maximum
hygiene conditions.
3. LENS SYSTEM: The upper lenses are for FAR distance testing. The subject looks straight ahead. The lower lenses are for NEAR distance testing. The subject looks down while holding his/her head straight. The lenses are easily accessible for cleaning and the faceplate is wide enough to accommodate most contemporary eyeglass frames.
4. INSTRUMENT BASE: It gives a stable foundation for the Vision Tester in all positions.
5. ELEVATION ADJUSTMENT: Simply depress the button in the base and adjust the
instrument to the desired height for each subject. Release button and the instrument is locked in place.
6. OBSERVATION DOORS: Located on both sides of the instrument, allow the tester easy
access to both FAR and NEAR test slides. A pointer can be used by the tester to assist the subject in identifying the test targets. The pointer is held in place by clips inside the door. The doors are held closed with magnets. (See Figure 2, Page 4)
7. FAR AND NEAR INDICATORS: Located on both sides of the instrument. These lights
indicate whether the instrument is set for a FAR test or a NEAR test. 8. TEST DIAL and KNOB: Located on both sides of the instrument, is used to indicate a
change in position of the slides in the viewing area. The numbers on the dial correspond to the numbers on the record form for identifying the test slide. The number under the lit indicator is the number of the test in the viewing area.
9. ELECTRONIC CONTROL PANEL: (See Figure 3, Page 5)
10. INSTRUMENT BODY: Injection molder of a durable, lightweight and flame retardant ABS
plastic.
11. CARRYING HANDLE: Built-in for maximum convenience. The rigid handle and lightweight body aid in ease of portability.
3
Figure 1
1 Forehead Activator 7 Far and Near Indicators 2 Headrest Tissue 8 Test Dial and Knob 3 Lens System 9 Electronic Control Panel 4 Instrument Base 10 Instrument Body 5 Elevation Adjustment 11 Carrying Handle 6 Observation Door
4
Figure 2
ACCESS DOOR (HALF OPEN) FOR POINTING OR OBSERVING
1 Magnetic Lock 3 Pointer 2 Door Screws 4 Observation door (half open)
5
CONTROL PANEL Located on the back of the instrument, figure 3 shows the control panel for operation of the Optec® 2300. The indicators from top to bottom include: RIGHT EYE TEST INDICATOR When the forehead activator is depressed, the right eye will see the test target. When the indicator is turned off, the right eye will see nothing. Depress the indicator (illuminated), to turn the right eye on. Depress again to turn the right eye indicator off. LEFT EYE TEST SWITCH When the forehead activator is depressed, the left eye will see the test target. When the indicator is turned off, the left eye will see nothing. Depress the indicator (illuminated), to turn the left eye on. Depress again to turn the left eye indicator off. FAR/NEAR SWITCH When the FAR indicator is illuminated, the unit is set for FAR point testing. When the NEAR indicator is illuminated, the unit is set for NEAR point testing. Cycle the test appropriately to achieve the test you desire according to the Near and Far indicators. STANDBY/ON SWITCH Press the rocker switch too the right to turn the instrument ON. A green indicator light will illuminate when the instrument has been turned on. Press the rocker switch to the left to turn the instrument OFF. READY LIGHT This light indicated that the subject is pressing against the headrest activator and is in position to perform the test. Light will also illuminate if the override switch is pressed. Model and Serial numbers are located on the base of the instrument. Figure 3
OPTEC® 2300 CONTROL PANEL
6
MAINTENANCE OF YOUR OPTEC® 2300 VISION TESTER Stereo Optical’s Optec® 2300 Vision Tester had been designed to minimize maintenance. All bearings and internal mechanisms have been sealed at the factory. It had been engineered and built for a lifetime of use. The only annual maintenance required is simple and does not necessitate a service call. The only components requiring occasional maintenance include: EYEPIECE LENSES: The external side of these lenses need to be cleaned occasionally. Care should be taken not to use any abrasive material on the lenses. Use the cleaner supplied with the Vision Tester, or plain soap and water can be substituted. It is important to dry the lenses with a soft, lint-free cloth. CLEANING OF SLIDES: Open the rear door. Use a damp, soft, lint-free cloth with lens cleaner and wipe the slide. Turn the dial and go to the next slide repeating the same procedure. NOTE: Always unplug the tester before opening the back door and accessing the slides. REPLACEMENT OF THE SLIDES: The slide drum assembly holds up to 12 slides and can be easily accessed through the door located above the power switch. To replace a slide, rotate the dial until the number of the slide to be removed is under the YELLOW indicator. Open rear door, remove slide on top of drum by rotating clips toward each other until they clear the slide. Remove unwanted slide. Insert new slide with label showing and arrow pointing into the instrument. Return spring clips to their former positions to secure slide. Close the read door and you are again ready for operation. CONTROL PANEL REMOVAL: The panel is designed with reliable solid state components. If a problem is diagnosed here, contact Stereo Optical Company’s repair department at 800.344.9500 or in Illinois at 773.777.2869 EXTERIOR: The plastic, which composes the instrument body and base, is similar to your telephone and can be cleaned in the same manner. Use damp, clean cloth and a mild detergent. A dust cover is provided for dusts protection and to discourage tampering when instrument is not in use. The 8 foot power cord can also disconnect to discourage tampering. INSIDE MIRROR: Behind the read door you will find a front-surface mirror. Handle the mirror with care and avoid placing fingers on its surface. We recommend using the cleaner supplied with the instrument along with a damp, soft, lint-free cloth. DO NOT TAMPER WITH THE FOUR SCREWS INSIDE THE REAR DOOR. The mirror has been carefully aligned to achieve precise light reflections and, any tampering will require factory adjustment.
5
5
4
4
3
3
2
2
1
1
D D
C C
B B
A A
P4
P7A
Top Test
P8
P6P5
P1P1
P3
P2P1
P7P1
P1
NC
P1
P1A
SWITCHREADY
NC
01
POWER SUPPLY24VDC/1A
BLUE
YEL.
BLUE
YEL.
RED
WHITE
WHITE
NCNC
OPTION
OPTION OPTION
OPTION
OPTION
NCOPTION
NC
JP1 P21
FAR RIGHT FAR LEFT
NEAR RIGHT NEAR LEFT
OPTION Z
NC
P7A
OPTION
RED
NC
J7A
32098 CABLE READY SWITCH
32101 CABLESUBASSEMBLYPOWER JACK
32088 CABLE LIGHT RIGHT32089 CABLE LIGHT READY INDEXATION
52049 PCB TargetLight assm.
52049 PCB TargetLight assm.
52049 PCB TargetLight assm.
52049 PCB TargetLight assm.
32083 POWER SUPPLY
32110 CORDPOWER SUPPLYHOSPITAL GRADE
32099 CABLEPOWER SWITCHASSEMBLY
52046 PCBControlPanel assm.
52053 PCBIndexationassm.
IL1R20
IL1R21
IL1R11IL1R10
IL1R24
(IL1RO3)
(IL1RO3)(IL1RO3)
(IL1RO3)
(IL2RO1)
(IL1RO5)
TZ
SYNOPTICAL OPTEC 2300US V2A.DSN A
SYNOPTICAL OPTEC 2300 / US - V2
ESSILOR INSTRUMENTS64Bis, Avenue Aubert 94300 VINCENNES
TEL: 01.72.94.71.00 FAX: 01.72.94.70.24 ILLINOIS
B
2 3Wednesday, March 03, 2004
Title
Size Document Number Rev
Date: Sheet ofEIC/R&D/FDQ/07-C
5
5
4
4
3
3
2
2
1
1
D D
C C
B B
A A
NEAR LEFT
red
white
DC OUPUT24V
COM
white
OR
OR
FAR RIGHT
SWITCHREADY
0
POWERLEDGREEN
D1
FAR LEFT
1
Top Test
INPUT 24VDC/1A
OPTION NC
NEAR RIGHT
POWER SWITCHON/OFF
GND
AC INPUT100-240V0.6-0.3A50-60HZ
POWER SUPPLY FORMEDICAL USE
NC
NC
OPTION
CONTROLPOWERLEDGREEN
OPTION
OPTION
NCOPTION
NCOPTION
OPTION Z
NC
OPTION
NC
NCOPTION
NCOPTIONred
32098 CABLE READY SWITCH
32101 CABLESUBASSEMBLYPOWER JACK
32088 CABLE LIGHT RIGHT
32089 CABLE LIGHT READY INDEXATION
52049 PCB TargetLight assm.
52049 PCB TargetLight assm.
52049 PCB TargetLight assm.
52049 PCB TargetLight assm.
32083 POWER SUPPLY
32110 CORDPOWER SUPPLYHOSPITALGRADE
32099 CABLE POWERSWITCH ASSEMBLY
52046 PCBControlPanel assm.
52053 PCBIndexationassm.
QUICK-CONNECT 6.35mm x 0.8
IL1R20
IL1R11
IL1R21
IL1R24
IL1R10
(IL1RO5)
(IL2RO1)
(IL1RO3)(IL1RO3)
(IL1RO3) (IL1RO3)
T
Z
YEL.YEL.
BLUE BLUE
SYNOPTICAL OPTEC 2300US V2A.DSN A
SYNOPTICAL OPTEC 2300 / US - V2détail
ESSILOR INSTRUMENTS64Bis, Avenue Aubert 94300 VINCENNES
TEL: 01.72.94.71.00 FAX: 01.72.94.70.24 ILLINOIS
B
3 3Wednesday, March 03, 2004
Title
Size Document Number Rev
Date: Sheet ofEIC/R&D/FDQ/07-C
ALIM TABLE MASSE
PWM VP GAUCHE
ALIM GND CARTE
ALIM LEDS
ALIM CARTE
ALIM LEDS
PWM VL GAUCHEGND ALIM LEDS
TOP TEST
ALIM LEDS
PWM VL DROIT
ALIM LEDS
VCC
VCCGND
PRESENCE
GND
LEDK
PRESENCE
GND
LEDA
TOP ZERO
GND
PWM VL GAUCHE
PWM VL DROIT
ALIM LEDS GND
PWM VP DROIT
GND
PWM VP GAUCHEGND
TOP TEST
ALIM TABLE
VCC
TOP ZERO
GND
PWM VP DROIT
0V
+24V0V
+24V
P6
S 8B-PH-SM3-TB/JST12345678
P1RJ45/F
1
P7A
S 4B-EH/JST1234
JP1
S 6B-PH-K-S/JST
123456
J6.2F
PHR-4/JSTSPH-002T-P0.5S
1234
P8
S 6B-EH/JST123456
P3
S 5B-PH-SM3-TB/JST
12345
J5
PHR-4/JSTSPH-002T-P0.5S
1234
J6.6FSMP-02V-BC/JSTSHF-001T-0.8BS/JST
1 2
J6
PHR-8/JSTSPH-002T-P0.5S12345678
P21
S 6B-PH-K-S/JST
123456
P1
B 4B-PH-SM3-TB/JST1234
P1
S 3B-PH-K-S/JST
123
P1
B 4B-PH-SM3-TB/JST
1234
P7A
JACK 5.5/2.5M1
J6.3N
PHR-4/JSTSPH-002T-P0.5S
1234
J2PHR-6/JST
SPH-002T-P0.5S
1 2 3 4 5 6
P4
S 4B-PH-SM3-TB/JST1234
J6.4F
PHR-3/JSTSPH-002T-P0.5S
123
J5.3N
PHR-4/JSTSPH-002T-P0.5S
1234
J7A
EHR-4/JSTSEH-001T-P0.6
1234
J6.5F
PHR-3/JSTSPH-002T-P0.5S
123
P1AS 6B-PH-SM3-TB/JST
1 2 3 4 5 6
J5.2F
PHR-4/JSTSPH-002T-P0.5S
1234
J7F
JACK 5.5/2.5F1
P1
B 4B-PH-SM3-TB/JST
1234
P2S 6B-PH-SM3-TB/JST
1 2 3 4 5 6
P5
S 4B-PH-SM3-TB/JST
1234
J6.6MSMR-02V-B/JSTSYM-001T-P0.6/JST
1 2
P1
B 4B-PH-SM3-TB/JST1234
P7MINIDIN4/F
1
30
III. TEST ADMINISTRATION ANCILLARY EQUIPMENT In addition to the vision tester, the flowing items should be utilized: Plastic Demonstrator for Depth Perception Scoring Key Record Cards
OPTIONAL TESTS The vision tester holds 12 slides (9 standard test slides, and 3 alternate test slides). The remaining 5 optional test slides are stored in the accompanying storage case. When administering an ”optional” test, not currently in tester, a test slide must be removed and replaced by the appropriate “optional” slide. PREPARING TO TEST The subject sits before the instrument and brings his chair under the table as far as is comfortable. The chair must be squarely facing the instrument. Adjust the height of the instrument by depressing the elevation adjustment button. Move housing up or down as needed and release the elevation adjustment button. The housing will lock in place. The subject leans his forehead against the headrest. The correct position for the subject is looking through the center of the viewing lenses. Upper lenses for FAR testing, and Lower lenses for NEAR testing. The subject should not have to move his head to look through either of the lenses, and should have a clear view of the targets when each is illuminated. The examiner sits to the side of the instrument, facing the subject. During the entire examination, the examiner should watch to ensure that the subject’s eyes are kept open, without squinting, and that the head is not tilted. TEST ADMINISTRATION
1. Depress the ON/OFF rocker switch to the right 2. Depress the FAR/NEAR indicators. FAR point will be illuminated 3. Depress the Right Eye/Left Eye indicators.
You are now ready to administer the tests. Please note that the subject must press against the headrest activator for green ready indicator to illuminate.
31
TEST SEQUENCE Standard tests are given in the order below: Name of Tests Distance Selection Test No. and Slide No. Dial Position Setting Far Vertical Phoria FAR 1 1 Far Lateral Phoria FAR 2 2 Far acuity FAR 3 & 4 or 3A & 4A 3 & 4 or 5 or 5A Depth Perception FAR 5 or 5A 7 or 8 Near Vertical Phoria NEAR 6 9 Near Lateral Phoria NEAR 7 10 Near Acuity NEAR 8 & 9 11 & 12 RECORDING RESULTS Each subject makes an INSTRUMENT SCORE on each test. This score is a simple number or letter that indicates his/her performance on the test. INSTRUMENT SCORE is not a numerical measure of the visual ability tested. For example, in the Vertical Phoria test, a score of 9 is not superior to a score of 1, and a score of 0 does not mean complete absence of the ability tested. The scoring key found on pages 38 and 39 gives the correct answers and the corresponding INSTRUMENT SCORE for the Acuity and the Depth Perception tests. TEST PROCEDURE If a subject uses correction (eye glasses or contact lenses), he/she is to take the entire series of tests first without correction, and then repeat the entire series of tests with correction. FAR TESTS These tests are given with the dial at the yellow indicator, and the Far Point switch depressed (light will illuminate). Dial at #1: FAR VERTICAL PHORIA
1. Far Point indicator illuminated 2. Right Eye and Left Eye indicator illuminated
Instruct the subject to put their head against the headrest QUESTION: “Do you see a white dotted line? Do you see a row of numbered stair steps? At what step does the dotted line appear level?” If the subject says no to the first or second question, the examiner turns the Left Eye Switch OFF and asks, “Do you see stair steps?” Then turn the Left Eye Switch ON, and turn the Right Eye Switch ON, and ask, “Do you see both the dotted line and the stair steps?” If the subject says no to any of these three questions, the test is discontinued. If he/she says yes, the standard questions are repeated. SCORING: The INSTRUMENT SCORE is the number (1-9) that the subject answers. If the dotted line is below Step 1, the score is 0. If the dotted line is above Step 9, the score is 10. If the test is discontinued because of failure to see either the dotted line or the stair steps, the score is X.
32
NOTE: Verify all answers of 1 or 9 by asking, “Is the dotted line as high as the top (or bottom) of the stair steps?” Dial at #2: FAR LATERAL PHORIA
1. Far Point indicator illuminated 2. Right Eye and Left Eye indicator illuminated
The procedure for the Lateral Phoria test is quite similar to that of the Vertical Phoria test. QUESTION: “Which number does the arrow point to?” If the subject says it does not point to any number, or is between two numbers, the examiner says, “Which number is it closest to?” If the subject does not see the arrow or the numbers, the procedure is as described in the previous test. If the subject says that the arrow moves over a wide range, the examiner says, “Look closely at the checkerboard pattern of the arrow.” If the arrow continues to move, the examiner turns the Right Eye indicator OFF and then ON, saying, “Look closely at the arrow. Tell me where it is when you first see the numbered dots.” The test is discontinued if the subject cannot see both the arrow and the numbers at the same time. Failure to see the arrow or the numbers is scored X as in the previous test. The INSTRUMENT SCORE is the number (1-21) that the subject answers. Score if the arrow is pointing to the left of 1. Score 22 if the arrow is to the right of 21. NOTE: If the subject reports that the arrow “points to the second one,” verify that he/she means the dot between number 1 and number 3. Dial at #3 & 4: FAR ACUITY/TESTS #3 & #4 Dial at #5 & 6: TESTS #3A & #4A
1. Far Point indicator illuminated 2. Right Eye indicator illuminated for testing Right Eye
Left Eye indicator illuminated for testing Left Eye In this test the examiner must remember to turn off the Left Eye indicator when the Right Eye is being tested, and vice versa. The previous tests are administered with both Eye indicators on. DIAL POSITION 3: Test 3 and alternate 3A (Dial Position 5) contain smaller letters. DIAL POSITION 4: Test 4 and alternate 4A (Dial Position 6) contain large letters. The larger letters are used only if the subject cannot read correctly 7 of the 10 largest letters on test 3 (or 3A). Alternate slides 3A and 4A are provided for situations when the subject has memorized the order of the letters on a line which he/she cannot actually read. Slides 3 (& 3A) contain 20 letters of each size. Only 10 of the 20 letters of each size need to be used. Thus, the examiner may ask the subject to read lines 5 or 5A, 6 or 6A, etc. QUESTION: “Can you read the letters on line 5 at the top of the chart?” (Line 5A may be used instead). If more than three errors are made, the test is continued with the larger letters on slide 4 or 4A. If three or less errors are made in line 5 or 5A, then examiner asks, “Can you look at the smaller lines of letters on the left and the still smaller ones on the right? What is the smallest line you can read easily?” From this point on, the examiner may proceed in any way he wishes to determine the smallest line of letters which the subject can read without more then three errors in ten letters. The subject’s INSTRUMENT SCORE on this test is the number of the smallest line of letters on which not
33
more then three errors in ten are made. Only ten letters of each group need to be used unless the examiner suspects malingering or wishes to verify the subject’s final score by having him/her read a second ten letters of the same size. If the subject cannot read lines 5 or 5A with three or less errors, the examiner determines his acuity score using slide 4 or its alternate slide 4A. There are four sizes of letters on this chart corresponding to INSTRUMENT SCORES 1 to 4. The lines are not numbered on this slide. The top line represents a score of 1. The second and third lines from the top represent a score of 2. The fourth line represents a score of 3, and the bottom line is a score of 4. The examiner should have the examinee start with the top line of three letters. If the subject makes one error or no errors on the top line, he/she continues with the smaller letters until he/she has made four or more errors in reading the ten letters of a size. The INSTRUMENT SCORE is given by the letter size for which not more than three errors in ten are made. An exception is made for the top line of three letters, of which two must be read correctly to give a score of 1. If more than one error is made, the INSTRUMENT SCORE is 0. Dial at #7: FUSION AND DEPTH PERCEPTION/TEST #5 Dial at #8: TEST #5A
1. Far Point indicator illuminated 2. Right Eye and Left Eye indicators illuminated
FUSION TEST: Before giving these tests, make sure that the both eye switches are illuminated. The purpose of this test is to determine whether (A) the slightly different test targets presented to the right and to the left eye are combined into a single image, and (B) they are seen double, that is, side by side or one above the other, or (C) the target presented to one ye is not seen. If the subject has normal binocular vision, he/she will see at the left of the slide a single arrow with both a head and a tail. See Figure A: To make sure that the subject actually has normal binocular vision, the examiner has them describe what they see, and checks the truthfulness of the answers by turning off one eye. When the right eye is turned off, the tail of the arrow should disappear. When the left eye is turned off, the head of the arrow should disappear. If either of the following abnormal answers are given when the subject is allowed to use both eyes (both Eye indicators are illuminated), the Fusion Test is regarded as having been failed. Figure A
1) Double vision: The subject reports that he/she sees two arrows side by side,
as in the image: or or that he/she sees two circles, one above the other
as in the image: 2) Suppression: When allowed to use both eyes, the subject sees only the head or only the tail of
the arrow:
or
34
DEPTH TEST: This test is omitted if the subject fails the Fusion Test, i.e. he/she exhibits either double vision or suppression. It is also omitted if the subject’s score on the Far Acuity Test in either eye is number 0-4. A score of X is recorded if the Depth Test is omitted. In the entire battery of tests, the test for Depth Perception is the most difficult to give and to interpret. This is, in part, because subjects having quite normal perception of depth in situations to which they are accustomed, may have to learn to see the apparent depth employed in this test. Consequently, although good scores can be accepted as evidence of normal binocular vision and normal depth perception, even complete failure on this test unless supported by other evidence is not necessarily indicative of poor depth perception. In order to reduce to a minimum the number of “false-failures,” the examiner, therefore, should not hurry through the demonstration and the practice period which precede the actual test. The Depth Slide used to test Depth Perception consists of a number of horizontal rows of circles, five circles in each row, one of which should appear slightly nearer to the subject then the other four. In order to explain the test, the subject is first shown a demonstration device consisting of a a plastic plate with five white circles, one being raised. As in the Depth Perception Test, one circle appears nearer than the other four. After the plastic demonstration model of the test has been shown, the subject is told to look into the instrument and his/her attention is direction to Group A, the three rows of circles in the upper left hand corner of the square. This first group is to be used to further explain the test and allow time for the perception of depth to develop. The top row of five circles in Group A demonstrates a relatively large difference in depth, the middle row a moderate difference, the bottom row a small difference. Some subjects may not see any depth for the first minute or so, and in such cases, the examiner must not hurry through the practice test. The examiner may tell the subject the correct answers for the three rows of Group A and instruct him/her to look at each circle in turn until he/she can see the one of the five circles in each row is nearer to him/her then the others. The examiner may with to demonstrate the difference in depth perception between monocular and binocular vision. Monocular Vision (one Eye Test indicator off): all circles will appear on the same plane Binocular Vision (both Eye Test indicators on): one circle will appear closer to the subject then the other four. When the examiner is satisfied that the subject actually sees depth in at least the top row, he may proceed to the actual test. This is given without any help or hints from the examiner such as are used in the practice period. The subject is asked to indicate by number, counting from left to right, which circle is nearer in the top, the middle, and the bottom row of Group B. If all three answers are correct, the same questions are asked for Group C, Group D, etc. The test is discontinued when the subject gives one or more incorrect answers in any one group beyond Group B. If one or more incorrect answers are given in Group B, the examiner repeats the practice session with Group A, then has the subject try Group B again. If correct answers are now given in Group B, this is followed by Group C, etc. The score is the letter of the last group in which no errors are made. If the first test group, i.e., Group B, is failed a second time, the score is recorded as O.
35
NEAR TESTS These tests are given with the dial at the blue indicator, and the Near Point indicator illuminated. The subject remains in position at the instrument but is instructed to look through the lower lenses instead of the upper lenses. The subject is now looking down instead of straight ahead. If the subject is wearing multi-focal lenses, he/she will look through the “reading” position of the multi-focal lenses. It may be necessary for him/her to tilt their head backwards slightly to look through the “reading” position of the multi-focal lenses. Dial at #9: NEAR VERTICAL PHORIA/ TEST #6 The procedure for administering the Near Phoria Test is the same as the procedure described for the Far Vertical Phoria Test. Dial at #10: NEAR LATERAL PHORIA/ TEST #7 The procedure for administering the Near Lateral Phoria Test is the same as the procedure described for the Far Lateral Phoria Test. Dial at #11 AND #12: NEAR ACUITY/ TEST #8 and #9 The procedure for administering the Near Acuity Test is the same as the procedure described for the Far Acuity Test. IV. ADMINISTRATION OF OPTIONAL TESTS Test #10: FAR ACUITY TEST FOR ILLITERATES The slide for this test is mounted on the drum at any convenient position. This slide contains broken rings resembling the letter C turned so that the opening is in one of the four directions (up, down, right, or left). There are seven different sized of the broken ring on this slide numbered 1, 2, 3, 4, 5, 6, 7, 9 on the scoring key. These lines are not numbered on the slide. In this test, lines are not skipped. The subject is required to read every line, starting with the large rings at the top and preceding to successively smaller lines. As in the letter test, the instrument score is the number of the lowest line on which breaks in at least seven of ten rings are correctly located. The right eye is tested first. Be sure that the left eye is turned off. QUESTION: “Do you see the three large circles at the top? Each circle has an opening in it. Where is the opening in the first one? The second? The third?” It may be necessary to open a side door and point to individual letters to insure an accurate test. If the subject appears to confuse right and left in reporting the location of the breaks, have him/her begin the line saying, “Tell me whether the openings are at the top, at the bottom, on this side toward me (touching subject’s right arm), or on the other side.” If right and left are still confused, substitute hand signals with subject pointing in the direction of openings on either side. Test on each successive line until one is failed. The left eye is tested in the same way. Be sure the Right Eye Test indicator is off and the Left Eye Test indicator is illuminated.
36
INSTRUMENT SCORE: Refer to the scoring key for the score number of the last line passed and record this number. On line 1, a passing score requires correct location of the break in two of the three rings. Line 2 requires identification of three of the five rings. The remaining lines contain ten rings each. Any line is failed if more then three of the ten rings in it are not identified correctly. Test #11 AND #12: FAR BINOCULAR ACUITY TESTS The slides for these tests must be mounted on the drum at any convenient position. The procedure for testing binocular vision is the same as for monocular vision, except both Eye Test indicators must be illuminated. FAR/NEAR is in the FAR (illuminated) position. Dial number is aligned with FAR (Yellow) indicator. Test #13 AND #14: NEAR BINOCULAR ACUITY TEST The slides for these tests must be mounted on the drum at any convenient position. The procedure for testing binocular vision is the same as for monocular vision, except both Eye Test Switches must be On. FAR/NEAR switch is in the NEAR (illuminated) position for near testing. Dial number is aligned with the NEAR (blue) indicator. V. STANDARD QUESTIONS AND SCORING PROCEDURE (A SUMMARY)
A. STANDARD FAR TESTS Administered with the FAR/NEAR indicator in the FAR position.
1. FAR VERTICAL PHORIA- both Eye Test indicators illuminated.
QUESTION: “Do you see a white dotted line? Do you see a row of numbered stair steps? At what step does the dotted line appear level?”
INSTRUMENT SCORE is the number 1, 2, 3, 4, 5, 6, 7, 9. If below step 1, record 0, above step9, record 10. if both steps and dotted line are not seen at the same time, record X.
2. FAR LATERAL PHORIA- both Eye Test indicators illuminated. QUESTION: “Which number is the arrow pointing to?” INSTRUMENT SCORE is the number (1-21). If arrow points to the left of 1, record 0. If arrow points to the right of 21, score 22. If arrow and numbered dots are not seen at the same time, record X. 3.or 3A. FAR LETTER ACUITY (SMALL LETTERS)- Turn OFF eye not being tested. Test Right eye first, then Left.
QUESTION: “Read the letters on line 5 at the top of the chart.” If three or less errors are made, “Look at the smaller lines of letters on the left and the still smaller ones on the right. What is the smallest line you can read easily?”
37
Continue testing to determine smallest line which subject can read without more than three errors in line of ten. Test first right and then left eye. INSTRUMENT SCORE is the number of the smallest line read without more than three errors.
4.or 4A. FAR LETTER ACUITY (LARGE LETTERS)- Turn OFF eye not being tested
If subject cannot read line 5 in slide 3 or 3A with three or less errors for either right or left eye, use this slide. Start with largest letters and continue until subject fails on one size of letter. If a score on 3 or 3A has been obtained for one eye, test only the failing eye on slide 4 or 4A. INSTRUMENT SCORE is 1 if subject can read two of the three letters in group 1, but misses more then three of the next size. Otherwise, score is the scoring key number of the smallest size of ten letters on which no more than three errors are made. 5.or 5A. FUSION AND DEPTH PERCEPTION- Both Eye indicators illuminated. Fusion Test QUESTION: “Do you see a large square containing letters and circles? What do you see to the left of the square? Can you describe it?” Be certain the subject sees both head and tail of the arrow with a single shaft passing through the circle. Turn the Right Eye indicator OFF. QUESTION: “What do you see now?” The subject should see only head of arrow. Turn the Left Eye indicator OFF. QUESTION: “What do you see now?” The subject should see only tail of arrow. If the subject does not pass the Fusion Test, omit Depth Test and record depth score as X. Depth Test
Continue with Depth Test- Both Eye indicators illuminated.
QUESTION: “Please look in this direction. This next test will show groups of circles like this (show plastic demonstrator with side having single circle toward the subject). Do you see that this circle (point) is closer to you then the others? Look into the instrument again. In Group A, look at the top row of circles. Which circle is closer to you? (Counting across the row from the A.)” If the subject does not answer immediately, give him/her clues including the proper answer to this row, and rows 2 and 3 of Group A. Be certain he/she keeps both eyes open. Continue with Groups B through F until one of the three lines in a group is failed. If the subject fails Group B, repeat the training Group A and test a second time in Group B, continuing with the remainder of the test if Group B is passed.
38
INSTRUMENT SCORE: is 0 if Group B is failed a second time. Otherwise record the letter score of the last group in which no errors are made.
B. STANDARD NEAR TESTS Administered with the FAR/NEAR indicator in the NEAR (illuminated) position. The subject remains in position as the instrument. As the subject to look down through the lower lenses and to keep their head in the same position.
6. NEAR VERTICAL PHORIA- Both Eye indicators illuminated. QUESTION: “Which step is the dotted line nearest level with now?” Score as in Test 1. 7. NEAR LATERAL PHORIA- Both Eye indicators illuminated. QUESTION: “Which number does the arrow point to now? Score as in Test 2. 8. NEAR LETTER ACUITY (SMALL LETTERS)- Turn OFF the Eye not being tested. Test Right Eye, then Left Eye. Test and score as in 3 or 3A. If the subject is wearing bifocals, it may be necessary for him/her to tilt their head backwards slightly so that they can look through the “reading” position of their bifocals.
9. NEAR LETTER ACUITY (LARGE LETTERS)- Turn OFF the Eye not being tested. Test Right Eye, then Left Eye. Use if line 5 in test 8 has failed. Test and score as in 4 or 4A.
C. OPTIONAL TESTS
Administered with the FAR/NEAR switch in the NEAR position. The subject remains in position as the instrument. Ask the subject to look down through the lower lenses and to keep their head in the same position. Test #10: FAR ACUITY TEST FOR ILLITERATES This slide contains broken rings resembling the letter C turned so that the opening is in one of four directions, i.e. up, down, right, or left. There are seven different sizes of characters numbered 1, 2, 3, 4, 5, 6, 7, 9 on the scoring key. These lines are not numbered on the slide. In this test, lines are not skipped. The subject is required to read every line, starting with the large rings at the top and preceding to successively smaller rings.
39
The right eye is tested first. Make certain that the Left Eye indicator is turned off. QUESTION: “Do you see the three large circles at the top? Each circle has an opening in it. Where is the opening in the first one? In the second? In the third? Be sure that the subject is not confusing right and left. Test each successive line until one line has failed. INSTRUMENT SCORE: Record the answer key score number for the last line passed. On line 1 a passing score requires correct identification of two of the three characters. Line 2 requires identification of three of the five characters. The remaining lines contain ten characters and are passed if at least seven of the ten are correctly identified. Test #11 AND #12: FAR BINOCULAR ACUITY Both Eye indicators illuminated. With this exception, the tests are administered and scored in the manner as the monocular acuity tests. Test #13 AND #14: NEAR BINOCULAR ACUITY Both Eye indicators illuminated. With this exception, the tests are administered and scored in the manner as the monocular acuity tests.
40
VI. STEREO OPTICAL OPTEC 2300 SCORING KEY FOR ARMED FORCES VISION TESTER
FAR TESTS
Test 1
Test 2
Score 1 2 3 4 5 6 7 8 9 2.0 1.5 1.0 0.5 0 0.5 1.0 1.5 2.0 Prism Diopters Left Hyperphoria Right Hyperphoria
Score minus 11 = Prism Diopters of Exophoria 11 minus Score = Prism Diopters of Esophoria
Test 3 – Small Letters Test 3A – Small Letters Score LEFT EYE RIGHT EYE LEFT EYE RIGHT EYE
20/50 { 20/40 {
5
5A
6
6A
CDZNO KSRVH
NCVHR OZKDS
CNRKH ZVSDO
KDVHO RZSNC
VHDNS OZKRC
HVRDN ZSKCO
DVZNC SRHKO
ZCVHN RDOSK
CRNDO SVZHK
OZKRC SNDHV
ZVCOH DRSNK
ODVZR HSKNC
KDZNV SHROC
RZNCS ODKVH
VKRNZ CODHS
ODVNR CZSHK
20/30 { 20/25 { 20/20 {
7
7A
8
8A
9
9A
DVHCK OZNSR
HNCDO ZKSRV
CDKRO SZVNH
CDSVO ZHRNK
CVHSZ ORKDN
VHOKC SRNZD
KNZCO SRDHV
DZONV RCSKH
KNDRS ZVCOH
HKZSC NROVD
VZCHD KNRSO
CKROH SDZNV
ZKHSO VCDRN
OCVDR HZSKN
HNVZS CKRDO
OSRNZ CDHKV
RHCVN ODSZK
ZHODC SVNKR
HSDRZ NCVOK
RNZVH OKSCD
ZOVCS NRKDH
KNROH SDZCV
RHSDK ONCVZ
OSCHN RVKZD
20/17 { 20/15 { 20/12 {
10
10A
11
11A
12
12A
DNVHS OKRCZ
ZDVOH CRSKN
ZHODC SVNKR
VDKHO RSZNC
KHOZD CSNVR
ZVSDO CHNRK
KZSVN HCRDO
ZHRSN OKVDC
RCSNV KDHOZ
VDHON RCKZS
ROKHZ NSCVD
CRNDO SZVKH
KRNHC OSDVZ
NDZOC HVKSR
SCHZD VKNRO
VDNSK ZHCOR
CNDZK OHRVS
HOCVZ SRNKD
KNRZD OHVCS
RKCVN OZDSH
KZODR HNSCV
ZDCKN SVRHO
RVNSZ KCDOH
CSNDO HRVKZ
Test 3 – Small Letters Test 3A – Small Letters Score LEFT EYE RIGHT EYE LEFT EYE RIGHT EYE 20/400 20/200{ 20/100 20/70
1
2
2
3
4
VNC
OZNKS
DRHCV
RZOHC KSNDV
RKNCZ HSDVO
SDK
RCSZO
KNHDV
HNZOS KRCVD
ZHODC SVNKR
DKS
ORSCZ
VDHNK
CVDRN OHZKS
HKNZS RDCVO
CVN
RDHZC
NSKVO
ZVRNO HCSDK
DRSHC ZVNKO
Test 10 – Illiterate LEFT EYE RIGHT EYE
TEST 5- Depth TEST 5A- Depth
A B C D E F 3 4 2 4 2 3
2 3 4 2 4 3
4 4 2 3 3 2
A B C D E F 3 3 4 3 2 3
2 4 2 2 3 2
4 2 4 3 4 2
SECONDS OF ARC TEST 5- Depth TEST 5A- Depth A B C D E F 80 40 30 25 20 15
40 40 30 25 20 15
30 40 30 25 20 15
A B C D E F 80 40 30 25 20 15
40 40 30 25 20 15
30 40 30 25 20 15
Score
20/400 1 20/200 2 20/100 3 20/70 4 20/40 6 20/30 7 20/20 9
URD UDLUR ULDLU RUDRU UDRLD RULDL LUDLR
RURDL DLDRL LRDLU URUDL DUDRL
DUL RULUD LDRDR LDLRU DLRDR RUDRU URLUD
ULDRU DURLU UDRLU DLURL ULDRL
41
NEAR TESTS
Test 6
Test 7
BINOCULAR ACUITY
Score 1 2 3 4 5 6 7 8 9 2.0 1.5 1.0 0.5 0 0.5 1.0 1.5 2.0 Prism Diopters Left Hyperphoria Right Hyperphoria
Score minus 13 = Prism Diopters of Exophoria 13 minus Score = Prism Diopters of Esophoria
Test 8 – Small Letters Small Letters Score LEFT EYE RIGHT EYE TEST 13- NEAR TEST 11- FAR
20/50 { 20/40 {
5
5A
6
6A
ZKCRV OHSDN
ORSNK VHDZC
SDKVO ZRHNC
ZODVN HKSCR
CVRZS DKHNO
OZRCV SKNDH
VZKCO HRSDN
NZCKO DSRHV
OCVKR ZNSDH
SDOVH CNZKR
ZHOCV NDRKS
VNCSO KDZRH
OSDNH VKZCR
SCVDK NZRHO
RHZCD OSVKN
OZNKR DVSCH
20/30 { 20/25 { 20/20 {
7
7A
8
8A
9
9A
DHZRV SOKNC
NCKSR HZDVO
DKOSN RVZCH
CKDSV OZNHR
RKZVD OSNCH
VDOKH RZSCN
HSZKN OVCDR
NRDVC ZKHOS
OVRHS CNDZK
VCHRD SKNZO
ZHCOR VDNSK
HVRSK ZODNC
SDOVK HRNZC
ZOHRC KDSNV
DNHKO ZSRVC
NSOZR VHKDC
DSVKH ZNOCR
NZOSR DVHCK
SVNHO KCRDZ
HNKZD VRCSO
RHSCK OZDVN
CKDVO ZRNHS
OZRVN HSCKD
KDZRO VNHSC
20/17 { 20/15 { 20/12 {
10
10A
11
11A
12
12A
OKSRN DHVCZ
HOVNC RZDSK
VRCHN OZKSD
SVRNO CHZDK
ROHKS VDNCZ
KHRCV OSDNZ
RHCVN SDKZO
KRNHC DOSVZ
CNZSR OHKDV
DCVHK NOZSR
ODCNH VRSKZ
RKCDO HVNZS
NZHKO RCVDS
DNKOZ HSRVC
SNCZO RKVHD
OCVNS DZKRH
DHNVO SCZKR
CNHRD OKSZV
DRHVN ZSKCO
ZDSKC ORHNV
OSKCV RZHDN
CSHRV KNDZO
SKHDN OCVRZ
KRSZC HNVDO
Test 9 – Small Letters Large Letters LEFT EYE RIGHT EYE TEST 14- NEAR TEST 12- FAR 20/400 20/200{ 20/100 20/70
1 2 2 3 4
DSK
CRSZO
NDVHK
OKZHS NCVRD
RCOVN DHKSZ
NCV
HNRCD
VOSZK
NDOCV RSZKH
VRCNZ OSDHK
NVC
CZHSN
DKORV
KSDVO NHZCR
VZOCS HRNKD
KDS
ZSKCO
VRHDN
ZNSKH VDRCO
OZCRH NSKDV
42
VII. SAMPLE: RECORD CARD
RECORD CARD: VISION TESTER Name ___________________________________________________ Number _______________
Date _______________ Glasses: None Always Bifocals Far Only Near Only
UNAIDED VISION TESTS WITH GLASSES FAR TESTS 1 Vertical Phoria 12 Lateral Phoria 23&4 Letter Acuity Right Eye 3&43&4 Letter Acuity Left Eye 3&45 Fusion 55 Depth 5 NEAR TESTS 6 Vertical Phoria 67 Lateral Phoria 78&9 Letter Acuity Right Eye 8&98&9 Letter Acuity Left Eye 8&9 OPTIONAL TESTS 10 Far Acuity- Illiterate 1011&12 Far Binocular Acuity 11&1213&14 13&14
43
VII. TEST SLIDES
TEST 1: FAR VERTICAL PHORIA
TEST 2: FAR LATERAL PHORIA
44
TEST 3: FAR LETTER ACUITY (SMALL LETTERS)
TEST 4: FAR LETTER ACUITY (LARGE LETTERS)
45
TEST 3A: FAR LETTER ACUITY (SMALL LETTERS)
TEST 4A: FAR LETTER ACUITY (LARGE LETTERS)
46
TEST 5: FUSION AND DEPTH PERCEPTION
TEST 5A: FUSION AND DEPTH PERCEPTION
47
TEST 6: NEAR VERTICAL PHORIA
TEST 7: NEAR LATERAL PHORIA
48
TEST 8: NEAR LETTER ACUITY (SMALL LETTERS)
TEST 9: NEAR LETTER ACUITY (LARGE LETTERS)
49
TEST 10: FAR RING ACUITY- ILLITERATES
TEST 11: FAR BINOCULAR LETTER ACUITY (SMALL LETTERS)
TEST 12: FAR BINOCULAR LETTER ACUITY (LARGE LETTERS)
50
TEST 13: NEAR VINOCULAR LETTER ACUITY (SMALL LETTERS)
TEST 14: NEAR BINOCULAR LETTER ACUITY (LARGE LETTERS)
51
REPLACEMENT SLIDE LIST FOR OPTEC 2300 AFVT MODEL
Drum location
Test Slide # Slide Description Stereo Optical
Part Number National Stock Number
1 1 Far Vertical Phoria 2300-301 6450-01-370-5030 2 2 Far Lateral Phoria 2300-302 6450-01-370-5031 3 3 Far Acuity Small Letters 2300-303 6450-01-370-5032 4 4 Far Acuity Large Letters 2300-304 6450-01-370-5034 5 5 Far Fusion & Depth Perception 2300-305 6450-01-370-5037 6 6 Near Vertical Phoria 2300-306 6450-01-370-5039 7 7 Near Lateral Phoria 2300-307 6450-01-370-5040 8 8 Near Acuity Small Letters 2300-308 6450-01-370-5041 9 9 Near Acuity Large Letters 2300-309 6450-01-371-1149 10 3A Alternate Far Acuity Small Letters 2300-315 6450-01-370-5033 11 4A Alternate Far Acuity Large Letters 2300-316 6450-01-370-5036 12 5A Alternate Far Fusion & Depth Perception 2300-317 6450-01-370-5038
ALTERNATE SLIDES 10 Far Illiterate Acuity 2300-310 6450-01-370-6233 11 Far Binocular Acuity Small Letters 2300-311 6450-01-370-6228 12 Far Binocular Acuity Large Letters 2300-312 6450-01-370-6229 13 Near Binocular Acuity Small Letters 2300-313 6450-01-370-6230 14 Near Binocular Acuity Large Letters 2300-314 6450-01-370-6231 Complete Set of Test Slides (17 slides) 2300-300
Standard Set of Test Slides (Slides 1-9 Only/301-309) 2300-320
REPLACEMENT SLIDES AVAILABLE THROUGH DPSC ONLY
ACCESSORY SUPPLY LIST Item Stereo Optical Part Number Headrest Tissue Pad (50 sheets to a pad, 50 pads to a
k )2000-221
Pointers (6 to a package) 2000-224 Lens and Mirror Cleaner (4 oz. Bottle) 2000-228 AFVT Manual Complete (50 sheets per pad, 10 pad package) 2000-001 AFVT Record Form Pad 2000-002 AFVT Scoring Key 2000-003 Slide Storage Case 2000-004 Dust Cover 2000-005
52
VIII. GLOSSARY Accommodation: The ability of the eye to refocus from one distance to another. Acuity: Clearness or sharpness of images. Amblyophia: Also referred to as lazy eye, loss of sight in one eye. Astigmatism: A mis-shaping of the eye that prevents light rays from coming to a single focus on the back of the eye. Binocular: Ability to use two eyes simultaneously to focus on the same object and to fuse two images into a single image. Color Deficiency: Diminished ability to perceive differences in certain colors. Convergence: The process of directing two eyes from far to a near point Depth Perception: The ability to judge distance of objects from each other or from the observer. Diopter: A measurement of optical power of lenses. Divergence: The process of directing two eyes from a near point to a far point. Esophoria: The tendency of the eyes to pull inward on the horizontal plane. Far Point: Twenty feet to infinity. Focus: The point at which light rays will come together after passing through a lens. Fusion: Power of coordination by which images received by two eyes become a single image. Hyperopia: Farsightedness, the images focus behind the retina. Hyperphoria: When either eye has a tendency to pull up on the vertical plane. Intermediate Vision: Vision which focuses at some point beyond 16 inches (Near Point) and less than 20 feet (Far Point). Malingerer: A person who pretends to have a vision problem. Monocular: Seeing with only one eye. Muscle Balance: The coordination of muscles allowing two eyes to work together on the vertical and the lateral planes.
53
Myopia Nearsightedness; has problems seeing at a distance; images focus in front of the retina. Near Point: Sixteen inches. Occlusion: Obscuring the vision of an eye. Orthophoria: Expected or normal teamwork of the eyes Peripheral Vision: Ability to perceive the presences, motion, or color of objects outside the direct line of vision. Phoria: Root word denoting a latent deviation in which the eyes have a constant tendency to turn from the normal position for binocular vision. Stereopsis: The ability to perceive depth Suppression: The nonuse of vision in one eye
54
WARRANTY PROTECTION PROGRAM
OPTEC 2300 VISION TESTER NSN 6540-01-375-9031
The Optec 2300 Vision Tester is guaranteed to be free from defects in material and workmanship for a period of one (1) year from the date of purchase to original buyer. Stereo Optical Company, Inc., will, at its option, repair or replace the instrument during the warranty period. This action will take place within a reasonable time after receipt of written notice from the buyer. The guarantee does not cover mirrors and lenses, damage in transit, or damage caused by buyer’s misuse, carelessness, or neglect. The safest and best method of shipping the Optec 2300 is in the original carton with Styrofoam forms. Customers shall retain shipping carton packing material or replacement charge will be assessed. All correspondence should be directed to Stereo Optical and reference to the serial number of the Vision Tester must be included.
For Service, Call or Write:
Stereo Optical Company
8623 W. Bryn Mawr Ave., Suite 502 Chicago, IL 60631-3501 USA
800.344.9500 or 773.867.0380 (in IL) FAX: 773.867.0388
Email: [email protected]
www.stereooptical.com