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WAVE-FRONT ANALYZER
KR-1W Viewer
Version 1.01
TOPCON Corporation
The KR-1W Viewer is a software application that may be installed and utilized on a commer-
cial personal computer (PC).
This text outlines the KR-1W Viewer and describes the software's basic operation and
explanation of the analysis result displays.
To encourage the safe, efficient use of this software, carefully read "Displays for Safe Use"
and "Safety Precautions." Thorough understanding and proficient operation of the KR-1W
Viewer software is necessary for effective and reliable analysis of data.
For future reference, keep this Instruction Manual in a convenient location.
PRECAUTIONS
• To ensure smooth operation of the KR-1W Viewer, install the PC on a level place free of vibra-
tions.
• Before using the KR-1W Viewer, connect all cables according to Preparation instructions on
page 6.
• Use the specified source voltage as specified in the KR-1W Instrument Instruction Manual.
• This Instruction Manual does not contain explanations about the PC and Microsoft® Windows®
on the basis that the user has and existing practical knowledge.
• For the operation methods of the PC and Microsoft® Windows®, see individual manuals for
each system.
• TOPCON shall not take any responsibility for damage caused by using the software and the
Instruction Manual.
• Diagnosis shall be made on the responsibility of the doctor, and TOPCON shall not take any
responsibility for the result of such diagnosis.
• Specifications of the software and contents of the Instruction Manual are subject change without
notice.
1
DISPLAYS FOR SAFE USE
In order to encourage the safe use of the machine and prevent any danger to the operator and
others or damage to properties, important warnings are placed on the product and inserted in the
instruction manual.
We suggest that everyone understand the meaning of the following displays and icons before
reading the "SAFETY PRECAUTIONS" and the main text.
DISPLAY MEANING
• Injury refers to cuts, bruises, sprains, fractures, burn, electric shock, etc.
• Physical damage refers to extensive damage to buildings or equipment and furniture.
ICON MEANING
2
SAFETY PRECAUTIONS
CAUTION
The KR-1W Viewer is a software application that may be installed and utilized on a commer-
cial personal computer (PC).
USER MAINTENANCE
To ensure the safety and performance of the instrument, all maintenance work, unless speci-
fied in this manual, shall be conducted by a certified Topcon Service Engineer.
ESCAPE CLAUSE
• TOPCON shall not take any responsibility for damage due to fire, earthquakes, actions by a
third party or other accidents, or the negligence and misuse of the user and use under
unusual conditions.
• TOPCON shall not take any responsibility for damage derived from inability to use this
equipment, such as loss of business profits and suspension of business.
• For software products, the included license conditions precede.
• TOPCON shall not take any responsibility for damage caused by operations other than
those described in this Instruction Manual.
• Diagnosis shall be made on the responsibility of the doctors, and TOPCON shall not take
any responsibility for the result of such diagnosis.
3
CONTENT
INTRODUCTION ...................................................................................................1
DISPLAYS FOR SAFE USE..................................................................................2
SAFETY PRECAUTIONS......................................................................................3
USAGE AND MAINTENANCE ..............................................................................3
PURPOSE .............................................................................................................3
USER MAINTENANCE..........................................................................................3
ESCAPE CLAUSE.................................................................................................3
PREPARATIONS
SYSTEM REQUIREMENTS ..................................................................................5
CONNECTING THE CABLE..................................................................................6
SETTING THE KR-1W LAN OUTPUT (REFERENCE) .........................................7
BASIC OPERATIONS
TURN ON THE POWER......................................................................................11
ACTIVATING THE COMPUTER AND SOFTWARE ...........................................11
POSITIONING THE PATIENT.............................................................................12
MEASUREMENT UNDER AUTO MODE ............................................................14
DATA TRANSFER...............................................................................................17
DISPLAY OF PATIENT DATA.............................................................................18
ANALYSIS RESULT SCREEN ............................................................................20
BASIC OPERATIONS .........................................................................................24
ANALYSIS RESULT SCREEN(ANALYSIS RESULT DISPLAY MAP) ................26
ANALYZING THE CORNEAL MEASUREMENT IMAGE (MIRE IMAGE)
AND CONFIRMING THE RESULT......................................................................39
ANALYZING THE REFRACTIVE WAVEFRONT MEASUREMENT IMAGE
(HARTMANN IMAGE) AND CONFIRMING THE RESULT .................................40
DISPLAYING THE MEASUREMENT RESULT
ANALYSIS CENTER ...........................................................................................41
DESCRIPTION ABOUT RMS DISPLAY OF OCULAR ABERRATION ...............41
DESCRIPTION ABOUT RMS DISPLAY OF CORNEAL ABERRATION .............42
ENLARGEMENT DISPLAY .................................................................................46
VARIOUS SETTINGS OF MAP DISPLAY ........................................................47
BACKUP
ARCHIVE FUNCTION .........................................................................................53
BACKUP FUNCTION ..........................................................................................54
PRINT SETTING
SETTING THE PRINT STYLE.............................................................................56
TERMINOLOGY
DESCRIPTION OF TERMS.................................................................................58
4
PREPARATIONS
SYSTEM REQUIREMENTS
Computer
A computer utilizing Windows® XP Professional or Windows® Vista Business
OS
Windows® XP Professional, Windows® Vista Business
DVD
A DVD RW drive is necessary when installing the Viewer.
Monitor
A full-color monitor with a resolution of 1280 x 1024 pixels.
CPU
Core2Duo E6600 4MB L2 2.4GHz 1066MHz FSB and above.
Memory
1GB RAM is required for proper software performance (2GB and above is recommended).
Hard disk
SATA 3.0Gb/s NCQ (7200 RPM)
For installation, 10GB of free space on the HDD is required. When using the KR-1W Viewer
Software, at least 30GB of free HDD space is required. (For failure and backup precautions,
RAID configuration is recommended.)
Display adapter
A display adapter compatible with DirectX® 9.0 is required.
USB
Two USB 2.0 ports are required.
TCP/IP
Provision of a TCP port 1433, 50000 is required.
5
PREPARATIONS
CONNECTING THE CABLE
The KR-1W Wavefront Analyzer connects to a personal computer (PC) via a single LAN
cable.
LAN CONNECTION
1 Connect the cable to the LAN output terminal of the KR-1W main body.
2 Connect the other end of the cable to the PC.
When directly connecting the KR-1W main body with the PC, use a cross type
LAN cable.
For inquiries about other LAN connections, call your local dealer or TOPCON at
the address printed on the back cover of this manual.
6
PREPARATIONS
SETTING THE KR-1W LAN OUTPUT (Reference)
Settings related to data input/output by LAN connection are configured in the Setup screen of
the KR-1W main body. For information regarding instrument operation, please see the KR-1W
Wavefront Analyzer Instrument Manual.
• LAN communication settings should be configured by your local dealer or certified Topcon
Service Engineer.
1 Tap the Set Condition button of the set item display "KR-1W Data Output" of "NET-
WORK."
2 Tap the Setting Change button and select "ON."
3 Setting is complete.
1 Tap the index "NETWORK" of the "SETTTINGS screen." The LAN Connection screen is
displayed.
1 Tap the Set Condition button of the set item display "Data Transfer Method" of "NET-
WORK. "
2 Tap the Setting Change button and select the "TCP/IP Transfer" or "Shared Folder
Transfer".
3 Setting is completed by tapping the OK button.
7
PREPARATIONS
SETTING THE IP ADDRESS OF CONNECTED PC (Server IP Address)
The IP address of the PC connected to output data can be set.
1 Tap the Set Condition button of the set item display "Server IP Address" of "NET-
WORK. "
2 Enter the number by the ten-key display of the Setting Change button .
3 Setting is completed by tapping the OK button.
1 Tap the Set Condition button of the set item display "Server Port No." of "NETWORK. "
2 Enter the port No. by the ten-key display of the Setting Change button .
3 Setting is completed by tapping the OK button.
1 Tap the Set Condition button of the set item display "Shared folder setting" of "NET-
WORK. "
2 Tap the displayed keyboard, then enter "shared folder", "user" and "password".
3 Setting is completed by tapping the OK button.
It is necessary to previously set the user, password and writing authority to the
shared holder of the transferring destination.
1 Tap the Set Condition button of the set item display "Print Image Output" of "NET-
WORK."
2 Tap the Setting Change button and select "ON" or "OFF."
3 Setting is complete.
* Transferable print images are the image data of 4 layouts set by "SETTING OF EXTERNAL
PRINTER (PRINT EXT)." If "Setting of External Printer" has not been done yet, image data
cannot be transferred.
8
PREPARATIONS
SETTING THE KR-1W DATA OUTPUT
When the DATA OUT button is pressed, outputting measurement data to a connected PC,
while simultaneously printing with the internal printer, can be set to ON or OFF. Before ship-
ment, the default setting is OFF.
1 Tap the Set Condition button of the set item display "KR-1W Data Output" of "NET-
WORK."
2 Tap the Setting Change button and select "ON" or "OFF."
3 Setting is complete.
1 Tap the Set Condition button of the set item display "Screen Shot Output" of "NET-
WORK. "
2 Tap the Setting Change button and select "ON" or "OFF."
3 Setting is completed by tapping the OK button.
1 Tap the Set Condition button of the set item display "REF/KRT Data Output" of "NET-
WORK."
2 Tap the Setting Change button and select "ON" or "OFF."
3 Setting is complete.
1 Tap the Set Condition button of the set item display "KR-1W IP Address" of "NET-
WORK. "
2 Enter the number by the ten-key display of the Setting Change button .
3 Setting is completed by tapping the OK button.
9
PREPARATIONS
SETTING THE KR-1W SUBNET MASK
The subnet mask of KR-1W can be set.
1 Tap the Set Condition button of the set item display "KR-1W Subnet Mask" of "NET-
WORK. "
2 Using the ten-key display of the Setting Change button , enter the same subnet mask as
that of the PC to be connected.
3 Setting is completed by tapping the OK button.
1 Tap the Set Condition button of the set item display "KR-1W Default Gateway" of "NET-
WORK. "
2 Using the ten-key display of the Setting Change button , enter the same default gateway
as that of the PC to be connected.
3 Setting is completed by tapping the OK button.
10
PREPARATIONS
BASIC OPERATIONS
TURN ON THE POWER
2 When the initial setting is Auto mode, and when the MEASUREMENT screen is displayed, a
message "Get the eye aligned and press the MEASUREMENT switch" is displayed on the
screen: the waiting status starts.
In this case, alignment operation is not done even when the setting of alignment mode is
"Auto."
The message disappears by pressing the MEASUREMENT switch or by touch-
ing the screen, following the message.
When the initial setting of alignment mode is "Auto," alignment operation starts.
shortcut icon , located on the Windows desktop, to launch the KR-1W Viewer
software.
If the software is started while the access LED of the hard disk drive is still ON, a
slow activation of the database might cause an error.
11
BASIC OPERATIONS
POSITIONING THE PATIENT
When operating the instrument, be careful not to touch the patient's face
or nose. If touched, clean the instrument following "CLEANING THE
MEMO INSTRUMENT" on page 131, Instruction manual of the KR-1W main
body.
Height mark
Make sure the patient's face is placed correctly on the chinrest, with the forehead
correctly against the forehead rest.
12
BASIC OPERATIONS
4 By pressing the chinrest up/down button of the main body section of the instrument, adjust
the height of the chinrest so that the patient's eye becomes level with the height mark on
the chinrest support.
Height mark
Chinrest up/down
button
13
BASIC OPERATIONS
MEASUREMENT UNDER AUTO MODE
Here the measurement under Auto mode is explained. For measurements by other modes,
see the Instruction Manual of the KR-1W main body.
Adjust the height of the automatic instrument table so that the patient
MEMO can sit on the chair comfortably and correct measurement values can be
obtained.
When operating the instrument, be careful not to touch the patient's face
or nose. If touched, clean the instrument following "CLEANING THE
MEMO INSTRUMENT" on page 131, Instruction manual of the KR-1W main
body.
Patient
AUTO button AUTO AUTO TRACKING MANUAL DATA LIST No.
S S Pupil image
C C
Luminous point A A
R1 R1
R2 R2 Alignment mark
A1 A1
COUNT COUNT
S・・
・
C・・・
A・・
・
2 A message "Check eye level and forehead, press measure switch." is displayed.
Confirm that the pupil image and luminous point are displayed on the screen.
• If the image of the pupil is not shown on the screen, use the control lever to move the
measuring head into the proper position, locating the patient's pupil.
For the operation of the control lever, see "OPERATING THE CONTROL LEVER" on
page 31, Instruction manual of the KR-1W main body.
3 When the pupil image is seen on the screen, tap the luminous point of the center part to
start measurement, or press the MEASUREMENT switch on the control lever. The
main body will move into the position where the pupil image and luminous point come on
the screen center.
14
BASIC OPERATIONS
4 Confirm that a coaxial ring image is seen at the center of the pupil image.
• If the coaxial ring image cannot be recognized, it may be outside the auto alignment
range. Using the control lever, move the main body forward and into to a position where
the ring image can be seen.
If the coaxial ring image is not visible, measurement will not start automatically, even if
AUTO mode is set.
5 When the auto alignment range is reached, the main body performs an auto focusing
function to finalize alignment, and will start the measurement process automatically.
Even in steps 2 to 4, the main body starts measurement automatically when the auto
alignment range is reached.
If a limit message " " appears during auto alignment, indicating that the main body has
reached the maximum limit of movement, manually operate the unit, using the control
lever, toward the direction of proper alignment.
Limit message:
: When the main body exceeds the limit to the left (to the patient's right eye), a
message "Move to the right" is displayed.
: When the main body exceeds the limit to the right (to the patient's left eye), a
message "Move to the left" is displayed.
: When the main body exceeds the limit to the front (to the operator), a message
"Push backward" is displayed.
: When the main body exceeds the limit to the rear (to the patient), a message
"Pull forward" is displayed.
When the measurement of the first eye is complete and the measuring head moves to
the other eye, a limit message may be displayed if the measuring head cannot locate the
patient's pupil on the second eye, and measurement on the second eye will not be per-
formed. If this occurs, check to confirm the patient's head position is centered in the head-
rest, and the chinrest is at the proper height.
6 When the measurement of one eye is finished and when R/L continuous measurement is
selected, the measuring head moves automatically to the measurement position of the
other eye.
7 If the alignment position with the patient's pupil is not correct, adjust the alignment by tap-
ping on the control screen or by operating the control lever. When realignment is com-
plete, the final alignment and focusing operations will start automatically and
measurement is done.
8 After finishing the measurement, the results are displayed on the Control Panel screen.
• It will take a few seconds for measurement to be fully complete, and display the final
results.
15
BASIC OPERATIONS
9 When all the set measurements are complete, "FINISH" is displayed on the screen.
To stop the auto alignment, tap MANUAL and stop the auto measurement. To
resume the auto measurement, tap AUTO .
16
BASIC OPERATIONS
DATA TRANSFER
When measurement is complete, REF/KRT data are displayed on the monitor screen of the
KR-1W main body. If the measurement is not performed correctly, an error is displayed.
• Even when no error is displayed, confirm the measurement data.
Patient
AUTO AUTO TRACKING MANUAL DATA LIST No.
S -5.52 -5.52 S
C -1.51 -1.00 C
A 80 80 A
R1 43.83 43.82 R1
R2 43.86 43.80 R2
A1 A1
COUNT05 05 COUNT
Finish
CYL [ -] VD 12.00 Fixed Target Brightness
S・・
・
C・・・
A・・
・
1 Confirm the "analysis result" and data in the "data list." Once all data is confirmed, data
transfer to the PC may be performed.
Tap the DATA OUT button on control panel of the KR-1W main body.
The DATA OUT button lights, and measurement values displayed on the control
panel screen are outputted/transferred to the PC.
The light of DATA OUT button is turned off.
Patient
AUTO AUTO TRACKING MANUAL DATA LIST No.
S -5.52 -5.52 S
C -1.51 -1.00 C
A 80 80 A
R1 43.83 43.82 R1
R2 43.86 43.80 R2
A1 A1
COUNT05 05 COUNT
S・・
・
C・・・
A・・
・
• If data output is not successful, an error message such as "Failed in USB data output" is
displayed.
Even when the output is complete and the displayed measurement values are
cleared from the screen, the data are left in the main body. Before starting the next
measurement, the existing data set may be outputted repeatedly by tapping the
DATA OUT button .
When the next measurement is started, the previous data set is deleted.
17
BASIC OPERATIONS
DISPLAY OF PATIENT DATA
1 By double-clicking the KR-1W Viewer software icon on the Windows desktop, the follow-
ing screen is activated.
2 Pull down the "Patient" menu from the menu bar at the upper part of the window, and
select "Select Patient." Information of the patient measured by the KR-1W (or KR-
9000PW) is displayed.
Patient list
Information in the patient list can be edited by selecting the "Edit Patient." Informa-
tion such as e-mail address, address and record No. can also be added.
The patient list has columns of ID (patient ID), first name, middle name and family
name, sex and date of birth. Patient list data may be sorted by selecting any of
these columns.
18
BASIC OPERATIONS
3 By clicking on the Row of the patient desired to be displayed in the patient list, the Row is
highlighted in blue.
By double-clicking under this status, the ExamFilter is displayed. (The ExamFilter can also
be displayed by directly double-clicking without highlighting in blue.)
The ExamFilter shows all measurement data of the patient, including the time/date of
measurement.
Patient list
ExamFilter area
ExamFilter
Items displayed as "KR-1W" in the procedure of ExamFilter indicate the data mea-
sured by the KR-1W. Data measured by the KR-9000W in the past are displayed
as "KR-9000PW Multi" or "KR-9000PW Single."
4 By double-clicking the Exam result of the date desired to be displayed on the ExamFilter,
the analysis result is displayed.
Using the ExamFilter, you can efficiently narrow down the data. (For details, see
"ExamFilter Tab" on page 25.
19
BASIC OPERATIONS
ANALYSIS RESULT SCREEN
Save and Print buttons
Patient menu Re-analysis buttons
Setting button
Patient information
button
Tab
R-L change Query Patients tab
ExamFilter
Query Patients
Close Patient
Refresh Patient List
20
BASIC OPERATIONS
"Re-analysis buttons"
Total analysis (auto) .....Re-analyzes the corneal wavefront aberration and refractive
wavefront aberration of the displayed measurement results auto-
matically.
Corneal analysis (auto)
........Re-analyzes only the corneal wavefront aberration of the dis-
played measurement results automatically.
Refractive wavefront analysis (auto)
........Corrects Hartmann image points and re-analyzes the refractive
wavefront aberration of the displayed measurement result auto-
matically.
• Automatic analysis is available only for the data measured by the KR-1W and not
for the data measured by the KR-9000PW.
Total analysis (manual).Re-analyze the corneal wavefront aberration and refractive wave-
front aberration of the displayed measurement results manually.
(The Re-analysis screen is displayed.)
Corneal analysis (manual)
........Re-analyze only the corneal wavefront aberration of the displayed
measurement results manually. (The Re-analysis screen is dis-
played.)
Refractive wavefront analysis (manual)
........Re-analyzes the refractive wavefront aberration of the displayed
measurement result manually. (The Re-analysis screen is dis-
played.)
"Setting button"
Setting button ...............Used for settings of each map display (see page 47).
"Tab"
Tab ...............................Can change patient list and KR-1W Viewer.
21
BASIC OPERATIONS
"Left/Right eye selection"
........................Multi map
........................Component map
........................Summary map
........................PSF/MTF map
........................Pupillometry map
• Note that the pupillometry map is valid only for the data measured in the pupillometry mode.
Data has not been measured in the pupillometry mode is grayed out and cannot be selected
as shown below.
22
BASIC OPERATIONS
"Measurement result summary"
R-1, R-2... ....................Measurement results are displayed in order of 1st, 2nd, ... of the
right eye and 1st of the left eye. Maps display Ocular HOA and
Corneal HOA.
Orange cursor ..............By clicking on the currently displayed measurement result or
another result, the orange cursor moves and the selected result is
displayed.
Measured eye scroll bar
........By scrolling in the horizontal direction, R-1~R10, L-1~L-10 can be
displayed.
"ExamFilter"
ExamFilter ....................Displays the measurement data list of the patient. Narrow down
the data and get the desired measurement result from the date of
measurement of the patient, or from the procedure.
"Patient menu"
Query Patients .............Displays the Query Patients panel. (see page 24)
Select Patient ...............Displays the patient list to select patients.
Refresh.........................Updates the displayed patient list.
When new data are transferred from the KR-1W main body,
updating can be done.
When the added data do not match the data narrowing conditions
of the Query patients menu, these data are not displayed. In this
case, conduct searching by changing the narrowing conditions of
the Query patients menu (see page 24).
Register Patient............Register new patients.
When data are transferred from the KR-1W main body, these data
are registered automatically by the patient ID entered in the KR-
1W main body. So, the registering operation is not necessary.
Registration items include, patient ID (essential), full name
(essential) and middle name, sex and date of birth, postal code,
e-mail address, phone No./fax No., clinical record No., category,
occupation, attending doctor, medical history, etc.
Edit Patient...................Edits information of the registered patients.
Items entered by Patient registration can be edited.
Delete Patient...............Deletes patient information.
When data have already been transferred from the KR-1W main
body and registered, or when the attending doctor and medical
history have been registered, deletion is not possible.
23
BASIC OPERATIONS
BASIC OPERATIONS
1 If the Query Patients Menu is fixed with the "push-pin," click the "push-pin" mark again:
the menu is folded and the screen returns to the tab display.
2 If the Query Patients Menu is not fixed, it is folded automatically by dragging the mouse
cursor outside the Query Patients Menu area.
1 Enter an item and press the Query button and narrow down the patient list.
2 Press the Clear button to clear the entered contents.
24
BASIC OPERATIONS
ExamFilter Tab
By clicking on the Exam Filter tab, the Exam Filter is displayed. The "Push-Pin" and Exam Fil-
ter can be handled similarly to the Query Patients tab.
The ExamFilter is a function that may be used to narrow down the data from the date of mea-
surement of the patient, or from the procedure, to retrieve the desired measurement results.
1 Click the date of Exam Narrowing tab (date of mea- Exam Narrowing tab
surement), Procedure (KR-1W, KR-9000PW Multi
or KR-9000PW Single) or List and select informa-
tion to be used for Query. (The figure on the right is
a case selecting "List." When date is selected,
dates of measurement are displayed in a list.)
In the "Eye" of the List tab, R is right eye, L is left eye and B is "Bino (both eyes)".
25
BASIC OPERATIONS
ANALYSIS RESULT SCREEN(ANALYSIS RESULT DISPLAY MAP)
(1) Mire Image An image of corneal surface; from this image, measurements related
to the cornea are analyzed. The pupil diameter is displayed together
with the time and date of measurement at the bottom part.
Operation: • Enlarged by double-clicking. (See "ANALYZING THE CORNEAL
MEASUREMENT IMAGE (MIRE IMAGE) AND CONFIRMING THE
RESULT" on page 39.)
• The overlay can be changed. (See "ANALYZING THE CORNEAL
MEASUREMENT IMAGE (MIRE IMAGE) AND CONFIRMING THE
RESULT" on page 39.)
(2) Axial Power map A map to display the distribution of corneal refractive power.
KR values are displayed at the bottom part of the map.
(3) Corneal HOA map A map to display corneal higher order aberrations.
(4) Hartmann image A point image reflected from the internal ocular part through the
pupil. From this image, REF values, ocular total aberration, high
order aberrations, etc. are calculated. Description about the analysis
is given at the bottom part of the image. (Analysis center/Amount of
central movement (See "ANALYSIS CENTER" on page 41.))
Operation: • Enlarged by double-clicking. (See "ANALYZING THE REFRAC-
TIVE WAVEFRONT MEASUREMENT IMAGE (HARTMANN
IMAGE) AND CONFIRMING THE RESULT" on page 40.)
• The overlay can be changed. (See "ANALYZING THE REFRAC-
TIVE WAVEFRONT MEASUREMENT IMAGE (HARTMANN
IMAGE) AND CONFIRMING THE RESULT" on page 40.)
26
BASIC OPERATIONS
(5) Ocular Total Aberration map
A total aberration map, including lower order aberration of ocular
refraction. This map can distinguish near and far vision tendencies.
center of the map is cold in color (blue) near vision tendency.
center of the map is warm in color (red) far vision tendency.
Operation: • Enlarged by double-clicking. (See "ENLARGEMENT DISPLAY" on
page 46.)
• The map display step can be changed. (See "Total Aberration Map"
on page 50.)
(6) Ocular HOA map A map to display ocular higher order aberration. This map displays
irregular astigma which cannot be corrected by eyeglasses.
Operation: • Enlarged by double-clicking. (See "ENLARGEMENT DISPLAY" on
page 46.)
• The map display step can be changed. (See "HIGH ORDER
ABERRATION/ASTIGMA MAP" on page 51.)
(7) Landolt's Ring Simulation
Simulation of the vision of Landolt's ring target using ocular higher
order aberration. This displays reference cases completely corrected
by eye glasses and the like.
Visions of target by 20/100 (0.2), 20/40 (0.5) and 20/20 (1.0) are dis-
played, from the top stage.
Operation: • Enlarged by double-clicking.
• The direction of Landolt's ring can be changed. (See "LANDOLT'S
RING SIMULATION" on page 51.)
• The optotype of Landolt's ring can be changed (See "LANDOLT'S
RING SIMULATION" on page 51.)
• To normalize the brightness or not can be changed. (See
"LANDOLT'S RING SIMULATION" on page 51.)
(8) RMS of corneal aberration
Quantitatively displays corneal aberrations (see "DESCRIPTION
ABOUT RMS DISPLAY OF CORNEAL ABERRATION" on page 42).
(9) RMS of ocular aberration
Displays ocular total aberration and HOA quantitatively (see
"DESCRIPTION ABOUT RMS DISPLAY OF OCULAR ABERRA-
TION" on page 41).
(10) Multi Map button Used to change the display to Multi map.
(11) KRT data KRT measurement value is displayed.
• Display unit can be selected from D and mm.
(See "Change D/mm" on page 48.)
• The data measured with KR-9000PW is always displayed by the
HV. (See "HV/R1R2" on page 48.)
(12) REF data REF measurement value is displayed.
27
BASIC OPERATIONS
OCULAR ABERRATION MAP DISPLAY
This map displays information about aberration related to total refraction.
(3) Ocular HOA map (2) Ocular total aberration map
(2) Ocular total aberration map(See "Ocular Total Aberration Map" on page 27.)
Operation: • Enlarged by double-clicking. (See "ENLARGEMENT DISPLAY" on
page 46.)
• The map display step can be changed. (See "Total Aberration Map"
on page 50.)
(3) Ocular HOA map (See "Ocular High Order Aberration Map" on page 27.)
Operation: • Enlarged by double-clicking. (See "ENLARGEMENT DISPLAY" on
page 46.)
• The map display step can be changed. (See "HIGH ORDER
ABERRATION/ASTIGMA MAP" on page 51.)
28
BASIC OPERATIONS
CORNEAL ABERRATION MAP DISPLAY
This map displays information about the cornea, including the cornea aberration map and the
cornea topography map.
(2) Axial Power map (See "Axial Power Map" on page 26.)
Operation: • Enlarged by double-clicking.
(3) Instantaneous Power map
The corneal refractive power is displayed by a local power distribution.
Operation: • Enlarged by double-clicking.
• The map scale can be changed.
(4) Corneal HOA map (See "Corneal HOA Map" on page 26.)
Operation: • Enlarged by double-clicking.
• The map display step can be changed. (See "HIGH ORDER
ABERRATION/ASTIGMA MAP" on page 51.)
(5) RMS display of corneal aberration
Corneal aberration is displayed quantitatively. (See "DESCRIPTION
ABOUT RMS DISPLAY OF CORNEAL ABERRATION" on page 42.)
(6) Corneal Index Corneal refractive power is displayed quantitatively.
Sim-Ks Shows the refractive power and angle of the flat meridian of 3-mm
area on the cornea.
Sim-Kw Shows the refractive power and angle of the steep meridian of 3-mm
area on the cornea.
e value Shows the eccentricity indicating the aspheric degree
* For a perfect ball, e=0; for a shape normally flat in the periphery,
0<e<1.
(7) Corneal aberration map button
Use to change the display to corneal aberration map.
29
BASIC OPERATIONS
COMPONENT MAP DISPLAY
This map displays the entire eye, cornea, behind the cornea (internal) and important compo-
nents of high order aberration.
In the map, components are tabulated; 3rd-order and 4th-order aberrations are displayed hor-
izontally, and ocular, corneal and internal aberrations vertically.
(2) Axial Power map (See "Axial Power Map" on page 26.)
Operation: • Enlarged by double-clicking.
(3) Astigmatism map Distribution of low order cylindrical refractive power.
Ocular aberration is shown as cylindrical refractive power, and cor-
neal aberration is shown as corneal astigmatic power.
(4) Total HOA map Higher order aberration maps are displayed.
(5) Third-order display Third-order aberrations of Zernike coefficient are displayed (Trefoil
and Coma aberration).
(6) Fourth-order display
Fourth-order aberrations of Zernike coefficient are displayed (Tet-
rafoil, 2nd Astig. and Spherical aberration).
(7) Ocular display Aberration of the whole eyeball obtained from the Hartmann image is
displayed in 3rd and 4th-order.
(8) Corneal display Aberration of the cornea surface obtained from the Mire image is dis-
played in 3rd and 4th-order.
(9) Internal display Internal aberration (aberration of whole eyeball minus aberration of
cornea) is displayed.
30
BASIC OPERATIONS
(10) Aberration RMS display
RMS values (exception: diopter for astigmatism) and angles are dis-
played in analysis diameters (4mm and 6mm). For the direction of
RMS of each order, see "DESCRIPTION ABOUT RMS DISPLAY OF
CORNEAL ABERRATION" on page 42).
(11) Mire Image (See "Mire Image" on page 26.)
(12) Hartmann Image (See "Hartmann Image" on page 26.)
Operation: • Enlarged by double-clicking (see "ANALYZING THE REFRACTIVE
WAVEFRONT MEASUREMENT IMAGE (HARTMANN IMAGE)
AND CONFIRMING THE RESULT" on page 40).
• The overlay can be changed (see "ANALYZING THE REFRAC-
TIVE WAVEFRONT MEASUREMENT IMAGE (HARTMANN
IMAGE) AND CONFIRMING THE RESULT" on page 40).
(13) Landolt's Ring Simulation
(See "Landolt's Ring Simulation" on page 27.)
(14) Wavefront Refraction
Displays the spherical refractive power, cylindrical refractive power
and astigmatic axial angle in analysis diameters of 4mm and 6mm.
(15) Component Map button
Changes the display to the component map.
31
BASIC OPERATIONS
(2) Ocular total aberration map(See "Ocular Total Aberration Map" on page 27.)
Operation: • Enlarged by double-clicking. (See "ENLARGEMENT DISPLAY" on
page 46.)
• The map display step can be changed. (See "Total Aberration Map"
on page 50.)
(3) Ocular HOA map (See "Ocular High Order Aberration Map" on page 27.)
Operation: • Enlarged by double-clicking. (See "ENLARGEMENT DISPLAY" on
page 46.)
• The map display step can be changed. (See "HIGH ORDER
ABERRATION/ASTIGMA MAP" on page 51.)
(4) HOA map Aberration of each component (3rd and 4th-order) is displayed.
Operation: • Enlarged by double-clicking. (See "ENLARGEMENT DISPLAY" on
page 46.)
• The map display step can be changed. (See "HIGH ORDER
ABERRATION/ASTIGMA MAP" on page 51.)
(5) Landolt's ring simulation
Landolt's ring simulation of each component (3rd and 4th-order) is
displayed.
Operation: • (See "Landolt's Ring Simulation" on page 27.)
(6) RMS of ocular aberration
Displays ocular total aberration and HOA quantitatively (see
"DESCRIPTION ABOUT RMS DISPLAY OF OCULAR ABERRA-
TION" on page 41).
(7) REF data REF measurement value is displayed.
(8) Zernike Vector Map button
Changes the display to the Zernike Vector map.
32
BASIC OPERATIONS
SUMMARY MAP
This map displays higher order aberrations when multiple measurements are done (10 mea-
surements max.)
(5) Measurement Result
(1) Ocular HOA map (See "Ocular High Order Aberration Map" on page 27.)
Operation: • Enlarged by double-clicking. (See "ENLARGEMENT DISPLAY" on
page 46.)
• The map display step can be changed (See "HIGH ORDER ABER-
RATION/ASTIGMA MAP" on page 51.)
(2) Landolt's Ring Simulation
Displays the Landolt's ring simulation of each component for each
measurement.
(3) R-L Change button Results of the 1st measurement of the right eye and the 1st mea-
surement of the left eye are displayed. (Unlike other maps, even
when plural measurements are done, only the results of the 1st mea-
surement of the right eye and the 1st measurement of the left eye are
displayed.)
By clicking on the display area of R, the display is changed to the
Summary map of the right eye, and by clicking on the display area of
L, the display is changed to the Summary map of the left eye.
(4) RMS Value Displays the RMS value (total higher order aberration) of ocular higher
order aberration of 4mm, 6th order of each measurement data item.
(5) Measurement Result
Displays the RMS values (total aberration) of ocular higher order
aberration of 4mm, 6th order of the first and last measurement data.
(6) RMS Graph (Total HOA Graph)
Displays the RMS value (total higher order aberration) of ocular
higher order aberration of 4mm, 6th order of each measurement data
item, a graph by way of a linear approximation formula using the
least squares method, and its approximation formula and R2.
The Y-axis of the graph may be set to 0.1µm, 0.2µm, 0.5µm, 1.0µm,
or 2.0µm increments with a right-click or from the General tab in the
setting screen.
(7) Summary Map button
Changes the display to the Summary map.
33
BASIC OPERATIONS
IOL SELECTION MAP
This map displays information useful for the application of IOL after LASIK operation, selec-
tion of K values, spherical IOL and aspheric IOL in determining the power, application of bifo-
cal IOL, etc.
(1) Mire image (5) Astig (4mm) (6) SA display
(2) Axial Power map (7) Total HOA display
(2) Axial Power map (See "Axial Power Map" on page 26.)
Operation: • Enlarged by double-clicking.
(3) Ocular total aberration map
(See "Ocular Total Aberration Map" on page 27.)
Operation: • Enlarged by double-clicking. (See "ENLARGEMENT DISPLAY" on
page 46.)
• The map display step can be changed. (See "Total Aberration Map"
on page 50.)
34
BASIC OPERATIONS
(5) Astig (Cylindrical refractive power) (4mm)
Map of cylindrical refractive power when the analysis diameter of
4mm is displayed. From the top: corneal aberration, ocular aberra-
tion and internal aberration.
(6) SA display (Spherical aberration)
Map of spherical aberration when the analysis diameter of 6mm is
displayed. From the top: corneal aberration, ocular aberration and
internal aberration.
(7) Total HOA display Map of high order aberration when the analysis diameter of 4mm is
displayed. From the top: corneal aberration, ocular aberration and
internal aberration.
(8) Display of Corneal Irregular Astigmatism
Corneal higher order aberration is displayed. When the corneal high
order aberration shows an abnormal value, the corrected visual acu-
ity may not be satisfactory even after applying IOL: This information
may be valuable for patient treatment.
(9) Display of Average K and Central K
The Sim-K value (Average K) with an analysis diameter of 3mm, the
Kerato value (Central K) with an analysis diameter of 1mm, and the
difference are displayed: If the difference of Average K and Central K
is large, possibility of the eye is high after a LASIK operation, and this
value may be used as information for making a decision.
Operation: • Enlarged by double-clicking.
(10) Display of corneal spherical aberration
The value of corneal spherical aberration may be used as informa-
tion for making a decision in applying an aspheric IOL or a spherical
IOL.
Operation: • Enlarged by double-clicking.
(11) Display of corneal astigmatic power
The value of corneal astigmatic power may be used as information
for making a decision in applying a bifocal IOL. The operation image
can be enlarged.
Operation: • Enlarged by double-clicking.
(12) IOL Selection Map button
Changes the display to the IOL Selection map.
For steps (8) to (11), the blue-colored characters of result display values can be
changed be setting. See "IOL SELECTION MAP DISPLAY" on page 52.
35
BASIC OPERATIONS
PSF/MTF MAP
The PSF/MTF map can be displayed.
(2) Ocular total aberration map (3) Ocular HOA map
(1) Hartmann image (5) Landolt's ring simulation
(4) Wave-front/
PSF image,
MTF image and graph
(3) Ocular HOA map (See "Ocular High Order Aberration Map" on page 27.)
Operation: • Enlarged by double-clicking. (See "ENLARGEMENT DISPLAY" on
page 46.)
• The map display step can be changed. (See "HIGH ORDER
ABERRATION/ASTIGMA MAP" on page 51.)
(4) Wave-front/PSF image, MTF image and graph
Image formation of light on the retina is displayed. (See "REFER-
ENCE: PSF, MTF" on page 45.)
Operation: • Enlarged by double-clicking.
(5) Landolt's ring simulation (See "Landolt's Ring Simulation" on page 27.)
Operation:
• Enlarged by double-clicking.
• The direction of Landolt's ring can be changed. (See "LANDOLT'S
RING SIMULATION" on page 51.)
(6) PSF/MTF Map button Changes the display to the PSF/MTF map.
36
BASIC OPERATIONS
PUPILLOMETRY MAP
Use the KR-1W Viewer to open the data measured in the pupillometry mode. This automati-
cally displays the pupillometry map.
(3) Ocular HOA Map at Scotopic
(4) Ocular HOA Map at Photopic
(1) Mire Image at Scotopic
37
BASIC OPERATIONS
(5) Scotopic data index
Provides a thumbnail display of a list of scotopic data. A click on the
currently displayed data or other data moves the yellow cursor to dis-
play the selected data. The data with the largest pupil diameter in the
scotopic data is enclosed with dished lines while not being selected.
Landolt's ring simulation deals with pupil diameters up to 4mm as the analysis
range. Even when the pupil diameter is 5mm or more, the maximum analysis area
is 4mm.
For the Mire image, the pupil overlay is not displayed when the setting is OFF.
Using overlay tab of settings window, pupil overlay may be switched ON/OFF.
(See "Overlay" page 49.)
38
BASIC OPERATIONS
ANALYZING THE CORNEAL MEASUREMENT IMAGE (MIRE IMAGE) AND
CONFIRMING THE RESULT
Analyze the corneal measurement image (Mire image) and confirm the result.
On the following screen, confirm the condition of ring and pupil detection.
There are 19 rings in all. Since the rings are colored and overlaid, it is possible to confirm the
condition of detection.
Rings are colored in red, green and blue starting from the inside and moving out, so that, the
outermost ring is colored in red.
The following manual functions are prepared to assist detection and editing:
Remove Pupil Points ..... Removes the frame of the detected pupil.
Add Pupil Points ..... Enter manually the pupil frame. (Specifying 5 points or
more approximates an ellipse.)
Back to Original ..... Returns to the initial condition of ring detection.
39
BASIC OPERATIONS
OK ..... After confirming or editing the analysis result, press the
OK button.
Cancel ..... To interrupt the analysis, press the Cancel button.
Even when errors such as "Center Detection Error" and "Get Ring Center Error" are dis-
played, you can go to the refractive wavefront measurement by pressing the OK but-
ton.
During confirmation of the Hartmann image, be sure to look for noise that may be mistaken for
detection points, skipped points, etc.
40
BASIC OPERATIONS
DISPLAYING THE MEASUREMENT RESULT
ANALYSIS CENTER
In the analysis result, data analyzed with the detected pupil center as the analysis center is
displayed.
If the pupil is not detected, the pupil diameter is not displayed. In this case, data will be
obtained by analyzing with the mechanical center (the main body's alignment sight) as the
analysis center is displayed.
The wavefront analysis center shows deviation from the mechanical center analyzed with the
pupil center, using center displacement.
(1) Analysis results in 4mm analysis zone are displayed (up to 4th order).
(2) Analysis results in 6mm analysis zone are displayed (up to 6th order).
(3) (Green frame) Analysis results with the measured pupil diameter or the specified
analysis diameter are displayed (default: pupil diameter).
For example, 3rd-order coefficients represent asymmetrical aberration, and the 3rd-order
RMS value that puts it in order represents coma aberration.
4th-order coefficients represent symmetrical aberration, and the 4th-order RMS value repre-
sents spherical aberration.
The 5th-order RMS value represents higher order coma aberration, and the 6th-order RMS
value represents high order spherical aberration.
The 3rd+5th-order RMS value further puts coma aberration of 3rd order and 5th order in order.
The 4th+6th RMS value further puts spherical aberration of 4th order and 6th order in order.
And, the total high order aberration summarizes higher order aberration from 3rd order to 6th
order.
Sph, Cyl and Axs are the visual acuity corrected by eyeglasses and calculated from the analy-
sis of low order aberration. (Ocular wavefront aberration only)
41
DISPLAYING THE MEASUREMENT RESULT
When the diameter 4 mm is shown in parentheses, it indicates that the measured pupil diame-
ter was less than 4 mm.
When the diameter 6 mm is shown in parentheses, it indicates that the measured pupil diame-
ter was less than 6 mm.
RMS display (3) (analysis result column with specified diameter) is displayed only
for KR-1W data. This column is not displayed for KR-9000PW data (instead, the
table is formed with 3 columns of the title, 4mm and 6mm.
(1) Analysis results in 4mm analysis zone are displayed (up to 4th order).
(2) Analysis results in 6mm analysis zone are displayed (up to 6th order).
(3) (Green frame) Analysis results with the obtained pupil diameter, or the specified pupil
diameter, are displayed. (Default: pupil diameter)
For example, 3rd-order coefficients represent asymmetrical aberration, and the 3rd-order
RMS value that puts it in order represents coma aberration.
4th-order coefficients represent symmetrical aberration, and the 4th-order RMS value repre-
sents spherical aberration.
The 5th-order RMS value represents higher order coma aberration, and the 6th-order RMS
value represents high order spherical aberration.
The 3rd+5th-order RMS value further puts coma aberration of 3rd order and 5th order in order.
The 4th+6th RMS value further puts spherical aberration of 4th order and 6th order in order.
And, the total high order aberration summarizes higher order aberration from 3rd order to 6th
order.
RMS display (3) (analysis result column with specified diameter) is displayed only
for KR-1W data. This column is not displayed for KR-9000PW data (instead, the
table is formed with 3 columns of the title, 4mm and 6mm.
42
DISPLAYING THE MEASUREMENT RESULT
(REFERENCE) WAVEFRONT AND ZERNIKE COEFFICIENTS
Zernike coefficients, meaning and classification are shown below.
Z nm Coefficient n m Z Meaning/Classification
-2 2
Z2 C2-2 2 -2 r sin2ϕ 2nd order Astigmatism
Z 20 C2-0 2 0 2r2 - 1 Defocus
2 2 nd
Z2 C22 2 2 r cos2ϕ 2 order Astigmatism
Z3-3 C3-3 3 -3 r3 sin3ϕ 3rd Trefoil
Z3-1 C3-1 3 -1 (3r3 - 2r) sinϕ Coma Y
Z 31 C31 3 1 (3r3 - 2r) cosϕ Coma X
3 3
Z3 C33 3 3 r cos3ϕ 3rd Trefoil
Z4-4 C4-4 4 -4 r4 sin4ϕ
Z4-2 C4-2 4 -2 (4r4 - 3r2) sin2ϕ 4th Order Astigmatism
Z 40 C40 4 0 6r4 - 6r2 + 1 Spherical aberration
2 4 2
Z4 C42 4 2 (4r - 3r ) cos2ϕ 4th Order Astigmatism
Z 44 C44 4 4 r4 cos4ϕ
Z5-5 C5-5 5 -5 r5 sin5ϕ
Z5-3 C5-3 5 -3 (5r5 - 4r3) sin3ϕ 5th Order Trefoil
Z5-1 C5-1 5 -1 (10r5 - 12r3 + 3r) sinϕ 5th Order Coma Y
Z 51 C51 5 1 (10r5 - 12r3 + 3r) cosϕ 5th Order Coma X
Z 53 C53 5 3 (5r5 - 4r3) cos3ϕ 5th Order Trefoil
Z 55 C55 5 5 r5 cos5ϕ
Z6-6 C6-6 6 -6 r6 sin6ϕ
Z6-4 C6-4 6 -4 (6r6 - 5r4) sin4ϕ
Z6-2 C6-2 6 -2 (15r6 - 20r4 + 6r2) sin2ϕ 6th Order Astigmatism
Z 60 C60 6 0 20r6 - 30r4 + 12r2 - 1 6th Order Spherical aberration
Z 62 C62 6 2 (15r6 - 20r4 + 6r2) cos2ϕ 6th Order Astigmatism
Z 64 C64 6 4 (6r6 - 5r4) cos4ϕ
Z 66 C66 6 6 r6 cos6ϕ
43
DISPLAYING THE MEASUREMENT RESULT
SHAPE OF ABERRATION
Map shapes as aberration of each coefficient are shown.
Z1-1
Z1- Z11
Z1
Z2-2
Z2-2 Z20
Z2 Z22
Z
Coma aberration
Z4-4
Z4- Z4-2
Z4-2 Z40
Z4 Z42
Z42 Z44
Z44
Spherical aberration
44
DISPLAYING THE MEASUREMENT RESULT
REFERENCE
• PSF (Point Spread Function)
PSF is defined as the power distribution of a point image, and in this simulation it shows a
focused image of light on the retina. Ideally, the image is focused on one point, but actu-
ally due to aberrations in the optical system of the eye, including diffraction, it is not
focused on one point and observed with extension, even using an ideal lens. The Strehl
ratio is defined as the ratio of the central power of the ideal lens and the central power of
the working PSF. Therefore, optically the Strehl ratio is the best when it is 1.0.
0.60
Contrast
0.40
0.20
0.00
30 60 90 120
Space frequency [cycles/degree]
• Landolt Simulations
As a way of simulating the retinal image viewed by the eye, there is a method to see how
the image looks on the retina, and the simulation can be considered as convolution inte-
gration of the power (PSF) of the point image and the viewed image. Here convolution
integration of the PSF on the retina and Landolt's rings with the supposed size on the ret-
ina is done. As the image is focused reversely with regard to top/bottom and right/left
when viewed by the eye, the simulation display shows extension by PSF symmetrically
with regard to top/bottom and right/left.
45
DISPLAYING THE MEASUREMENT RESULT
ENLARGEMENT DISPLAY
46
DISPLAYING THE MEASUREMENT RESULT
VARIOUS SETTINGS OF MAP DISPLAY
Various settings of each map can be done from the setting window.
Setting button
47
VARIOUS SETTINGS OF MAP DISPLAY
General
Using the General tab of the setting window, the following settings related to map display may
be configured:
Change D/mm ..............Display style of KRT measurement values can be selected from D
(corneal refractive power) and mm (corneal curvature radius).
HV/R1R2 ......................Display style of KRT measurement values can be selected from
HV (horizontal/vertical) or R1R2 (flat/steep meridian).
• The data measured with KR-9000PW is always displayed by
the HV.
Step ..............................Display step of spherical refractive power, corneal refractive
power/cylindrical refractive power, corneal astigmatic power/astig-
matic axis and corneal astigmatic axis can be selected.
Cyl Sign ........................Display style of astigmatic axis can be selected from "+," "-" and
"MIX."
VD ................................In vertex distance setting, contact lens (0mm) or eyeglass lens
(12mm or 13.75mm) can be selected.
Zernike PD ...................Zernike analysis diameter can be set.
Zernike Coefficient .......Zernike analysis order can be set.
Summary map graph scale
......Sets maximum scale value of Y-axis at Total HOA graph dis-
played on summary map.
48
VARIOUS SETTINGS OF MAP DISPLAY
Overlay
Using the Overlay tab, the overlay display can be set.
Select the overlay to be displayed.
TopoMap
Using the TopoMap tab, the following TopoMap settings may be configured:
Scale Type ...................Display unit can be selected from D and mm.
Map Scale ....................TopoMap scale can be selected from Adjustable, Normalized and
Absolute.
Overlay.........................The overlay to be displayed can be selected.
Kerato Axis...................Kerato axis can be selected from "None" and "Sim-K Axis."
Smoothing ....................The performing of the smoothing function can be selected. (See
page 50.)
49
VARIOUS SETTINGS OF MAP DISPLAY
Smoothing
The Topography map smoothing feature changes the map information generation algorithms
of Axial Power map or Instantaneous Power map and perform analysis.
Smoothing ON/OFF may be switched by turning ON/OFF the check box from the Topography
Map tab in the setting screen.
Example)
Smoothing OFF Smoothing ON
50
VARIOUS SETTINGS OF MAP DISPLAY
HIGH ORDER ABERRATION/ASTIGMA MAP
Using the HOA, Astig. Map tab, the following Total Aberration map settings may be config-
ured:
Range...........................Display step can be selected.
Overlay.........................The overlay to be displayed can be selected from cross scale,
angle scale and mm grid scale.
51
VARIOUS SETTINGS OF MAP DISPLAY
IOL SELECTION MAP DISPLAY
Using the IOL Selection tab, the character color of result values of the IOL Selection map can
be set/changed.
In the threshold setting area, threshold values for changing the character color of display
items are set.
In the color setting area, the display color of each item is selected.
• By the threshold values set to Corneal Irregular Astig. 1 and Corneal Irregular Astig. 2,
character colors can be set as follows:
• Character color when the measurement value is Corneal Irregular Astig. 1 or under.
• Character color when the measurement value is more than Corneal Irregular Astig.
1 and Corneal Irregular Astig. 2 or under.
• Character color when the measurement value is more than Corneal Irregular Astig.
2.
• By the threshold value set to K Readings delta K, character colors can be set as follows:
• Character colors of delta K and Average K when the value of delta K is within the
set value range (± range)
• Character colors of delta K and Central K when the value of delta K is outside the
set value range (± range)
• By the threshold value set to Corneal SA, the character color can be set as follows:
• Character color when the measurement value is less than the set value
• By the threshold value set to Corneal Astig, character colors can be set as follows:
• Character color when the measurement value is within the set value range (±
range)
• Character color when the measurement value is outside the set value range (±
range)
52
VARIOUS SETTINGS OF MAP DISPLAY
BACKUP
For data backup, archive and backup functions are available.
ARCHIVE FUNCTION
Saved images are copied to the archive and reference image areas.
• Using the task function in Windows, it is possible to automatically start archive function at
the specified time and date.
53
BACKUP
BACKUP FUNCTION
Data copied to the archive area are also copied to the temporary work area.
The copied data can be written to a CD/DVD, using the CD/DVD writing software.
After writing, data of the CD/DVD are compared with the data of the temporary work area. If
they are the same, the archive area and the temporary work area are emptied.
Ex.
Database setting WF01
Server (local)\SQLEXPRESS
Database WF01
User authentication Windows
Ex.
Workplace C:\TempFolder
Backup end Setting of CD/DVD drive path
Writing software C:\Program Files\TOPCON\Archive Tools\DVDWriter.exe
Ex.
Archive preparation end C:\KR-1W\Archive\Arc
Reference data preparation end C:\KR-1W\Archive\Ref
Image storage format JPEG
Archive size DVD-R (4.7GB)
Name of database setting Database setting WF01
Server (local)\SQLEXPRESS
Database WF01
User authentication Windows
54
BACKUP
OPERATING THE BACKUP FUNCTION
At this time, if the DVDWriter is set as the writing software, it starts automatically.
When using the DVDWriter, set the CD/DVD drive to the "Drive" of "CD/DVD Setting", and
click on the "Start" button.
4 When CD/DVD writing is finished, with the CD/DVD inserted to the drive, press "OK".
The temporary work area is compared with the CD/DVD, and if not any difference is
found, the backup function is quitted.
If any difference is found, the error message is displayed. Prepare the CD/DVD again.
55
BACKUP
PRINT SETTING
Configure output print settings for an external printer. (output layout, etc.)
1 Select "File" at the top of the window, and select "Print layouts setting..." from the dis-
played pull down menu.
Orientation
Page 2 ~ Page 4
3 In the area labeled "Margin," set space for the right, left, top and bottom.
4 In the area labeled "Orientation," select "Portrait" or "Landscape."
• When "Portrait" is selected, two analysis result maps can be placed by separating
the print layout into the upper and lower stages.
• When "Landscape" is selected, one analysis result map is printed at the center.
56
PRINT SETTING
5 For the "Number of pages," select the number of printed pages. Printing can be set from 1
page to 4 pages.
When "Portrait" was selected for "Orientation" (two analysis result maps can be arranged
to the upper and lower stages), maps to be placed to the upper and lower stages can be
selected.
When "1 page" is selected, "Page 1" (displayed below) can be set, and when "2 pages" is
selected, "Page 1" and "Page 2" can be set. When "3 pages" and "4 pages" are selected,
pages can be set in like manner.
6 In the area labeled "Page 1," set layout for the 1st page.
• When "Default" is selected, a multi map on the upper stage and a component map
on the lower stage are placed in the layout.
• When "Custom" is selected, analysis result maps can be selected freely for the
upper and lower stages.
7 When printing 2 pages and more, select the layout of "Page 2 ~ Page 4." In this case,
analysis result maps can be selected freely for the upper and lower stages.
8 Settings are saved by pressing the OK button. To interrupt setting, press the Cancel
button.
PRINT PREVIEW
The print layout set by print preview can be confirmed.
57
PRINT SETTING
TERMINOLOGY
DESCRIPTION OF TERMS
58
TERMINOLOGY
Term Description Page
Corneal analysis Re-analyze only corneal wavefront aberration of dis- 21
(manual) played measurement results manually (Re-analysis
screen is displayed).
Corneal HOA Corneal high order aberration 26
Corneal Irregular Corneal high order aberration (irregular astigmatism of 35
Astigmatism cornea surface)
Corneal RMS Root mean square of corneal aberration obtained from 42
Mire image.
Corneal SA (C40.6mm) Corneal spherical aberration 35
Cyl Astigmatic axial power, meaning cylindrical refractive 35
power (ocular) and corneal astigmatic power (cornea).
Delete patient Deletes patient information. 23
Edit Patient Edit information of registered patient. 23
ExamFilter Narrow down data and get desired measurement result 25
from date of measurement of patient, or from procedure.
ExamList Displays measurement data list of patient. 30
Hartmann image Image taken by Hartmann-Shack sensor's principle. 26
In KR-1W, Ref measurement values and wavefront aber-
ration related to eyeball are calculated.
Image Enhance Highlights image. 39
Instantaneous Power The corneal refractive power is displayed by a local 29
power distribution.
IOL Selection Map Map displaying analysis information necessary for pre- 34
(analysis result display scribing IOL.
map)
K Readings (K values) Kerato measurement value. 34
Landolt's Ring Simulation View of Landolt's ring by complete correction can be 27
seen in simulation. Landolt's ring is seen clearly when
there is no high order aberration, but not seen clearly
when high order aberration exists.
Mechanical Center In analysis, detected pupil center is used, or if not 41
detected, mechanical center (cornea vertex) is used.
Mire Image Image taken by CCD camera by projecting ring beam 26
from Placido ring to patient.
MTF image Short for Modulation Transfer Function, showing the con- 45
trast sensitivity of eye having aberration.
MTF image graph Graph showing the sensitivity calculated by MTF along 36
vertical axis and the space frequency along horizontal
axis, and featuring curves' performance which increases
towards upper right and decreases towards lower left.
Multi Map (analysis result Displays the analysis result obtained by Hartmann image 27
display map) and Mire image.
59
TERMINOLOGY
Term Description Page
New Ring Enter manually rings not detected and make these recog- 39
nized.
Ocular Aberration Map Displays aberration information of whole eye. 28
Ocular HOA Ocular high order aberration 27
Ocular total Ocular total aberration 27
Photopic Means bright place measurement. 37
Placido ring Ring-shaped part around the measuring window of main 26
body.
In KR-1W, measuring beam is projected from Placido
ring, and the measured cornea shape is calculated by
receiving the ring beam reflected by patient's cornea sur-
face.
Print button When clicked, screen changes to Print screen. 20
Print preview button Pressed to confirm layout and others on Print screen. 20
Procedure Shows the equipment used for measurement (KR-1W or 25
KR-9000PW).
PSF/MTF Map (analysis Map displaying wave-front/PSF image, MTF image and 36
result display map) graph at the center
Pupil Center Data analyzed with detected pupil center as analysis cen- 41
ter is displayed.
Pupil Diameter Center Distance of pupil center and mechanical center (corneal 41
Travel Distance vertex).
Pupillometry Map The pupil diameter measured under pupillometry mode 37
(Analysis result display and analysis results of wavefront aberration are dis-
map) played.
Query Patients Displays Query Patients panel. 20
Refractive wavefront Corrects Hartmann image points and re-analyzes refrac- 21
analysis (auto) tive wavefront aberration of displayed measurement
result automatically.
Refractive wavefront Re-analyzes refractive wavefront aberration of displayed 21
analysis (manual) measurement result manually.
Refresh Patient List Update the displayed patient list. 20
Register Patient Register new patient. 23
Remove Points Removes incorrectly detected point and noise. 40
(Hartmann Image)
Remove Points Removes incorrectly detected ring partially. 39
(Mire Image)
Remove Pupil Points Removes frame of detected pupil. 39
Remove Ring Removes the ring touch-specified by cursor. 39
RMS of Ocular Aberration Displays ocular total aberration and HOA quantitatively. 27
60
TERMINOLOGY
Term Description Page
SA (Spherical Aberration) Short for Spherical Aberration. 4th order of Zernike poly- 35
nominal equation, meaning spherical aberration.
Save button After re-analyzing, the re-analyzed data is saved. 20
Scotopic Means dark place measurement. 37
Select Patient Displays list for selecting patient. 23
Setting button Used for various settings of map display. 21
Simulation With HOA Landolt's ring simulation 27
Smoothing Changes the map information generation algorithms of 50
Axial Power map or Instantaneous Power map and per-
form analysis.
Specify Center Specifies the ring center. 39
Sph Spherical refractive power. 41
Spherical Spherical aberration 35
Summary map (analysis When right and left eyes are measured more than once, 33
result display map) Summary map can display ocular total aberration and
Landolt's ring simulation for each measurement.
Tetrafoil A type of high order aberration. 30
Shows aberration of the 4th order of Zernike polynominal
equation (-4 and 4 terms).
Third-order display In KR-1W, this means 3rd-order term of Zernike polynom- 30
inal equation
Total analysis (auto) Re-analyzes corneal wavefront aberration and refractive 21
wavefront aberration of displayed measurement result
automatically.
Total analysis (manual) Re-analyze corneal wavefront aberration and refractive 21
wavefront aberration of displayed measurement result
manually.
Total HOA (Total High Analyzed total high order aberration. 30
Order Aberration)
Trefoil A type of high order aberration, indicating -3 term of 3rd 30
order of Zernike polynominal equation and aberration of
3rd-order term
Wavefront Refraction Displays spherical refractive power, cylindrical refractive 31
power and astigmatic axial angle in analysis diameters of
4mm and 6mm.
Wave front/PSF image PSF is short for Point Spread Function. 36
In KR-1W, focusing of point light source, after complete
correction and under aberration, can be seen.
Zernike Vector Map Map to display the ocular aberration and Landolt's ring 31
(analysis result display simulation obtained from Hartmann image by major com-
map) ponents of 3rd/4th order of Zernike polynominal equation.
Hartmann image, ocular total aberration and ocular high
order aberration can also be displayed.
61
TERMINOLOGY
62
TERMINOLOGY
When calling please give us the following information about
your unit:
• Instrument type: KR-1W Viewer
• Manufacturing No. (Shown on the rating plate on the back
of the instrument)
• Period of Usage (Please give us the date of purchase.)
• Instrument’s condition (Please provide us with as much
detail as possible on the problem.)
INSTRUCTION MANUAL
Version of 2009 (2009.12-100LW1)
Date of issue: 15th, December, 2009
KR-1W Viewer
41836 10031
Printed in Japan 2009.12-100LW1