User Manual

USER MANUAL
OPHTHALMIC DATA SYSTEM
IMAGEnet R4
INTRODUCTION
Thank you for purchasing the IMAGEnet R4 software package. This manual explains the operating
procedures of the IMAGEnet R4 software. Always keep this manual at hand.
INTENDED USE／INDICATION FOR USE

IMAGEnet R4 will be filing an image taken Topcon fundus camera, the slit lamp. It is also used in order to
get the data from the inspection equipment such as Topcon Refract meter, and filing.
FEATURES
IMAGEnet R4 software is used to acquire examination images, such as fundus images, slit lamp images,
and/or refraction data, from TOPCON instruments, save the acquired images and data into the database,
and process the images saved in the database.
PURPOSE OF THIS MANUAL

This manual is meant to serve as a training, usage and reference guide for users who are clinicians or
technicians with professional training or experience in the use of ophthalmic imaging equipment, and in
diagnostic interpretation of the images generated. While training is offered in the use of IMAGEnet R4, we
do not offer instruction in the diagnostic interpretation of the images generated in this manual.
This is the manual for the following products:

･ IMAGEnet R4
･ IMAGEnet R4 Lite
･ Optional software that is additionally installed to the above products
[Caution] Federal laws restricts this device to the sale by or on the order of a physician.
Trademarks
 IMAGEnet R4 is a trademark of TOPCON Corporation.
 Microsoft, MS and Windows are registered trademarks of Microsoft Corporation.
 Windows XP, Windows 7, Windows 8.1 and Windows 10 are trademarks of Microsoft Corporation.
 SQL Server is a trademark of Microsoft Corporation.
 Microsoft Word is a trademark of Microsoft Corporation.
 DirectX is a trademark of Microsoft Corporation.
 Core™ 2Duo is a trademark of Intel Corporation.
 All rights of this software are reserved by TOPCON Corporation.

 No part of this manual and this software may be copied or reprinted, in whole or in part, without prior
written permission.
 This software defined maximum number of clients. Cannot use this software over the limit of clients.
 Please use this software by following this manual and the license terms.
 This manual is made on an assumption that the user already has knowledge about the operation
system of the personal computer including tablet and Microsoft Windows. This manual does not
describe the details on how to handle common operation procedures of the personal computer
including tablet and Microsoft Windows.
 TOPCON Corporation shall not take any responsibility for the results caused by wrongly operating the
personal computer including tablet and/or Microsoft Windows.
 The specifications of the software and description of the User Manual are subject to change without
advance notice.
©2008 TOPCON CORPORATION

ALL RIGHTS RESERVED
Table of Contents
INTRODUCTION ..................................................................................................................................... 3
INTENDED USE／INDICATION FOR USE ........................................................................................... 3
FEATURES .......................................................................................................................................... 3
PURPOSE OF THIS MANUAL ............................................................................................................. 3
Trademarks .......................................................................................................................................... 4
1 GENERAL SAFETY INFORMATION ............................................................................................... 3
2 HOW TO USE THIS MANUAL ......................................................................................................... 3
2.1 Notations in this Manual ......................................................................................................... 3
3 GENERAL MAINTENANCE INFORMATION ................................................................................... 4
4 DISCLAMERS ................................................................................................................................. 5
5 DISPLAYS FOR SAFE USE ............................................................................................................ 6
5.1 Display .................................................................................................................................. 6
5.2 Symbol .................................................................................................................................. 6
6 SYSTEM DIAGRAM ........................................................................................................................ 7
7 PREPARATIONS ............................................................................................................................ 8
7.1 Database ............................................................................................................................... 8
7.2 Photography .......................................................................................................................... 8
7.3 Connection of Ophthalmic Instruments ................................................................................... 8
7.4 DICOM .................................................................................................................................. 9
7.5 User Management Tool ......................................................................................................... 9
8 BASIC OPERATIONS ................................................................................................................... 15
8.1 Starting and Exiting IMAGEnet R4 ....................................................................................... 15
8.2 Selecting a Patient ............................................................................................................... 15
8.3 About the Examination ......................................................................................................... 16
8.4 Opening an Examination ...................................................................................................... 16
8.5 Basic Operations ................................................................................................................. 17
8.6 IMAGEnet Screen ................................................................................................................ 18
8.7 Main Menu and Tool Bar Icons ............................................................................................ 19
8.8 Function key and shortcut key.............................................................................................. 24
8.9 Panel Operation ................................................................................................................... 25
9 OBJECTIVE OPERATIONS........................................................................................................... 31
9.1 Patient Information .............................................................................................................. 31
9.2 Photography ........................................................................................................................ 38
9.3 About the function of capturing when network is down ......................................................... 42
9.4 Displaying the Examination Data ......................................................................................... 43
9.5 Displaying the Image ........................................................................................................... 47
9.6 Examination Data Display .................................................................................................... 78
9.7 DICOM ................................................................................................................................ 83
9.8 Editing Examination Data ..................................................................................................... 86
9.9 Importing Image................................................................................................................... 90
9.10 Exporting Images ................................................................................................................. 92
9.11 Reporting Functionality ........................................................................................................ 96
9.12 Schema ............................................................................................................................... 99
9.13 Examination Templates ..................................................................................................... 105
9.14 External Module Function .................................................................................................. 107
1
9.15 KR-1W Viewer ................................................................................................................... 120
9.16 KRP Viewer ....................................................................................................................... 177
10 MAINTENANCE .......................................................................................................................... 196
10.1 Database Setting ............................................................................................................... 196
10.2 Archive .............................................................................................................................. 197
10.3 Backup .............................................................................................................................. 199
11 BEFORE REQUESTING SERVICE ............................................................................................. 202
12 SPECIFICATIONS ＆ PERFORMANCE ...................................................................................... 203
12.1 Product Requirements ....................................................................................................... 203
13 GENERAL INFORMATION ON USAGE AND MAINTENANCE .................................................... 205
13.1 INTENDED PATIENT POPULATION ................................................................................. 205
13.2 INTENDED USER PROFILE ............................................................................................. 205
13.3 ENVIRONMENTAL CONDITION FOR USE ....................................................................... 205
13.4 DISPLOSAL ...................................................................................................................... 205
2
1 GENERAL SAFETY INFORMATION
CAUTION
TM TM
 Do not delete or move the IMAGEnet R4 files. IMAGEnet R4 may not work properly.
 Do not manipulate stored image files or examination data files with unauthorized tools. Stored data
may not be accessed properly.
TM TM
 Do not turn off the computer while you are operating IMAGEnet R4 software. IMAGEnet R4 may
not work properly.
TM
 Please use the IMAGEnet R4 software according to the safety instructions of the computer.
2 HOW TO USE THIS MANUAL

TM
This manual describes important things that how to use IMAGEnet R4, names of each buttons and
TM
functions. When using IMAGEnet R4, please read this manual carefully. And then, please use this
software by following this manual. Always keep this Manual at hand so that you can look up easily if you
encounter any trouble.
2.1 Notations in this Manual

Notations used in this manual are as follows:
General Notations
Notation Description
[File] Menu names are enclosed in [ ].
[File] - [Open] A command name is enclosed in [ ] following a menu name
including the command.
"Select exam" dialog box A dialog box name uses the name displayed on the title bar of the
dialog box and is enclosed with " ".
<Select Patient> button The button name of the tool bar is enclosed in < >.
[OK] button A button name in the dialog box is enclosed in [ ].
[Enter] A key is enclosed in [ ].
Mouse Operation Notations

Notation Description
Point Moving a mouse to overlap the mouse pointer (an arrow shape
displayed on the screen) on the object selected.
Click Pressing and releasing the left mouse button.
Double-click Clicking the left button of the mouse twice quickly.
Drag Moving the left mouse button while pressed.
3
Drag&Drop To drag an object, point to the object on the screen, press and
hold the primary button, move the object to a new location, and
then release the primary button.
Context menu Right-clicking an item usually displays a list of things you can do
with the item.
1. This manual assumes the use of a mouse for operation. In some cases, a keyboard may need to
be used. Procedures requiring a keyboard are included as they occur.
2. This manual assumes the use of a right-handed mouse. Therefore, left click means clicking the
left button with an index finger of the right hand.
3. This manual is described based on the screen displayed on the Japanese Microsoft Windows XP.
3 GENERAL MAINTENANCE
INFORMATION
To ensure the safety and performance of the system, all maintenance work, unless specified in this
manual, shall be conducted by trained service engineers. The following maintenance tasks may be done
by the user. For details, see the relevant part of this manual.
 Copy Archive Data to CD/DVD. (Refer to page-197)

 Daily Backup (Refer to page-199)
4
4 DISCLAMERS
· TOPCON shall not take any responsibility for damage due to fire, earthquakes, actions by third
parties and other accidents, or damage due to negligence and misuse by the user and any use
under unusual conditions.
· TOPCON shall not take any responsibility for damage derived from the inability to properly use this
software, such as loss of business profit and suspension of business.
· The customer shall take the responsibility to save data and perform backup in case data should be
lost. When the customer has obtained data through this software and has saved or backed up the
data in a server or personal computer, TOPCON shall not take any responsibility for the loss of the
data, loss of profit or other damages on the customer.
· TOPCON shall not take any responsibility for damage caused from using this software in a manner
other than that described in this User manual. In case of the software products, the license terms
enclosed supersede any other understandings.
· Diagnoses made shall be the responsibility of the pertaining doctors. TOPCON shall not take any
responsibility for the results of such diagnoses.
· TOPCON shall not take any responsibility for damage due to a computer virus.
5
5 DISPLAYS FOR SAFE USE
To encourage safe and proper use and to prevent danger to the operator and others or potential
damage to property, important cautionary messages are placed on the instrument body and
inserted in the manual.
We suggest that everyone using the instrument understand the meaning of the following displays,
icons and text before reading the "SAFETY CAUTIONS" and observe all listed instructions.
5.1 Display
Display Meaning
Incorrect handling by ignoring this display may lead to personal injury

CAUTION or physical damage.
Useful functions to know. Paying attention to these will prevent the

noted problems.
NOTE
5.2 Symbol
Symbol IEC/ISO publication Description Description(French)
ISO 7000-2497 Date of manufacturer Date de fabricant
ISO 7000-2498 Serial number Numéro de série
ISO 7000-3082 Manufacturer Fabricant
Authorised Representative in Représentant autorité pour

ISO 15223-1
the European Community l’Union européenne
6
6 SYSTEM DIAGRAM
Menu bar
Select
Patient UI
Panel
Patient
Information
Tool bar
Panel
View area
Data Filter
Panel
Binder Panel
Menu bar A function is chosen from a menu.

Tool bar The function included in a menu is chosen from an icon.
View area It is a domain which displays various information, including a patient's list, the
thumbnail of the shot image, etc.
Select Patient UI A patient is chosen by specifying patient ID.
Panel
Patient Information A patient's information is displayed.
Panel
Data Filter Panel The list of images is displayed.
Binder Panel The image of a binder is displayed.
7
7 PREPARATIONS
All settings are done with setup tool by the user who has administrator right.
7.1 Database
For setup of the IMAGEnet R4 database, please contact your TOPCON authorized distributor to get the
latest version information for the corresponding database setup.
The system of IMAGEnet R4 needs full access to one or more folders. Set access rights to the only users,
who use IMAGEnet R4 to access these folders.
7.2 Photography
For setup of the IMAGEnet R4 capture procedure, please contact your TOPCON authorized distributor to
get the latest information for the corresponding devices.
7.3 Connection of Ophthalmic Instruments
To connect your TOPCON ophthalmic instruments with IMAGEnet R4, please contact your TOPCON
authorized distributor to get the latest information for the corresponding devices.
8
7.4 DICOM
To connect the DICOM system with IMAGEnet R4, please contact your TOPCON authorized distributor.
7.5 User Management Tool

Users of IMAGEnet R4 must be registered into the database before using IMAGEnet R4. For each users,
rights to operate IMAGEnet R4, and restrictions must be configured.
It is recommended that you thorough manage the password and change it regularly to
ensure the security of your system. If you are using Windows Authentication, change
NOTE your logon password for Windows on a regular basis.
 To open the User Management Tool of IMAGEnet R4:

1. Open Windows Explorer.
2. Go to the folder “Database Tools” in the folder where IMAGEnet R4 is installed.
(Usually it is C:\Program Files\TOPCON\IMAGEnet R4)
3. Double click the executable file “UserManager.exe” in the folder “Database Tools”.
The dialog box below displays.
Press the [Connect] button from the [Log on] tab to connect to the SQL Server.
Server : Specify the server name of the SQL Server including the IMAGEnet R4 database.
Authentication: Select Authentication mode.
(In case SQL Server Authentication is selected)
User Name ： Enter the name of a user with the authority of administrator.
Password ： Enter the password of the user entered in the user name.
4. Log-on displays the following screen.
9
Database : Select a database to which the setting is to be made.
[Retry] : Select the SQL Server and reconnect to it.
[Close] : Exit the User Management Tool.
10
7.5.1 User Tab
This is to add, to modify and to delete User.
User List ： A list of users that are registered in the database.

[Add User] ： Add a new user with the information entered.
[Modify] ： Modify the exiting user with the information entered.
[Delete] ： Delete the existing user selected from the list.
11
Log on Type ： Windows Authentication or SQL authentication
Server ： Server name
User ： In case of Windows Authentication, Windows users of the server specified are
listed here. In case of SQL Authentication, any name can be inputted.
Password ： Password.
Last Name ： Display and input a name.
Middle Name ： Display and input a middle name.
First Name ： Display and input reading of Chinese characters.
Sex ： Display and select a sex.
Birth Date ： Display and input a birth date.
Zip code ： Display and input a zip code.
E-mail 1 ： Display and input the first E-mail address.
E-mail 2 ： Display and input the second E-mail address.
Occupation ： Display and input an occupation.
Home Phone ： Display and input the telephone number of the home.
Work Phone ： Display and input the telephone number of the office.
Mobile Phone ： Display and input the telephone number of the mobile phone.
Fax ： Display and input a facsimile number.
Save ： Adds or modifies a user with the inputted/selected information.
Close ： Exits without adding/modifying a user.
It recommends to set a user who does not have administrative authority on SQL
NOTE Authentication.
12
7.5.2 Group Tab
This is to add, to modify and to delete user groups.
Group List ： A list of user groups that are registered in the database.
[Add Group] ： Add a new group
[Modify] ： Modify the group with the existing group.
The screen below displays.
[Delete] ： Delete the existing group
13
Group ： Display the group name selected.
Restriction ： A list of the database access rights.
The access rights are given to the group by checking on or off.
Comment ： Enter a comment
Setting doesn't become effective even if the functional restriction (except for "Restrict
Export", "Restrict Delete Examination", "Restrict Edit Examination", "Restrict Change
Patient of Examination") is set by a user who has administrative authority to access to
CAUTION
the SQLServer.
14
8 BASIC OPERATIONS
8.1 Starting and Exiting IMAGEnet R4
 To Start IMAGEnet R4:
Double-click the IMAGEnet R4 icon on the desktop, and enter the User and the Password in the displayed
login dialog to log in on the system.
When the login dialog is displayed, focus is achieved on the User field. Enter the User and press the
[Enter] key or [Tab] key to move to the password input field. Pressing the [Enter] key or [OK] button after
input of password performs login. In case the User or password field is left blank, login does not take
place. After login, IMAGEnet R4 will start.
The login dialog is displayed with the last-login database selected. In case the login dialog is moved
outside the screen, it is displayed in the center of the screen at next startup.
 To Exit IMAGEnet R4:

Select "Exit IMAGEnet R4" from "File" of the menu bar.
Before exiting IMAGEnet R4, it is required that you save any unsaved data. Otherwise,
the unsaved data will be lost.
NOTE
8.2 Selecting a Patient

 ID Code is known.
1. Enter the ID Code in the Select Patient UI Panel and then click [Open].(Refer to 8.9.2)
2. The Patient Information Panel displays the patient information. (Refer to 8.9.3)
15
 ID Code is not known.
Query the patient. Refer to (9.1.2 Query Patient).
8.3 About the Examination

IMAGEnet R4 processes examination images and examination data.
Data Filter Panel (Refer to 8.9.4).
8.4 Opening an Examination

You can open any examination data from the Data Filter Panel.
(Operation example) To open the examination image having the procedure name “Redfree” on the
examination date “2009/02/05” from “List” tab.
1. Select the “List” tab.

2. Select the examination that you want to open and double-click the examination.
The specified image examination displays.
16
8.5 Basic Operations
This manual is written on the assumption that the user already has knowledge of the personal computer
(PC) and Microsoft Windows operating systems. In this section, the basic operations of IMAGEnet R4 are
explained.
 To select multiple images:

Use [Ctrl] or [Shift] on the keyboard to select multiple images, when you select two or more images
from the examination list. For the image selection system, you may set two selection systems,
Windows style and IMAGEnet style.
e.g.) When multiple images are selected from the examination list,
To select specified exams separately, hold down To select a specified range of the exam items, hold
the [Ctrl] key while choosing each item. own the [Shift] key while clicking on the items.
17
8.6 IMAGEnet Screen
8.6.1 IMAGEnet R4 Windows
IMAGEnet R4 consists of many views and windows.
Main window Capture window
Image View (Thumbnail View) Image View (Single with Thumbnail view)
Patient List Binder View
18
Image View (Full screen view) KR-1W View
8.7 Main Menu and Tool Bar Icons

8.7.1 Main Menu
IMAGEnet R4 contains many functions. To use each function, click a function that you want to use from
the drop-down menu of the menu bar shown below.
Menu Drop-down menu

Close
Close All Exam Views
Close Patient
Change Password
Log off
Simple Print
Select Image Print Plugin Word Print
[File] XML Print
Print
Print All
Preview Print
Setup Print
Save
Exit
Copy
[Edit]
Undo
Open Data Property Window
Common
Query Patients
[View] Patient
Toolbars
Capture
ExternalModuleAdapter
Print
19
GP View
KR-1W Viewer
Optometry View
Customize
Status bar
Toggle Tabs Top/Bottom
Fix Docking Layout
Reset Layout
Refresh
GP Viewer
Optometry
Prev
Next
Full Screen
Fit to window
100%
Thumbnail View
Single with Thumbnail view
Release
RL eyes filter Right
Left
2UP
4UP
9UP
16UP
Specify Patients
Query Patient
Select Patient
[Patient] Register Patient
Edit Patient
Delete Patient
Import
New Schema
New Schema(Selected Image)
Export To Zip
[Data] Export To Folder
Export Video To Folder
Export DICOM To Storage Server
Export To DATAFILE
Invert
Contrast Lo
Contrast Mid
Contrast Hi
[Image]
Contrast Auto
Adjust Brightness
Adjust Contrast
Adjust Color
20
Enhance
Mirror
Rotate
Flip
Smooth Lo
Smooth Mid
Smooth Hi
Sharpen Lo
Sharpen Mid
Sharpen Hi
B/W
Export Image
Image Notes
Export
Print layouts setting
Print
Print preview
Analyzed all (Auto) [topo/Wavefront]
Analyzed topo (Auto)
[topo/WF] Analyzed WF (Auto)
Analyzed all (Manual) [topo/Wavefront]
Analyzed topo (Manual)
Analyzed WF (Manual)
Export Image
Settings
CustomMap Settings
DATAFILE Import
Edit Data
Delete Data
[Tool] Move Data
Archive
Backup
HIS Report
Close All
Split tab, vertical
[Window] Split tab, horizontal
Window Display
(Currently displayed window appears.)
[Help] About IMAGEnet
 Certain items in the list may be disabled when the corresponding function is not
applicable.
NOTE  Certain items in the list above may not display in IMAGEnet R4 Viewer Mode, or
IMAGEnet R4 Lite .
21
8.7.2 Tool Bar Icons
The Toolbar displays the icons for easy startup of the functions also listed in the drop-down menu.
Common Tool Bar

icon hint Meaning
Close Patient Close data of the patient selected.
Close all examination views Close all examinations and return to the patient list screen.
Split tab, vertical Splits the tab group vertically.
Split tab, horizontal Splits the tab group horizontally.
Refresh Refresh the patient list.
2UP Addition to 1x2 Composite Image.
Save Save the displayed image.
Copy To Clipboard Copy selected image to clipboard.
Query Patients Tool Bar

icon hint Meaning
Query Patients Open the patient query panel.
Capture Tool Bar

icon hint Meaning
(Name of external definition
Start photography.
module used)
External Module Tool Bar

icon hint Meaning
(Name of external definition
Start external definition.
module used)
22
Printing Tool Bar
icon hint Meaning
Print Print the selected images.
Print All Print all images displayed in the selected tab.
HIS Report Tool Bar

icon hint Meaning
HIS Report Display the HIS Report.
GP View Tool Bar

icon hint Meaning
GPViewer Display the image of a perimeter.
Optometry View Tool Bar

icon hint Meaning
OptometryViewer Display the image of an optometry view.
Image Notes Tool Bar

icon hint Meaning
Image Notes Display the note of the image.
KR-1W View Tool Bar

icon hint Meaning
Print Prints a report image in accordance with the setting.
Print preview Displays the print preview.

Automatically performs cornea analysis and wavefront
Total analysis (automatic)
analysis.
Cornea analysis (automatic) Automatically performs cornea analysis.
Wavefront analysis
Automatically performs wavefront analysis.
(automatic)
Total analysis (manual) Manually performs cornea analysis and wavefront analysis.
Cornea analysis (manual) Manually performs cornea analysis.
23
Wavefront analysis (manual) Manually performs wavefront analysis.
Image output Exports an image.
Setting Performs setting of KR-1W Viewer.
Custom map setting Performs layout setting of a custom map.
8.8 Function key and shortcut key

IMAGEnet R4 is assigned some features to shortcut key and function key. Each feature can be used by
pressing the key below.
Key Feature
F5 Refresh the patient list or the Data Filter.
Switch between Full screen View and the original Display
F9
mode.
F11 Close all examinations.
Ctrl + S Save the displayed image.
Ctrl + P Print the selected images.
24
8.9 Panel Operation
IMAGEnet R4 consists of several panels in the main window. The screen layout can be arranged by
adjusting the panel position to be displayed.
8.9.1 Query Patients Panel
The Query Patients Panel is used to search for patient information. A list of patients searched using the
entered information appears on the Patient List.
25
8.9.2 Select Patient UI Panel
The Select Patient UI Panel is used to specify a patient by entering all digits of the ID Code.
8.9.3 Patient Information Panel
The Patient Information panel displays the patient information as shown below:
8.9.4 Data Filter Panel
The Data Filter Panel is used to display the examinations for the selected patient.
 With “Date” tab, the examinations are listed in tree structure of date order.
 With “Procedure” tab, the examinations are listed in tree structure of procedure order.
 With “List” tab, the examinations are listed without tree structure.
26
8.9.5 Data Property Panel
The Data Property Panel is used to display the property of the displayed examination data.
8.9.6 Panel Layout
The Panel layout can be arranged.
 To arrange the panel layout:

1. Click [Fix Docking Layout] from the [View] menu bar and unselect it.
When the [Fix Docking Layout] is checked/selected, the panel layout cannot be arranged.
2. Double click the title bar of the panel that you want to arrange.
The shape of the panel changes and it becomes movable through the mouse drag operation.
Each panel can be docked together. There are five docking guides on the left, right, top and bottom and at
the center. The center guide is used to display several panels with a tab and dock them together. These
guides are used as an index of the docking position. Drag and drop using the mouse onto the guide and
the docking shape displays as a shadow.
【Reference】
Docking is an operation to “Display adjacent to the end of panel”, or “Display a panel adjacent to another
panel in display”.
27
 To dock the panel layout:
1. Click [Fix Docking Layout] from the [View] menu bar and unselect it.
When the [Fix Docking Layout] is checked/selected, the panel layout cannot be arranged.
2. Click the title bar of the panel and move the panel in the direction you want to dock it.
The docking guide and the shadow displays.
3. If the shadow position is as you want, release the left-click. Docking is then completed.
8.9.7 Mode of panels
Floating Mode: A panel in floating mode can be displayed in any position in the main window. Double-
click the title bar of the panel to switch the docking mode to the floating mode. The panel can be moved by
dragging and dropping.
28
Docking Mode: A panel in docking mode can be fixed on the docking guide of IMAGEnet R4.
Auto Hide: When panels are fixed on the docking guide. Click on the upper right to enable auto hide
mode. Then the panel displays with a tab at the corner of the IMAGEnet R4 main window and the button
is changed to .
Panel Integration: Panels can be integrated with other panels fixed to the docking panel. Shown below
on the left are two panels docked together (Query Patient Panel and Data Filter Panel). Shown on the
right are two panels integrated. The integrated panels switch over by clicking tabs.
→
There are two tabs at the bottom.
Query Patient Panel and Data
Property Panel can be switched over
by clicking.
29
8.9.8 Manipulating Tab Group Display
When two or more tabs display, the tabs can be moved Left/Right or Up/Down.
 To Move Tabs to the Left/Right:

1. Click the tab.
2. Drag to the center.
3. Release the mouse button.
The following menus display:
4. Select either one.
Clicking New Horizontal Tab Group splits the tab group horizontally.
Clicking New Vertical Tab Group splits the tab group vertically.
Horizontal Tabs Vertical Tabs
30
9 OBJECTIVE OPERATIONS
9.1 Patient Information
In IMAGEnet R4, all examination data is stored in the database with relation to the patient information.
9.1.1 Register Patient
 To Register a Patient (from the menu bar):

1. Select [Patient] - [Register Patient] on the menu bar.
The Register Patient dialog box displays.
2. Enter the patient information and click [OK].
[ID Code] and [Last Name] are the required fields.

[comment] is able to input up to 20 characters.
NOTE
 To Register a patient (from the Select Patient UI Panel):

1. Enter on ID Code to the Select Patient UI Panel, and then click [Open].
2. When the specified ID Code is not found in the database, the Register Patient dialog box is displayed
in order to enter the patient information.
31
3. Enter the patient information and then click [OK].
[ID Code] and [Last Name] are the required fields.

NOTE
9.1.2 Query Patient
You can search for a patient using Query Patients Panel.
 To Search for a Patient Using Search Keys (ID Code, Last Name, Registration Date, Date of
Birth, etc):
1. Open the Query Patients Panel.
32
2. Enter the search criteria into each field that you want to use as the search key.
 You do not need to fill in all items for query. Fields may be left blank.
 If the code is entered in the ID code or the last name column, all patient lists
NOTE that the entire or a part of the code matches display. For example, if you enter
"100" in the ID code, Patient A "10002", Patient B "1001", and Patient C
"10016" display.
 [Sex] is searched using a value selected from [None], [Male], or [Female].
Checking the [Sex] check box enables this search key. Removing the
checkmark disables the search key.
 [Patient Comment] is searched for by partly matching with a comment
registered together with patient data. A character string used for search is
recorded up to the specified maximum value and appears in the pull-down
menu in next search and after for selection by the user.
 [Exam Date] is searched based on whether the specified period includes any
registered examination. For example, a period such as the past ten days or
two weeks including today is specified. Patient information including registered
examinations in that period is displayed. You can make a search with the term
from the start to the end specified. Checking the [Exam Date] check box
enables this search key. Removing the checkmark disables the search key.
 [Operator] is searched by forward matching by any operator ID or first name or
last name. Character strings used are recorded up to the maximum value
specified. The character strings appear in the pull-down menu in the next
search and after for easy selection.
 [Procedure], [Physician ID] and [Diagnosis Code] are searched by exact
matching. Character strings used are recorded up to the maximum value
specified. The character strings appear in the pull-down menu in the next
search and after for easy selection.
 [Exam Comment] is searched for by partly matching with a comment
registered together with inspection data. A character string used for search is
recorded up to the specified maximum value and appears in the pull-down
menu in next search and after for selection by the user.
 [Schema Remark], [Schema Annotation] are searched by partly matching.
Entering a space enables a search using multiple character strings.
 Pressing the [Clear] button or [ESC] key clears the entered search key and sets
the default search conditions. Default search conditions are the past one day
of examination.
 You may use a card reader or a bar-code reader as a keyboard interface to
enter an ID code. Using a card reader or a bar-code reader prevents possible
input errors.
3. Click [Query].
All patients matching the search criteria display.
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Patient list
 The patient list remains open until the tab is closed.

 You may sort the list by clicking any title shown on the top of each row.
NOTE  The order of the rows in the patient list, such as ID Code, Name, Sex, etc., can be
changed by dragging and-dropping.
If “Query Schema” is set to Disable in Configuration, and you can not search about a
schema remark and a schema annotation by using the Query Patients Panel.
If “Limit of patient search result” is set to Yes in Configuration, and when the number of
patient search results is more than the number specified in Configuration – “Max count of
patient search result”, an error message is displayed.
Setup with Configuration
Message displayed when the number of patient search results is more than the specified limit.
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9.1.3 Edit Patient
 To edit the patient information in the patient list:

1. Open the patient list using the Query Patient Panel.
2. Select a patient from the list.
3. Click [Patient] – [Edit Patient] on the menu bar.
4. Edit the patient information and then click [OK].
 To edit the patient information in the patient information panel:

1. Click “Patient Edit” button below.
“Patient Information Edit” button
2. The Edit Dialog is displayed.

3. Edit the patient information and then click [OK].
The ID Code must be 40 characters or less. When 41 characters or more are

entered with the copy and paste function, etc..., the characters after the 41st
CAUTION character is omitted.
When registering and updating patient information, if the specified Patient's ID is

already used, registration and updating will fail.
CAUTION
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9.1.4 Delete Patient
 To delete the patient information:

1. Open the patient list using the Query Patient Panel.
2. Select a patient from the list.
3. Click [Patient] – [Delete Patient] on the menu bar.
If the selected patient does not have any examination data, the message below is displayed.
The patient information can be deleted by clicking [Yes].
In case the selected patient has some examination data, the message below is displayed and the
patient information cannot be deleted.
 To delete exam data from patient selected.

Refer to 9.8.1Deleting Data, Delete data completely.
9.1.5 Physician and Diagnosis Information
 To register the physician information:

1. Click a tab [Physician] in the Register Patient dialog box.
2. Click the [Physician List] button to display the physician list.
3. Select a physician from the list.
The users that belong to the doctor group and the professor group are listed in the physician list.
(Refer to 7.5User Management Tool)
36
To register the diagnosis information:
1. Click a tab [Diagnosis] in the Register Patient dialog box.
2. Click the [Diagnosis List] button to display the diagnosis list.
3. Select a diagnosis from the list.
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9.2 Photography
If one of the cables connected to the IMAGEnet R4 system and the capturing device,
such as a retinal camera or a slit lamp, is short-circuited, or the IMAGEnet R4 software
or the computer system goes out of control because of an unexpected system failure,
CAUTION there is a possibility that the capturing device will emit a flash continuously. In such a
case, the power supply of the capturing device or the computer should be turned off.
If the hard disk or CPU memory does not have enough space, IMAGEnet R4 may not
function properly.
CAUTION
Photography using IMAGEnet R4 requires the following procedures:

1. Register the patient (if not previously registered).
2. Select the patient from the patient list.
3. Select the photography procedure.
4. Use the selected photography procedure and take an image with a photographic instrument.
5. Save the photographed image.
To use photography procedure, you need to buy photographic software.

About photographic software, refer to the following table.
NOTE
9.2.1 Selecting a Patient
 To Select a Patient:
Refer to [9.4.1Selecting a Patient].
9.2.2 Selecting Photography Procedure
Set the capture procedure using the IMAGEnet R4 configuration tool. Set the capture DLL and the
photography device required for photography properly.
 To Start the Photography Procedure:

Click [Data] - [Photography Procedure] on the menu bar or click the procedure icon that you want to
use.
For the photography operation in detail, refer to the following manuals:

Instrument being used Manual
TRC-50DX User Manual IMAGEnet R4 DX Capture
TRC-NW7SF MARKII User Manual IMAGEnet R4 TRC-NW7SF MARKII Grabber
(Nikon D90 model)
TRC-NW8 User Manual IMAGEnet R4 TRC-NW8 Grabber
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TRC-NW8F User Manual IMAGEnet R4 TRC-NW8F Grabber
TRC-NW8F plus User Manual IMAGEnet R4 TRC-NW8F plus Grabber
DC-3 User Manual IMAGEnet R4 DC-3 Capture
Analog – USB converter DFG/USB2-It User Manual IMAGEnet R4 DFG Capture
Others User Manual IMAGEnet R4 Legacy Capture
9.2.3 Starting Photography
When the capture procedure is selected from the menu bar or the tool bar icons, a capture window opens.
The images are captured by pressing the trigger button of the instrument connected with IMAGEnet R4,
and then the captured images are displayed on the screen.
The captured images are temporarily stored in the local hard disk until the images are
saved into the database.
NOTE
The patient information can be specified when closing the captured window with the
following capture modules:
 DC-3 Capture
 DFG Capture
 Legacy Capture
 TRC-NW8 Grabber
 TRC-NW8F plus Grabber
IMAGEnet R4 is a multiple instance application. The first IMAGEnet R4 instance

provides the capture function. A second or later instance does not provide the capture
function. That is because capture devices should not be used with different setting in
parallel. The background color of IMAGEnet R4 which supports the capture function is
black. The background color of IMAGEnet R4 which does not support the capture
function is gray.
The third party software can make IMAGEnet R4 run with selecting new patient and
capturing. However, if IMAGEnet R4 has already been starting a capture before
CAUTION starting by the third party software, the IMAGEnet R4 cannot change to new patient.
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9.2.4 Saving Captured Images
Click the < Save > button on the tool bar.

After saving images, a capture window is closed automatically.
Pressing the Save by Setting button activates the Image Saving dialog show below.
In the Image Saving dialog, you may specify the following items to save captured images:
ID. Displays the patient’s ID. (*1)
Name Displays the patient’s name. (*1)
Date of You may specify a date of photography of the image to be saved.
photography
Inspector You may specify a photography inspector to the image to be saved.
Saving set (*2) You may specify the saving set. Saving set refers to setting used to specify a
saving form per procedure. Plural saving sets may be defined by using the […]
button.
(*1) ID. and name are only displayed and cannot be changed.
(*2) Saving set serves as a list that defines a saving form for the procedure. You may maintain multiple
saving sets.
9.2.5 Magnification Settings of IMAGEnet 2000
Magnification information concerning IMAGEnet 2000 may be necessary when you use external definition
software for IMAGEnet 2000. In such a case, it is possible to perform measurement using the external
definition software for IMAGEnet 2000 by setting the values of related elements including a device code,
relay magnification, CCD and magnification mode based on the capture configuration information of
captured images by using the IMAGEnet R2/R3 magnification setting tool.
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【Reference】
The setting of capture information uses [Capture Setting] under [Configuration]. If the capture information
has not been registered in the database, this application will not start. The setting of information is
available only in the case where the target capture information is present.
Controls in each screen are described in the following table:

Item Element Description
Capture Capture device Display the photography device name (display only; input is
information unavailable).
Relay Display the relay lens name (display only; input is unavailable).
Teleconverter Display the teleconverter name (display only; input is
unavailable).
Camera Display the camera name (display only; input is unavailable).
IMAGEnet 2000 Device code Enter a device code value.
magnification CCD Enter a CCD magnification value.
information Relay Enter a Relay magnification value.
magnification
Magnification Enter the magnification mode.
mode
Button < In case the Measurements table contains multiple records, this
button switches from the currently displayed configuration
information to the immediately preceding configuration
information.
> In case the Measurements table contains multiple records, this
button switches from the currently displayed configuration
information to the immediately following configuration
information.
OK Validate the setting and close the dialog box.
Cancel Close the dialog box without validating the setting.
Apply Validate the setting without closing the dialog box.
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9.3 About the function of capturing when network is
down
You can continue capturing by IMAGEnet R4, even if you cannot access to a server due to the network
failure or etc.
If the network is down, captured data are saved to a local database. When the network connection is
restored, local data are automatically uploaded to the server.
Please use "NetworkDown" function after creating a new database on a local, when you
use this function. If you specify an existing database, this function does not work
CAUTION properly.
【Reference】
This function is set by [NetworkDown] of [Configuration].
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9.4 Displaying the Examination Data
(DataView is not available in IMAGEnet R4 Lite.)
The images and the examination data display via the following steps:
1. Searching for a patient.
2. Selecting a patient from the patient list.
3. Selecting a date, a procedure, or all using the Data Filter.
9.4.1 Selecting a Patient
 To Select a Patient (in case ID Code is unknown):

1. Search for Patient Information from the Query Patients Panel and display a list of patients.
2. Double-click to select a patient to browse from the list of patients:
 To Select a Patient (in case ID Code is known):

1. Enter an ID code into the Select Patient UI Panel and press the [Open] button or [Enter] key.
If “The size of the ID column” is set to "Expand" in Configuration, the ID column is

NOTE expanded.
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9.4.2 Selecting a Date and/or Procedure
After selecting a patient, a list of the examination data and the images is displayed in the Data Filter Panel.
(For an explanation and functions of the display screens, refer to 9.5(Displaying the Image) for images
and 9.8(Editing Examination Data) for examination data except images.)
If “Display data on the day the patient is selected” is set to "Today" or "Latest" in
Configuration, images and examination data are displayed automatically at selecting a
NOTE patient .
 To open the images and the data by specifying a date:

1. Click, the “Date” tab in the Data Filter Panel.
2. Click a date from the displayed list.
3. All examination data and the images are displayed by double-clicking on a date.
 To open the images and the data by specifying a procedure:

1. Click the “Procedure” tab in the Data Filter Panel.
2. Click a procedure from the displayed list.
3. All examination data and the images are displayed by double-clicking on a procedure.
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 To open the examination images and data from the list:
1. Click the “List” tab in the Data Filter Panel.
3. In case only one line is selected, double-click the line selected.
4. In case two or more lines are selected, right-click on one of the lines you selected and then click
“Send to Image Viewer” or “Send to DataViewer”.
The width of the columns and the sorting order can be changed by mouse clicking and
the drag-and-drop operation. The changed width of the columns and sort order become
NOTE the default after rebooting IMAGEnet R4.
 To open the examination images from the image notes:

1. Click the “Image Notes” tab in the Data Filter Panel.
3. In case only one line is selected, double-click the line selected.
In case two or more lines are selected, right-click on one of the lines you selected and then click “Send to
Image Viewer” or “Send to DataViewer”.
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The width of the columns and the sorting order can be changed by mouse clicking and
the drag-and-drop operation. The changed width of the columns and sort order become
NOTE the default after re-selecting the tab..
On the "Image Notes" tab, the list of images that have image note are only shown.
CAUTION
The selected tab is default after rebooting IMAGEnet R4.
In case you select "Image Notes" tab, the "Date" tab is default after rebooting IMAGEnet
CAUTION R4.
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9.5 Displaying the Image
9.5.1 Image Viewer
Image Viewer is a function that displays the images stored in the database and applies image processing
to the images such as contrast enhancement.
You may display stored examination images using the same procedure as “Browsing stored
examinations”.
Avoid saving your precious data into a cache folder to save cache data of an image
displayed with Image View. Files in the cache folder are deleted on a routine basis and
once deleted, they cannot be restored.
CAUTION
Setting of the cache folder is made by a dealer. Contact your dealer.
9.5.2 Display Mode
You can select the image display mode from the following three options. Click the icon to switch the
display mode.
Thumbnail View
Full screen view
Single with thumbnail view
Thumbnail View
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Capture date and time, Right and left eye, the field angles, and timer are displayed in the white bar under
the thumbnail.
Full screen view
Click the Full screen View icon or press the [Esc] key or [F9] key to switch between Full screen View and
the original Display mode.
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Single with Thumbnail view
In case the free space of the hard disk where IMAGEnet R4 is installed is less than
10GB, the thumbnail image windows shows (only “loading” and they do not display the
CAUTION images. Please make sure that the hard disk has enough free space.
The following icon appears below ImageView. The icon that appears depends on the display mode.
ImageView
Icon
“Right eye” images are displayed.
“Left eye” images are displayed.
Provide separate left/right eye display. “Right eye”

appears on the left side and “Left eye” on the right side.
Provide separate left/right eye display. “Left eye” appears

on the left side and “Right eye” on the right side.
Provide grouping display by procedure.
Provide grouping display by date.
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Display the image with the size adjusted to the screen
size
Display the image with original size
To switch to Thumbnail View
To switch to Single with Thumbnail view
To switch to Full screen view
To display the previous image
To display the next image
Contrast adjustment
Color adjustment
Rotate the displayed image by 180 degree.
Adjust the contrast of the selected range.
Undo the image processing
9.5.3 Grouping with Thumbnail View
Using the grouping display function displays the examination data of a single patient by date or procedure.
 Grouping with Thumbnail View
Grouping Order of groups

Date In descending order of date
Procedure In the order of procedure names
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Screen example:
Grouping by date
Grouping by procedure
No grouping
 How to use the grouping function [3 methods]

 Opening an examination image from the Data Filter Panel
 Determining the arbitrary grouping type from the Context Menu
 Inserting the grouping icon
Opening an examination image from the Data Filter Panel:

Type of grouping used when an examination image is opened is associated with each tab.
Tab selected on Data Filter Panel Type of grouping
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“Date” Tab By procedure
“Procedure” Tab By image examination date
“List” Tab User-specified value (image examination date if
unspecified)
Determining the arbitrary grouping type from the Context Menu:
Menu displayed
Inserting the grouping icon:
Grouping by date
Grouping by procedure
Display without grouping
 Grouping display available in Single with thumbnail view

Grouping display is available using the same procedure in Single with thumbnail view. Display is split with
vertical lines by group in the Thumbnail view portion.
Date and procedure labels by group appear over the first thumbnail.
 ImageViewer screen for Thumbnail View (Left/right eye separate display＋Grouping display)
For both Thumbnail view and Single with thumbnail view mode, left/right eye display + grouping display
are available. Display and operation of tool buttons are the same as those in the left/right eye display
mode. Refer to 9.5.4Left/Right Separate Display Mode.
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 ImageViewer screen for Single with thumbnail view (Left/right eye separate display＋Grouping
display)
9.5.4 Left/Right Separate Display Mode
Left eye images and right eye images may be separately displayed on the screen.
 How to use the left/right separate display

Click this button to enable the Left/Right Separate Display Mode. Click this pressed button to disable the
Left/Right eye Filter. About function of the icon, refer to the following table.
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icon Meaning
“Right eye” appears on the left side and “Left

eye” on the right side.
“Left eye” appears on the left side and “Right

eye” on the right side.
Display without grouping
You can select a button from the four icons described at “9.5.4Left/Right Separate Display Mode” and
“9.5.5Left/Right eye Filter”.
 Display styles to allow left/right separate display:
Display Mode Operation of separate display

Thumbnail View Switchover between icons
Full screen View Inherit the state before the switchover.
 Zooming and Panning Function:

Zooming and Panning operations work.
Zooming and Panning
In the left/right separate display mode, the grouping display is similar to that under (8.3 Grouping with
Thumbnail View).
9.5.5 Left/Right eye Filter
Left eye images or right eye images displayed on the screen.
 How to use the left/right eye filter

Click this button to enable the Left/Right eye Filter. Click this pressed button to disable the Left/Right eye
Filter. About function of the icon, refer to the following table.
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icon Meaning
“R” icon is selected.

“Right eye” images are displayed.
“L” icon is selected.

“Left eye” images are displayed.
Left/Right eye Filter is released.
You can select a button from the four icons described at “8.4 Left/Right Separate Display Mode” and
“Left/Right eye Filter”.
 Display styles to allow Left/Right Eye Filter:
Display Mode Operation of separate display

Thumbnail View Switchover between icons
Full screen View Inherit the state before the switchover.
In the left/right eye filter mode, the grouping display is similar to that under (8.3 Grouping with Thumbnail
View).
9.5.6 Image Processing
The Image View provides several image processing functions.
Contrast
[ Image ] – [Contrast Lo]

[ Image ] – [Contrast Mid]
[ Image ] – [Contrast Hi]
[ Image ] – [Contrast Auto]
Enhance the displayed image contrast.
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Color or brightness adjust
[Image] – [Adjust Brightness] on the menu bar

This function adjusts the brightness.
The left side image in the dialog box is the original and the right side is a preview of the adjusted image.
Click the right (or left) end of the bar and adjust the
dynamic range of the gray scale.
Display the image with original size.
Display the image with the size adjusted to the

screen size.
Click this button after all settings are completed.
Click this button to cancel the color adjustment.
Color or contrast adjustment
 In case the displayed image is color:
[Image] – [Adjust Color] on the menu bar
This function adjusts the color balance.
 In case the displayed image is B/W:
[Image] – [Adjust Contrast] on the menu bar
This function adjusts the contrast.
56
For color images For B/W images
The left side image in the dialog box is the original and the right side is a preview of the adjusted image.
Click the right (or left) end of the bar and adjust the
dynamic range of the red (R), green (G), and blue
(B), or gray scale.
Display the image with original size.
Display the image with the size adjusted to the
screen size.
Click the scroll of the scroll bar to change the
magnification of the graph.
Displays the graph using a value obtained through

logarithm calculation.
Adjust the red (R), green (G), and blue (B) in sync.
Click this button after all settings are completed.
Click this button to cancel the color adjustment.
Rotate
[ Image ] - [ Rotate ]on the menu bar
Rotate the displayed image by 180 degrees.
Undo
[ Edit ] - [ Undo ] on the menu bar
Undo the image processing.
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Invert
[ Image ] - [ Invert ] on the menu bar
Invert the displayed image negative-to-positive.
Mirror
[ Image ] – [Mirror] on the menu bar
Rotate the displayed image in the horizontal direction.
Flip
[ Image ] – [Flip] on the menu bar
Rotate the displayed image in the vertical direction.
Smooth
[ Image ] – [Smooth Lo]

[ Image ] – [Smooth Mid]
[ Image ] – [Smooth Hi]
Smooth the displayed image.
Sharpen
[ Image ] – [Sharpen Lo]

[ Image ] – [Sharpen Mid]
[ Image ] – [Sharpen Hi]
Sharpen the displayed image.
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B/W
[ Image ] – [B/W]
The color image is converted to a gray scale by using G element of RGB.
9.5.7 Image Measurement
The measurement result of the fundus is determined based on a Gullstrand model eye
and some errors may occur in the measurement with a human eye. Diagnosis or
treatment decisions based on such data (i.e. a spot diameter calculation in laser therapy)
CAUTION may cause physical injury. The measurement result needs to be handled with thorough
consideration under a doctor's responsibility.
For accurate measurement, the parameters of a fundus camera, CCD setting, camera
type, and the zoom function need to be set correctly in the IMAGEnet R4 configuration.
CAUTION Consult the sales company of TOPCON or the person in charge before use.
When an image which was measured by IMAGEnet R4 is sent to an external module
function (QuickDraw, Wincell, etc.), an image excepted for measurement information is
used by external module function.
CAUTION It is recommended to measure an image by IMAGEnet R4, after editing an image by
external module function.
Image Measurement is a function which measures the area and the line length of the selected region in
the displayed image. Select one image and pass [Right Click] - [Send to Measure], and the measurement
screen tab displays.
The measurement function allows you to select the line and the region and draw them on the image.
 To Select the Pattern to be Drawn:

1. Open Measurement View.
The menu icons display.
2. Select an icon that you want to use.
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Selects the objects
Measures a linear distance
Measures a rectangle area
Measures a circle area
Measures an area of a polygonal shape
Free choice. Measures a line segment or an area.
Drags the image display area
Displays the image at 100%
Displays the image according to the measurement window
 To Measure a Line Segment and Area:

1. Select the measurement method from the icons.
2. Place the mouse cursor where you want to begin measuring.
3. Click the left button of the mouse and move the mouse cursor to the position you want to finish
measurement.
The measurement result displays on the screen.
 To delete a measurement result:

1. Click a measurement result that you want to delete.
2. Right-click and click [delete] from the right-click menu.
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9.5.8 Compare View
The measurement result of the fundus is determined based on a Gullstrand model eye
and some errors may occur in the measurement with a human eye. Diagnosis or
treatment decisions based on such data (i.e. a spot diameter calculation in laser therapy)
CAUTION may cause physical injury. The measurement result needs to be handled with thorough
consideration under a doctor's responsibility.
For accurate measurement, the parameters of a fundus camera, CCD setting, camera
type, and the zoom function need to be set correctly in the IMAGEnet R4 configuration.
CAUTION Consult the sales company of TOPCON or the person in charge before use.
When an image which was measured by IMAGEnet R4 is sent to an external module
function (QuickDraw, Wincell, etc.), an image excepted for measurement information is
used by external module function.
CAUTION It is recommended to measure an image by IMAGEnet R4, after editing an image by
external module function
Compare View is a function to compare two images. Start the Compare View by choosing two or more
images and the selected images are displayed side by side.
 To run Compare View:

1. Display the images.
2. Select more than two images from the thumbnails, then right-click on the white space describing the
image information.
3. Click Send to Compare View to open the Compare View window.
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→
Icons displayed in Compare View
Select the objects.

Drag the image.
Display the image scaled to 100%.
Display the image resized to fit the window.
Refresh annotation.
Plot points on the image.
Display the drawing dialog box. (If selected after the plot is
completed.)
Measures a linear distance.
Measures a rectangle area.
Measures a circle area.
Measures an area of a polygonal shape.
Free choice. Measures a line segment or an area.
 To adjust the position of two images:
1. Click the icon .

2. Plot more than 3 points where the crossing points of the blood vessels are apparent.
3. Plot in the same order on the two images displayed. When plotting near the location to compare, the
graphic data can be displayed at the optimal position.
4. If you want to draw straight lines, freehand, ovals or polygons, click the [Done] button after plotting on
the images displayed side by side.
5. Click the icon .
 To draw the lines on the images after the position adjustment of two images:
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1. Select an icon from , , or from the tool box.
Draw a line on either the right side image or the left side image by using the mouse drag operation.
 To synchronize two images:
1. Check
When this is checked, the displayed two images are operated with synchronization in zooming and
panning.
 To add a image to the Compare View:

The image can be added to the Compare View again.
Right-click on the thumbnail image of the image that is added. If you select "send to compare view", it will
be added to the Compare View.
9.5.9 Export Image

Click [Image] – [Export Image] on the menu bar.
The images selected are exported to a folder.
 To export an image:
1. Select an image that you want to export, and then click [Image] – [Export Image] on the menu bar.
2. The dialog box below is displayed.
3. Specify a folder and a file name, and then specify [TIFF],[Jpeg],[PNG] or [Bmp]
4. Click [save].
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9.5.10Printing
If the CPU memory does not have enough space、[ Print All ] may not function properly.
CAUTION
You may print a selected image or a displayed image.
Print Print the selected images.
Print All Print all images displayed in the selected tab.
Print Setup
The printing function of IMAGEnet R4 supports three (3) print plugins:

・ Simple Print: No print template is used.
・ Word Print: Template edited using MS WORD is used.
・ XML Print: Template made of XML format is used.
 To Select a Print Plugin:

1. Click [Print Plugin] from the [File] menu.
2. Select one from the list.
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Simple Print
A print template is not used with the Simple print plugin.
 To Select Items to be Printed:

1. Click [Print plugin] from the [File] menu.
2. Check [Simple Print].
3. Click [Print Setup] from the [File] menu.
4. Select items to be printed on the header, and then click OK.
5. In case of scaling the image, specifies the magnification per procedure.
Word Print
When using the Word print plugin, a DOC file edited with MS-WORD is used. It is recommended that you
use Word print if you want to print a logo bitmap and/or ruled lines.
 To Set Up Word Print Settings:

2. Select [Word Print].
4. Make the following selections:
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・ Setting Name: Any name to identify the setting.
・ Template File
Specify a WORD file to be used as a print template.
Path:
・ Printer Name: Specify a printer.
・ Remove Mask: Specify whether you print the images with a black background or white
background by removing the black mask.
・ Image
The black mask is removed with the image processing technique.
Processing:
・ Mask File: The black mask is removed by applying a prepared mask file.
A Mask File is a B/W bitmap as illustrated in the figure below. When you print an image
with “Remove Mask with Mask File” option, only the part corresponding to the white part
NOTE of the mask file is printed.
The Mask File is created using MaskEdit.exe from the IMAGEnet R4 CD-ROM. The
Mask File needs to be saved with the following naming convention:
Angel_PIXELS(WIDTH)_PIXELS(HIGHT)_PROCEDURE.bmp
ex.45_2048_1536_Color.bmp
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XML Print
XML Print uses .a file made of XML as print templates. Use this function if you wish to print out patient
information and an image at the same time without using logos or decorative lines.
 To Set Up XML Print Settings:

2. Select [XML Print].
4. Make the following selections:
Setting Name: XML Print (fixed)

Hospital Name: Specify a hospital name
Hospital Address: Specify a hospital address
Printer Name: Specify a printer.
Remove Mask: Specify whether you print the images with a black background or white background by
removing the black mask.
Image Processing: The black mask is removed with the image processing technique.
Mask File: The black mask is removed by applying a prepared mask file.
Print
 To Print Images:
1. Click [Print] from the [File] menu.
2. Select the print options.
3. Click [OK].
[Print] prints a selected image. When you print Images on Composite View, click [Print].
[Print All] prints all images located in Binder or ImageView.
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・ Remove Mask. Check to print the background in white color.
・ Original / 1UP / 2UP(H) / 2UP(V) / 4UP / 6UP(H) / 6UP(V) / 9UP / 16UP. Select a print style.
・ Print Page Select [All Pages] or [Current Page]
・ Brightness Select an image from the displayed images, and then adjust the brightness by
sliding the button right or left.
Print Template
Key words which can be used in the document are:
[Patient Information]
･ $ID Patient ID. Max. 19 characters
･ $NAME Patient name Max. 46 characters
･ $LAST Patient last name Max. 23 characters
･ $FIRST Patient first name Max. 23 characters
･ $MIDDLE Patient middle name Max. 1 character
･ $BIRTH Date of birth 10 characters
･ $SEX Sex 'Male' or 'Female'
･ $ENTRY Date of entry 10 characters
[Image Information]
･ $IMAGE:nnn image(nnn: image section width on paper)
･ $DATE Capture date
･ $PROC Procedure name Max. 19 characters
･ $ANGLE Camera angle (000°) 5 characters
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･ $LABEL Image label Max. 15 characters
･ $EYE Eye
･ $PROOFSHEETLABEL :1 Timer on each image
･ $PROOFSHEETEYE :1 R/L on each image
･ $PROOFSHEETANGLE :1 Angle of coverage on each image
･ $REMARK ImageNote
[Miscellaneous Information]
･ $TODAY Print date 10 characters
･ $NOW Print time（hh:mmAM/PM） 7 characters
A date is outputted in the format “YYYY-MM-DD”.
･ $PRINTCOMMENT Comment Max. 100 characters
To print comment, it needs to be selected a template file where the keyword of the comment is
written, and to be input a comment on the dialog when printing.
9.5.11Composite Image
The Composite function is designed to create a composite image formed by multiple images tiled on the
screen.
Icon Meaning Procedure name (default)
Addition to 1x2 Composite Image 2UP
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Creating a Composite Image
 How to create a Composite Image:

1. Select target images from Thumbnail view.
2. Start the Composite function. (Two approaches are available.)
a. Click any <Composite> icon in the tool bar.
b. Right-click in the Thumbnail area. From the context menu that appears, click any one of the
following items:
3. The Composite Image created displays. The tab where a Composite image displays is called
“Composite view”.
 Composite Image layout

In the Composite Image, the selected images are arranged in order from the order of the Image View.
2UP 4UP
1 2
1 2
3 4
9UP 16UP
1 2 3 1 2 3 4
5 6 7 8
4 5 6
9 10 11 12
7 8 9 13 14 15 16
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 Composite Image layout [In case the number of selected images exceeds the number of
specified areas]
For example, if the number of selected images is 5 and the number of specified areas is 4UP:
Two Composite Images of 4up are created.
Editing the Composite Image
 Editing the Composite Image

Functions to edit the Composite Image include “Contrast”, “Color Adjustment” and “Undo”. You may edit
an image being selected. In case no images are selected, the entire Composite Image is edited.
For how to use the functions, refer to 9.5.6Image Processing-Color or contrast adjustment.
 Deleting a Composite Image

You may delete a target image.
1. Right-click on the image you want to delete.

The [Delete] menu displays.
2. Click [Delete].
3. The following message will be displayed:
※(#1) The numeral depends on the target image.

4. Click [Yes].
The image is deleted.
 Switchover between modes

Double-clicking on the target image switches between “Drag&Drop mode” and “Regular mode”.
In “Drag&Drop mode”, the target image is provided with a blue border to allow change of layout.
In “Regular mode”, the Zooming and Panning function is available.
 Regular mode
▪ Zooming and Panning
Place the cursor on the image on which you want to perform Zooming and Panning. Operate the mouse
wheel to enlarge or reduce the image. Panning is performed by dragging an enlarged image with the
mouse.
 Drag&Drop mode
▪ To arrange images layout: When there is no blank in the destination area.
For instance, 5 images are selected and 9UP icon is clicked.
②
① ③
⇒ ① ③ ④
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④ ⑤ none ⑤ ② none
none none none none none none
▪ To arrange images layout: When there is a blank in the destination area.

① ② none ① none ④
④ ⑤ none ⇒ ② ⑤ none
none none none none none none
▪ To arrange images layout: When image is dropped outside the area.

The confirming dialog box is displayed when image is dropped outside the area of Composite View, and if
[Yes] is selected, the image is deleted from Composite View. If [No] is selected, it is not deleted. The
displayed message of the dialog box is the same as "8.11.2 Deleting Composite Image ".
Saving a Composite Image
Note: Before you save, make sure you have finished editing the image because you cannot edit a saved
image.
 Save a Composite Image

The following three methods are available to save a composite image:
・ Click [File] - [Save]
・ Press [Ctrl] + [s] on the keyboard.
・ Click the < Save > icon on the tool bar.
 Changing Procedure Name

You may save a composite image with an arbitrary procedure name:
1. Enter a procedure name on the Data Property Panel.
2. Click [Save].
The image is saved with an arbitrary procedure name.
Notice on Saved Composite Images
A composite image is saved by the procedure name specified in the saving process. You may select and
browse a composite image on the Data Filter Panel.
You cannot use a function such as panning on a saved composite image.
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9.5.12Binder
Binder is a function to display images saved by IMAGEnet R4 in an organized fashion like affixing saved
images in a scrap book. You may create a single binger image per day. Created binder images are
compiled into the Binder Panel.
Double-click on the thumb-nail image of Binder Panel opens Binder View to allow images to be displayed
in a larger size.
Binder View Mode is displayed in a group and cannot be changed.
The image processing that is done in the binder viewer cannot be saved.
CAUTION
You may only compile images as a Binder. You cannot compile examination data.
CAUTION
 Thumbnail view
Zooming and Panning is available on a thumbnail.
 Single with Thumbnail view

Zooming and Panning is unavailable on a thumbnail. The Zooming and Panning operation is available
only in the Single View area.
Patient
Information
Panel View Area
（Image View）
Data Filter
Panel
Binder Panel
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Binder Panel
Binder Panel lets you display a compilation of selected images. The user may select vertical display or
horizontal display. To switch between the displays, refer to 8.9.6Panel Layout.
Vertical display Horizontal display
Adding an Image
 To Send Images to a Binder:

1. Select an image that you want to send to the Binder.
2. Right click on the image to display the context menu.
3. Click “Send to Binder“.
The image is added to the Binder Panel.
“Send to Binder” can use when Right-click on “Date” tab on the Data Filter.
Another method is:

1. Select an image that you want to send to Binder.
2. Drag the image to the Binder Panel.
The image is added to the Binder Panel.
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You cannot send the images of different patients to the same Binder.
CAUTION
Deleting an Image
 To delete an image from the Binder Panel:

1. Click an image that you want to delete.
2. Drag&Drop the image out of the Binder Panel.
The image is deleted.
Changing Image Location
 To change the location of an image in the Binder Panel:

1. Click on an image whose location you want to change.
2. Drag&Drop the image to an arbitrary location.
The location of the image is changed.
Saving an Image
Saving the Binder takes place automatically. The procedure name applied in the saving process is set
with the setting tool.
The binder can be saved by either of these actions:
1. Close the Binder being displayed.
2. Switch to another patient.
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Release of Binder
 To release of Binder :
1. Right-click “Binder” on “Procedure” tab in the Data Filter Panel.
2. Right-click on the "Binder" in "Procedure" of the data filter.
Click "Release of Binder".
9.5.13Displaying a Perimetric Image
This function displays a perimetric image. This function displays the image of a specified procedure name.
 How to start the Perimetric Image View

Clicking the start icon opens the Perimetric Image View. In case no data is available for display, the start
icon remains inactive.
 Information displayed
The image and examination attributes of a patient display. A tab name is acquired from the setting file.
The newest data of all the images and examination attributes appears in the top place.
Data displayed includes an image, date, time and left/right eye display.
 Enlarging a perimetric image

Opening the enlargement window
1. Double-click an image that you want to view as an enlarged image.
The image appears as a new window.
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Closing the enlargement window
1. Double-click the enlargement window.
The window closes.
You can use this function to display images other than perimetric images by changing the setting of the
procedure name. More than one procedure can be set. Setting is made by a dealer. Contact your dealer
for setting of procedures.
9.5.14Opening KR-1W Viewer from an image
(Opening KR-1W Viewer from an image is not available in IMAGEnet R4 Lite.)
In case data measured on KR-1W or KR-9000PW corresponding to an image exists, the measurement
data can be opened in KR-1W Viewer.
 To open KR-1W Viewer:

1. Right-click on a desired image.
2. Click [Send to KR-1W Viewer].
[Send to KR-1W Viewer] is available only to an image having corresponding measurement data.
For an image without corresponding measurement data, [Send to KR-1W Viewer] is grayed out and
cannot be selected.
9.5.15Opening KRP Viewer from an image
(Opening KRP Viewer from an image is not available in IMAGEnet R4 Lite.)
In case data of corneal topography color map corresponding to an image is existent, you can open the
data with KRP Viewer.
 To open KRP Viewer:

2. Click [Send to KRP Viewer].
Only an image containing corresponding measurement data can use [Send to KRP Viewer].
In an image without corresponding measurement data, [Send to KRP Viewer] is grayed out and is
unavailable.
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9.6 Examination Data Display
Examination Data is displayed by DataView and GraphView. DataView displays data sent from an
examination device such as a refractometer or data entered from the examination template of RegData2.
GraphView displays ocular tension and visual acuity values.
To enter examination data, you need the Optional Software “IMAGEnet R4 Examination Templates”.
9.6.1 DataView
(DataView is not available in IMAGEnet R4 Lite.)
DataView is used to display examination data. You may select the specified data you want to display from
the Data Filter Panel.
DataView Tab DataView
Data
Filter Panel
 To Display a Single Exam Data:

1. Select a patient from the patient list.
2. Double-click the examination data you want to display from the Data Filter Panel, or
Right-Click on the examination data, and then click [Send to DataView] to display the data in the
DataView window.
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 To Display Multiple Exam Data:
1. Select a patient from the patient list.
2. Press the [Shift] or [Ctrl] key to select the examination data you want to display from the Data Filter
Panel.
3. Right-Click on the examination data, and then click [Send to DataView] to display the data in the
DataView window.
9.6.2 GraphView
(If you are using IMAGEnet R4Lite, a function to display graphs is unavailable.)
The average ocular tension value and corrected/uncorrected visual acuity value can be displayed on a
graph for each of the left and right eyes. The graph display period can be specified and switching between
the specified period display and all period display is available. Press the [ALL] or [Part] button in the upper
right corner to switch between displays. Perform setting of the display period by selecting [Configuration]-
[Graph View]. You can automatically display a graph when selecting a patient.
GraphView Tab GraphView
 To Display a Graph:
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2. Press the [Shift] or [Ctrl] key to select the ocular tension data you want to display.
3. Right-click on the examination data, and then click [Send to GraphView].
The average values of the selected ocular tension data display in a graph.
 To Automatically Display a Graph:

1. Set to ON the automatic start setting of the graph to be started from [IMAGEnet Configuration - Per
User] under [Configuration].
2. From the patient selection screen, select a patient holding data to be displayed.
The Graph View opens to display target data respectively in graphs.
 To Use the Graph Function:

1. Click a line graph to display a numeric value.
2. Selecting [OS], [OD] allows you to display each of a right and left eye.
IOP Graph
An average ocular tension value is displayed on a graph for the left eye or right eye. Three display formats,
daily part period display, all period display, and detail display of variations on a day. When the system is
started, data is displayed in the daily part display format.
Symbol Meaning
Measured value
Corrected value
Less reliable value
 To Print Out on a Graph:
1. With the Graph View displayed, press the [Print] button in the upper corner of the screen.
Print a graph displayed and all data.
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 To Preview about Print on a Graph:
1. With the Graph View displayed, press the [Print Preview] button in the upper corner of the screen.
Display a Print Preview.
 To Display Variations on a Day Graph:

1. With the Graph View displayed, press the [Date] button in the upper right corner of the screen.
One-day data is separately displayed.
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VA Graph
You can display the corrected/uncorrected visual acuity value of the left eye/right eye on a graph. The
display format is daily display only. You can not use print functions.
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9.7 DICOM
(You may set whether to use/nor use the DICOM function.)
If the setting for DICOM is not done, IMAGEnet R4 may not function properly.
CAUTION
9.7.1 Supported Functions
The five functions supported are:

・To select a patient from the DICOM Work List
・To Send Images to DICOM Storage Server
・To Send a Commitment
・To Send MPPS
・To Use DICOM Verification
9.7.2 To select a patient from the DICOM Work List
 To select a patient.
1. Open the Query Patients dialog box. Select the “DICOM-WorkList” tab.
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2. Enter the search criteria into each field that you want to use as the search key.
 You do not need to fill in all items for a query. Fields may be left blank.
 [Patient’s ID], [Patient’s Name], [Accession# ] are searched by prefix matching. For example, if
you enter "100" in the ID code, Patient A "10002", Patient B "1001", and Patient C "10016" are
displayed.
 [Scheduled Date] is used to search whether there is a specified schedule. This search key is
enabled by checking the [Scheduled Date] check box. The search key is disabled by removing
the checkmark.
 [Modality], [Scheduled Station], [Procedure ID] are searched by exact matching.
 Press [Clear] or [ESC] on the keyboard to clear the information entered in the patient query
dialog box.
 You may use a card reader or a bar-code reader as a keyboard interface to enter an ID code.
Using a card reader or a bar-code reader prevents possible input errors.
3. Click [Query].
All patients matching the search criteria display.
When you select the [IMAGEnet R4] Tab, it is possible to search patients in the
IMAGEnet Database.
NOTE
4. When patient information can be acquired from the DICOM Work List, the patient list is displayed.
9.7.3 To Send Images to DICOM Storage Server
 To send images to storage:

1. Select the patient from the patient list. (Refer to 9.4.1Selecting a Patient)
2. Select the photography procedure. (Refer to 7.2Photography)
3. Use the selected photography procedure to take an image with a photographic instrument.(Refer to
7.2Photography)
4. Select [Send to DICOM] or [Save to IMAGEnet Database and send to DICOM], when saving images.
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If [Save to IMAGEnet Database] or [Save to IMAGEnet Database and send to DICOM]
are selected, images are saved in the IMAGEnet Database.
NOTE
9.7.4 To Send a Commitment
You may notify DICOM Storage that an image has been sent there. This function supports appropriate
image saving.
 To send a commitment:
The operation is the same as that under “9.7.3To Send Images to DICOM Storage Server”.
9.7.5 To Send MPPS
This function notifies the database of the start, complete and discontinue of an examination. This function
supports appropriate examination saving.
 To send MPPS(start):
1. Select the patient from the patient list. (Refer to 8.2Selecting a Patient)
2. Select the photography procedure. (Refer to 9.2.2Selecting Photography Procedure)
 To send MPPS(complete):
1. Shoot an image with a photography device by using the selected photography function (Refer to
9.2.3Starting Photography).
2. Save the shot image(Refer to 9.2.4Saving Captured Images).
 To send MPPS(discontinue):
1. Select the patient from the patient list. (Refer to 8.2Selecting a Patient)
2. Select the photography procedure. (Refer to 9.2.2Selecting Photography Procedure)
3. Discard the photography function session to end the photography function.
4. From the menu, select [Data] - [Send MPPS(Discontinued)].
9.7.6 To use DICOM Verification
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This function checks communications as an SCU to verify whether connection with the DICOM server is
appropriate.
 To use DICOM verification:

1. Start IMAGEnet R4 Configuration.
2. Press the [DICOM Verification] button to start IMAGEnet Verification.
3. Press the [Verify] button to check the setting of the DICOM function.
9.8 Editing Examination Data

You may correct or modify examination data.
9.8.1 Deleting Data
Select [Tool] - [Delete Data] on the menu bar.
The data saved in the database can be deleted.
 To Delete an Image and/or Examination Data:

2. Select [Tool] - [Delete Data]
3. Select the data you want to delete.

4. Click [Delete].
Do not delete image files using Windows Explorer. Database failure may occur.
CAUTION
The [Delete] function of [Exam Manager] deletes the selected image file from the PC
permanently. You will not be able to restore the deleted image from the Recycle bin.
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CAUTION
 To delete exam data completely:

1. Select the patient whom you deleted the data.
2. Select [Tool] - [Delete Data].
3. Select [View] - [Show Deleted Items].

4. Select the data you want to delete completely.
5. Click [Delete].
Delete the data on the database completely. You will not be able to restore the deleted
data from the Recycle bin.
CAUTION
9.8.2 Editing Data
Select [Tool] - [Edit Data] on the menu bar.
The data saved in the database can be edited.
 To edit the data that is stored in the database:

2. Select [Tool] – [Edit Data] from the menu bar.
3. Select the data that you want to edit, and edit the data.
4. Click [Save].
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9.8.3 Moving Data
Select [Tool] - [Move Data] on the menu bar.
The data saved in the database can be moved to another patient.
 To move the data:

2. Select [Tool] – [Move Data] from the menu bar.
3. Select the data that you want to move, and then click [Move Exam].
4. Specify a patient that you want to move the data to from the dialog box below.
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5. The dialog box below is displayed to confirm. Click [Continue].
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9.9 Importing Image
9.9.1 Importing an image by drag-and-drop
You can import an image to IMAGEnet R4 by drag-and-drop.
 To import an image by drag and drop :

1. Select an image which you want to import.
2. Drag and drop an image to IMAGEnet R4.
3. Select a patient and input information of the image with data property panel.
4. Click "save" icon.
The image is saved.
If you import the image which are exported as a TIFF format with graphic by IMAGEnet
Professional™ or IMAGEnet 2000™, IMAGEnet R4 do not display graphic part.
CAUTION
May not be to use this function for Windows security on operating system of Windows 8.1
or later.
CAUTION
9.9.2 Import from DATAFILE
Select [Tool] - [Datafile import]
Images can be imported from the datafile created by IMAGEnet 2000 / Professional to the IMAGEnet R4
database.
 To Import Images from the Datafile:

1. Select [Tool] - [Datafile import] to display the screen below.
2. Select the datafile you want to import from [BROWSE].
3. Click [Open].
A list of data is displayed.
4. Check the images that you want to import, Click [Import].
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Patient Information In case the ID code of the data to be imported is already present in the database,
the data is imported as data that belongs to a database-registered ID code.
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9.10 Exporting Images
9.10.1Exporting to Zip
Select [Data] - [Export to Zip] on the menu bar
You can export the selected images with the Zip format.
 To export images with Zip format:

1. Select the images that you want to export.
2. Select [Data] - [Export to Zip].
The dialog box shown below displays.
3. Specify the folder where the image is to be exported and enter the file name.
4. Specify the file format. ([TIFF], [JPEG], [PNG], and [BMP]).
5. Click the Save button.
9.10.2Exporting to folder
Select [Data] - [Export to folder] on the menu bar
You can export the selected image to the folder specified.
 To export images to a folder:

1. Select the image you want to export.
2. Select [Data] - [Export to folder].
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3. Specify the folder where the image is to be exported.
＊In case an export-to folder is specified before the startup of IMAGEnet R4, the export takes place
without the above dialog box being displayed.
The name of the Image file which exported by “Export to folder” is composed as follows:
NOTE ID Code_CaptureDate_CaptureTime_ProcedureName_R/L_Label.FileExtension
File extension and separator ("_") are configurable.
9.10.3Exporting to DATAFILE
Select [Data] - [Export to DATAFILE] on the menu bar
You can export the selected image to the folder specified with the DATAFILE format. The DATAFILE
format is a simple type of database that is compatible with IMAGEnet 2000 and IMAGEnet Professional.
 To export an image to a folder specified with DATAFILE format:

1. Select the image you want to export.
2. Select [Data] - [Export to DATAFILE].
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3. Specify the folder where the image is to be exported.
Note: for all Export functions

If the folder is specified in the IMAGEnet R4 Configuration before opening IMAGEnet R4, the dialog box to
specify the export destination folder is not displayed.
9.10.4Exporting Video To Folder
Select [Data] - [Export Video To Folder] on the menu bar
You can export a selected video to a specified folder.
 To Export a Video:
1. Select patient data including video data.
2. Select [Data] - [Export Video To Folder].
3. The video filter dialog is displayed. Select a video you wish to export and press the OK button.
4. The selected video is exported to the specified folder.
5. Selecting [Select All] exports all videos.
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＊In case an export-to folder is specified before the startup of IMAGEnet R4, the export takes place
without the above dialog box being displayed.
9.10.5Exporting DICOM to storage server
Select [Data] -［Export DICOM To Storage Server］on the menu bar
You can send a selected image to the DICOM storage server. This function is available only in case the
setting specifies use of the DICOM storage.
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9.11 Reporting Functionality
Reporting Functionality is a function that provides easy-to-see examination results and enhances ease of
use.
9.11.1HIS Report
HIS Report is a function that sends a report containing the results of processing on IMAGEnet R4 to
HIS（Hospital Information System）.
The report is outputted as an HTML file.
Preparation of HIS Report
 File output timing

The file can be outputted by either of these methods:
・ Close Patient
・ Click the <HIS Report> icon on the tool bar.
HIS Report icon
Once prepared, a HIS Report cannot be edited. To change a HIS Report, prepare a new HIS Report.
 Preparing a HIS Report with an arbitrary timing:

1. Click the <HIS Report> icon on the tool bar.
2. The HIS Report Preview screen displays.
3. Click [Send]
4. The HIS Report is outputted.
The prepared HTML file is outputted to the location specified in the setting file.
Display Content
 Target Data:
Three data items having a session date “Today” are outputted in files containing the respective contents:
・ Examination Image
・ Examination Data
・ Schema
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 Examination Image:
As examination files need to be outputted into files, those satisfying the following conditions are
automatically picked up:
・ An image sent to Binder
・ Session date is the same as the file output data.
・ Procedure name is described in the setting file.
For the procedure, you may select whether to execute a search including a procedure name as a search
key.
 Examination Data:
Data whose session date is the file output date is outputted.
 Schema:
All schemas on the file output date are outputted. In case there are plural schemas on one day, they are
compiled into a single file. Remarks are also included.
Preview
Preview is displayed in either timing given below, same as the file output timing. The timing can be
specified in the setting file.
・ Close Patient
・ Click the <HIS Report> icon on the tool bar.
 Preview screen display:
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[Send]: Create a file in a predetermined location.
[Cancel]: Close Preview window
Change of Setting
The setting of the HIS Report IMAGEnet R4 must be made by a dealer. Contact your dealer.
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9.12 Schema
9.12.1Displaying Schema Data
You may display schema data (Image + Remarks) in Schema View. Clicking on the Schema start button
with schema data selected starts Schema thus allowing schema data to be edited.
 Function of Schema View

・ Thumbnail view
・ Image + General Comments display
・ Selection of single image
・ Starting Schema from Thumbnail View
 Starting Schema View

Selecting schema data from the Data Filter Panel starts Schema View.
 Display Unit of Schema View

Image, attribute, general comments and the Schema start button display as a unit.
 Display Layout of Schema View
Image display area Attribute display area

Schema control button
Remarks display area
Image display area

-Enlarged/Reduced display in the display area with aspect ratio maintained
-Vertical/Horizontal display size is set with XML.
Attribute display area and Remarks display area
-Horizontally expandable
-Minimum width in horizontal direction is the same as that in the image display area.
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9.12.2Creation and Editing/Copying/Deleting of Schema
Data
 How to create Schema Data (In case of using Base Schema)

To create Schema Data:
1. Click [Data]-[New Schema] on the menu bar.
Schema starts.
2. Create Schema data.
3. Click [Save].
 How to create Schema Data (In case of using an exam image)

To create Schema Data:
1. Click [Data]-[New Schema (Selected Image)] on the menu bar.
Schema starts.
2. Create Schema data.
3. Click [Save].
 How to edit/copy/delete Schema Data

Note：
“Editing of Schema Data” refers to “Replacing original data with edited data” “Copying Schema Data” in
IMAGEnet R4 refers to “Editing source data and saving changed data as new schema data”.
To edit existing Schema Data:

1. Click [Edit] button on Schema View.
Schema starts.
2. Edit Schema Data.
3. Click the [Save] button.
The data selected under Changed Schema Data is updated.
To copy existing Schema Data:

1. Click [Copy] button on Schema View.
Schema starts.
2. Edit Schema Data.
3. Click the [Save] button.
The data selected under Changed Schema Data is saved as new data.
To copy existing Schema Data:

1. Click [Del] button on Schema View.
2. Delete Schema Data.
9.12.3How to Use Schema
Editing schema drawing
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Clicking [New Schema], [New Schema (Selected Image)] or [Edit], [Copy] button displays the Schema Edit
dialog.
Clicking [Edit], [Copy] displays an already described schema.
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5
2
3 6
11
8 9
10
① Patient basic information display area: Displays general information of the patient. Displayed
items are as follows:
First name Date of birth/Age Sex
Patient’s ID Date of first visit
・ First name: Displays the patient’s first name.

・ Patient’s ID: Displays Patient’s ID.
・ Date of birth/Age: Displays the date of birth and age of the patient.
・ Date of first visit: Displays the date of the patient’s first visit to the eye clinic.
・ Sex: Displays the sex of the patient.
① Base Scheme List Panel: Displays a list of Drawing Templates prepared for examination.
Double-clicking a Drawing Template in the list replaces the Drawing Template. In the meantime, a
confirmation message appears to ask whether the user wishes to save the current edits. To save the
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edits, press the [Yes] button. To replace the Drawing Template without saving the edits, press the
[No] button. To cancel the replacement of Drawing Template, press the [Cancel] button.
② New Schema Panel: Displays commands used to create a schema drawing anew. Displayed
commands are as follows:
[Clip]: Sets an image pasted on the clipboard as a sketch.
② List panel: A list of the text in the comment label placed in the schema drawing displays. Editing
and direct entry are also available. For direct entry, double-clicking in the grid allows entry.
③ Tool panel: Use these tools to edit the schema drawing.
・ Pen: You may select six different drawing tools: pen, brush-tip pen, colored pencil, watercolor paint,
crayon, and air spray. Function of the pen types are as follows:
Pen: A normal pen. The pen pressure will not be detected.
Brush: Line width changes depending on the pen pressure.
Pencil: Color density of the line changes depending on the pen pressure.
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Width and the color density of the line change depending on the
Watercolor:
pen
Crayon: Color density of the line changes depending on the pen pressure.
Spray: Color density of the line changes depending on the pen pressure.
・ Fill Pattern (Enclosed)/ (Not enclosed): You may enter four

different fill patterns. Enclosed fill patterns and not enclosed fill patterns are available. By setting a
file, you may change the design of the pattern.
・ Eraser: Changes the pen to an eraser. The drawing is erased.
・ Transparent/ Semitransparent: Select the pen used to be transparent or semitransparent.

When set to semitransparent, the sketch under the fill pattern entered can be seen through.
・ Pen Thickness: Any of ten thicknesses may be selected and assigned to the pen. The ten
thicknesses of the pen can be set optionally.
・ Pen Color: Any of eight colors may be selected and assigned to the pen. The Pencil icon appears on
the currently selected color. Eight pen colors can be set optionally.
・ Graphic: Places graphics such as a circle and a square in the schema.
・ Delete Graphic: Deletes arranged graphics or comments in the drawing.
・ Selection tool: Performs scaling, movement or rotation of selected graphics. Note that rotation is
available for all tools except the circle drawing tool.
Examples of respective cursor positions:
Scaling: Movement: Rotation:

④ Schema Panel: General tab displayed.
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⑤ Schema drawing: You may freely edit the Drawing Template with a pen or arrange a comment
label.
⑥ Comment:
1
3
2
1. Tab display area: Displays the group in tab. The group and the comments that belongs to the group
are registered. The registered name displays instead of the group name and the button name.
2. Annotation button group: When a button is clicked, the mouse icon changes to (+). Clicking on the
schema drawing ⑦ allows you to arrange a comment label (display sentence registered to the button)
within the drawing. You can select several buttons at the same time. The texts for the selected
buttons is comma-deliminated for the display.
3. [Free Input]: Click this button to open an empty text box and enter any text freely.
4. [Others]: Click this button to open the others dialog box. The [Others] button is used to display a list of
the comment candidates that cannot be displayed in the group or are not specified for the shortcut in
the other dialog box. You may select several candidates at the same time. In case the Annotation
button is selected, a comment previously selected here is placed at the same time with the button.
⑦ Operation Panel: This is a tool group to operate the schema.
・ With/Without Indicator Setting: Select whether to have the indicator to the comment label.
・ Text Transparent Setting: Select whether the text box for the comment is transparent or opaque.
・ Undo, Redo: Undo and redo of the schema drawing editing. Up to 100 operations are available for
each.
・ All Clear: You may clear all information entered into schema.
・ Copy: You may copy graphics or an Annotation and place it on ⑦.
⑧ Exit Command:
[Cancel]: Cancels the edit content without saving.
[Save and Exit]: Saves the edit content and returns to the chart screen. If this button is pressed, the
edit content is reflected on the chart screen.
⑪ Diagnosis Panel: Remark can be input.
Insufficient hard disk capacity or memory capacity may lead to malfunction.

Caution
When the [Cancel] button is held down, the data is not saved.
Caution
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9.13 Examination Templates
(You need the Optional Software “IMAGEnet R4 Examination Templates“. If you are using IMAGEnet
R4Lite, this function is non-operable.)
IMAGEnet R4 includes the examination template input function called RegData2.

For details, refer to “Guide of IMAGEnet R4 Examination Templates” that is separately provided by
TOPCON.
Session Date Patient Information Patient Information Setting button Exit button
検査日時
Operator button Register button

Examination Group button Browser button
Reset button
Examination data Input Area
9.13.1Registering Examinations
 To register an examination:
1. Enter patient information and click the [Search] button.

2. The Patient Search Result dialog is displayed.
3. Select a patient.
4. Enter data in the examination details input area.
5. Press the [Register] button.
In case the [Reservation] button is pressed instead of the [Register] button, the data is registered as held
data effective on that day only. To retain data on the next day or later, data must be updated. Press the
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[Data Display] button and then press the [Edit] button overlapping the held data. Press the [Update] button
while the value is reflected on the screen.
In case the data is registered as held data, the data is deleted when RegData2 is
CAUTION activated on the next day of registration or later.
9.13.2Displaying Examinations
 To display examinations per date:

Press the [Data Browser] button.
 To display an individual examination:

Press the [History Browser] button.
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9.14 External Module Function
9.14.1Cell Analysis
The Endothelial Cell Analysis System uses an endothelial cell image captured by the IMAGEnet system.
The image must have a correct scale factor which represents the actual pixel size in the image.
 To start Cell Analysis:

1. Display an endothelial cell image.
2. Select the ‘Cell Analysis’ command from the ‘Tools’ menu. The following window will be displayed:
3. Drag the cross shaped mouse cursor to specify the region to be analyzed, and analysis of the
endothelial cell will automatically start and the image window for the analysis result will be displayed.
The software assumes all cell boundaries are properly corrected by the operator. If the
image to be analyzed contains erroneous boundaries, the image can not be accurately
analyzed. Diagnoses and treatments based on the analysis results shall be made by the
CAUTION
responsibility of pertaining doctors.
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Icons to be used for boundary lines
To add boundary lines, click this icon once, and then move the mouse cursor to
the image. Press the left button down at one end point of the line to be added,
drag the mouse to the other end point of the line and release the button.
Continue adding lines as needed. This mode will stay current until another edit
icon is chosen.
If erroneous boundaries were found, they may be deleted using this function.
Simply choose the icon, move the mouse cursor to the line to be deleted, and
click the left button once. Continue deleting lines as needed. This mode will stay
current until another edit icon is chosen.
To perform analysis without taking into account certain cells, choose this icon,
and then move the mouse cursor over the cell to be excluded and press the left
button once. The color of the cell will turn blue. To include this cell again, repeat
the procedure. It is not possible to perform this function while the boundary lines
are operated.
To find the area and number of sides for an individual cell, choose this icon, and
then move the mouse cursor over the cell, and press down the left button. The
area and number of sides will be shown in a small box while the button is
pressed.
This function swaps the left (original) and the right (enhanced) images. However,
the boundary lines always stay overlaid on the right image.
This function is enabled only when the icon is pressed. The boundary lines will
be hidden in order to get a better view of the image underneath. The lines will
return when the icon is released.
If there are numerous errors, it may be faster to erase an entire area of lines than
to delete them individually. After choosing this icon, move the mouse cursor to
the upper left corner of the region, then press down the left button. Drag the
mouse to the lower right corner and release the button. This mode will stay
current until another edit icon is chosen.
This function toggles between a zoomed and a normal image. Editing boundaries
with a zoomed image may be easier than with a normal size image.
Icons To Be Used for Analysis
Click this icon to specify the region to be analyzed again. However, the current
analysis results will be lost.
If individual cells are large, use [Cell (L)].
After any changes have been made to the boundary lines or any cells have been
excluded or included, click this icon to perform the analysis again. The analysis
results displayed in the image window will not be updated until this icon is
clicked.
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Settings
To change the settings, click this icon. The [Setup Parameters] dialog box will be
displayed. Change the settings, then click OK. The analysis results in the image
window will be updated to the settings immediately.
[Histogram]
Class Begin. The measurement at which the histogram should begin.
The default is 0 (square microns).
Class Width. The width of each bar. The default is 100 (square
microns).
Percentage. The scale used for the ordinate axis. Choices are 25, 50,
75, or 100%. The default is 50%.
[Print]
Template File. Specify a print template file to be used for the prints.
Do not display Check this box if the [Print] dialog box should not be
Print dialog box. displayed.
[Analysis]
Auto Analyze. Check this box to perform auto analysis on start-up.
Range. Selection of the range size where auto analysis is
performed.
[Display]
Emphasis. The analysis range is emphasized.
Frame. The analysis range is indicated in the light-blue frame.
OK. Click this button to enable the setting.

Cancel. Click this button to cancel the setting.
Default. Click this button to return to the default setting.
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Others
Data of the analysis result is outputted from the printer. This button can not be
used during addition or deletion of the boundary line.
Click this button to end the analysis.
Click this button to cancel the analysis in progress.
Analysis Results
The following information will be displayed in the image window:
Number of Number of cells detected in the analysis region. The maximum number of cells
Cells. which will be detected in the specified region is limited to 510.
Minimum Size
/ Maximum Minimum and maximum cell area in the analysis region (in square microns).
Size.
Average Size. Average cell area in the analysis region (in square microns).
S.D. of Size. Standard Deviation of the area of the cells.
C.V. of Size. Coefficient Variant. This represents (S.D. of Size / Average Size) * 100.
Cell Density. Number of cells per unit area (square microns) calculated from the analyzed
endothelial cells (in 1 square millimeter).
Hexagonality. The approximate percentage of cells with a hexagonal shape.
Histogram. The histogram which shows a distribution of cell area. Each bar represents the
percentage of cells belonging to the area zone. The range of the histogram and
the scale used for the ordinate axis may be changed.
When the minimum size value is too small, a small region encircled around the boundary
lines may not be removed and re-correction is required.
CAUTION
When the analysis result values are significantly different from the appropriate range
expected with the displayed image, a proper magnification may not be set in the original
CAUTION image of the endothelial cell analyzed. Contact your distributor in such a case.
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9.14.2Quick Draw
Quick Draw provides a function for the user to draw lines, arrows and circles etc, on the displayed image.
 To start Quick Draw:

1. Select an image from the Image View.
2. Click [Tool] – [Quick Draw] on the menu bar.
When Quick Draw starts with an image that contains some other graphic information, the
message below is displayed.
NOTE
If you click [Yes], the graphic information is deleted.

If you click [No], the graphic information remains as it is.
Icons to be used for drawing
To draw graphics, use the following icons located at the right of the image window.
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Select where an arrow should appear. To change the direction, click the right button. The
arrow’s size depends on the font size.
To delete the last operation, use this function.
Select where a string of text should begin.
To move text, use this function. Also text can be moved by pressing and holding the
mouse button. The text will follow the movement of the mouse until the mouse button is
released.
Select the starting and ending points of a line (area or continuous line or straight line).
To carry out trimming, select the starting and ending points of a trimming area by
pressing and holding the mouse button.
To draw a rectangle (outline or mesh or filling), use this function.
To draw an ellipse or a circle (outline or mesh or filling), use this function.
This function is enabled only when the icon is pressed. The drawing will be hidden in
order to get a better view of the image underneath. But the graphics on the original
image can not be hidden. The drawing will return when the icon is released.
To delete all graphics in the window, use this function. Graphics on the original image
can not be deleted.
To change font size, style and name, use this function.
To change pen width, filling, line style, and mesh style use this function.
 PEN WIDTH solid, dash and dot

 FILLING outline, mesh and brush
 LINE STYLE area, scribble and line
 MESH STYLE horizontal mesh, vertical mesh, downward mesh, upward mesh,
horizontal and vertical mesh and crossmesh
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9.14.3MOSAIC
A panoramic image of the retina can be easily created with a simple and easy operation using the Mosaic
function. A wide area of the retina can be viewed by capturing many images with different fixation target
positions.
 To Start the Mosaic Function:

1. Select images from the Image Viewer.
2. Click [Tool] – [Mosaic] on the menu bar.
The following window displays with the original images in the window.
If the images being used were captured by the TRC-NW6 Series or the TRC-NW8, the
images were taken with position data. If the images have position data, they are aligned
NOTE automatically.
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Functions
The following functions are available in the menu:
1. [File]
[Recent Masks] 4 selected masks display in the list. To select the mask from the list, use
this command.
[Exit] Exit the Mosaic software. To exit the Mosaic Utility, click this command.
When you specify a procedure name on a dialog and click [OK], the
mosaic image is displayed as specified procedure name on the
IMAGEnet .
2. [View]
[Tool bar] Show / Hide the Tool bar. To display and hide the Toolbar, use this
command.
[Status bar] Show / Hide the Status bar. To display and hide the Status Bar, use this
command.
[Tracker] Show the square surrounding the selected image, use this command.
[Display
Show all images at 10 %, 25%, 50% or 100% their original size.
Magnification]
3. [Image]
[Bring to Front] Bring the image to the front if some images are overlapping each other.
[Send to Back] Send the image to the back if some images are overlapping each other.
[Move Forward] Move the image one image forward if some images are overlapping
each other.
[Move Backward] Move the image one image backward if some images are overlapping
each other.
[Overlap Images] Align an image to the selected point on another image in order to
overlap the two images.
[Adjust Contrast] Adjust the contrast (B/W) of the selected image.
[Delete Images] Delete the selected images.
All menus in [Image] are available in the right-click menu.

NOTE
4. [Setting]
[Back Ground Select the background color as either White or Black, using this
Color] command.
[Option Setting] As shown below, and refer to the next section “Option Setting”.
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Option Settings
Mask File Show current image mask file.

Mask File Folder Selects the set image mask file folder.
Mask File List To select the image mask file, select the mask you
Filename: want to mosaic from the [Image Mask File] list box,
and then click the [OK] button.
The offset position [X] of mask image overlay of the
Position X:
retinal images.
The offset position [Y] of mask image overlay of the
Position Y:
retinal images.
The image width of the mosaic image you want to
Image Width:
save.
The image height of the mosaic image you want to
Image Height:
save.
 When a line of the mask file list is double-clicked, the following settings are able to be set.
-Position X: To setup the mask position [X], edit this text box.
-Position Y: To setup the mask position [Y], edit this text box.
Images Taken without Position Data
If images are taken without position data, the following dialog box displays to roughly align the images.
In order to roughly align the images, you may drag the images from the center large window to the
upper right small window.
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 [Clear] button
To clear the all arranged setting, click the clear button.
 The Mosaic does not print the resulting image. Return to IMAGEnet R4, then
use the ‘Print’ command in the ‘File’ menu of IMAGEnet R4.
NOTE  The Mosaic does not have its own save function to save the mosaic image.
Return to IMAGEnet R4, then use the ‘Save’ command in the ‘File’ menu to
save the resulting image to any disk. The resulting image saved to a disk may
be displayed at a later time.
9.14.4CDLine
CDLine is a function to calculate the ratio of Cup and Disc.

The measurement result is displayed in pixels and percentages.
NOTE
2 3
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 To open CDLine:
1. Select an image from the Image View.
2. Select [Tool] – [CDLine] on the menu bar.
The screen above displays.
 To calculate C/D ratio:

1. Draw a line for the diameter of disc by mouse drag operation.
2. Draw a line for the diameter of cup by mouse drag operation.
3. C/D ratio calculates.
Display and Buttons
About the function of CDLine

1. Measurement result
The calculated C/D ratio results are displayed.
A maximum of 5 results are displayed.
2. Display scale
The display scale switches.
3. Undo
Undo the calculated C/D ratio.
4. Vertical Line
When this is checked, all the lines drawn are adjusted to vertical lines.
C/D Ratio is the ratio of two lines drawn on the displayed image by using the
mouse. In case the lines are not drawn accurately, the calculated ratio is not
correct. Diagnosis or treatment decision based on such data may cause physical
CAUTION injury. The measurement result needs to be handled with thorough consideration
under a doctor's responsibility.
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9.14.5Quick2UP
Quick2UP is a function to create a single image out of the two selected images.
Provides left/right eye display in black font.
Provides left/right eye display in white font.

Synchronously reduces two images.
Synchronously enlarges two images
Maximizes the image to width

Maximizes the image to height
Exchanges the right image with the left image.
Returns to the original position when the Panning function
is used.
A dialog box to save the image opens.
[Yes]: Exit the Quick2UP.

[No]: Exit the Quick2UP without saving.
[Cancel]: Return to Quick2UP.
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 Adjusting color balance
RGB adjustment of a target image is available.
Right-clicking on an image that you want to adjust displays the Color Adjustment dialog box.
Checking the “Synchronize RGB bars” box allows the RGB adjusting sliders to move synchronously.
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9.15 KR-1W Viewer
(KR-1W Viewer is not available in IMAGEnet R4 Lite.)

Data measured by KR-1W or KR-9000PW is browsed or edited using KR-1W viewer.
9.15.1Opening Data
Displaying data
Selecting data having procedures “KR-1W”, “KR-9000PW Multi”, and “KR-9000PW Single” displays the
analysis result in KR-1W Viewer.
Displaying data backed up on media
You can back up measurement data to a media such as a CD or a DVD. In case a disc is not set when
backup data on a media is to be opened, the following message appears. When a right is inserted, data
read starts and the analysis result is displayed.
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Displaying a differential map
To open data in the Differentia Mode, you must select two data items.
Operation example) Opening a differential map between data on the examination date “2009–12–04” and
data on the examination date “2010–07–01” from the List tab.
1. Select the List tab.

2. Use [Ctrl] on the keyboard to select multiple data on “2009–12–04” and data on “2010–07–01”.
3. With multiple data items selected, select [Right Click] – [Send to KR-1W Viewer].
4. The “Select the exam” dialog opens.

5. Check “Open as Differential mode.” and select two data items.
Open as Differential mode.
6. Pressing the [OK] button displays a differential map.
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9.15.2Purpose of examination
KR-1W allows you to select a measurement mode for each purpose of examination.
Measurement modes except “Custom” are provided with dedicated reports.
Purpose of
Characteristic
examination
Screening Measures basic information about the cornea and eyeball total power.
Measures the pupil diameter as well as the refractometer value and high-order aberration in
Pupillometry
a dark or bright place.
Performs successive measurements for every one second. Secular change of eye
Serial
characteristics is understood.
Checks information useful for optimum IOL before surgical operation performs post-surgery
Cataract
check. Exposure time is long for easier measurement of a point image on a cataract eye.
Over ref. Checks the wearing state of eyeglasses or the like.
Performs measurement and report output in accordance with the setting made in the Setup
Custom
Screen.
9.15.3Basic operation of KR-1W Viewer

Left/Right eye selection
Map selector button Mode selector button Map selector button

Measurement result Measurement result summary display
summary display
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Left/Right eye selection
Selects left or right eye display of currently displayed data.
Map selector button
Selects one of the following maps:
Multi Maps
Ocular Maps
Corneal Maps
Component Maps
Zernike Vector Maps
Progress Maps
IOL Selection Maps
PSF/MTF Maps
Pupillometry Maps
Crneal R/L Maps
Ocular R/L Maps
Custom map 1
Custom map 2
Custom map 3
Custom map 4
Corneal Differential Map (Differential Mode only)
Ocular Differential Map (Differential Mode only)
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Internal Differential Map (Differential Mode only)
Axial Differential Map (Differential Mode only)
Instantaneous Differential Map (Differential Mode only)
* A desired custom map to display needs to be set in advance. For the setting method, refer to
(9.15.4Analysis result display screen (analysis result map)-Custom map) and (9.15.9Various setting
of map display-Custom map setting).
There are restrictions on the maps that can be displayed for each examination:
Custom Screening Pupillometry Serial Cataract Over ref.
Multi Maps ○ ○ ○ ○ ○ ○
Ocular Maps ○ ○ ○ ○ ○ ○
Corneal Maps ○ ○ ○ ○ ○ ×
Component Maps ○ ○ ○ ○ ○ ×
Zernike Vector Maps ○ ○ ○ ○ ○ ○
Progress Maps ○ ○ × ○ ○ ○
IOL Selection Maps ○ ○ ○ ○ ○ ×
PSF/MTF Maps ○ ○ ○ ○ ○ ○
Pupillometry Maps × × ○ × × ×
Crneal R/L Maps ○ ○ ○ ○ ○ ×
Ocular R/L Maps ○ ○ ○ ○ ○ ○
Custom map 1 ○ ○ ○ ○ ○ ○
Custom map 2 ○ ○ ○ ○ ○ ○
Custom map 3 ○ ○ ○ ○ ○ ○
Custom map 4 ○ ○ ○ ○ ○ ○
* Data photographed on KR-9000PW is basically the same as “Custom” but the progress map cannot
be displayed.
* Differential map can be displayed for any examination purpose.
* A map that cannot be displayed is grayed out and is unavailable.
Mode selector button
Switches between the Normal Mode and the Differential Mode.
* The mode selector button is valid only when data is opened in the Differential Mode. Opening
data in the Normal Mode provides grayed-out display and mode selection is unavailable.
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A/B data change button
Changes between Data A and Data B in a differential map (Differential Mode only).
* In case only some of the buttons are displayed, the

Option button is displayed (see the figure on the right).
Clicking the Option button displays hidden buttons in a
popup menu ‘see the figure below).
Option button
Popup menu
* When all buttons are displayed, the Option button is not displayed.
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Analysis result summary display
Single-eye data
Cursor
Scroll bar
Recommended data icon
Recommended data frame
Displayed in the order of the first, second examination of the right eye,… the first examination of
Single-eye data the left eye. The map displays an eyeball high-order aberration map (eyeball high-order
aberration) and corneal HOA (high-order aberration).
Displayed on the current measurement result on the screen. Clicking another result moves the
Cursor
cursor to display the selected result.
Scroll bar Scrolls in horizontal direction to display R-1 through R10 and L-1 through L10.
Recommended
Displayed on the recommended data. The icon depends on the setting.
data icon
Recommended
A frame of broken lines appears on the recommended data.
data frame
Recommended data that can be set includes:

Selects as recommended data the data closest to a pupil diameter
: Pupil dia
of 8 mm.
Selects as recommended data the data having the minimum center
: Center Shift
travel volume.
Selects as recommended data the data having the minimum
:Ocular HOA
eyeball high-order aberration.
Selects as recommended data the data having the minimum
: Corneal HOA
corneal high-order aberration.
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9.15.4Analysis result display screen (analysis result map)
Multi-map
This map displays an eyeball aberration map and visibility simulation.

Axial Power map Visibility simulation
Mire image Corneal HOA map
Multi-map selector button
RMS of corneal aberration KRT data
Ocular HOA map
Hartmann image
Ocular total aberration map

REF data
RMS of ocular aberration
This is an image of a placido ring reflected on the cornea. Analysis is made

Mire image based on this image. In the bottom area of the image are displayed the
measurement date and the then pupil diameter.
・ A double-click provides an enlarged display.
Operation ・ Overlay can be changed.
(Refer to 9.15.6Cornea measurement image analysis check.)
Axial Power map This is a map to display distribution of corneal power.
Corneal HOA map This is a map to display corneal high-order aberration.
This is a point image reflected from the interior of an eyeball through a pupil.
From this point image, a refractometer value, eyeball total aberration and high-
order aberrations are calculated.
Hartmann image
In the bottom area of the screen is an explanation on the analysis center.
(Analysis center/center travel volume) (Refer to 9.15.8Display of measurement
result-About analysis center.)
・ Overlay can be changed.
Operation
(Refer to 9.15.7Refractive wavefront measurement Hartmann image
analysis check.)
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All aberration maps including low-order eyeball power aberrations.
This map shows a tendency of myopia or hyperopia.
The center appears in a cold color.  Myopia tendency
The center appears in a warm color.  Hyperopia tendency
(Refer to 9.15.8Display of measurement result-Expanded display.)
Operation
・ Map display steps can be changed.
(Refer to 9.15.9Various setting of map display-Total aberration map.)
This is a map to display eyeball power high-order aberrations.
Ocular HOA map This map shows illegal astigmatism that cannot be corrected using eyeglasses
and the like.
Operation
(Refer to 9.15.9Various setting of map display-HOA,Astig.Map.)
This is a simulation of visibility of a target using eyeball high-order aberration.
This is a reference display of perfect correction via eyeglasses or the like.
Visibility simulation
Shown from the top to bottom are visibilities of targets of visual acuity values
20/100 (0.2), 20/40 (0.5), and 20/20 (1.0).
・ Target orientation can be changed.
・ Eyesight value of each target can be changed.
Operation
・ Whether luminance is normalized can be selected.
・ Target type can be selected.
・ Method to display eyesight values can be selected.
(Refer to 9.15.9Various setting of map display-Visibility simulation.)
Quantitatively displays corneal aberration.
RMS of corneal aberration (Refer to 9.15.8Display of measurement result-Explanation on RMS display of
corneal aberration.)
Quantitatively displays eyeball total aberration and high-order aberrations.
RMS of ocular aberration (Refer to 9.15.8Display of measurement result-Explanation on RMS display of
eyeball aberration.)
Multi-map selector button Selects the multi-map display.
KRT data Keratometer values are displayed.
・ Display unit is changed to D or mm.
Operation ・ Data measured on KR-9000PW is always displayed in the HV format.
(Refer to 9.15.9Various setting of map display-General.)
REF data Refractometer values are displayed.
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Ocular aberration map
This map displays information on aberration of an entire eyeball in various ways.
Ocular HOA map
Ocular map
selector button
Hartmann image
RMS of ocular
aberration
(Refer to 9.15.4Analysis result display screen (analysis result map)-Multi-map-

Hartmann image
“Hartmann image”.)
Operation
analysis check.)
“Ocular total aberration map”.)
Operation
Ocular HOA map
“Ocular HOA map”.)
Operation
・ Display steps can be changed.
“Visibility simulation”.)
・ Target orientation can be changed.
・ The eyesight value of each target can be changed.
Operation ・ Whether luminance is normalized can be selected.
・ Target type can be changed.
・ The method for displaying the eyesight value can be changed.
(Refer to 9.15.9Various setting of map display-Visibility simulation..)
Quantitatively the ocular total aberration and high-order aberration.
Ocular map selector button Displays the Ocular map.
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Corneal aberration map
This map displays cornea-related information such as a corneal aberration map and a cornea shape map.
Axial Power map
Corneal aberration map

selector button
Cornea index
Mire image
Instantaneous
RMS of corneal Power map
aberration
Corneal HOA map

Mire image
“Corneal Mire image”.)
Axial Power map
“Axial Power map”.)
Operation ・ A double-click provides an enlarged display.
Instantaneous Power map Displays corneal power via local power distribution.
Operation
・ Map scale can be changed.
Corneal HOA map
“Corneal HOA map”.)
Operation ・ Display steps can be changed.
Quantitatively displays corneal aberration.
RMS of corneal aberration (Refer to 9.15.8Display of measurement result-Explanation on RMS display of
corneal aberration.)
Quantatively displays cornea power.
Sim-Ks: Shows the power and angle of strong principal meridian in the 3 mm area
on the cornea.
Sim-Kw: Shows the power and angle of weak principal meridian in the 3 mm area
on the cornea.
CYL: Power
Cornea index e value: Eccentricity indicating the aspherical degree.
*e=0 for a perfect sphere; typically a flat shape near the periphery is
0<e<1.
Q value: Aspherical coefficient
ZAI: Calculated by adding up differences between corneal powers at certain
points on the cornea and the opposite points (180-degree position) on
the cornea in a desired area to quantize symmetry of the cornea.
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Corneal aberration map selector
Displays the corneal aberration map.
button
Component map
This map displays the components of high-order aberrations of an entire eyeball, a cornea, and internal
high-order aberrations obtained by subtracting corneal aberration from the entire eyeball.
A list of 3rd-order and 4th-order aberrations is displayed in horizontal direction of the map; a list of eyeball
total aberrations, corneal aberration, and Internal aberration is displayed in vertical direction.
Mire image
Wavefront Refraction
Ocular total aberration map Axial Power map
Hartmann image 3rd-order 4th-order
display display Visibility simulation
Total HOA map
Astigmatism map
Component map
selector button
Ocular display
Corneal display
Internal display
RMS of each
aberration

Operation
Axial Power map
“Axial Power map”.)
Distribution of low-order astigmatic aberration. Corresponds to cylindrical power
Astigmatism map
in eyeball aberration and to power in corneal aberration.
Total HOA map Displays the high-order aberration maps.
Displays 3rd-order aberrations (trifoil and coma aberrations) of Zernike
3rd-order display
coefficient.
Displays 4th-order aberrations (tetrafoil, astigmatic and spherical aberrations) of
4th-order display
Zernike coefficient.
Ocular display Displays total ocular aberrations obtained from a Hartmann image separately as
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3rd-order and 4th-order aberrations.
Displays aberrations on the cornea surface obtained from a mire image and
Corneal display
separately as 3rd-order and 4th-order aberrations.
Displays internal aberrations (aberrations obtained by subtracting corneal
Internal display
aberrations from total ocular aberrations).
Displays the RMS value (in D for astigmatism) and the angle of each aberration
separately for an analysis diameter of 4 mm or 6 mm. For the direction of RMS
RMS of each aberration
per order, refer to (9.15.8Display of measurement result-Explanation on RMS
display of corneal aberration).
Mire image
“Mire image”.)
Hartmann image
Operation
(Refer to 9.15.7Refractive wavefront measurement Hartmann image analysis
check.)
Displays the spherical power, cylindrical power and astigmatic axis angle for an
Wavefront Refraction
analysis diameter of 4 mm or 6 mm.
Component map selector button Displays the component map.
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Zernike vector map
This map displays important high-order aberrations of eyeball aberration by component.

Ocular total Ocular HOA map
Hartmann image Visibility simulation
aberration map
Zernike vector map

selector button
RMS of ocular
aberration
HOA map
REF data

Hartmann image
Operation
check.)
Operation
Ocular HOA map
Operation
HOA map Displays component-based (3rd- and 4th-order) aberrations.
Operation
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Displays visibility simulation by component.
Visibility simulation (Refer to 9.15.4Analysis result display screen (analysis result map)-Multi-map-
Quantatively displays ocular total aberration and high-order aberration.
REF data Refractometer values are displayed.
Zernike vector map selector
Displays the Zernike vector map.
button
Progress map
This map displays high-order aberration of an eyeball obtained when multiple measurements are made
(maximum 10 times).
Progress map selector button Measurement result
Ocular HOA map
RMS value
R-L Change button RMS graph

Ocular HOA map
Operation
Visibility simulation Displays visibility simulation for each measurement.
Each display shows the first measurement results of R and L. (Unlike other
maps, only the first measurement result of the left/right eye appears even in
R-L Change button case more than a single measurement is made.)
Clicking the display area of R selects the right eye summary map; clicking the
display area of L selects the left eye summary map.
Displays the RMS values of 4 mm 6th-order eyeball high-order aberrations
RMS value
(total high-order aberrations) of respective measurement data.
Measurement result Displays the aberration values obtained in the first and last measurements.
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This is a graph showing the measurement count on the horizontal axis and
high-order aberration on the vertical axis.
The expression in the upper right area of the graph is an expression of
RMS graph approximated linear function.
R2 is a decision coefficient representing the applicability of the approximation.
Y-axis of the graph can be set through right-click or using the General tab in the
setting screen to 0.1 m, 0.2 m, 0.5 m, 1.0 m, or 2.0 m.
Progress map selector button Displays the progress map.
IOL selection map
This map displays information useful for contemplation of application of IOL to a post-surgery eye, K value
necessary to determine a power, election of spherical IOL/aspherical IOL and application of bifocal type
IOL.
Mire image Astig(4 mm) SA display
Axial Power map Total HOA display
Hartmann image
IOL selection map

selector button
Ocular total
aberration map
Corneal high-order
aberration
K value Corneal spherical Corneal astigmatism

aberration
Mire image
“Mire image”.)
Axial Power map
”Axial Power map”.)
”Ocular total aberration map”.)
Operation
Hartmann image
”Hartmann image”.)
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Operation
check.)
Displays an astigmatic aberration map assumed when an analysis diameter of 4
Astig(Cylindrical refractive
mm is used. From top to bottom, corneal aberration, eyeball aberration, and
power)(4 mm)
internal aberration are shown.
Displays a spherical aberration map assumed when an analysis diameter of 6
SA display(Spherical aberration) mm is used. From top to bottom, corneal aberration, eyeball aberration, and
internal aberration are shown.
Displays a high-order aberration map and Landolt ring simulation assumed when
Total HOA display an analysis diameter of 4 mm is used. From top to bottom, corneal aberration,
eyeball aberration, and internal aberration are shown.
Displays corneal high-order aberration. In case corneal high-order aberration
Corneal high-order aberration shows an abnormal value, post-surgery eyesight could be insufficient despite
application of IOL. Thus this value is used as a criterion.
Displays the Sim-K value (Peripheral K) calculated from an analysis diameter of 6
mm, Keratometer measurement data (Central K) obtained when an analysis
K value diameter of 1 mm, and the difference therebetween.
In case the difference between Peripheral K and Central K is large, a post-LASIC
surgery eye is likely and this value is used as a criterion.
Displays corneal spherical aberration. This value is used as a criterion for
Corneal spherical aberration
application of aspherical IOL or spherical IOL.
The value of corneal astigmatism power is used to determine whether a bifocal
Corneal astigmatism
type IOL is applicable. The operation image can be enlarged.
IOL selection map selector button Displays the IOL selection map.
* Color of characters for result display value of “Corneal high-order aberration”, “K value”, “Corneal
spherical aberration”, or “Corneal astigmatism” can be changed via setting. Refer to 9.15.9Various
setting of map display-IOL selection map setting.
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PSF/MTF map
The PSF/MTF map can be displayed.

Hartmann image Ocular HOA map
Ocular total aberration map Visibility simulation
PSF/MTF map
selector button
Point Spread Function

(PSF) image on retina
Modulation Transfer
Function (MTF) image and
graph
(Refer to 9.15.4Analysis result display screen (analysis result map)-Multi-

Hartmann image
map-”Hartmann image”.)
Operation
analysis check.)
map-“Ocular total aberration map”.)
Operation
Ocular HOA map
map-”Ocular HOA map”.)
Operation
Point Spread Function (PSF) image on
Represents imaging of light on the retina.
retina
(Refer to 9.15.8Display of measurement result-“(Reference) PSF,
Modulation Transfer Function (MTF)
MTF”.)
image and graph
map-“Visibility simulation”.)
PSF/MTF map selector button Displays PSF/MTF map.
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Pupillometry map
Opening the data measured in accordance with the examination purpose “Brightness vision” in KR-1W
Viewer automatically displays the pupillometry map.
Mire image(Scotopic)
Pupillometry
map selector
button
Differential
information
RMS (4 mm/pupil diameter),

Scotopic data index Photopic data index
Visibility simulation (pupil diameter,
4th order)
A corneal mire image having the largest pupil diameter among the scotopic
measurement results is displayed.
A corneal mire image is provided with an angle display as well as pupil edges and
Mire image(Scotopic) pupil center positions in scotopic measurement and photopic measurement in
separate colors (scotopic data=yellow, photopic data=green) in an overlaid fashion.
Overlay information can be turned ON/OFF through “Overlay” in the Setting window.
(Refer to 9.15.9Various setting of map display-Overlay.)
Displayed differential information includes a pupil diameter in scotopic measurement
Differential information or photopic measurements, a deviation amount of center coordinates (in the range @
direction), and SCA calculated from wavefront aberration.
As analysis result, a single piece of data among three measurements in each of
scotopic and photopic measurements is selected and displayed. Target measurement
RMS (4 mm/pupil diameter), data can be selected by using the Page Selector button in the upper area of the
Visibility simulation (pupil screen. Information of ① and ② is updated depending on the selected data.)
diameter, 4th order) For a single piece of data, a high-order aberration map, RMS (4 mm/pupil diameter),
visibility simulation (4th order) in an analysis area using a maximum pupil diameter of
4 mm, and a measurement date are displayed.
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Provides a thumbnail display of a list of scotopic data. Clicking the currently displayed
data or other data moves the yellow cursor and displays the selected data. The data
piece having the largest pupil diameter among the scotopic data pieces is enclosed by
broken lines when not selected.
Scotopic data index

Indicates currently
selected data.
Indicates the smallest pupil diameter.

Provides a thumbnail display of a list of photopic data. Clicking the currently displayed
data or other data moves the green cursor and displays the selected data. The data
piece having the smallest pupil diameter among the photopic data pieces is enclosed
by broken lines when not selected.
Photopic data index

Indicates currently
selected data.
Indicates the smallest pupil diameter.

Pupillometry map selector
Displays the pupillometry map.
button
* In visibility simulation, a pupil diameter up to 4 mm is used as an analysis area.

Even in case the pupil diameter is larger than 5 mm, 4 mm is the largest analysis area.
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Corneal R-L map
The corneal binocular map can be displayed.
Right eye Left eye
Typical KRT value
Mire image
KRT value
Cornal R-L map

selector button
Measurement
value
Data selection list (R-L)
Mire image Displays a corneal mire image.

KRT value Keratometer value of the displayed corneal mire image.
Displays a table that represents coma-like aberration, sphere-like aberration
Measurement value and total aberration as well as e and Q values in the measured pupil
diameter/analysis area of 4.00 mm or 6.00 mm.
A list of data from which data is selected for display in the left and right areas of
Data selection list
the screen. A click selects data to be displayed.
Corneal R-L map selector button Displays the corneal R-L map.
140
Ocular R-L map
The Ocular R-L map can be displayed.

Right eye Left eye
Typical REF value
Ocular HOA map
Hartmann image
REF value
Measurement
value
Ocular R-L map

selector button
Data selection list (R-L)
Ocular HOA map Displays an Ocular high-order aberration map.

REF value Refractometer value of displayed data.
Visibility simulation Displays visibility simulation.
Hartmann image Displays a Hartmann image
Displays a table that represents coma-like aberration, sphere-like aberration
Measurement value and total aberration as well as S, C and A values in the measured pupil
diameter/analysis area of 4.00 mm or 6.00 mm.
A list of data from which data is selected for display in the left and right areas of
Data selection list
the screen. A click selects data to be displayed.
Ocular R-L map selector button Displays the Ocular R-L map.
141
Custom map
Up to four layouts of custom map can be set and registered. Up to six maps can be set to one layout.
Custom map
Custom map1-4
display button
Custom map 1-4 display button Switches the display layout to each of Custom maps 1 to 4.
Custom map Displays the custom map.
* By default, no custom maps are set. For how to set a custom map, refer to 9.15.9Various setting of
map display-Custom map setting.
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9.15.5Analysis result display screen (differential map)
Corneal differential map
This map compares between corneal aberrations.
Corneal differential map

selector button
Map A
Map B
Differential
map
Table
Map A Displays map data of Data A.

Map B Displays map data of Data B.
Differential map Displays the differential map between Data A and Data B (A-B).
Table Displays data such as Data A, Data B, and RMS value of the differential data.
Corneal differential map selector
Displays the corneal differential map.
button
143
Ocular differential map
This map compares between ocular aberrations.
Ocular differential map

selector button
Map A
Map B
Differentail
map
Table

Ocular differential map selector
Displays the ocular differential map.
button
144
Internal differential map
This map compares between internal aberrations.
Internal differential map

selector button
Map A
Map B
Differential
map
Table

Internal differential map selector
Displays the internal differential map.
button
145
Axial differential map
This map compares between Axial maps.
Axial differential map

Map A Map B
selector button
Refractometer/Keratometer data of A Differential map Refractometer/Keratometer data of B

ータ

Refractometer/Keratometer data of A Displays Refractometer/Keratometer data of Data A.
Refractometer/Keratometer data of B Displays Refractometer/Keratometer data of Data B.
Axial differential map selector button Displays the Axial differential map.
146
Instantaneous differential map
This map compares between instantaneous maps.
Instantaneous differential
Map A Map B
map selector button
Refractometer/Keratometer data of A Differential map Refractometer/Keratometer data

A の Refractometer/Keratometer デー of B
Map A タ Displays map data of Data A.

Refractometer/Keratometer data of A Displays Refractometer/Keratometer data of Data A.
Refractometer/Keratometer data of B Displays Refractometer/Keratometer data of Data B.
Instantaneous differential map
Displays the instantaneous differential map.
selector button
147
9.15.6Cornea measurement image analysis check
Cornea measurement image (mire image) is analyzed and its result is checked.
Check the ring detection state and pupil detection state in the following screen:
Check the analysis result. Continuing the analysis using erroneous detection result may
produce different measurement results.
CAUTION
Total 19 rings are provided. Respective rings are shown in separate colors and overlaid one on the other,
which allows the detection state to be checked.
Rings are shown in red, green and blue in this order starting with the innermost ring. The outermost ring is
shown in red. Manual detection assistance/editing functions are provided.
Remove Points Partially removes an erroneously detected ring.

Remove Ring Removes a ring specified with a touch by cursor.
Specify Center Specifies the center of a ring.
New Ring Manually inputs an undetected ring for recognition by the system (Ring # 0-18).
Expand Ring Expands a ring from the detected ring data.
Remove Pupil Points Removes the edge of an erroneously detected pupil.
Manually inputs the edge of a pupil (approximated an ellipse through specification of five or
Add Pupil Points
more points).
Back to Original Returns to the original ring detection state.
Image Enhance Makes brighter an image.
Load Original Returns to the original image.
OK Press to check the analysis result or when editing is complete.
Cancel Press if wishing to suspend ongoing analysis.
* Even in case an error indication such as Center Detection Error indication or Get Ring Center
Error indication is displayed, pressing the [OK] button allows you to proceed to refractive
wavefront measurement.
148
9.15.7Refractive wavefront measurement Hartmann image
analysis check
A Hartmann image is analyzed and its result is checked.

The point image detection state and correspondence are checked in the following screen.
Check the analysis result. Continuing the analysis using erroneous detection result may
produce different measurement results.
CAUTION
Check to see if noise is recognized as a point image or if a detection point is skipped.

Manual detection assistance and editing functions are provided.
Remove Points Removes erroneously detected points or noise.

Overlay Provides overlay display of points or grids.
Back to Original Returns to the original detection state.
OK Press upon checkup of the analysis result.
Cancel Press if wishing to suspend ongoing analysis.
149
9.15.8Display of measurement result
About analysis center
Data analyzed assuming the detected pupil center as an analysis center is displayed in the display of
analysis result.
In case a pupil is not detected, a pupil diameter is not displayed. In such a case, Analyzed data is
displayed assuming the machine center (main body alignment collimation) an analysis center.
Wavefront analysis center indicates, by way of center travel volume, the distance from the machine center
analyzed as the center of a pupil.
Explanation on RMS display of eyeball aberration
RMS display quantitatively displays the high-order aberrations.

Coefficients are summed up for each order into an RMS value.
Total
Diameter S3 S4 S5 S6 S3+S5 S4+S6 Sph Cyl Axs
aberration
Total high-
3rd 4th
order
① 4.00 mm order order - - - - S C A
aberration
RMS RMS
RMS
Total high-
3rd 4th 5th 6th 3rd+5th 4th+6th
order
② 6.00 mm order order order order order order S C A
aberration
RMS RMS RMS RMS RMS RMS
RMS
Total high-
3rd 4th
order
③ (7.00 mm) order order S C A
aberration
RMS RMS
RMS
① … Analysis result in the 4 mm analysis area is displayed (up to 4th order).
② …Analysis result in the 6 mm analysis area is displayed (up to 6th order).
③ … (Green frame) Analysis result for obtained pupil diameter or specified analysis diameter is
displayed (default: pupil diameter).
For example, each 3rd order coefficient represents an asymmetrical aberration so that a 3rd order RMS
value as their sum represents what is called a coma-like aberration.
A 4th order coefficient represents a symmetrical aberration. A 4th order RMS value represents a sphere-
like aberration.
A 5th order RMS value represents a high-order coma-like aberration. A 6th order RMS value represents a
high-order sphere-like aberration.
A 3rd+5th order RMS value is a sum of 3rd and 5th order coma-like aberrations.
A 4th+6th order RMS value is a sum of 4th and 6th order sphere-like aberrations.
Total high-order aberration is a value as a sum of 3rd to 6th order high-order aberrations.
150
Sph, Cyl, and Axs represent correction powers by eyeglasses calculated from analysis of low-order
aberrations in the 4 mm/6 mm diameter area.
(Refractive wavefront aberration only)
A 4 mm diameter enclosed by parentheses, that is, “(4 mm)” indicates that the diameter of a target pupil is
less than 4 mm.
A 6 mm diameter enclosed by parentheses, that is, “(6 mm)” indicates that the diameter of a target pupil is
less than 6 mm.
* ③ (Analysis result row) in the RMS table appears only for KR-1W data. This row does not
appear for KR-9000PW data. The RMS table is then made up of three rows, the title, data for 4
mm diameter and data for 6 mm diameter.
151
Explanation on RMS display of corneal aberration
The following table appears in the corneal aberration map.

RMS display quantitatively displays the high-order aberrations.
Coefficients are summed up for each order into an RMS value.
Diameter S3 S4 S5 S6 S3+S5 S4+S6 Total aberration
Total high-order
3rd order 4th order
① 4.00 mm - - - - aberration
RMS RMS
RMS
3rd+5th 4th+6th Total high-order
3rd order 4th order 5th order 6th order
② 6.00 mm order order aberration
RMS RMS RMS RMS
RMS RMS RMS
Total high-order
3rd order 4th order
③ (7.00 mm) aberration
RMS RMS
RMS
① … Analysis result in the 4 mm analysis area is displayed (up to 4th order).
② …Analysis result in the 6 mm analysis area is displayed (up to 6th order).
③ …(Green frame) Analysis result for obtained pupil diameter or specified analysis diameter is
displayed (default: pupil diameter).
For example, each 3rd order coefficient represents an asymmetrical aberration so that a 3rd order RMS
value as their sum represents what is called a coma-like aberration.
A 4th order coefficient represents a symmetrical aberration. A 4th order RMS value represents a sphere-
like aberration.
A 5th order RMS value represents a high-order coma-like aberration. A 6th order RMS value represents a
high-order sphere-like aberration.
A 3rd+5th order RMS value is a sum of 3rd and 5th order coma-like aberrations.
A 4th+6th order RMS value is a sum of 4th and 6th order sphere-like aberrations.
Total high-order aberration is a value as a sum of 3rd to 6th order high-order aberrations.
* ③ (Analysis result row) in the RMS table appears only for KR-1W data. This row does not
appear for KR-9000PW data. The RMS table is then made up of three rows, the title, data for 4
mm diameter and data for 6 mm diameter.
152
(Reference) Wavefront and Zernike coefficient
This table shows each coefficient and its meaning and classification.
153
(Reference) Shape of each aberration
The following shows the map shape as an aberration for each coefficient:
154
(Reference) Point Spread Function (PSF: Point Spread
Function) on retina
PSF is defined as the strength distribution of point images, and in this simulation, represents imaging of
light on a retina. While most ideally, imaging is focused onto a single point, imaging is not centered on a
single point but is observed as spread light even with an ideal lens due to the influence of diffraction and
the like. The ratio of the center strength of an ideal lens to the center strength of the current PSF under
calculation is defined as the Strehl ratio. The Strehl ratio of 1.0 is the best optical value.
(Reference) Space frequency (MTF: Modulation Transfer

Function)
MTF represents the space frequency characteristic of an optical system and may be calculated via Fourier
Transform of PSF. MTF may be thought as an image in which how far you can discern black and white
stripes in a certain direction as they are microscopically viewed.
In case the space frequency is low, good contrast is obtained to ease observation. A higher space
frequency makes observation more difficult. Generally, Modulation Transfer Function in X and Y directions
only is rendered as shown on the left while in this example display extends in all directions covering 180
degrees. Thus, the same value is displayed with respect to the origin.
(Reference) Visibility simulation
One method of simulation of an image seen by an eyeball on the retina is to consider the spread of an
image on the retina. Corresponding simulation may be thought as a convolution integral of the strength of
point images (PSF) and the observed image. In other words, a convolution integral of the PSF on the
retina and the target of a size that may be projected onto the retina is made. Human sight captures a
target image upside down and reversed left to right so that the simulation is displayed symmetrically with
the spread of PSF vertically and horizontally.
155
Expanded display
A double-click on a map provides an expanded display of the map or image. A second double-click
returns to the original screen.
Setting change:
A right-click on a map displays a context menu related to the map thus allowing setting change.
Example of Ocular total aberration map

In the upper left corner of the screen are
displayed the coordinate values (distance
from the center, angular direction) and
aberration value of a position pointed by a
mouse cursor.
Example of Ocular HOA map

In the upper left corner of the screen are displayed the coordinate values (distance from the center,
angular direction) and aberration value of a position pointed by a mouse cursor.
156
9.15.9Various setting of map display
Each map can be set.

To open the Setting window, select [Display] - [Set] in the menu or use “Setting button” on the tool bar.
Setting button
The Setting window is displayed.
157
General
The “General” tab in the Setting window is used to perform the following setting of general matters of map
display:
D (Corneal power) or mm (cornea curvature radius) can be selected as a

Change D/mm display order of Keratometer measurement data to be presented on the
screen.
HV (horizontal, vertical) or R1R2 (strong/weak principal meridian) can be
selected as a display format of Keratometer measurement data to be
HV/R1R2
presented on the screen.
*Data measured on KR-9000PW is always displayed in HV format.
Steps to display spherical power or corneal power/cylindrical power or
Step
power/astigmatic axis or axis can be selected.
“-”, “+”, or “MIX” can be selected as a display format of astigmatic axis to be
Cyl Sign
presented on the screen.
Change RL/ODOS “R/L” or “OD/OS” can be selected as display of left/right eye.
Contact lens (0 mm) or eyeglasses (12 mm or 13.75 mm) as a setting of VD
VD
(Vertex Distance).
Zernike PD Zernike analysis diameter can be set.
Zernike Coefficient Zernike analysis order can be set.
Sets the maximum scale vale of the vertical axis of the total high-order
Progress map graph scale
aberration graph displayed in the progress map.
“Pupil dia”, “Center Shift”, “Ocular HOA” or “Corneal HOA” can be selected
Auto Select Setting as a type of recommended data to be automatically selected when data is
opened.
158
Overlay
The “Overlay” tab allows setting of overlay display.
Select an overlay to be displayed.
TopoMap/Aberration map overlay

Overlay display of TopoMap is available to a corneal mire image in the “Corneal aberration map”, “IOL
selection map”, “Corneal R-L map”, or “Custom map”.
Axial Power overlay Instantaneous Power overlay
Ocular total overlay Ocular HOA overlay Corneal HOA overlay
159
Transmissivity of overlay
Transmissivity of TopoMap/aberration map overlay can be selected from among “0%” “25%” “50%” and “75%”.
0% 25%
50% 75%
Marker overlay
Overlay display of a marker, angle of mark position with respect to the strong principal meridian (black), or
weal principal meridian (gray) is available to a corneal mire image in the “Corneal aberration map”, “IOL
selection map”, or “Custom map”. A marker inputted on the main body can be displayed. A marker can be
inputted on the Viewer as well.
To input a mark position, double-click a corneal mire image to maximize it, and mark the mouse click
position while the marker setting is ON.
To complete entry, press the “Cancel Expanded Display button”.
* Save the inputted data so that the database will reflect

the change.
* Executing “Reset Marker Change” from the right-click

menu returns to the marker position assumed when data
was opened or saved last.
Marker overlay
160
TopoMap
The “TopoMap” tab allows setting related to “TopoMap”.
Scale Type “D” or “mm” can be selected as a display unit.

Map Scale Respective map scales for Adjustable, Normalized, and Absolute can be selected.
Overlay Overlay to be displayed can be selected.
Kerato Axis Keratometer axis can be set to “None” or “Sim-K Axis”.
Smoothing Checked for smoothing (see below).
“TopoMap display”, “Mire image display” or “Overlay display” can be selected as
display format of a corneal mire image in the “Axial differential map” or “Instantaneous
Differential Map
differential map”.
For overlay display, transmissivity can be specified.
Smoothing
TopoMap smoothing function performs analysis by changing the algorithm to generate map information
used for the corneal axial map or corneal Instantaneous map.
Turning ON/OFF the “Smoothing” checkbox from the TopMap tab in the Setting screen switches between
whether smoothing is made or not.
Smoothing OFF Smoothing ON
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Total aberration map
The “Total Aberration Map” tab allows setting related to the “total aberration map”.
Range Displays range can be change.

Overlay “Cross”, “Angle” or “mm Grid” can be selected as an overlay to be displayed.
HOA,Astig.Map
The “HOA, Astig. Map” tab allows setting related to the “High-order aberration and astigmatism map”.
Range Displays range can be change.

Overlay “Cross”, “Angle” or “mm Grid” can be selected as an overlay to be displayed.
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The “Visibility Sim.” tab allows setting related to “Visibility simulation”.
Type of optotypes “Landolt” or “Snellen” can be selected as a type of optotypes.

“Fraction” (ex.20/40) or “Decimal” (ex.0.5) can be selected as a method to
Method of displaying eyesight value
display the eyesight value.
Optotype of Landolt’s ring The eyesight value for simulation display can be selected.
Optotype Direction Direction of the optotypes can be selected.
Normalize destiny of simulations Whether to normalize luminance can be selected.
Type of optotypes Method for displaying eyesight value
Landolt Snellen Fraction Decimal

fraction
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IOL selection map setting
The “IOL Selection” tab allows change to the color of a result display value in the IOL selection map by
way of setting.
Threshold setting area Color setting area
Threshold input port Color setting button
In the threshold setting area, a threshold as a criterion for changing the color of each display item is set.
In the color setting area, the display color of each item is selected.
Threshold setting
Place a cursor at the threshold input box to select it, and type a numeric value by using a ten-key pad.
・Thresholds set to Corneal Irregular Astig. 1 and Corneal Irregular Astig. 2 specify the character colors
as follows:
･ Character color assumed when the measurement value is equal to or less than Corneal
Irregular Astig. 1
･ Character color assumed when the measurement value is more than Corneal Irregular Astig. 1
and is equal to or less than Corneal Irregular Astig. 2
･ Character color assumed when the measurement value is more than Corneal Irregular Astig. 2
・By using the threshold set to K Readings delta K, the character color can be set as follows:
･ Character color of a differential value and K value (3 mm) assumed when the K value is within
a set value range ( range)
･ Character color of a differential value and K value (1 mm) assumed when the K value is out of
a set value range ( range)
・Threshold set to Corneal SA sets the character color as follows:

･ Character color assumed when the measurement value is less than a set value
・Thresholds set to Threshold specify the character colors as follows:
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･Character color assumed when the measurement value is within a set value range ( range)
･Character color assumed when the measurement value is out of a set value range ( range)
Color setting
Clicking the Color Setting button allows color setting.
RMS display setting
The “RMS” tab allows RMS character color and number of digits of RMS to be changed via setting.
Color setting area
Threshold setting area
Color setting button
No. of digits setting

Threshold input box
In the threshold setting area, a threshold as a criterion for changing the color of each display item is set.
In the color setting area, the display color of each item is selected.
In the No. of digits setting area, the number of digits of RMS is selected.
Threshold setting
Place a cursor at the threshold input box to select it, and type a numeric value by using a ten-key pad.
・Thresholds set to RMS Threshold 1 and RMS Threshold 2 specify the character colors as follows:
･Character color assumed when the RMS value is equal to or less than RMS Threshold 1
･Character color assumed when the RMS value is more than RMS Threshold 1 and is equal to or
less than RMS Threshold 2
･Character color assumed when the RMS value is equal to or more than RMS Threshold 2
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Color setting
Clicking the Color Setting button allows color setting.
Digit Number of RMS

Number of digits of RMS can be set to “2 digits” or “3 digits”.
Image export
The “Image Export” tab allows setting related to “Image export”.
“Screen Shot” or “Print Image” can be selected as a type of image to be

Export Image
outputted.
“Bitmap” or “JPEG” can be selected as an image format of export to an external
Image Type of Folder Export folder. When “JPEG” is selected, “Low”, “Medium”, “High” or “Max” can be
selected as an image quality.
“Folder”, “Database” or “Both” can be selected as a destination of the mage.
Output Folder When “Folder” or “Both” is selected, the destination folder path is also
specified.
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Custom map setting
Custom map layout setting is made.
To set a custom map, select [Display] - [Custom Map Setting] in the menu or use “Custom Map Setting
button” on the tool bar.
Custom Map Setting button
Custom Map Setting screen
Tab
Change Title button
Preview
Map setting
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Tab Select Custom Map 1 to 4 to set with this tab.
Preview The specified map is displayed in preview.
A custom map title can be changed. Up to 30 characters can be inputted as a
title. The title changed here is applied to the tool tip displayed when a mouse is
placed on the Map Selector button and the name of the map set in the Print
Format Setting screen.
Change Title button
Tool tip
Select a map to be displayed in the custom map. Depending on the selected

Map setting map type, one or more associated setting lists (Type 1, Type 2) appear. For
selectable items, see the following table:
Custom map setting list

Map type Type 1 Type 2 Remarks
None - -
Axial
(1  1) TopoMap -
Instantaneous
HOA
Trefoil
Coma
Corneal
Tetrafoil
2nd Astig.
Spherical
(1  1) Aberration map Total
HOA
Total aberration
Trefoil
map can be
Ocular Coma
selected in Ocular
Tetrafoil
aberration map.
2nd Astig.
Spherical
(1  1) Mire image - -
(1  1) Hartmann image - -
RMS has three
columns in a row so
Corneal
(1  3) RMS - that another map
Ocular
cannot be set
sideways.
Sim1(upper)
(1  1) Visibility simulation Sim2(Middle) -
Sim3(Lower)
(1×1) PSF - -
(1×1) MTF - -
(1×1) MTF graph - -
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9.15.10 Print setting
Setting of output on a connected printer (such as print layout) is made.
To open the Setting window, select [topo/WF] – [Print layouts setting] in the menu.
The Print Setting window is displayed.
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Custom print setting
The “Custom” tab allows setting of data used for printing such as data measured in accordance with the
examination purpose “Custom” or data measured on KR-9000PW.
No. of print pages Paper orientation
Page 1
Page 2 - Page 4
Select “Portrait” or “Landscape”.

Selecting “Portrait” divides the print layout into the upper and lower areas to accommodate
Paper orientation
two analysis result maps.
Selecting “Landscape” prints a single analysis result map in the center.
Select the number of print pages. Page 1 to Page 4 can be specified.
In case “Portrait” is selected under “Orientation”, an analysis result map can be arranged
in each of the upper and lower areas of the paper. Which map is arranged in which area
No. of print pages can be specified?
When “Page 1” is selected, setting of “Page 1” displayed below is available. When “Page
2” is selected, setting of both “Page 1” and “Page 2” is available. Similarly, the number of
pages on which setting is available increases as “Page 3” or “Page 4” is selected.
Set the layout of the first page.
Selecting “Standard” arranges a multi-map in the upper area and a component map in the
Page 1 lower area. Selecting “Custom” allows one of the two arbitrarily selected analysis result
maps to be arranged in the upper area or lower area, and the other in the unoccupied
area.
To print two pages or more, make layout setting of any one of “Page 2” to “Page 4”.
Selecting “Page 2” to “Page 4” allows one of the two arbitrarily selected analysis result
Page 2 - Page 4
maps to be arranged in the upper area or lower area, and the other in the unoccupied
area.
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Examination purpose print setting
Setting of data measured in accordance with the examination purpose “Screening”, “Pupillometry”,
“Serial”, “Cataract”, or “Over ref.” is made.
Always use custom settings.
Setting by examination
purpose
Always use custom Special print layouts by examination purpose are not used by the setting made from the
settings. “Custom” tab is used for printing.
Setting by examination Several types of print layouts provided for each examination purpose can be selected.
purpose For layouts available to each examination purpose, see the following table.
List of layouts by examination purpose

Screening Mono
Bino
Pupillometry Mono
Bino (Old Type)
Bino
Serial Mono
Cataract Mono
Mono(No Comments)
Bino
Over ref. Bino
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Differential print setting
Setting used for printing in the differential mode is made.
No. of print pages Paper orientation
Page 1 - Page 4
Select “Portrait” or “Landscape”.

Selecting “Portrait” divides the print layout into the upper and lower areas to accommodate
Paper orientation
two analysis result maps.
Selecting “Landscape” prints a single analysis result map in the center.
Select the number of print pages. Page 1 to Page 4 can be specified.
In case “Portrait” is selected under “Orientation”, an analysis result map can be arranged
in each of the upper and lower areas of the paper. Which map is arranged in which area
No. of print pages can be specified?
When “Page 1” is selected, setting of “Page 1” displayed below is available. When “Page
2” is selected, setting of both “Page 1” and “Page 2” is available. Similarly, the number of
pages on which setting is available increases as “Page 3” or “Page 4” is selected.
Make layout setting of any one of “Page 1” to “Page 4”. Selecting “Page 1” to “Page 4”
Page 1 - Page 4 allows one of the two arbitrarily selected analysis result maps to be arranged in the upper
area or lower area, and the other in the unoccupied area.
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Miscellaneous
Setting applicable to all of “Custom”, “Examination purpose” and “Differential” is made.
Margin
Margin Set top, bottom, left and right margins of the paper.
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Print preview
Print preview allows checkup of the specified print layout.
Clicking the [Print Preview] button displays the Print Preview.

The following shows a case using “Standard” setting with a multi-map arranged in the upper area and a
component map in the lower area.
Print Preview button
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9.15.11 Export
Export of measurement data
Data of KR-1W/KR-9000PW stored in a database is saved into a file.
1. Open data to be exported.
2. Selecting [topo/WF] - [Export] in the menu saves the data.
* A user who is not authorized to export data cannot use the export function.
* File type and extension depend on the original data. Conversion is unavailable for example from
KR-1W data format to KR-9000PW data format.
* In case measurement data of KR-9000PW is saved, up to 31 single-byte characters of a patient

ID/name/furigana (kana over or beside kanji to indicate pronunciation) and up to seven single-
byte characters of a middle name are saved into the file. In case longer patient information is
registered in a database, the character string is saved while delimited.
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Export of image data
Screen shot and print image of the currently open data are saved into a file.
1. Open data to be exported.
2. Select [Image] - [Image Output] in the menu or pressing the Image Output button saves the data.
* A user who is not authorized to export data cannot perform export to an external folder.
* For setting of export of image data, Refer to (9.15.9Various setting of map display-Image
export).
9.15.12 Data saving
Examination data can be saved after re-analysis of cornea/wavefront or editing of marker overlay.
“Data saving” in KR-1W Viewer refers to save edited data as new data. Data replacement is not supported
by this function.
While the data is being saved, a print image is automatically saved into a database. Screen shot is saved
into a database if turned ON in the setting. Refer to (9.15.9Various setting of map display-Image export).
1. Edit data.
2. Click the [Save] button. Or, select [File] – [Save] in the menu.
Save button
*Unedited data cannot be saved.
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9.16 KRP Viewer
9.16.1 Getting Started
In case data corneal topography color map corresponding to an image exists, the measurement data can
be opened in KR-1W Viewer.
 To open KR-1W Viewer:

2. Select [Send to KRP Viewer].
[Send to KRP Viewer] is available only to an image having corresponding measurement data. Available
menus depend on the selected image.
“Single” : Available in case more than one image is selected.
“2Multi” : Available in case two or less images are selected.
“4Multi” : Available in case four or less images are selected.
“Difference map” : Available in case two images are selected for the same eye.
For an image without corresponding measurement data, [Send to KRP Viewer] is grayed out and cannot
be selected. The [Send to KRP Viewer] menu is displayed only when setting is made in IMAGEnet R4
Configuration. Set menu caption in [KRPViewer]-[Caption] under [Configuration]-[ImageViewer - All User].
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KRP Viewer Components
 KRP Viewer Window
The KRP Viewer window consists of several elements such as the title bar, the menu bar, the tool bar and
the status bar. The title bar is located at the top of the window. The menu bar is just below the title bar,
and the tool bar below that. The status bar is located at the bottom of the window.
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Color maps are displayed in windows referred to here as ”Report Windows”. A report window is created
when a Color Map file is opened and is removed when the file is closed. The KRP Viewer window is
maximally sized on start up to make room for report windows to be as large as possible. It is possible to
make the window smaller, however, the report windows can never be larger than the KRP Viewer window.
Title Bar The title bar is used to show the report currently displayed.
Menu Bar The menu bar consists of several items. By clicking these items, the pull-down menu related
to the item will be opened. By choosing an item in a pull-down menu, you can call the function
assigned to the item.
Menu Pull-down Menu

Close*
Close All*
Print…*
File
Print Preview*
Print Setup...
Exit
Toolbar
View
Status Bar
Map Options*
Color Map/Contact Lens*
Contact Lens Utility
Utility
Pan & Tilt**
Profile Graph**
Isometric Graph**
Cascade
Window*
Tile
Help About KRPViewer…
* Items in the Menu Bar or in the each pull-down menu are available only, when the Color Map Report is
displayed.
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** Items in the Menu Bar or in the each pull-down menu are available only, when the Contact Lens Fitting
Report is displayed.
Tool Bar The tool bar provides quick access to items in pull-down menus of the menu bar. Clicking a
toolbar icon directly executes the preset function. Relationship between toolbar icons and menu bar items
is shown below.
Map Options* [Utility]

Color Map/Contact Lens* [Utility]
Pant & Tilt [Utility]
Print [File]
About [Help]
*Asterisked functions are enabled in case the color map report is displayed.
Status bar The status bar displays the status information on the KRP Viewer.
Report window In case the color map data is displayed, a report window is opened in the KRP Viewer
window area. While multiple report windows can be opened in KRP Viewer, only one report window is
active at a time. Most of the functions of KRP Viewer apply to the active report window. The title bar above
each report window shows corresponding report identification information.
Operating KRP Viewer
Use the menu icons on the tool bar as a short cut for some menu items. A menu item or a menu icon
displayed in gray means that the item or the icon is not available at that time.
To change display setting of the displayed report, select ”Map Option Setting” or “Map Option Setting” icon
under [Utility]. The option setting dialog box appears to allow change of display setting. Change
parameters in the dialog box, then click ”OK” to continue. The changed parameters will be immediately
applied to the report.
The contact lens parameter menu for the contact lens report is displayed by selecting “Color Map/Contact
Lens” or Color Map/Contact Lens icon under [Utility] while the color map report is active. Pressing “OK”
after necessary parameters have been changed displays the contact lens report.
If wishing to print an active report, select [Print] or “Print Icon” under [File] to send report information to the
printer specified to Windows.
Exiting KRP Viewer
To exit KRP Viewer, choose “Exit” from the [File] menu.
9.16.2 Color map Report Data

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Display Color map Report data
Using the transferred report data, KRP Viewer creates a new color map report window. This report
window consists of <Ref Data>, <Kerato Data>, <Peripheral Data>, and the color map reports.
Color Map Report Window Control
 Closing Color Map Report Window

To close a report window, make the window active, then choose “Close” from the [File] menu or use the
system menu of the report window. Alternatively, access the system menu of the window by clicking the
square at the upper left corner, the left end of the title of the window.
 Putting Color Map Report Window on Top

Many report windows can be opened simultaneously. The number of report windows one can open is only
limited by the amount of system memory. The report window opened last is displayed on top. To place a
different report window on top, click anywhere on that report window using the left mouse button.
Display Map Data
Map data can be displayed in the report window in any one of the four forms including the single map, 2-
multi map, 4-multi map and difference map. Display of data in each form is described below.
Moving the mouse cursor on the map that appears in the report window and clicking the map cause the
cross cursor to appear and displays the data on that point. In case multiple maps are displayed, a similar
cross cursor appears in a corresponding position of the map(s) where the cross cursor is not positioned.
The following items are displayed as data in the positions specified by cross cursors on respective maps.
PWR Power in diopters at the cursor position;

RAD Radius of curvature at the cursor position
DIST Distance of cursor from the center of the grid in mm
AXIS Angle of the axis connecting the cursor with the center of the grid in degrees (0°-
360°);
DISTP* Distance of cursor from the center of the pupil in mm
AXISP* Angle of the axis connecting the cursor with the center of the pupil in degree (0°-
360°)
* Asterisked items are displayed only in case the pupil position is detected.
 Single Map View

Displays a selected single map and related measurement data. In case multiple map files are selected at
the same time, as many report windows as the number of selected map files will open.
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Figure 9-1 Single map view
 Multi Map View

Multi Map View displays multiple maps and related data in the report window. (Figure 9-2). Maximum
two maps and maximum four maps are displayed in a single report window respectively for 2-multi
map view and 4-multi map view. For Multi Map View, an arbitrary combination of report data such as
left and right eyes and the same eye can be selectively displayed.
Figure 9-2 Multi Map view
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 Difference Map View
Difference Map View is designed to check the changes between two map reports for the same eye.
Two maps are arranged for comparison in the upper area of the report window and a difference map
to show the changes between the two is arranged in the lower area. To check the changes, the two
report data items must be of the same eye. The data in the positions specified by the cross cursors of
respective maps is the same as that in 2-multi map for the two maps in the upper area. The following
items are displayed in the difference map I n the lower area. (Figure9-3)
PWR Power measurements of each map and the difference of the two.
RAD Radius of curvature for each map and the difference of the two (mm).
DIST Distance from the center of the grid for each map in mm. The difference
map reports the distance of the first image in mm.
AXIS The angle between the line connecting the cursor with the center of the grid
and X-axis of the greed in degrees (0°-360°). The difference map reports
the angle value of the first image.
DISTP* Distance from the center of the pupil for each map in mm.
AXISP* The angle between the line connecting the cursor with the center of the
pupil and X-axis of the greed in degrees (0°-360°). The difference map
reports the angle value of the first image.
* Asterisked items are displayed only in case the pupil position is detected.
Figure9-3 Difference Map View
9.16.3Option Settings
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When a color map report is open, the options may be changed for that report. To get the option dialog box
menu, choose “Map Options” from the [Utility] menu, or click the option icon on the tool bar. Figure9-4 is
displayed to allow various display options to be changed.
Figure9-4 Option Setting Dialog Box
Map Method
Sagittal: This power is based on the normal distance from the cornea to the refractive axis (also
known as Axial Power).
Tangential: This power is based on the surface radius for each data point (also known as
Instantaneous Power).
Scale Unit
Diopter: Displayed color map based on Diopter power scale.

mm: Displayed color map based on mm power scale.
Map Type
Adjustable: Use the color map center and step values to adjust the color levels. By using appropriate
values, more detail can be seen in the map. (The center value will appear as the bottom
of the eleventh color.)
Normalized: Minimum and Maximum levels of the data are used for limits of the color map. Thus,
data will stretch over entire map. In cases of extreme data range, the top 1% and bottom
1% are excluded.
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Absolute: Standard scale ranging from 35.5D to 52D with a step size of 1/2D, or 6.0mm to 9.3mm
with a step size of 0.1mm. 33 different levels are used for this map by 22 colors.
Overlays
Cross Scale: X and Y axises overlay

Angle Scale: Displays angle measurement around the color maps.
mm Grid Scale: Overlay of a 1mm grid
Kerato Axis: None:
No Kerato Axis displayed.
Kerato Axis:
Kerato Axis displayed based on the Keratometer axis.
Sim-K Axis:
Shows the keratometric circle (radius 1.5mm) along with the strongest axis (as a black line)
and weakest axis (as a gray line).
Pupil: Displays pupil boundary curve. Pupil check box is enable, if pupil edge detection points are
available in the opened map document file (Figure 9-5)
Figure 9-5 Color map with pupil overlays
Others
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Save Settings: Selecting “OK” while this check box is ticked records the option setting specified by the
option setting dialog box as a standard setting and allows the option setting to be applied to
any report window that is subsequently opened.
Image View
The Image View option includes four types of buttons, Map, Image, Overlay, and Side by Side.
Map: If this button is active color map with pupil center marker will be displayed, every time
user opens map document file. Pupil center marker will appear only for document files
containing pupil detection points.
Image: If this button is active eyes’ color map reports will be replaced with its images in the
color map report window (Figure 9-6). If image is available only for one eye in the
opened document, KRP Viewer will display image only for this eye and color map for
the eye without image.
Overlay: This button repeats the same logic as the “Image” button. The difference is that image
is overlaid with color map for each eye which image data is available. (Figure 9-6).
Side by Side: The button is enabled only for the document, which was opened from the KRP Viewer
Database and its display format to “Single Map” (See Section 0). Also, eye image data
must be available in the database document.
Figure 9-6 Report window (Image view – Image)
9.16.4Contact Lens Simulation Report Data
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Display Contact Lens Simulation Report Data
The contact lens report activates the color map report that performs contact lens fitting. In case the
contact lens report is opened from report data recorded in the database, select “Color map/Contact Lens”
or “Color Map/Contact Lens icon” from the [Utility] menu.
The parameter setting dialog box shown in Figure 9-9 appears. Perform necessary parameter setting and
select “OK” to display the contact lens simulation report shown in Figure 9-7.
For details of the contact lens parameter setting dialog box, refer to the description under Parameter
Setting in this chapter.
The contact lens report is only a reference result. For actual prescription, follow the
instructions from a doctor.
Figure 9-7 Contact Lens Fitting Map display with pupil overlay
187
Figure 9-8 Contact Lens Fitting Map with pupil and eye image overlay display
Parameters of the Contact Lens Simulation Report
Abbreviations for the Contact Lens simulation report:
BC: Base Curve (mm)

Maximum base curve for Base Curve Toric
BC2: Base Curve 2 (mm)
Setting is allowed for Toric only. Minimum Toric base curve.
E1: Eccentricity
Setting is allowed for Aspheric only. Aspheric first curve eccentricity.
TD: Total Diameter (mm)
Total diameter of a lens
OZ: Optical Zone (mm)
Which affects the optical function of a lens
SC: Secondary Curve (mm)
Secondary curve
SCW: Secondary Curve Width (mm)
Secondary curve width
E2: Eccentricity for secondary curve
Setting is allowed for Aspheric only. Aspheric second curve eccentricity.
PC: Peripheral Curve (mm)
Peripheral curve, Toric peripheral maximum curve
PCW: Peripheral Curve Width (mm)
Peripheral curve width
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PC2: Peripheral Curve 2 (mm)
Setting is allowed for Toric only. Toric peripheral minimum curve
AEL: Axial Edge Lift (mm)
Axial edge lift
VD: Vertex Distance (mm)
Vertex distance of spectacles
PWR: Power of the contact lens (Diopter)
Power of the contact lens to correct refraction spherical data (Diopter)
PanH: Pan Horizontal (mm)
Amount of horizontal lens lag from the corneal center
PanV: Pan Vertical (mm)
Amount of vertical lens lag from the corneal center
TilH: Tilt Horizontal (Degree)
Horizontal lens tilt angle
TilV: Tilt Vertical (Degree)
Vertical tilt angle
For a three curve contact lens, BC, TD, OZ, SC, SCW, PC, and PCW are necessary. If for a two curve
lens, SC and SCW, or PC and PCW may be omitted. Either SC or PC can be ignored if their width field
(SCW or PCW) is zero.
Handling Each Lens Type
Lens types can be set in the parameter setting dialog box.
 RGP
For a RGP lenses, a total of three curves including a base curve (BC), a secondary curve (SC), and a
peripheral curve (PC), are available. Alternatives (i.e. BC+SC only, or BC+PC only) are also available.
 TORIC
When a TORIC lens type has been selected, the BC2 and PC2 data fields will be activated. There are
basic curve 2 and peripheral curve2, respectively. Listed below are two available lens structures in the
TORIC lens type.
BC (toric) + SC (spheric) + PC (spheric)
BC (toric) + PC (toric)
If the PC value is same as the PC2 value, the contact lens simulation function assumes the lens has
spherical peripheral curves. In this case, the SC, and SCW fields will be activated. However, if PC differs
from PC2, since this is a toric peripheral, the SC and SCW fields become disabled.
 ASPHERIC
When an ASPHERIC lens type has been selected, the E1 and E2 fields will be activated. The meanings of
these fields are eccentricity 1 and 2 respectively. These values are calculated from the corneal
topography, and initially, the two values are the same. One or both of them may be changed according to
the manufacture’s lens specification. For a spherical secondary curve, set E2 equal to 0 to make it
represent a spherical secondary curve. Use the two lens structure as follows:
189
BC ( aspheric ) + SC ( aspheric ) + PC ( spheric )
BC ( aspheric ) + SC ( spheric ) + PC ( spheric )
In both cases, PC can be omitted when PCW is zero.
 SCL
Most SOFT lenses have one BC and One PC, so secondary curve fields are disabled. The fluorescein
simulation is not available for soft lenses.
 PMMA
For a PMMA lens type, the software treats the lens structure in the same way as a RGP lens.
Parameter Setting
When a contact lens simulation report is open or the “Contact Lens Fitting” function from a color map
report has been called for the first time, the parameters may be changed for that report. To get the
parameter setting dialog box menu (Figure 9-9), choose ”Change Parameters” from the [Utility] menu, or
click the parameter icon on the tool bar. The following dialog box will be displayed to change parameters.
(“Select Data Set” item will be appeared only when some contact lens data were registered – See Section
19.4.5):
Figure 9-9 Parameter Setting dialog box
Lens Type
Please refer to 9.16.4Contact Lens Simulation Report Data-Handling Each Lens Type.
Map Type
Absolute map type connects tear layer thickness to an actual fluorescent color. Normalized map type
assigns colors to express the entire thickness range.
Overlays
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Same as the overlay for the color map report. Refer to 9.16.4Contact Lens Simulation Report Data-
Handling Each Lens Type.
Reference BC
Parameter helps to find a base curve that meets a certain apical clearance demand. The software finds
the radius of curvature of a sphere, which is defined by three points. These points are the center of the
lens with a certain apical clearance, and two optic zone end points, which touch the cornea.
Sagittal Vault
If the sagittal vault value is supposed to be a certain value, input that value. An appropriate TD value will
be calculated for this sagittal vault.
Axial Edge Lift

The required AEL (Axial Edge Lift) value is specified, the software finds the appropriate PC value.
Graph Setting: Profile Graph

The tear layer thickness profile graph is displayed at the specified angle value.
Graph Setting: Isometric Graph

The circular tear layer variation graph is displayed at the specified radius value.
Select Data Set

The pull down scroll list appears when more then one contact lens data sets have been registered. The
software will set the parameters based on the selected contact lens data set.
Image View
The Image View option of the contact lens report has three buttons, Map, Image, and Overlay. The same
setting as for the image view of the color map report is available.
Map: In case this button is ticked, a fluorescein pattern is displayed in the simulation display
area (Figure 9-7).
Image: In case this button is ticked, an image of the subject eye is displayed rather than a
fluorescein pattern in the simulation display area.
Overlay: In case this button is ticked, a fluorescein pattern and an image of the subject eye are
displayed overlapped one on the other in the simulation display area (Figure 9-8).
Contact Lens Utility
To get the contact lens utility dialog box menu, choose “Contact Lens Utility” from the [Utility] menu. The
following dialog box will be displayed to set the default and register the contact lens parameters sets. The
number of the registered contact lens sets is up to 10.
191
Figure 9-10 Contact Lens Utility dialog box
Available setting parameters for the default and register contact lens sets are shown below.
 Contact Lens Parameters Default Setting

To set parameters for the contact lens report that is frequently used, select “Default Setting” from the
Contact Lens Utility. Parameters that may be specified here include “Lens Type”, “Map Type”, “Lens
Diameter”, “Optical Part”, and “Overlay”. To directly use a VD value set on KR-7100P/ KR-8100PA, tick
the “Use Instrument Data” check box.
Figure 9-11 Contact Lens Parameters Default Setting dialog box
 Contact Lens Data Register

It is possible to register some contact lens model parameters sets using the “Contact Lens Data Register”
function. You may register up to 10 contact lens model parameter sets.
192
Figure 9-12 Contact Lens Data Register dialog box
9.16.5 Printing Reports
KRP Viewer allows printing of reports displayed on the screen using a Windows printer. There are 3 menu
items related to the print operation in the [File] menu.
·Print... Make a print of the active report window.

·Print preview Preview print on the screen.
·Print setup... Set up the Windows printer.
Print Preview Screen
To check how the report will be printed before making a print, choose ”Print preview” from the [File] menu.
193
Figure 9-13 Print Preview Screen
Print Setup Dialog Box
The “Print Setup” dialog box is used for changing the printer or paper to be used.
Figure 9-14 Print Setup Dialog Box
9.16.6Other Features
Hiding Tool Bar and Status Bar
It is possible to hide the tool bar and status bar to make more space in the KRP Viewer window. To hide
the tool bar, choose “Toolbar” in the [View] menu. The check mark in front of ”Toolbar” in the pull-down
194
menu will be erased, and the tool bar will disappear. To hide the status bar, choose “Status Bar” in the
[View] menu. The check mark at the head of “Status Bar” in the pull-down menu will be erased, and the
status bar will disappear. To display these bars again, choose the same menu item, “Toolbar” or “Status
Bar” in the [View] menu again. These menu items work as a toggle to hide and show the bars.
Cascade and Tile
Arrange report windows by choosing “Cascade” or “Tile” in the [Window] menu. “Cascade” arranges all
report windows in an overlapping pattern. “Tile” arranges all report windows in a tile pattern.
195
10 MAINTENANCE
Before the capacity of the hard disk reaches the maximum limit, you must backup the data to CD or DVD
using archive and backup functions.
Be sure to login with administrator privileges when performing maintenance work.

CAUTION
10.1 Database Setting

A setup of a database is required in order to use archive and backup functions.
 To set database:
1. Open [Start]-[Program]-[TOPCON]-[Archive Tools]-[ArchiverConfiguration] and set the required

parameters as follows:;
Database Setting
・ServerName: Server name that Microsoft SQL server is running

・Database name: Database name that your IMAGEnet R4 system accesses
・Authentication Mode: Windows Authentication or SQL server authentication
196
・User/Password Settings : SQL user usage setting
・User : SQL user name
・Password : SQL user password
10.2 Archive
With the Archive feature, the following functions are processed.
1. Copy the files in the original data location to the archive data location.
2. Copy the files in the original data location to the reference data location. In case the images in the
original data location are TIF format, the images are compressed to JPEG format while copying.
3. After the files are successfully copied to the archive data location and to the reference data location,
those files are deleted from the original data location.
 To setup the archive:
1. Open [Start]-[Program]-[TOPCON]-[Archive Tools]-[ArchiverConfiguration] and set the required

parameters as follows:
Image Archiving
・Archive data location: Path of the archive area

・Reference data location: Path of the reference area
・File Format: File format of the referential file
・Archive size: Size of archive area
197
 If there is not settings of archive schedule
When IMAGEnet R4 starts up, A message prompting to set a archive schedule is displayed. By
scheduling an archive, an archiver will be done on specified date and time.
Do not display this message Next time later, this screen does not appear.
But, when there are more images not archived than a certain number, a
message prompting an archive will be displayed every time.
Setting Start up a schedule screen of an archive.
Don’t Settng Close a message. Start up IMAGEnet R4.
By scheduling an archive to Windows Task, an archiver will be done automatically on specified date and
time.
Day of the week Select a day which archive is executed.

Execution time Select a time which archive is executed.
SQL Server Index Before archiving, index defragmentation is done.
Defragmentation
Shutdown After archiving, shutdown the PC.
Cancel Close a schedule screen of an archive.
Remove Remove current schedule.
Save Save current settings.
198
Don't close the DOS window which displays during running the archive software.
Besides, don't shut down a PC during running it. An archive process might not be
CAUTION finished correctly.
Please use an archive software the version of which must be same as the version of
IMAGEnet R4.
CAUTION
10.3 Backup
With the backup feature, the following functions are processed.
1. Copy the files in the archive disk, which were saved by the archive function, to the temporary area.
2. Wait for the user to complete burning the data from the temporary area to DVD with the commercially
available DVD burning software or DVDwriter.exe that is installed together with IMAGEnet R4.
3. Delete all files in the archive area and the temporary area after confirming that there is no difference
between the DVD and the temporary area by comparing them.
The image and the data updated after you made the last backup cannot be
recovered from the backup media if the PC and/or the hard disk is damaged.
CAUTION Therefore, frequent backup is required to secure the images and the data.
If the PC and/or the hard disk are damaged, there is a possibility that the images
and the data are lost. The lost images and data cannot be 100% recovered from the
backup. The images, the data and its backup media need to be handled with
CAUTION
thorough consideration under the user’s responsibility.
199
 To set the backup:
Image Backup Setting
・Work location: Path of the local copy area for backup

・Drive location: Path of the backup drive
・Writing software: Path of the DVD/CD writing software executable file.
(With the default setting, DVDwriter.exe that is installed as a part of IMAGEnet R4 is specified)
・Confimation method: Specify the method for checking that the backup destination data has been
correctly copied.
200
 How to use the IMAGEnetBackupManager.exe:
1. Open [Start]-[Program]-[TOPCON]-[Archive Tools]-[BackupManager] .
2. The list of archive folders that are not backed up is shown. Select one from the list and click the “Run”
button.
3. After the files in the selected archive folder are successfully copied to the work location, the specified
DVD/CD writing software opens. Click the [Start] button.
4. When the DVD/CD writing completes, the files in the work location are compared with the files in
DVD/CD. If there is no difference, the IMAGEnetBackupManager.exe terminates. If there is any
difference, an error message is displayed and you are requested to burn the DVD/CD once again.
201
11 BEFORE REQUESTING SERVICE
Message Action to be taken

An error occurred in the user
An error occurred in the user validation process.
validation process. Please try to log in
Check the configurations of database.
the system once again.
Number of concurrent runs of
IMAGEnet has reached the license The number of licenses available for IMAGEnet exceeds the limit.
limit. Please try to start IMAGEnet Start IMAGEnet again after a brief interval.
later.
The license packed file has been
The license is invalid. Please contact Topcon. Activate IMAGEnet
moved or the license packed file is
R4.
invalid. Please contact TOPCON.
Activation failed. IMAGEnet will now IMAGEnet is closed due to the activation failure.
shut down. Retry the activation process.
User ID. [xxxx] is not found in the user
The user ID is not found. Confirm the user ID again.
registration file.
Password for User ID. [xxxx] is not
The password is not correct. Confirm again.
correct.
The patient has examination(s). This Patient records having exam data cannot be deleted. After
patient record cannot be deleted. deleting the exam data, reattempt to delete the patient record.
Attempted to write to a write-protected The disk is write-protected. Remove the write protection and try
disk. again.
Phenomenon How to Correct
IMAGEnet R4does not work because

Restart IMAGEnet R4 or Windows.
of an incorrect operation.
IMAGEnet R4 does not work because Restart IMAGEnet R4 or Windows after confirming the cables are
the cables are disconnected from PC. properly connected.
A layout display gets corrupted while

Restart IMAGEnet R4 or Windows.
using IMAGEnet R4.
202
12 SPECIFICATIONS ＆ PERFORMANCE
12.1 Product Requirements
To operate IMAGEnet R4, the following software programs and hardware devices are required.
12.1.1Software
Operating System Either of the following is required:
・ Microsoft Windows® 10 Pro 64bit (*1) (*2) (*3)
・ Microsoft Windows® 8.1 Pro 64bit (*1) (*2) (*3)
・ Microsoft Windows® 7 Professional 32bit (*1) (*2)
・ Microsoft Windows® 7 Professional 64bit (*1) (*2)
・ Microsoft Windows® XP Professional Service Pack 3 32bit (*4)
Database One of the following is required:
・ One of editions of "Microsoft SQL Server 2014(Enterprise,
Standard, Express)"
・ One of editions of "Microsoft SQL Server 2012(Enterprise,
Standard, Express)"
・ One of editions of "Microsoft SQL Server 2008 R2 (Enterprise,
Standard, Workgroup, Express)"
・ One of editions of following "Microsoft SQL Server 2005
(Enterprise, Standard, Workgroup, Express) Service Pack 2 or
later".
Others All of the following are required:
・ Microsoft .NET Framework 4.0
・ Microsoft .NET Framework 2.0 Service Pack 2 (For using
Schema)
・ Microsoft Windows® Media Player 10 or later version
(*1) Run as a 32-bit application.
(*2) To use all modules related to IMAGEnet R4, User Account Control setting must be set to
"Never notify" on administrator account. If you run a part of modules, It must be selected "Run as
administrator" from the right-click.
(*3) IMAGEnet R4 does not support touch gestures on Windows. Operate IMAGEnet R4 by
using mouse and keyboard.
(*4) Some features might not be able to use by depending on your environment.
203
 In [Regional and Language Options] of the Control Panel, set [Standard and format]
and [Language for Non-Unicode programs] to ‘English’. If [Standard and format] and
[Language for Non-Unicode programs] are set for a language other than English,
some letters will not display and print properly.
 If you select the Express Edition of Microsoft SQL Server, exercise care so as not to
register an excessively large number of patients or examinations. Express Edition
NOTE has limitations on the size of database that can be managed. An excessively large
number of patients or examinations registered may lead to a substantial drop in the
operating speed of IMAGEnet R4 or even malfunctioning. In case it is expected that
a large number of patient registrations will be needed or upon a substantial drop in
the processing speed of IMAGEnet R4, use a database server of Standard edition
or later.
12.1.2Hardware
Personal Computer
- A personal computer on which the installed OS operates.
Storage
- DVD Writable drive.
Monitor
- A monitor compatible with the installed OS
- Minimum 1280×1024 dots, full-color display.
- The DPI setting of the display has to be "Normal size".
CPU
- Intel Core2Duo E6600 4MB L2 2.4GHz 1066MHz FSB, or faster
Memory
- At least 1Gbyte of RAM. (2Gbytes or more recommended.)
Hard Disk
- SATA 3.0G b/s NCQ (7200rpm), or faster
- Installation drive: Requires a minimum of 10Gbytes of free space.
- Working drive: Requires a minimum of 30Gbytes of free space.
Display Adapter
- DirectX® 9.0 support
(Some display adapters may cause problems such as unstable movie replay.
The on-board type display adapters often cause problems. It is recommended to use the display adapter
that is inserted to the PCI Express x 16 slot.)
USB
- At least two USB 2.0 ports must be available.
 Use a PC which conforms to UL 60950/UL 60950-1 or IEC 60950/IEC 60950-1.

 The system requirements are different depending on the photography instrument.
NOTE Use IMAGEnet R4 in the operating environment required by the instrument used.
When any other peripheral device, which is connected to the USB connector of the
PC, is operating, sometimes the capture devices cannot communicate with the PC
CAUTION normally.
204
13 GENERAL INFORMATION ON USAGE
AND MAINTENANCE
13.1 INTENDED PATIENT POPULATION
 Patients who visit to hospital for ophthalmic disease in the eye.
 Patient s who are photographed or examined with an ophthalmic medical equipment.
13.2 INTENDED USER PROFILE

Health-care professionals who have experience or who have received training in use of the ophthalmic
medical equipment and in the diagnosing ophthalmologic images.
13.3 ENVIRONMENTAL CONDITION FOR USE

 A computer where IMAGEnet R4 is installed has access to the IMAGEnetTM R4 database.
 Intended to be used in hospitals: consultation and treatment rooms for outpatients, nurse stations,
medical offices, and wards.
13.4 DISPLOSAL
When disposing the instrument and/or parts, follow the local regulations for disposal and recycling.
205
206
Please provide the following information when contacting us regarding questions about this software:
• Model Name: IMAGEnet R4
• Serial No.: This is printed on the installation disk.
•Defective condition: Please provide us with as much detail as possible on the problem.

IMAGEnet R4
User Manual
Rev. 8
Nov. 8, 2016
Published by TOPCON CORPORATION

75-1 Hasunuma-cho, Itabashi-ku, Tokyo, 174-8580 Japan
207
IMAGEnet R4
4451442117

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USER MANUAL

OPHTHALMIC DATA SYSTEM

INTENDED USE／INDICATION FOR USE

PURPOSE OF THIS MANUAL

This is the manual for the following products:

 All rights of this software are reserved by TOPCON Corporation.

©2008 TOPCON CORPORATION

2 HOW TO USE THIS MANUAL

2.1 Notations in this Manual

Mouse Operation Notations

 Copy Archive Data to CD/DVD. (Refer to page-197)

Incorrect handling by ignoring this display may lead to personal injury

Useful functions to know. Paying attention to these will prevent the

Symbol IEC/ISO publication Description Description(French)

ISO 7000-2497 Date of manufacturer Date de fabricant

ISO 7000-2498 Serial number Numéro de série

ISO 7000-3082 Manufacturer Fabricant

Authorised Representative in Représentant autorité pour

Menu bar A function is chosen from a menu.

7.3 Connection of Ophthalmic Instruments

7.5 User Management Tool

 To open the User Management Tool of IMAGEnet R4:

4. Log-on displays the following screen.

This is to add, to modify and to delete User.

User List ： A list of users that are registered in the database.

This is to add, to modify and to delete user groups.

 To Exit IMAGEnet R4:

8.2 Selecting a Patient

8.3 About the Examination

8.4 Opening an Examination

1. Select the “List” tab.

The specified image examination displays.

 To select multiple images:

IMAGEnet R4 consists of many views and windows.

Main window Capture window

Patient List Binder View

8.7 Main Menu and Tool Bar Icons

Menu Drop-down menu

Common Tool Bar

Close Patient Close data of the patient selected.

Split tab, vertical Splits the tab group vertically.

Split tab, horizontal Splits the tab group horizontally.

Refresh Refresh the patient list.

2UP Addition to 1x2 Composite Image.

4UP Addition to 2x2 Composite Image.

9UP Addition to 3x3 Composite Image.

16UP Addition to 4x4 Composite Image.

Save Save the displayed image.

Copy To Clipboard Copy selected image to clipboard.

Query Patients Tool Bar

Capture Tool Bar

External Module Tool Bar

Print Print the selected images.

Print All Print all images displayed in the selected tab.

HIS Report Tool Bar

HIS Report Display the HIS Report.

GP View Tool Bar

GPViewer Display the image of a perimeter.

Optometry View Tool Bar