COMPUTERIZED VISION TESTER

VT-350
OPERATOR’S MANUAL

0120
 Contents

1．Introduction.......................................................................................5
1 .1 Product features and using range............................................................................................. 5
1.2 Classify.......................................................................................................................................5
1.3 Main performance index...........................................................................................................6

2. Security considerations.............................................................. 11
2 .1 Security identity...................................................................................................................... 11
2 .2 Safety precautions before use................................................................................................ 11
2.3 During Use.............................................................................................................................. 13
2.4 After Use..................................................................................................................................13
2.5 Maintenance and Check..........................................................................................................14
2.6 Disposal....................................................................................................................................15

3．Configuration.................................................................................. 15
3 .1 Refractor head configuration................................................................................................. 15
3.2 Accessories.............................................................................................................................. 17
3 .3 Identification........................................................................................................................... 18

4．Ready use.......................................................................................... 19
4 .1 Setup connection of the device.............................................................................................. 19
4.2 Install near vision chart...........................................................................................................20
4.3 Install face shield.................................................................................................................... 21
4 .4 Install and remove the forehead assemble.............................................................................22
4.5 Adjust the level........................................................................................................................ 22
4.6 Alignment cornea.................................................................................................................... 23
4 .7 Using near vision chart...........................................................................................................23

5．Tablet application interface and function introduction26

5 . 1 Main interface introduction and function description..........................................................2 6
5 .2 Refractor head operate and data display area....................................................................... 27
5 .2 Refractor head operate and data display area....................................................................... 27
5.2.1 Refractor head data display area.................................................................................27
5 .2 .2 Optometry condition switch operating area.............................................................. 32
5.2.3 PD test and NC test area............................................................................................. 33
5.2.4 Right/ Left eye auxiliary lens operate buttons...........................................................35
5.2.5 Optometry item data plus or minus button and simulate plate.................................35
5.2.6 Crossed cylinders operate button................................................................................36
5.3 Monitor chart operate area..................................................................................................... 37
5 .3.1 Vision chart type switching area.................................................................................38
5.3.2 Vision chart selection area.......................................................................................... 38
5.3.3 Vision chart display and occlusion operation area....................................................39

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 5 .3.4 Vision chart state and vision chart working mode switching area...........................40
5 .3.5 User-defined vision atlas editing interface................................................................ 40
5.4 The system state and menu area............................................................................................ 43
5 .4 .1 The use of customer information management module........................................... 44
5 .4.2 The use of custom program module.......................................................................... 48
5 .4 .3 External connection equipment management............................................................54
5.5 Fast reset and basic Settings.................................................................................................. 59
5.5.1 Change the system Settings........................................................................................ 59

6．Instrument operation.................................................................... 60
6.1 Checking with fog................................................................................................................... 60
6 .2 Precise inspection astigmatism axis and degree................................................................... 62
6 .3 Accurately measure sphere degree if there is a deviation.....................................................63
6.4 Binocular balance test.............................................................................................................64
6 .5 Heterophoria measurement.................................................................................................... 65

7. Printer using.................................................................................. 67
7 .1 Basic function of the printer.................................................................................................. 67
7.1.1 Turn on......................................................................................................................... 67
7 .1.2 Shutdown..................................................................................................................... 67
7.1.3 Self-inspection.............................................................................................................67
7.1.4 Battery Charging..........................................................................................................67
7.2 Printing mode.......................................................................................................................... 68
7 .3 Printer indicator and buzzer signal introduction................................................................... 68

8．Self diagnosis and maintenance................................................ 68

8 .1 Troubleshooting...................................................................................................................... 68
8.2 Clean and disinfect.................................................................................................................. 69
8.3 Scrapping..................................................................................................................................70

9．Dimensions and other specifications...................................... 70

9 . 1 Appearance specifications, contraindicati............................................................................ 7 0
9.2 use age......................................................................................................................................71
9.3 disclaimer statement................................................................................................................71

3
 Please read this manual before use.
This device is manufactured accord to GB9706. 1 Medical electrical equipment
general requirements for safety, have to connect the power plug to a grounded outlet.
In order to ensure use the product safely, and prevent damage to operator and other
people, or cause a lose to other devices, warning labels are indicate on the machine as
well as in the manual, please pay attention and read the accompanying documents
carefully.

ISO 9001/ 13485 certification— R&D, Manufacture and service of the products by Our
company have passed ISO 9001/ 13485 certification . IEC standards applied in this manual.
The dioptre are indicated with a reference wavelength of 5 4 6 . 0 7 nm . Materials in direct
contact with the patient passed the ISO109 9 3 assess, not made up unacceptable risk.

The safety precautions and operating procedures must be thoroughly understood before
using the device. And please safekeeping this manual. If you encounter any problems or
have questions about the device, please contact Ningbo Ming Sing’ s local authorized
distributor or contact with our customer service department directly.

This manual is meanwhile as a training reference manual, in order to ensure best

operating performance of the new machine, please read carefully and operating accord to
process in this manual. Please reserve this manual for reference for communicate with
other users in the future. If addition copy needed or have questions about this device,
please contact our company or authorized distributors.

Information contained in this manual has been confirmed when publish. Product
specifications are subject to change without prior notice. The rights of change the product
which contains in this manual is reserved by our company, and without prior notice. Sold
products does not involve in this change.

Do not copy, retrieve, distribute any chapters of this book by electronic, mechanical,
recording or any other means if not written approval by our company.

4
1 Introduction
Computerized vision tester ( hereinafter referred to as vision tester) is used to
subjective examination of visual acuity and refractive error of subject’ s eyes.

1.1 Product features and using range

a) Electric shock protection type: Class I external power supply device

b) Electric shock protection level: BF type
c) liquid inlet protective degree classification: Common device
d) Applied part: forehead rest
e) Power supply type: single phase, net power supply: 100-240V, 60/50Hz
f) Not a AP or APG type device
g) Mode of operation: Continuous operation
h) This machine is a impermanence installation device
i) This machine is not a portable device

1.2 Classify

This device is constitute by refractor head, tablet and cables, as showing in

Figure 1. 1

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 Figure 1. 1
Storage and transport environment conditions:

Temperature: - 1 0 ~ 5 5 C
Humidity: 10 ~ 85 %
Air pressure: 70 0 hPa~ 106 0 hPa( transport), 50 0 hPa~ 10 60 hPa( storage)

Working environment condition

a) Temperature : 10 C - 40 C
b) Humidity ≤80%
c) Air pressure: 800hPa - 1060hPa

Power adapter requirement

a) Input：AC 100-240V~50/60Hz
b) Output：DC 24V 2.5A 60VA

1.3 Main performance index

1.3. 1Measurement range

Sphere：+ 16.75D ~ - 19.00D

Cylinder： 0D ~ -6.00D
Axis：0º ~ 180 º
Prism： 0△ ~ 20 △
Prism base: 0º－ 360º

PD range: 50mm - 80mm (Far mode)、50mm - 76mm (Near mode)

1.3.2 Step

Sphere: 0.25D/0.5D/3.0D
Cylinder: 0.25D/ 1.0D
Axis: 1º/5º
Prism: 0. 1△/0.5△/2.0△
Prism base minimum measure step: 1º
PD: 0.5mm

1.3.3 Tolerance

a) The tolerance of sphere should accord with the requirement table 1. 1

Table 1. 1 sphere tolerance

Item Standard request Tolerance

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Sphereф (D) 0.00≤ ︱ ф ︱ ≤3.00 ±0.06 Remnant
3.00＜ ︱ ф ︱ ≤6.00 ±0.09 astigmatic
6.00＜ ︱ ф ︱ ≤9.00 ±0. 12 power≤0.03
9.00＜ ︱ ф ︱ ≤ 12.00 ±0. 15
12.00＜ ︱ ф ︱ ≤ 15.00 ±0. 18
15.00＜ ︱ ф ︱ ±0.25

b) The tolerance of astigmatic power should accord with the requirement table 1. 2

Table 1. 2 Astigmatic power tolerance

Meridian direction Astigmatic power nominal diopter

maximum absolute ≤0.50 >0.50- 1.00 > 1.00-3.00 >3.00-6.00 >6.00

diopter Tolerance D

0.00-5.00 0.06 0.06 0.06 0.09 0. 12

>5.00- 10.00

> 10.00- 15.00 0.09 0. 12 0. 18

> 15.00 0.09 0. 12 0. 18 0.25

c) The optical center tolerance of mechanical system of sphere and cylinder combinative

optical system should accord with the requirement table 1. 3

Table1 . 3 optical center tolerance of mechanical system of sphere and cylinder

combinative optical system

Nominal diopter ( Absolute) D Tolerance cm/ m

0.00 0. 12

>0.00-6.00 0.25

>6.00- 12.00 0.37

> 12.00 0.50

d) Prism tolerance should accord with the requirement of table 1.4

Table1.4 Prism tolerance

Nominal diopter (cm/m) Tolerance

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≤5.00 ±0.25 cm/m

>5.00 ±5%

e) Cylinder axis and prism base tolerance should accord with the requirement of table 1.5

Table 1.5 Cylinder axis and prism base tolerance

Item Nominal diopter (Absolute) Tolerance

>0D-0.25D ±5º
Cylinder axis >0.25D- 1D ±3º
> 1D ±2º
≤ 1 cm/m ±5º
Prism base > 1 cm/m - 10 cm/m ±3º
> 10 cm/m ±2º
Remark: the zero position of cylinder axis and prism base is defined as: the direction of
the line of centers when the height different of both sides of the device is adjust to zero

f) PD and the reference range scale should accord with the requirement of table 1. 6

Table 1.6 Tolerance of the PD and the reference range

Item Tolerance mm

VD ±0.5

PD ±0.5

1.3.4 Structure and function

1.3.4.1 The minimum aperture of all the lens of vision tester should be not less than 16mm,

for the prism equal to or more than 6 cm/ m, the aperture can be reduced to

11mm.

1 .3.4.2 Manufacturer should indicate the reference plant of vision tester, both sides should
have the identify of reference range.

1.3 .4 .3 The vision tester should have at least one set of mask and dichoptic device, each
system should mount a Jackson cross cylinder.

1 .3.4.4 Forehead rest adjust range should be at least 10mm.

1. 3. 4 .5 Observational systems should be without reflected light and scattered light.

1.3.4.6 Structure of lens cavity should be not influence the patient examine.

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1.3.4.7 The device should be alignment and centered when the lanes and accessory fixed
in front of the sightglass.

1.3.4.8 The device should be equipped with auxiliary lens, every auxiliary should be
identify corresponding.

1 .3.4.9 The device using LCD display, the displayed character, data and curve should be
clear.

1 .3.4.10 The PD should be able to continuous adjustment, the range is no less than

50mm—75mm.

1.3.4.11 All the lens disks should be installation corresponding lenses as fixed data, the
center of lenses and holes should be alignment.

1 .3.4.12 All the buttons of the device are identification clearly, function and status should
be convert normally when press the keys.

1 .3.4.13 This device with testing result print function.

1.3.5 Appearance

1 .3 . 5 . 1 The surface of vision tester should be smooth, bright and clear, cannot have etch
pit, dirt, scratch and front, rags and etc.

1 . 3 . 5 . 2 Effective clear aperture of the vision tester’ s optical element cannot have bubble,
defect, scratch and any macroscopically observable irregular surface defects.

1.3.6 Material biocompatibility

The material which contact with the patient ( forehead rest and face shield) should be

according to the follow requirement:

a) No cytotoxicity.

b) No delayed type hypersensitivity.

1.3.7 Cleaning and disinfect measure

1.3.7.1 The part and nearby part where contact with the patient or operatives should be

liable to clean. No disinfections dead angles should be on the parts which need to

disinfect.

1 .3.7.2 Please cleaning and disinfect the device according to this user manual, should not
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 cause device damage or material deteriorate, or affect to the security protection

performance.

1.3.8 The environment test of computerized vision tester should be accord with the
requirement of climate environment Ⅱ mechanical environment test group Ⅱ in
GB/T14710- 1993
1.3.9 Safety requirements should accord with stipulates in GB9706. 1

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2. Security considerations

2.1 Security identity

In this manual, words used to indicate the security alert degree or level are defined as
follows:
Warning: indicates a potentially dangerous situation, such as can' t
warning be avoided, could result in death or serious injury.
Attention: indicates a potentially dangerous situation, such as can' t
attention be avoided, may result in slight or moderate injury or property
damage.
Under certain conditions, even if the conditions for attention are also likely to lead to
serious damage. So safety precautions must be strictly abided by the moment.

2.2 Safety precautions before use

warning
• Be sure to secure the refractor head to the refractor arm .
If the refractor head is dropped or falls, injury or device failure may result.

CAUTION
• The safety precautions and operating procedures must be thoroughly understood before
using the device.
Unintended use may cause unexpected malfunction or adverse experience.

• Do not store the device in an area that is exposed to rain or water, do not put any
container which with gas or liquid.

• Do not store the device in dusty, hot, humid places or in direct sunlight.

• When moving the device to another place, do not carry it alone.

Back injury may occur or the device may fall.

• Install the device on a stable and level surface.

If the device falls, injury or device failure may result.

• Never install the device in a place where it is exposed to water.

Contact with liquids may cause electric shock or device failure.

• Install the device in an environment that meets the following conditions.

11
The following conditions must be maintained during use.
Temperature: 10 to 40 ºC (50 to 104ºF)
Humidity: 30 to 85% (No condensation)
Pressure: 760 to 1060 hPa
Installation place: Interior
No hazardous dust or smoke
A dust- free place
A place free from vibration and shock

• Be sure to level the refractor head before use.

Failure to do so could affect the data accuracy. Level the refractor head by turning the
leveling adjustment knob until the bubble is centered in the level.

• Be sure to use a wall outlet which meets the power specification requirements.
If the line voltage is too high or too low, the device may not operate properly. Malfunction
or fire may result.

• Connect the power plug to a grounded outlet to avoid electric shock

• Do not overload the electrical outlet.

Or else fire may result.

• Fully insert the power plug into the outlet.

Imperfect connection may cause fire.

• Do not use any power cord other than that equipped. Do not use the equipped power
cord for purpose other than as intended.
Or else malfunction or fire may result.

• Do not place heavy objects on the power cord.

A damaged power cord may cause fire or electric shock.

• When installing and operating the device, observe the following instructions about EMC
( electromagnetic compatibility) :
- Do not use the device simultaneously with other electronic equipment to avoid
electromagnetic interference with the operation of the device.
- Do not use the device in the same room with other equipment such as life- support
equipment, other equipment that has major affects on the life of the patient and results of
treatment, or other measurement or treatment equipment that involves small electric
current.
- Do not use the device simultaneously with portable and mobile radio frequency
communication systems because it may have an adverse effect on operation of the
device.
- Do not use cables and accessories that are not specified for the device because that
may increase the emission of electromagnetic waves from the device or the system and
decrease the resistance of the device to electromagnetic disturbance.

If potential electromagnetic interference between equipment with other equipment,

12
shielding measures should be taken or change the placement of this equipment, in order
to reduce the possibility of interference.

2.3 During Use

WARNING
• When moving the refractor head, make sure that there are no obstacles in the path.
If the arm is swung carelessly, it may bump against someone or something and injury or
malfunction may occur.

CAUTION
• Keep the measuring windows free of fingerprints and smudges.
Failure to do so could affect the data accuracy.

• In the event of smoke or strange odors, immediately turn off the device and disconnect
the power plug from the outlet. After you are positive that the smoke has stopped, contact
Ningbo Ming Sing or your authorized distributor.
Continued use of the device under such abnormal conditions may cause fire or electric
shock.

• When the device is not in use, please turn it off and put the dust cover over it.
If the device is not covered for an extended period, the accumulation of dust may affect
the data accuracy.

• Perform the visual and operation checks before using the device. If any abnormality is
found, do not use the device.
Continued use of the device under such abnormal conditions may affect the data
accuracy. Unexpected malfunction or faulty diagnosis may induce unexpected health
hazards.

• Before each patient, always clean the patient' s contact area ( forehead rest and face
shields) using disinfectant alcohol.

• This instrument must be operated by the trained or qualified people, or after their
instruction.

2.4 After Use

CAUTION
• If the device will not be used for the extended period, disconnect the power cable from
13
 the wall outlet.

• Occasionally clean the prongs of the power plug with a dry cloth.
If dust settles between the prongs, it may collect moisture, and short circuit or fire may
result.

• Do not yank the power cord to disconnect it from an outlet.

This can damage the metal core of the cord and may result in electric shock, short circuit
or fire.

2.5 Maintenance and Check

CAUTION
• Any repair or service to the instrument must be done by Ningbo Ming Sing Optical R & D
Co. , Ltd or people trained and can be operate correctly with experience or contact with
the authorized distributor to do the maintenance.

• Screw out the safe screw may cause the machine separate from the support arm and
cause the serious damage.

• Do not open the body cover or try to repair the interior components. Any repair or service
to the instrument must be done by experienced staff from Ningbo Ming Sing Optical R &
D Co., Ltd or the authorized distributor.

• The adjustment must be done by Ningbo Ming Sing Optical R & D Co., Ltd technician or
other authorized staff.

• The refractor head operation must be strictly according to the user manual. If not follow
the user manual, the patient safety and the normal work of instrument can not be
guaranteed.

CAUTION
• Never use organic solvents or high washing power detergent to clean the exterior of the
device.
It may ruin the surface of the device.

• Never put the refractor head into the liquid, otherwise it will broke the machine.

• Avoid touch the optical components to prevent leaving fingerprint or oil stain to decrease
the performance.

14
2.6 Disposal

CAUTION
Follow the local ordinances and recycling regulations regarding disposal or recycling of
the components.
It is recommended to commission the disposal to a designated industrial waste disposal
contractor.
When disposing of packing material, follow the local ordinances and recycling regulations.

3 Configuration

3.1 Refractor head configuration

15
 Figure 3. 1
1) Examination window … … … .The patient’s eyes are observed through the window, and
patient observe charts through the window.
2) Near vision illumination … … Light up when near vision testing, light off when far vision
testing.
3 ) Corneal aligning windows … …The position of patient’s cornea can be observed through
the window.
4 ) Forehead rest adjust knob … … Moves the forehead rest forward and backward in order
to adjust the VD.

5) Near-point rod holder … … … … .The near-point rod is inserted and attached here.

16
6) Near-point rod clamp screw … ..Fix the near-point rod.
7) Spirit level … … … … … … … … … … … Used to confirm that the refractor head is level.
8) Leveling knob … … … … … … … .Adjust the level of the refractor head.
9) Forehead rest magnet … … … … .Fix the face shield.
10) Forehead rest … … … … … … …The patient’s forehead rests here when test.
11) Cornea alignment scale … … … Measures the VD.

3.2 Accessories

Figure 3.2
1 2 ) Face shield (2 sets.) … … … ..Attached to the instrument to put the patient’s face in
place, use one while the other is being sterilized.
13) Dust cover … … … … … … … Covers and protects the instrument body from dust and dirt
during storage.
14) Forehead rest (2 sets.) … … . The patient’s forehead rests here. Detachable by a touch,
use one while the other is being sterilized.
1 5) Near-point rod … … … … …The card holder is attached at the near point examination
position.
16) Card holder … … … … … … …The near-point card is attached.
17) Operator’s manual … … … … Describes instructions about handling the instrument
18) Near-point card … … … … … .. Contains the near-point charts, for test the near vision.

17
 Warning
The accessory in this device supplied by our company, other supplier’ s accessory
could be use only after verify the safety by our company

3.3 Identification

The following identifications applied on this device

Accord with basis requirement of EU MDD
0120 93/42/EEC

Moisture proof

Read operator’ s manual

Insulation type BF device

Electronic electrical equipment scrap disposal

requirements

Manufacturer

EU authorized representative

Production date

Warning mark, read operator’ s manual before use

Series number

“ I” and “O” representative power switch (ON) and

( OFF) separately

AC

Fuse indicate

The place of warning mark

18
 Figure 3.3
There is warning mark in front of device: Do not close to the near point rod, prevent of
crushing

4 Ready use

4.1 Setup connection of the device

Profession staff of our company or authorized personnel who have been trained by
our company are required on the installing process .
It use with a secure connector if the refractor head install on the stand or ophthalmic
unit which from other companies, as showing in figure 4. 1. Adjust the leveling knob which
is showing in figure 3 . 1 after connect the refractor head, to make the refractor head at
level condition.

19
 Figure 4. 1
If the refractor head install on our ophthalmic unit, it is no need for connector, as show
in figure 4 . 2 , it could be install on our ophthalmic unit directly. Power supply unit and
cables are fixed in the ophthalmic unit.

Figure 4.2

4.2 Install near vision chart

Install the near point rod, card holder and near point card before using the device.

Insert the card holder into the top end of the near point rod. The card holder is

20
designed to slide along the rod. As shown in the Figure 4.3.

Figure 4.3
Insert the near point card into the spring which is attached in the card holder.
Next, insert the near point rod into the near point rod, fasten with the set screw. When not
in use, hold it upright as shown in the next illustration.

Figure 4.4

Warning

To avoid injury due to contact, do not bring the face close to the near point rod.

4.3 Install face shield

As figure 4.5, the face shield is fixed by magnet.

21
 Figure 4.5

4.4 Install and remove the forehead assemble

Remove the forehead rest as Figure 4 . 6 . To mount the forehead rest, reversely follow the
remove procedure.

Figure 4.6

4.5 Adjust the level

Before using, make sure the refractor head is level. If the bubble is not between two lines,
make it level by operating the leveling knob.

22
4.6 Alignment cornea

Make the forehead rest move back and forth by turning the forehead rest knob.
With the patient’ s forehead set to the forehead rest, look through the cornea aligning
window from about 25 cm apart.

Figure 4.7
Observe the anterior pole of cornea and check it on which line as show in figure 13 . If

the eye comes on the long line, it means the distance from the eyeglass to the cornea

surface is 12 mm, short lines are given at 2 mm intervals, the dotted line is 13 . 7 5 mm from

the cornea surface. For example, if the cornea surface is 4 mm away ( on the second short

line) from the long line, it means the glasses wearing distance is 12+ 4=1 6 mm. If the

eyeglass wearing distance and the measuring distance is different, correction the

“ 4.Forehead rest adjust knob” as show in Figure 3. 1.

4.7 Using near vision chart

When the patient wears multi- focal lenses, detection the diopter when look at the near
distance. It needs to install the near point rod, card holder and near point card

Bring down the near point rod ，and screw the retaining screw.
The scale of the near point rod is graduated in cm and inch unit.
Value matching the both end lines of the card holder indicates the distance between
the eye and the card. (Figure 4.8)

23
 Figure 4.8
Turn the rotary part at the bottom part of the card to select the required chart. The chart
will appears in the sight window( Figure 4.9)

24
 Figure 4.9

Remark: The number and name of the charts which doctor seeing is corresponding with

which the patient seeing.

Number and name of the charts is as follows:

1 ：Letters

2 ：Letters&Numbers

3 ：Numbers(V)

4 ：Astigmatism

5 ：Letters

6 ：Cross grid

7 ：Numbers(H)

8 ：Landolt’s rings

25
5 Tablet application interface and function
introduction

5.1 Main interface introduction and function

description

The main interface of operation program is divides into three parts: refractor head

operate and data display area, Monitor chart operate area, system condition and menu

area. Main interface layout and the above three areas layout are showing in figure 5. 1.

Figure 5. 1 Main interface

26
5.2 Refractor head operate and data display area

Refractor head operate and data display areas are consist of 7 parts, as showing in
figure 5.2.

Figure 5. 2 Refractor head operate and data display area division

1. Refractor head data display area

2. Optometry status switching operate area
3. PD and UCVA test area
4. L/R auxiliary lens buttons
5. Optometry items value plus/minus buttons
6. Cross cylinder operate buttons
7. Simulate drive plate

5.2.1 Refractor head data display area

This area realizes three main functions: 1. Auto display the data of the lens of refractor

head. 2. Click to select the optometry items. 3. To switch the status and parameter of the

optometry items by long press the specified item.

The detailed function block of this area is showing as figure 5.3. If the item changes to

blue, for example , it means the item is selected. If the background is

27
white, for example , it means it’s not selected.

Figure5 .3 Refractor head data display area

1) Right eye spherical power display area and right eye spherical power test mode
select button.

2) Binoculus spherical power test mode select button, display the current step- length of
sphere.

3) Left eye spherical power display area and right eye spherical power test mode select

button.

*Long press any button of the 1,2,3 for at least one second, the sphere step-length

select menu will appear, click to select the needed sphere step- length. Sphere

step- length menu is showing in figure 5.4, button functions are as below:

Button display 0.25D 0.5D 1D 3D

Button function sphere sphere sphere sphere

step- length step-length 0. step- length 1D step-length 3D

0.25D 5D

Figure 5.4 Sphere step-length menu

4) Right eye cylinder power display area and right eye cylinder power test mode select

button.
28
5) Binoculus cylinder power test mode select button, display the current -/+ mode of
cylinder.

6) Left eye cylinder power display area and left eye cylinder power test mode select
button.

*Long press any key of the 4,5,6 for at least one second, the cylinder mode select

menu will appear, click to switch the cylinder mode. Cylinder mode menu is showing in

figure 5.5, button functions are as below:

Button display - +

Button function Negative cylinder mode Positive cylinder mode

Figure 5.5 cylinder mode menu

7) Right eye axis display area and right eye axis test mode select button.

8) Binoculus axis test mode select button, display the current axis step-length.

9) Left eye axis display area and left eye axis test mode select button.

* Long press any key of the 7,8,9 for at least one second, the axial step and power

select menu will appear, click to select the axial step(1 °or 5°) or specified axial power

(180°/ 135°/90°/ 45°) . Axial setting menu is showing in figure 5.6, button functions are as

below:

Button 1 5

display

Button Axial step 1° Axial step 5°

function

Button 180 135 90 45

29
 display

Button Cylinder axial Cylinder axial Cylinder axial Cylinder axial

function 180° 135° 90° 45°

Figure 5.6 Axial setup menu

10, 11, 12, 13, 14, 15 is corresponds to prism item, the display mode is different according to

rectangular coordinate mode or Polar Coordinates mode as showing in figure 5.7 and 5.8.

Figure 5. 7 Rectangular coordinate mode

Figure 5.8 Polar Coordinates mode

1 0) Right eye horizontal prism power display area and horizontal prism test mode
select/ right eye data display area and test mode select under polar Coordinates mode.

1 1) Binoculus horizontal prism power test mode select/ test mode select under binoculus
polar Coordinates mode, display prism step in corresponding mode.

1 2) Left eye horizontal prism power display area and horizontal prism test mode select/
left eye data display area and test mode select under polar Coordinates mode.

1 3) Right eye vertical prism power display area and vertical prism test mode select/ right
eye data display area and test mode select under Rectangular coordinate mode.

14 ) Binoculus vertical prism power test mode select/ test mode select under binoculus
rectangular coordinate mode, display the prism step in corresponding mode.

1 5) Left eye vertical prism power display area and vertical prism test mode select/ left eye
data display area and test mode select under Rectangular coordinate mode.

*Long press any key of the 10, 11, 12, 13, 14, 15 for at least one second, the prism step

and mode select menu will appear, click to select the needed prism step (axial 1°or 5°，

30
0. 1△ or 0.5△) . Prism menu is showing in figure 5.9 under Rectangular coordinate mode,

button functions are as below:

Button display 0.1 0.5 P-R 0

Button function Prism step Prism step 0.5△ Switch to polar Clear

0. 1△ Coordinates

mode

Figure 5 . 9 Prism menu under Rectangular coordinate mode

Axial test mode setting menu is showing in figure 5. 10 under polar Coordinates mode,

button functions are as below:

Button 1 5 X-Y 0

display

Button Prism axial step Prism axial step Switch to Clear

function 1° 5° Rectangular

coordinate mode

Figure 5. 10 Prism axial menu under polar Coordinates mode

Test mode setting menu is showing in figure 5. 11 under polar Coordinates mode,

button functions are as below:

Button 0.1 0.5 X-Y 0

display

Button Prism step 0. 1△ Prism step 0.5△ Switch to Clear

31
 function Rectangular

coordinate mode

Figure 5. 11 Prism menu under polar Coordinates mode

16) Right eye ADD power display area and ADD test mode select

1 7) Binoculus ADD power test mode select

18) Left eye ADD power display area and ADD test mode select

*ADD step is fixed at 0.25D

5.2.2 Optometry condition switch operating area

This area has 6 buttons, as showing in figure 5. 12:

Figure 5. 12 Optometry condition switch key

5.2.2.1 Near/far switching buttom

This button realizes two functions: switch the near/ far test mode and display current near,

far point test mode.

Select the far or near point test mode. Far point test mode will be selected automatic

when the data is clear.

Near point test mode display：

Far point test mode display：

* If current is far point test mode, when switch to near point test mode, if have not

process near point test, it will automatic copy the S+ADD，C，A power of far point test

32
 to the S,C,A power of near point test mode. It will not copy if near point test have been

taken.

* If current is far point test mode, when switch to near point test mode, if have not

adjust the PD value of near point test mode, the PD value of near point will calculate

according the far point PD value. If near point PD value have been adjusted, then it

will not related.

* The light will turn on default if switch the far point condition to near point condition,

the light could be turn off by long press for two seconds if no need near
point light,

5 .2.2.2 Optometry data area switch button

There are three buttons corresponding with NC, CV and Final switching. The

functions are as follow:

NC: Uncorrected visual acuity test mode, in this mode, all lens will withdraw, input VA

value.

CV: Callout refractor head data

Final: The final prescription. Cope the data of refractor head to Final, could adjust the

final prescription according to demand and experience.

5.2.2.3 Preset-program switch button

The rightmost two buttons are program step switch buttons after load the custom
program or standard program . There are two display conditions:

Finish load program condition: , with response when clich these

two buttons.

Do not load program condition ： , without response when clich

these two buttons.

5.2.3 PD test and NC test area

This area realizes the PD test and input NC data operate. It’s showing in Figure 5. 13

33
 Figure 5. 13 PD and NC test area

1. Right eye PD data display and Pd adjust and select button

2. Binoculos PD data display and binoculos Pd adjust and select button

3. Left eye PD data display and Pd adjust and select button

* Cross lens will put in as well as cornea light turn on automatic when click 1 , 2 , 3 . To

turn on /turn off the cornea light by long press button 2 .

*It will exit PD test mode automatic as well as withdrwa corss lens when click

S,C,A,H,V,P,R,ADD,VA buttons under PD test condition.

4. Right eye VA display and right eye VA input and select button

5. Binoculus VA display and binoculus VA input and select button

6. Left eye VA display and left eye VA input and select button

* When click 4,5,6, it will pop up the select box according to the sight of current vision

chart, when click the target sight, the data will copy to corresponding VA data area of this

eye. The choice box will not pop up if the currenty vision chart is not belong to general

used vision charts.

34
5.2.4 Right/ Left eye auxiliary lens operate buttons

This area realize the display of current put in auxiliary lens, and auxiliary lens select

box callout function.

Click the left and right auxiliary lens operate button, it will pop up the left auxiliary lens

select box (Figure 5. 14) and right auxiliary lens select box (Figure 5. 15) respectively.

When click the corresponding auxiliary, the lens will be put in automatic, and will back to

the main interface automatic.

* Click anywhere except the auxiliary lens, the select box will disappeared automatic,

it as well as the cancel operator of auxiliary lens select.

Figure 5. 14 Left eye auxiliary lens select box

Figure 5. 15 Right eye auxiliary lens select box

5 .2.5 Optometry item data plus or minus button and simulate

plate

or ratate the plate clockwise：Plus the data of current test item .

35
 or ratate the plate counterclockwise： Minus the data of current test item .

5.2.6 Crossed cylinders operate button

： In the screen of main testing interface, if not insert cross cylinder and under

binoculus or right eye test mode, it will cover the left eye automatically, and then insert

right cross cylinder, set the dial of right eye testing, and set cross cylinder as side [ 1] .

In the screen of main testing interface, if not insert cross cylinder and under left eye test
mode, it will cover the right eye automatically, and then insert left cross cylinder, set the
dial of left eye testing, and set cross cylinder as side [ 1] .

In the screen of main testing interface, if the cross cylinder insert already, then the cross
cylinder will be at side [ 1] .

： In the screen of main testing interface, if not insert cross cylinder and under
binoculus or left eye test mode, it will cover the right eye automatically, and then insert left
cross cylinder, set the dial of left eye testing, and set cross cylinder as side [ 1] .

In the screen of main testing interface, if not insert cross cylinder and under right eye test
mode, it will cover the left eye automatically, and then insert right cross cylinder, set the
dial of right eye testing, and set cross cylinder as side [ 1] .

In the screen of main testing interface, if the cross cylinder insert already, then the cross
cylinder will be at side [2] .

36
5.3 Monitor chart operate area

This area realizes the management, callout, display of the built- in vision charts and

operate of the monitor chart. It is showing in Figure 5. 16 and contains 4 parts:

Figure 5. 16 Monitor chart operate area

1.vision charts type switch area

2. vision charts select area

3 . vision charts display and mask operate area

4. vision charts condition and work mode switch area

37
 5.3.1 Vision chart type switching area

The current visual chart has three types: visual functional examination type, general

letter chart type and color blindness type. Six types of key functions in Program is as

follows,：

Button Function

Choose general letter type chart, through the short press can switch

the content of the visual figure in the vision chart selection area.

Choose general visual function type chart, through the short press can

switch the content of the visual figure in the vision chart selection area.

Choose color blindness type chart, through the short press can switch

the content of the visual figure in the vision chart selection area.

User- defined vision charts 1, through the long press can turn out the

user- defined vision atlas 1 editor interface, through the short press

can switch to the user custom visual atlas 1

User- defined vision charts 2, through the long press can turn out the

user- defined vision atlas 2 editor interface, through the short press

can switch to the user custom visual atlas 2

User- defined vision charts 3, through the long press can turn out the

user- defined vision atlas 3 editor interface, through the short press

can switch to the user custom visual atlas 3

* The icon style shows the currently selected type The icon style show
that the type is not selected

* All kinds of corresponding vision atlas content see 5.3.2.

* User-defined vision chart editor interface see 5.3.5.

5.3.2 Vision chart selection area

Vision chart choose area, a page at most shows 24 thumbnail images of vision chart,

38
by clicking on the thumbnail, automatically control LCD chart display the specified vision

chart, and control the refractor head switch to the corresponding state .

* User-defined chart atlas 1, 2, 3 is including in 24 figures, can complete display in

one page. Color- blind figure, general letter and visual function check types need more

pages to display, such as 5.3. 1 described, through the short press can realize content

switch, also can realize the flip over switch by horizontal stroke screen operation in vision

chart select area.

* Specific type corresponding vision in atlas content is describe in 5.3.5

* Long press the binocular visual function chart , will show the vision chart simple

instructions on the vision chart display area.

5.3.3 Vision chart display and occlusion operation area

Vision chart display area has two types, corresponding the general letter vision chart

and general visual function test vision chart respectively. For example, figure 5. 17 is a

general letter vision chart, figure 5. 18 is a general visual function test figure.

Figure5. 17 general letter vision chart

* General letter type, according to the chart 5. 17, for example, with the blue button 1, 2, 3,

by clicking on, can realize single block or cancel block. Button marked with 0. 1, 0. 16,

shows the sight values of this line, by clicking on, can realize single block or cancel a

single block.

* Directly click on the specified chart, can realize single letter block or cancel a single letter

block.

* When vision chart under block condition, swiping the screen on the vision chart display
area for horizontal and vertical operation, can realize the block up, down, left, right four

39
directions of movement.

Figure 5. 18 general visual function test vision chart

* General visual function check vision chart display ，see 5. 18 for example.

5.3.4 Vision chart state and vision chart working mode

switching area

The toolbar to realize the function as shown below：

button Realize the function

Realize genera letter enter into/ exit red and green contrast

mode

Realize the vision chart inverted mode switching function

Can make general letter and Logmar table contrast mode

Proceed LCD Monitor chart working mode setting

5.3.5 User-defined vision atlas editing interface

Through long press user- defined atlas, will enter to the user- defined instance atlas editing

interface.This interface is made up of four parts altogether, as shown in figure 5. 19

40
 Figure 5. 19 user-defined instance atlas editing interface

1. Built in vision chart type switch button area

2. Built- in vision chart display area

3. User- defined vision chart display area

4 . funcitonal button area

5 .3.5.1 Built-in vision chart type switch button area

The definition of the button type is consistent in 5.3. 1. Click on the button, will display

the corresponding all vision chart in the built- in vision chart area.

5.3.5.2 Built-in vision chart display area

Show all the built- in vision charts of the specified type. There are three types: the

current general letter vision chart, visual function test vision chart and color blindness

charts. Specific content as shown in figure 5.20 ,5.21and 5.22：

Figure 5.20 General letter vision chart

41
 Figure 5.21 visual function testing vision chart

Figure 5.22 color blindness chart

5 .3.5.3 User-defined vision chart display area

Show the content of current edit user custom atlas

A single user- defined atlas can accommodate 24 vision charts.

5.3.5.4 Function button area

Key functions are described as below:

Button icon Funcitonal description

Reload button. Don’t save the current state of editing, reload

the last saved edit status.

Save the edit button. To save the current edit content to

user- defined atlas, will cover the previous user- defined atlas.

Exit the edit button. Don’t save the current state of editing,

directly back to the main measurement interface.

42
5.3.5.5 Add new vision chart to user-defined atlas

Add one or more new vision charts to define atlas, or replace with a new vision chart

instead of original vision figure, need to make the following three steps:

1. If add the needed vision charts in the built-in visual figure display area, to drag

into the user- define display area, cannot release in the process . Can see a small

chart move with finger, display content is the new vision chart which need to

added.

2. Drag the vision chart to the specified location of user-defined visual figure shows

area. If moved to the location can be placed, will display a larger vision chart in

the upper left corner. Placed in empty vision chart position, it means add in the

empty position. If placed in the vision chart already exist, then it will replace with

new vision chart instead of original vision chart.

3. Click the edit button to save.

5 .3.5.6 Delete the original user-defined atlas vision charts

Remove specified visual figure from the original user- defined images, need to make

the following two steps operation:

1. Press on the figure which needs to delete in the user- defined vision chart display
area for 2 seconds, the specified vision chart will become empty state.

2. Click the edit button to save.

5.4 The system state and menu area

Button in this area has realized the basic function of initialize program loading, the

user information loading, equipment connection, printing, the system Settings. Keys

function is briefly described as follows:

Button Functional description

43
 Customer information management key. Showing the customer

information loading condition, and customer management module callout

function.

User- defined program management key. Display user- defined program

loading state, and the user- defined program callout function, user- defined

editing functions.

The refractor head management button. Show the connection state of

refractor head, and refractor head management interface callout function.

LCD Monitor chart management keys. Showing the connection state of

monitor chart and monitor chart management interface callout function.

Auto refractometer management keys . Display auto refractometer

connection status, management interface and data browsing interface

callout function.

Lensmeter management keys. Display lensmeter connection status,

management interface and the data browsing interface callout function.

The printer management keys. Display the connection state, the

management interface and print data browsing interface callout functions.

Quick reset button . Rapid reset the measurement interface data, fast

reset of the refractor head function.

System Settings button. Callout the system parameter setting interface.

5.4.1 The use of customer information management module

Customer information management button has two display status：

Display status Status description

Customer information not loaded, click the button, will enter into the

customer information loading confirm interface, confirm the new user

44
 registration or the old users searching.

Customer information loaded, if click the button, will directly enter into

the current loaded customer information page.

5.4.1.1 New user registration

Click on the customer information management button, as shown in figure 5.2 3 interface:

Figure 5.2 3 the initial interface of customer management

Click on the [Add] button. Switch to the new customer information input interface, as

shown in figure 5.24 interface:

45
 Figure 5.2 4 Customer information input interface

Customer name and phone number should be fill in, other content is optional, can be

modified in the future. After confirmed, click on the [ confirm] button, if the construction of

the new customer profiles successfully filed, it will jump directly to the customer optometry

history interface as shown in figure 5.25:

Figure 5. 2 5 customer optometry history interface

Under this interface, it will display the current client' s name, phone number and

optometry historical information. The history list as below is briefly shows the final

prescription for the power of sphere and cylinder and the corresponding date.

5 .4.1 .2 The modification of the basic information of the registered users

Click on [modify] button in figure 5.25, will callout the interface as shown in figure 5.24.
46
Resume load the customer information need to modify and click on the confirm button, it

will update the basic information of the customer.

5.4.1.3 The exit of the registered users

Click on the[login out ] button in figure 5.25 ,will exit the current loaded customers and

return to the initial interface as shown in figure 5.23.

5.4.1.4 Registered customer enquiries and loading

If the current client loaded, click login out to return to the interface as shown in figure

5 .23. If no current customers loaded, click on the user management key, to enter into the

interface is shown in figure 5.23.

Input the customer's name (or last name) in the textbox in figure 5.23 and click search.

For example two customers have registered "Lucy" and " Linda", only need to input “L” in

the textbox, When click search, the list will show all the name with "L" + XX (for one or

more words) combination of the customer, as shown in figure 5.26:

Figure 5.26 Search the customer results

If we need to load current customer is the "Lucy", directly click on the list of Lucy, it

will automatic loading this customers, and jump to a customer optometry history is shown

in figure 5.25 interface

47
5.4.1.5 Customer optometry historical data loading

Under customer optometry historical display as shown in figure 5. 25 , if have content

in the list below, It means the historical optometry data is exist, according to the date

display, select the optometry history data and click once, it will jump out optometry data of

the specified user and the specified date interface, as shown in figure 5.27:

Figure 5.27 Customer optometry history list

The interfaces in detail show the naked eye, Auto ref- keratometer data, lensmeter data,

refractor head data and finally prescription records.

Corresponding function: read the display data from the file, and loaded into
the current measuring interface

Corresponding function: not load data, returns to the historical records list to
reselect.

5.4.2 The use of custom program module

Custom program management button has two display statuses:

Display status Status description

Custom procedure not load, click on the button, will enter into custom

program choose interface. Long press button for 2 seconds, will enter

48
 the custom program editing interface.

Custom procedure loaded, click on the button, will enter into custom

program choose interface. Long press button for 2 seconds, will enter

into the custom program editing interface.

5 .4.2.1 Custom program selection interface

There is one default standard procedures and six user- defined procedures in the

program . Selection interface loaded in user-defined program as shown in figure 5.28, click

on the corresponding button to load the corresponding preset program .

Figure 5. 2 8 Preset program selection interface

5 .4.2.2 Custom program editing interface

Custom program editing interface as shown in figure 5.29:

49
 Figure 5. 29 custom program editing interface

1. The program selection key area

2. The vision chart selection area

3. The currently selected vision chart display area

4. The auxiliary lens operation area

5. The single step program list

6. The optometry options area

7. The basic function menu area

5.4.2.2.1 Program selection button area

Clicking to select target edit program . The standard procedure is protected and

cannot be edited.

5 .4.2.2.2 The vision chart selection area

It is consistent with the vision chart selection area of 5.3. 1. Do not keep three

user- defined vision atlas, click on the specified vision chart in 3 ( The currently selected

vision chart display area) and insert the specified vision chart, shows the default auxiliary

lenses in 4 ( auxiliary lens operation area), update the contents of 6 (optometry options

area) to the default optometry options of this vision chart.

50
5.4.2.2.3 The currently selected vision chart display area

Display the current step selected vision chart

5.4.2.2.4 The auxiliary lens operation area

Display the current step auxiliary lenses. The same use with 5.2.4 right/left eye

auxiliary lens buttons.

5.4.2.2.5 Single step program list

Display the current selected program step list. There is the step number, vision chart

selection and left/ right eye auxiliary lens selection in display content . Currently selected

steps will become dark blue background, steps which not selected is light blue.

Click on the specified steps, will automatically load the specified steps vision chart,

auxiliary lenses and optometry options.

The steps of the current single program better no more than 32 steps. Too long may

seriously reduce the applicability of the custom procedures.

5.4.2.2.6 The optometry selection area

The area is used to control the basic condition of refractor head in the process of the

optometry. Buttons from left to right is content：

Seriel No. Function description Control content

1 Specify measuring Right eye, left eye, left first than right, binoculus

eye

2 Specify the Sphere, cylinder, axis, Horizontal prisms, vertical

measuring item prism

3 Specify near/ far Near ,far

state

4 Specify additional 0.0D-2.0D, 0.25D/step

51
 fog degree

5.4.2.2.7 The basic function menu area

Implement save, delete, insert and steps of switching and exit and other operations in

the process of program editing. Buttons from left to right function is described below:

Button display Operation content

Pre step Save the current page changes, and return to previous page

content, update the list of steps

Next step Save the current page changes, and display the content of next

step, update the list of steps

save Save the current page modify settings, update step list

insert To save the current page content, as a new step into the next

step, update step list

delete Delete the current step, display the next step, update step list

Close Dot save the current page changes, exit the program editing

interface

5.4.2.2.8 Establishing custom optometry program

The function of the custom optometry program block is introduced in the previous

details. Next we will illustrate the specific steps of last optometry case.

For example, in the process of accurate measurment on cylinder, will use Cross

Cylinder and fog, we can set as following：

First choose point cloud icon, click on the specified measuring project button, switch

to the " cylinder", In general, the cloud point figure insert automatically join with crossed

cylindrical lens, if you are not careful operation to cancel it by mistake, you can insert

again cloud point figure, and it will automatically to join. Click to specify additional fog

cloud button to add a certain value, the final screen display as shown in figure 5.30:

52
 Figure 5.30 Insert point cloud figure in custom edit program

In the process of measuring heterophoria with Maddox, it can be set like this.

First select point light source, then click the right eye auxiliary lens operation button,

will appear the auxiliary lens selection interface in figure 5.31:

Figure 5.3 1 choose horizontal Maddox

Click , will automatically return to the program editor interface, set the test
project as " horizontal prism", measured the eye as the "binoculus ". The final screen

display as shown in figure 5.32：

53
 Figure 5. 3 2 Heterophoria test program editing interface

Similarly, optometrists can be input every optometry steps in the program, if use the

program next time, can call out the preset program selection menu inside the main testing

interface, select the corresponding procedure.

In the process of program operation, performed each optometry steps, click

button ， The instrument will automatically perform the next program

( click can return to the previous optometry step) set projection icon or select
auxiliary lenses will greatly improve the efficiency.

5.4.3 External connection equipment management

Refractor head, Auto refractometer, Monitor Chart, printer, lensmeter are

communicated by wireless Bluetooth. Button state is described below

Button Connect Not connect New data

Refractor no

head

management

54
Monitor chart no

management

Auto

Refractometer

management

Lensmeter

management

Printer no

management

Keys operation is described below:

Button Long press Short press

Refractor head The refractor head connection no

management interface

Monitor chart Monitor chart connection no

management interface

Auto refractometer Auto refractoemeter connection Auto refractoemeter data preview

management interface

Lensmeter none none

management

Printer printer connection interface Printer data preview and printer

management operation interface

5.4.3.1 Equipment connection

The operation way of Optometry head, chart monitor, lensmeter printer and

refractometer is the same. Next make the optometry head device as an example,

introduces the connection status and the equipment connection operation.

Long press the refractor head management keys for 2 seconds, turn out the refractor

55
head connection management interface, as shown in figure 5.33:

Figure 5 . 3 3 refractor head connection management interface

Device list is divided into two parts, one is the current established head connected,

the other part is the equipment record which has set up a connection records with control

site before ( No matter whether these devices are real), is referred to as the device history.

The current connection has been established, will show optometry icon to
identify. When the connection has been established, click on the equipment records in any

of the records, whether to disconnect, as shown in figure 5.34:

Figure 5.34 disconnect dialog box

If the current device not connected, click on the equipment records in any of the

records, it will reminder whether to connect, as shown in figure 5.35:

Figure 5.35 connect dialog box

Click [ connected devices], will automatically return to the main interface,

connection work with refractor head will be carried out in the background, when

56
 the connection is successful, the refractor head management buttons in the right

menu will switch to connected state.

5 .4.3.2 Auto refractometer data browsing and transmit

After the success connection with auto refractometer by Bluetooth, control site will

monitor message from the auto refractometer. When the auto refractometer has the

optometry data transfer action, the control site will remind the user by changing control

button of auto refractometer .

Short click the auto refractometer management button will turn out the auto

refractometer data browsing and operation interface, by clicking can fast

loading auto refractometer data to refractor head. As shown in figure 5.36:

Figure 5. 3 6 auto refractometer data browsing interface

： loading auto refractometer data to refractor head

： Close the interface, not load data, to return to the interface of

measurement

57
5.4.3.3 Print data preview and printer operation

Short click the printer management button will turn out the print preview and print

operation interface.As shown in figure 5.37.

Figure 5.37 print preview interface

It is divided into five parts according to the optometry item. Each part can be

custom to add t print function or not . Just click the specified print part, will change whether

to join the print. As shown in figure 5.37, the five parts of the content is selected to print, if

do not need CV data, then click the print content of CV can remove it. The results are

shown in figure 5.38:

Figure 5.38 cancel CV data printing

Contrast figure 5.37 and figure 5.38, the color of the wire frame on behalf of its

whether to print

： For printing operations, if any customer information load, to save

the current optometry data to the corresponding customer files at the same time.

： Not for printing, directly back to the main interface.

58
5.5 Fast reset and basic Settings

Click reset button will pop up prompt box as shown in figure 5.39:

Figure 5.39 reset dialog box

Fast reset function will empty the current naked eye, auto refracotmeter, refractor

head and print data. General suggest printing operations, first to save data to the

customer file, and reset in the end.

When device is in abnormal status, for example, refractor head chuck or dislocation,

you can try to reset in reset state.

Click the system settings button, will turn out the basic attribute setting of the system .

Including related to measuring step set, the relevant content of output printing and the

program default load after reset and so on. As shown in figure 5.4.

Figure 5.40 system Settings menu

5.5.1 Change the system Settings

For example, to change the default sphere lens step length from 0.25 D to 0.5 D:

Click [ sphere step] button on the right, the menu will pop up as shown in figure

5 .41, directly click [0.5 D] button, the default sphere lens step length is changed to 0.5

D
59
 Figure 5.41 sphere step length selection menu

6 Instrument operation

This section will combine a specific case, demonstrates the use of conventional

optometry.

A customer wearing glasses, always complain of poor vision

first check his original eyeglasses with lensmeter

R：- 1.00DS/-0.50DC X 90°

L ：- 1.25DS/0-0.50DC X 180°

PD=65mm

Vision correction only about 0 . 7 , may be the original degree is not enough lead to

poor vision, now is required to draw a better glasses prescription

6.1 Checking with fog

1 、sphere power of Right eye manual set in higher + 3.00 D than the real power. Because
the right eye of the customer is - 1.00 D, plus + 3.00 D, become + 2.00 D.

2 、At this time, the vision value should be lower than 0. 1, manual cast a vision icon, and

then gradually adjust the degree, to reduce the sphere for - 0.25 D one step, from +2.00D

to + 1.75 D and then to + 1.50 D, until his vision value about 0.5.

3 、turn out radiation vision chart:

60
 Figure 6. 1 radiation vision chart

Ask the customer " can you see some of the line particularly clear? ”

If the customer answers " all look the same," it shows this custom have no astigmatism,

measuring end.

If the customer answer “one line seems particularly clear "", then multiply small

number of the most clear line by 30 ° , the value is negative correction .

For example: The third line is the most clear, it is 3X30°=90°

Adjust astigmatism axis, and then adjust the astigmatism degree, from 0 . 0 0 to - 0 . 2 5 ,

then to -0.50, until every line is clear all the same.

4、change sphere degree by -0.25D one step

The customer has myopia, the sphere degree of - 1. 7 5 D, after inspection, his degree

value as shown in figure 6.2:

61
 Figure 6. 2 Customer vision inspection situation

6.2 Precise inspection astigmatism axis and degree

1 . Manual option dot chart, crossed cylinder lens automatically applied in the right eye. Or
from the auxiliary lens take crossed cylinder lens to be supplemented single chart, or

direct click or to input the crossed cylinder lens. Automatically jump to A,

first take the precise measurement of the astigmatism axis position.

Figure 6.3 dot group vision chart

2 . Precise astigmatism axis: click or button, to switching cross cylinder on

both sides, ask customer which side is more clear, for example, if is more clear, it

should to click the upward button ， if is more clear, it should to click the

upward button , device will automatically change the astigmatism axis. After then

press and repeat the aboved steps, until the both sides is similar clear then

definite the precise astigmatism axis.

3. Precise astigmatism degree ： after precise astigmatism axis then click

button to make precision of astigmatism degree( crossed cylinder

62
 lens status shall be maintained) . Click or to change the two sides of

crossed cylinder lens, ask customer which side is more clear. if is more clear,

it should to click the upward button ，if is more clear, it should to click

the upward button , the device will automatically change the astigmatism

degree. After then click and repeat the above steps, until the both

sides is similar clear then definite the precise astigmatism degree. under the condition
of changes astigmatism degree, device can automatically change sphere and cylinder
linkage. It means ： If cynlinder change ±0.50DC ， sphere will automatically
change±0.25DS.

The result is ：-0.50DC×100°

4 . After the accurate measurement of astigmatism axis and astigmatism degree, click any

of the chart or , the crossed cylinder lens will automatically removed.

6.3 Accurately measure sphere degree if there is a

deviation

( Test with red and green filter, if a customer shall not apply to the red and green test can

determine whether there is deviation according to the vision situation directly )

Project red and green chart ， ask the customer which chart is the more clear，
if the customer says green is more clear, it means that myopia is overcorrection, should

add sphere degree+0 . 2 5 D 。 or directly enter the green button ， device can
automatically add the degree.
Then ask the customer again, if he says red is more clear, it means that myopia is

undercorection ，add-0.25D ，or directly enter the red button ，device can
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automatically decrease the degree. It indicates that the degree of customers should be
between- 1.50D and - 1.75D, according to the requirement of the customer to choose high
or low power. Screen will display like this:

Figure 6 . 4 Precise measurement sphere size interface

Conclusion：right eye： - 1.50DS/-0.50DC×100°

Next ，check left eye. Cover the right eye, left eye cancel to cover. With the samestep as

the right eye, the result is： -2.00DS/0.50DC×170°

In order to make the customers obtain the better eyesight condition, we need to do

binocular balance test.

6.4 Binocular balance test

( Test with polarization separation chart, also can according to need to use single chart

match up with prism to do balance test)

1. Project binocular picture, as shown in figure 6.5

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 Figure 6.5 Binocular balance test chart

2. Customer look at the upper of the picture with right eye, see the lower of the picture

with the left eye. If it is same clear or fuzzy with the two lines, it means that binocular

vision is balance. if not ，add sphere +0.25D on the eye which can see more clear ，

supposed left eye add +0.25D ，it will become - 1.75DS.

3. Next, select the binocular mode, do binocular fog, add + 1.00D sphere for both eyes on
the basis of the data measured before.

At this time, the lens degree of this customer is:

Right eye： -0.50DS/-0.50DC×100°

Left eye： -0.75DS/-0.50DC×170°

4. Add -0.25D for both eye every time ，Until reach to the desire vision value.

5. cancel binocular cover. And the final display is as below:

Figure 6.6 binocular balance test final display

Right eye： - 1.50DS/-0.50DC×100°

Left eye： - 1.75DS/-0.50DC×170°

6.5 Heterophoria measurement

First test horizontal heterophoria, select binocular mode, use the right eye lens option

buttons, add red Maddox on the right eye.

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 Projector dot chart, the customer see one red vertical line (42a) with right eye，see a

lighting point with left eye (42b)。Blending image of both eyes shown as the picture 42c or

42d. If the picture is shown like 42d ，There is no or low strabismus with melt image by

itself , no need to adjust prism degree. If it shown as in picture 42 c, use left prism degree

button BI or BO, move left and right lighting point, remind the customer, if see the picture

as shown in 42 d then means stop, repeatedly measured to get an average value.

Figure 6 . 6 Heterophoria measurement process diagram

Next to test the vertical heterophoria. Select binocular mode, use the left eye lens

option buttons, add red Maddox on the left eye, cancel the cover with right eye.

the customer see one red horizontal line with left eye ，see a lighting point with right

eye. ,use right prism degree button BU or BD, move left and right lighting point, remind the

customer, when see horizontal line and lighting point then stop measure, repeatedly

measured to get an average value

Until now, the result is coming out.

If the heterophoria degree is bigger, it needs to make correction when fitting glasses.

in this case the customer is not very serious, so no need to correct, the final result is:

Right eye： - 1.50DS/-0.50DC×100°

Left eye： - 1.75DS/-0.50DC×170°

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7. Printer using

7.1 Basic function of the printer

7.1.1 Turn on

Under printer shutdown state, press [ POWER] for one second, the printer will start to
work, the power light (red) turn on.
Attention: If the paper indicator light ( blue) of printer is flashing but paper is enough, it
means the power of the printer will use up, please change the battery or charging.

7.1.2 Shutdown

Under printer work state, press [ POWER] for one second, printer turn off and all lights
turn off.

7.1.3 Self-inspection

When customer found the printer abnormal working, can perform self- test of th
e printer and checking the current settings and state.
Shutdown and keep pressing [FEED], then press [POWER] to turn on, when h
ear the sound drops ”DI” , release the [POWER], the printer will print the self-test p
aper, including the current situation of the printer, printer setup, the printer examp
le, such as electronic quantities detection, Bluetooth ID etc.

7.1.4 Battery Charging

After the printer used for a period, the battery will run down , when the battery close to
use up , the sending paper indicator light ( blue) will flash and with a alarm sound at the
same time, the customer need to prepare charging . If the printer auto shut off during the
printing, customer need to charge before continue using.
Insert the charge plug to 2 2 0 V, 5 0 HZ power socket first , than put charge plug to
printer DC socket, the printer will in charge state . During the charging, if printer working,
the paper indicator light ( blue) is flashing , till the battery power full, charge indicator light
is on for a long time. In the process of charging, can normal use the printer.

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7.2 Printing mode

After Printer startup, search the printer by program on the tablet, select the
corresponding printer to connect, if it is the first time to connection, you need to enter the
password "00 00" , generally within 10 seconds, the connection is successfully established.
If the connection failed to establish within 1 0 seconds, check that the Bluetooth on the
tablet is on or not, try to connect it again.

7.3 Printer indicator and buzzer signal introduction

Power light (red) paper indicator light state buzzer

( blue)
Put out Quick flashing Battery low
Put out Quick flashing charging
Put out On for a long time Battery charging
finished
Long on turn to slow Put out Start state Bleat 2 sounds
flashing
slow flashing slow flashing Paper lack
slow flashing Put out No data state
Put out Put out Shut down Bleat 2 sounds
On for a long time Put out Bluetooth
connection state

8 Self diagnosis and maintenance

8.1 Troubleshooting

When the device is working abnormal, please try to troubleshoot according to the

following form.

symptom treatment

When the switch is in the on position, · Confirm the power plug in the socket

the head without any response · Confirm the power switch is open on the

table

The tablet could not be opened · Confirm whether the tablet battery running

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 down of battery

The printer could not be opened · Confirm the printer battery running down of

battery

Printing function no response · Please replace the printing paper

· Confirm the printing paper installed correctly

If there is no troubleshooting way according to the inside of the form, please contact

the dealer.

8.2 Clean and disinfect

Cleaning：
1 . Keep products clean ordinary, cannot use strong volatile solvent, diluent and benzene
to clean.
2 . With a soft cloth dipped in soapy water which after dry to wipe the product part.
3 . Wipe the lenses and mirrors, blowing off foreign object on the surface, then with a soft
dry cloth to wipe.

Window cleaning: When fingerprint, oil of eyelashes or dust is sticky on the inspection
window, accuracy of result will be influenced. Make sure that the inspection window is
clean before inspection. If there has stain, please using soft and clean cloth to clean it.
Before each test, must make the Windows clean. If Windows have besmirch, with a clean
soft cloth to clean.

If there is water vapor condensation, please unload the mask, then unload the
protection glass, clean it carefully. When unloading the protecting glass you have to use
special screwdriver to unfix four screws.

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 Figure 8. 1

Disinfect：

After the completion of each patient, please disinfect face shields and forehead.

Methods: with a soft cloth dipped in 75% concentration of medical alcohol to wipe,

8.3 Scrapping

Discarded products, accessories and spare parts, in accordance with the local

government about accessories and spare parts discarded laws and regulations and

recycle relevant laws and regulations, especially lithium battery can cause pollution to the

environment.

When discarded packaging materials, should also be in accordance with the local

government of relevant laws and regulations about packing material waste or recycling

laws and regulations.

9 Dimensions and other specifications

9.1 Appearance specifications, contraindicati

· Appearance specifications

Main machine 365mm×280mm×110mm(PD=64mm) net weight3.8kg

tablet 243mm×171mm×8mm net weight0.45kg

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 power 125mm×50mm×31.5mm net weight 0.32kg

· Contraindications：none

9.2 use age

5 years

9.3 disclaimer statement

Manufacturer takes responsibility of the product safety, reliability and performance if

the following conditions possess:

( 1 ) Install accord with operator’ s manual

( 2 ) Operation and maintenance accord with operator’ s manual and service manual.

Manufacturer disclaims all responsibility if problems caused by changes without

permission, changed products is beyond the scope of manufacturers committed to service.

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