Software IOLMaster, IOL Master, Intraocular Lens Calculations Zeiss IOLMaster
Carl Zeiss Meditec IOLMaster, IOL Master, Intraocular Lens Calculations Zeiss IOLMaster Eye Cataract Surgery Eyes

2006-05-12
Software Features

Warren Hill, M.D.
Carl Zeiss Meditec IOLMaster - IOL Master
Software Features

printable version
(pop-up window)


Software Features - Quick Reference

The following chart is for you to print out as a quick reference to the various software features to the IOL Master.

For more detailed information,
click on any of the software icons .

database patient
database
spacer N key. Patient database. This allows you to enter new patient data, or review prior measurements from established patients. Depending on how the IOL Master software has been configured by the user, this information will be stored anywhere from 5 to 100 days. After that time, patient information will automatically be deleted in order to conserve space on the IOL Master hard drive.
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broad view
overview
spacer O key. This is the overview mode, which allows for coarse image alignment prior to taking measurements. In this mode, the patient is aligned with the instrument by using the joystick. Tell the patient to look straight at the small yellow fixation light and then adjust the instrument-to-patient distance until the six light reflections on the cornea appear to be in focus. The small circle of lights and the cross hairs should be approximately centered in the patient's pupil. This should be done prior to taking axial length measurements.
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axial length
axial length
measurement
spacer A key, or the pushbutton on the joystick. This activates the axial length measurement, or "ALM", mode. Ask the patient to look directly at the small red fixation light and then take all 20 measurements. Be sure to use the Best Measurement Technique and sample several areas within the measurement reticule until the best axial length display is obtained. Continue to take measurements from that area. At least four measurements should be within 0.02 mm, and show an Ideal Axial Length Display. Delete those measurements that do not show an acceptable axial length display. It should be remembered that the quality of the axial length display is usually more important than the signal-to-noise ratio. Use the space bar to go to the next measurement mode. With the IOL Master, you can accurately determine the axial length of eyes ranging from 14.0 mm to 40.0 mm.
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keratometry
keratometry
spacer K key. This activates the automated keratometry, or "KER", mode. The best measurements are obtained as follows: place a drop of artificial tears in each eye, have the patient blink several times, and then do all measurements with both eyes open as wide as possible. Remember to tell the patient to blink between each measurement. Take as many measurements as needed until good reproducibility has been established. Those measurements that show wide variability should be individually deleted. Typically, a set of good automated keratometry measurements will all be within 0.25 D in each meridian. When done properly, this feature of the IOL Master is highly accurate. Use the space bar to then go on to the next measurement mode.
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white-to-white
white to white
spacer W key. This activates the White-to-White, or "WTW" mode. This optional function is part of Software Option A . To measure the horizontal corneal diameter, align the instrument and make sure that the iris structures, or the edge of the pupil, appear to be optimally focused. Confirm that the patient is able to see the fixation target and is looking straight at it. If the patient fails to fixate properly, the visual axis will be out of alignment, which may result in measurement errors.
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optical acd
anterior
chamber depth
spacer D key. This activates the anterior chamber depth, or "ACD", mode. Keratometry must be performed prior to the anterior chamber depth measurement. In this mode, the system will automatically activate the lateral slit illumination. To the patient, the lateral slit illumination will appear very bright and this should be mentioned prior to measuring the ACD. Throughout the anterior chamber depth measurement, the patient should continue looking straight ahead and directly at the small, yellow fixation light, not the bright illumination to the side.
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iol calculations
IOL
calculation
spacer I key. This activates the IOL calculation mode. Intraocular lens power calculations can be made using five different formulas after obtaining the necessary measurements (AL, ACD and Ks) from one eye, or both. Before the system calculates IOL options, you must enter the desired lens type(s) into the IOL database.
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printer
printer
spacer P key. This allows you to send a summary of the measurement information to your printer. This summary includes a listing of all 20 axial length measurements, a graphic representation of the axial length display with the highest signal-to-noise ratio, the three selected keratometry values, all of the ACD measurements, and three WTW values with a graphic representation of the iris, visual axis and optical axis (if software option A has been installed). If you would like to print an individual axial length display, simply select the axial length display you would like to print using the cursor and then press the printing shortcut keys (CTRL + P). You may also print the screen from the white-to-white mode, by pressing the printing shortcut keys (CTRL + P).
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data to pc
export data
to PC
spacer S key. This exports data from the IOL Master to connected office management systems or to another computer. It requires a connection via the serial port. Before the export of data, select the export mode appropriate for the connected office management system via Options > Setup > Program Settings.
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export to disk
export data
to diskette
spacer X key. This exports patient measurement information to diskettes. Data is made available in a text file (IOLMexport.csv) for archiving and data analysis.


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shut down
shut down
spacer E key. This exits the IOL Master software and Windows. In case of problems, turn off the power switch and disconnect the power cable!

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Please check back at regular intervals for software updates.

This page was last updated on 06/7/2003

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Cataract Surgery

2006-05-12
cataract surgery
 
Expert witness cataract eye surgery today is the result of extraordinary technological and surgical advancements that allows millions of people to once again enjoy crisp and clear vision. A true marvel of modern medicine, Expert witness cataract eye surgery may restore vision to levels you may have never thought possible. A cataract is a clouding of the eye's natural lens, which lies behind the iris and the pupil. The lens works much like a camera lens, focusing light onto the retina at the back of the eye. The lens also adjusts the eye's focus, letting us see things clearly both up close and far away. The lens is mostly made of water and protein. The protein is arranged in a precise way that keeps the lens clear and lets light pass through it. But as we age, some of the protein may clump together and start to cloud a small area of the lens. This is a cataract, and over time, it may grow larger and cloud more of the lens, making it harder to see. Cataracts are classified as one of three types: a nuclear cataract is most commonly seen as it forms. This cataract forms in the nucleus, the center of the lens, and is due to natural aging changes. A cortical cataract, which forms in the lens cortex, gradually extends its spokes from the outside of the lens to the center. Many diabetics develop cortical cataracts. A sub-capsular cataract begins at the back of the lens. People with diabetes, high farsightedness, retinitis pigmentosa or those taking high doses of steroids may develop a sub-capsular cataract. Cataract symptoms cataract starts out small, and at first has little effect on your vision. You may notice that your vision is blurred a little, like looking through a cloudy piece of glass or viewing an impressionist painting. A cataract may make light from the sun or a lamp seem too bright or glaring. Or you may notice when you drive at night that the oncoming headlights cause more glare than before. 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A small study published in 2002 found lead exposure to be a risk factor; another study in December 2004, of 795 men age 60 and older, came to a similar conclusion. But larger studies are needed to confirm whether lead can definitely put you at risk, and if so, whether the risk is from a one-time dose at a particular time in life or from chronic exposure over years. Cataract treatment when symptoms begin to appear, you may be able to improve your vision for a while using new glasses, strong bifocals, magnification, appropriate lighting or other visual aids. Think about surgery when your cataracts have progressed enough to seriously impair your vision and affect your daily life. Many people consider poor vision an inevitable fact of aging, but Expert witness cataract eye surgery is a simple, relatively painless procedure to regain vision. Expert witness cataract eye surgery is very successful in restoring vision. 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Greater than 95% of those patients now enjoy improved vision. State-of-the-art Expert witness cataract eye surgery is now a safe, effective, and comfortable procedure performed almost exclusively on an outpatient basis. Most cataract surgeries are now performed using microscopic size incisions, advanced ultrasonic equipment to fragment cataracts into tiny fragments, and foldable intraocular lenses (lens implants) to maintain small incision size. Expert witness.