L80 Wave Operator v35

OPERATOR MANUAL
L80 WAVE +
REV 3.5
This document contains proprietary and confidential material belonging to Luneau SAS.
Any unauthorized reproduction, use, disclosure of this material, or any part thereof, is
strictly prohibited. This document is solely for the use of Luneau SAS employees and
authorized Luneau users.
The contents of this manual are subject to change without notice. Reasonable efforts
have been made to ensure accuracy. If queries arise, please contact a Luneau
representative.
Copyright © 2010 Luneau SAS. All rights reserved.
Contact Information
LUNEAU SAS
1 avenue de Malaguet
28360 Prunay le Gillon
France
(33) 2 37 25 25 25
(33) 2 37 25 20 20 Fax
Email: export@luneau.fr
North America
Visionix, INC
1717 Swede Rd. Suite 109
Blue Bell, PA 19422
USA
(610) 277-8500
(973) 833-0274 Fax
visionixusa@visionix.com
2/74
Table of Contents
1. Introduction .............................................................................................................. 7
1.1 Overview ........................................................................................................................ 7
1.2 Document Scope ........................................................................................................... 8
2. Safety ........................................................................................................................ 9
2.1 General ........................................................................................................................... 9
2.2 Electrical ........................................................................................................................ 9
2.3 Electromagnetic Interference .................................................................................... 10
2.4 Transport, Storage, and Handling ............................................................................. 10
2.5 Symbols ....................................................................................................................... 10
3. L80 Wave + Device Description ............................................................................. 11
3.1 Device Description ...................................................................................................... 11
3.1.1 L80 Connector Side ................................................................................................. 11
3.1.2 L80 Operation Side .................................................................................................. 12
3.1.3 L80 Patient Side ...................................................................................................... 13
3.1.4 The Joystick ............................................................................................................. 14
3.2 Accessories ................................................................................................................. 14
4. Operating the L80 Wave + ...................................................................................... 15
4.1 Getting Started ............................................................................................................ 15
4.1.1 Entering a New Patient ............................................................................................ 16
4.2 Measurement Options ................................................................................................ 17
4.2.1 Selecting the Measurement ..................................................................................... 18
4.2.2 Positioning the Patient for Measurement ................................................................ 19
4.3 Performing the Test – Automatic Mode .................................................................... 19
4.3.1 AR Measurement ..................................................................................................... 20
4.3.2 Sensor View............................................................................................................. 21
4.3.3 Topography Measurement ...................................................................................... 23
4.4 ARK-WF Measurement Results ................................................................................. 25
4.4.1 Refraction ................................................................................................................ 26
4.4.2 Aberrometry ............................................................................................................. 26
4.4.3 Keratometry ............................................................................................................. 27
4.4.4 Result Management Buttons ................................................................................... 27
4.5 AR-WF Measurement Results .................................................................................... 28
4.5.1 Refraction ................................................................................................................ 29
4.5.2 Aberrometry ............................................................................................................. 29
4.5.3 Result Management Buttons ................................................................................... 30
4.5.4 Export Management Button ..................................................................................... 30
4.6 ARK Measurement Results ........................................................................................ 32
4.7 AR Measurement Results ........................................................................................... 33
4.8 TOPO Measurement Results ...................................................................................... 34
4.8.1 SIM_K ...................................................................................................................... 34
4.8.2 Meridians ................................................................................................................. 34
4.8.3 K. Screening ............................................................................................................ 35
4.8.4 Peripheral Degrees .................................................................................................. 35
3/74
Introduction Operator Manual
4.8.5 Map Displays ........................................................................................................... 35

4.9 WF Measurement Results .......................................................................................... 37
4.9.1 Map Displays ........................................................................................................... 37
4.10 WF/TOPO Measurement Results ............................................................................... 39
4.11 Accommodation Results ............................................................................................ 39
4.12 Pupil Meter Results ..................................................................................................... 40
4.13 Managing Measurement Results ............................................................................... 41
4.14 Manual Measurement.................................................................................................. 42
5. Additional Views ..................................................................................................... 44
5.1 Corneal Aberration ...................................................................................................... 44
5.2 Zernike.......................................................................................................................... 45
5.3 MTF/PSF ....................................................................................................................... 46
5.4 Rings ............................................................................................................................ 47
5.5 Visual Acuity ................................................................................................................ 47
5.6 Additional Tools .......................................................................................................... 49
5.6.1 Visual acuity............................................................................................................. 49
5.6.2 Eject Disk on Key .................................................................................................... 49
5.6.3 K-Screening ............................................................................................................. 49
5.6.4 History...................................................................................................................... 50
5.6.5 Contact lens fitting ................................................................................................... 51
5.6.6 Depth of Focus ........................................................................................................ 52
5.6.7 Sensor View............................................................................................................. 53
6. Settings and User Maintenance............................................................................. 54
6.1 Settings ........................................................................................................................ 54
6.1.1 General Action Buttons ............................................................................................ 54
6.1.2 General Defaults ...................................................................................................... 54
6.1.3 Measurement Defaults ............................................................................................ 56
6.1.4 Corneal Topography Defaults.................................................................................. 58
6.1.5 Manage Database ................................................................................................... 59
6.1.6 Maintenance ............................................................................................................ 60
6.2 Cleaning ....................................................................................................................... 61
6.2.1 Chin Rest ................................................................................................................. 61
6.2.2 Forehead Rest ......................................................................................................... 61
6.3 Replacing the Paper Roll ............................................................................................ 61
7. Troubleshooting ..................................................................................................... 62
8. Specifications ......................................................................................................... 64
8.1 Specifications .............................................................................................................. 64
8.2 Compliance with International Standards ................................................................ 65
8.3 WEEE Directive ........................................................................................................... 65
9. Appendix A: Report Examples .............................................................................. 66
9.1 TOPO 2 Maps ............................................................................................................... 66
9.2 TOPO 4 Maps ............................................................................................................... 66
9.3 Wavefront ..................................................................................................................... 68
10. Appendix B: Topography Map .......................................................................... 69
10.1 Patient #1 ..................................................................................................................... 69
4/74
10.2 Patient #2 ..................................................................................................................... 71
List of Figures
Figure ‎3-1: L80 Connector Side View ........................................................................................11
Figure ‎3-2: L80 Operation Side View .........................................................................................12
Figure ‎3-3: L80 Patient Side View ..............................................................................................13
Figure ‎3-4: Joystick ....................................................................................................................14
Figure ‎4-1: Measurement Screen Elements ..............................................................................15
Figure ‎4-2: New Patient Screen .................................................................................................16
Figure ‎4-3: New Patient Keyboard Screen.................................................................................16
Figure ‎4-4: New Patient Birthdate Screen..................................................................................16
Figure ‎4-5: New Patient Adjustment Screen ..............................................................................17
Figure ‎4-6: Measurement Menu .................................................................................................18
Figure ‎4-7: Measurement Screen...............................................................................................20
Figure ‎4-8: Measurement Image Window ..................................................................................20
Figure ‎4-9: Sensor View .............................................................................................................21
Figure ‎4-10: Measurement Screen.............................................................................................23
Figure ‎4-11: Measurement In Progress .....................................................................................23
Figure ‎4-12: Topography Rings..................................................................................................24
Figure ‎4-13: ARK-WF Measurement Results.............................................................................26
Figure ‎4-14: AR-WF Measurement Results ...............................................................................28
Figure ‎4-15: select the root folder ..............................................................................................30
Figure ‎4-16: Warning when saving a measurement ..................................................................30
Figure ‎4-17: ARK Average Results ............................................................................................32
Figure ‎4-18: ARK All Value Results ...........................................................................................32
Figure ‎4-19: AR Average Results...............................................................................................33
Figure ‎4-20: AR All Value Results ..............................................................................................33
Figure ‎4-21: TOPO SIM_K Results ............................................................................................34
Figure ‎4-22: TOPO Meridians Results .......................................................................................34
Figure ‎4-23: TOPO K. Screening Results ..................................................................................35
Figure ‎4-24: Peripheral Degrees Results ...................................................................................35
Figure ‎4-25: Topography Map Screen .......................................................................................36
Figure ‎4-26: Wave Front Results ...............................................................................................37
Figure ‎4-27: Wave Front Map Screen ........................................................................................38
Figure ‎4-28: Accommodation Results ........................................................................................39
Figure ‎4-29: Pupil Meter Results ................................................................................................40
Figure ‎4-30: Managing Measurement Results ...........................................................................41
Figure ‎4-31: Database Retrieve Screen.....................................................................................41
Figure 32 - Manual Measurement ..............................................................................................43
Figure ‎5-1: Corneal Aberration View Screen .............................................................................44
Figure ‎5-2: Corneal Aberration Map Screen ..............................................................................45
Figure ‎5-3: Selecting Zernike .....................................................................................................45
Figure ‎5-4: Topography Zernike Screen ...................................................................................46
Figure ‎5-5: Topography MTF/PSF Screen .................................................................................46
Figure ‎5-6: Topography Rings....................................................................................................47
Figure ‎5-7: Corneal Visual Acuity Screen ..................................................................................48
Figure ‎5-8: Tool Selection ..........................................................................................................49
Figure ‎5-9: History Screen..........................................................................................................50
5/74
Introduction Operator Manual
Figure ‎5-10: C.L. Fitting Screen .................................................................................................51

Figure ‎5-11: Additional Functions Screen ..................................................................................51
Figure ‎5-12: Depth of Focus Screen ..........................................................................................52
Figure ‎5-13: Sensor View ...........................................................................................................53
Figure ‎6-1: General Default Screen ...........................................................................................54
Figure ‎6-2: Wave Front Default Screen .....................................................................................56
Figure ‎6-3: Corneal Topography Default Screen .......................................................................58
Figure ‎6-4: Corneal Topography Report Screen........................................................................59
Figure ‎6-5: Database Management Options ..............................................................................59
Figure ‎6-6: Maintenance Screen ................................................................................................60
Figure ‎6-7:Team Viewer Login Screen ......................................................................................61
Figure ‎9-1: Topography report axial map ...................................................................................66
List of Tables
Table ‎1-1: L80 Function Summary ...............................................................................................8
Table ‎3-1: L80 Connector Side Key ...........................................................................................11
Table ‎3-2: L80 Operation Side Key ............................................................................................12
Table ‎3-3: L80 Patient Side Key.................................................................................................13
Table ‎4-1: Measurement Screen Elements Key ........................................................................15
Table ‎4-2: L80 Standard Mode Measurement Options ..............................................................17
Table ‎4-3: L80 WF Mode Measurement Options .......................................................................18
Table ‎7-1: Troubleshooting ........................................................................................................63
Table ‎8-1: Device Specifications ................................................................................................64
Table ‎8-2: General Specifications ..............................................................................................64
Table ‎8-3: AR and Power Mapping (Wave Front) Specifications ..............................................64
Table ‎8-4: Corneal Topography Specifications ..........................................................................64
June 16, 2010
6/74
1. Introduction
Overview
Document Scope
1.1 Overview
The L80 Wave + device is a combined autorefractometer, keratometer, wave front
aberrometer and corneal topographer, with automatic focusing and centering.
The L80 features:
• Fully automatic 3-D, right and left eye alignments.
• Four types of automatic, simultaneous measurements.
• Operator independent measurements.
• High reproducibility of measurements.
The L80 contains two main measurement paths:

• Precision autorefraction and wave front analysis implementing high resolution Shack–
Hartmann technology.
• Placido disk based corneal topography with up to 100,000 measurement points and central
and peripheral keratometry.
The automatic alignment feature enables real time focusing, centering, and eye tracking.
This allows for fast, single push button measurement. With just one touch on the touch
screen, both eyes can be measured in seconds with greater measurement reliability,
significant time saving and comfort to the patient.
Transition from automatic to manual measurement is made simple by using the joystick
option. The motorized chin rest control and forehead rest make patient placement
simple and efficient.
The system is controlled by an internal Pentium 4 microprocessor.
7/74
Introduction
Table ‎1-1: L80 Function Summary

L80 - Functions
AR
AR-K
AR - WF
AR-K - WF
Topo
Ocular aberration
Corneal Aberration
Contact Lens fitting
Accommodation
Pupilometry
1.2 Document Scope

This manual contains information for the proper usage, storage, and maintenance of the
L80 Wave + device, as well as important safety information.
For best results before using the device, review this manual in its entirety and become
familiar with its contents.
8/74
2. Safety
General
Electrical
Electromagnetic Interference
Transport, Storage, and Handling
Symbols
Abide by all safety information to ensure patient safety, to avoid system malfunction and to prevent
faulty readings. Luneau SAS will assume no responsibility for damages incurred to patients or
equipment due to disregard for safety warnings.
Safety information appears in the form of warnings and cautions.
WARNING: Warnings indicate danger that may result in personal injury.
CAUTION: Cautions indicate danger that may result in damage to equipment or impair the
quality of measurements.
2.1 General
WARNING: This is a Class 1 laser product with an embedded Class 3R laser.
WARNING: Do not attempt to remodel or disassemble the L80 Wave +. There are no user-
serviceable parts in the device.
WARNING: All repairs and maintenance should be performed by authorized service personnel
only.
WARNING: Operators and patients should keep hands and body clear from moving parts on
the device.
CAUTION: Do not touch the optical parts. Measurement
accuracy may be adversely affected.
2.2 Electrical
WARNING: Do not remove the electrical plug from the outlet with wet hands. Electric shock or
personal injury could result.
WARNING: Ensure that the power cord is not damaged before plugging in the L80 Wave + to
prevent fire or electric shock.
WARNING: To prevent electric shock, firmly connect the power cord to an electrical ground
(safety ground) at the power outlet.
WARNING: When connecting external devices such as a screen or printer, ensure that the
device conforms to IEC 60950-1:2005 Information Technology Equipment - Safety.
9/74
Safety
2.3 Electromagnetic Interference

CAUTION: Do not use cellular phones or other radio-frequency transmitting equipment while the
system is operating. High levels of such interference due to close proximity or
strength of a source may result in disruption of system performance.
2.4 Transport, Storage, and Handling

Transport the L80 in its designated transport case. Make sure all protective covers are in
place and the case is closed and secured.
CAUTION: Do not expose the L80 to strong vibrations. Sudden movements of device could
cause system malfunction.
CAUTION: Do not place or operate the L80 in direct sunlight.
CAUTION: Do not expose the L80 to noxious gases, air pollutants, dust or fumes which maybe
harmful to the device.
2.5 Symbols
The following symbols appear on or apply to the L80:
General Caution. Warning. Risk of Danger
General Mandatory action
Invisible Laser Radiation
This equipment is a Class 1 laser product.
10/74
3. L80 Wave + Device Description
Device Description
Accessories
This section graphically depicts the L80 Wave + and identifies the device elements.
3.1 Device Description

3.1.1 L80 Connector Side
3
4 5 6
1
2 7
Figure ‎3-1: L80 Connector Side View

Table ‎3-1: L80 Connector Side Key
1 Printer Paper Door

2 Power Cord Connector
3 Main Power Switch
4 Serial port RS232
5 VGA Monitor Port
6 USB Ports (x2)
7 LAN Connector
The side of the L80 contains the connection points for attaching external devices and accessories.
The Main Power Switch controls the electrical connection to the device.
11/74
L80 Wave + Device Description
3.1.2 L80 Operation Side
Figure ‎3-2: L80 Operation Side View

Table ‎3-2: L80 Operation Side Key
10 Optical Measurement Head
11 LCD Touch Screen
12 Two Button Chin Rest Control
13 Joy Stick
14 ON/OFF Button
15 Stylus
Figure ‎3-2 depicts the operation side of the L80. The operator, typically a medical doctor, optician or
technician, activates the device by pressing the ON Button. Once on, the LCD touch screen displays
the user interface and the operator measures and performs all related tasks using a stylus (pointing
device). Measurement can be performed in automatic mode using image-processing software or the
operator may select manual mode and control the measurement with the joystick. The two-button
chin rest control enables the operator to position the patient's head in the optimal position.
12/74
3.1.3 L80 Patient Side
Figure ‎3-3: L80 Patient Side View

Table ‎3-3: L80 Patient Side Key
15 Forehead Rest
16 Motorized Chin Rest
17 Laser Spot Locator
18 Base Containing Computer and
Electronics
Figure ‎3-3 depicts the side of the device at which the patient is positioned for measurement. For a
full explanation of how to position the patient, see page 19.
13/74
L80 Wave + Device Description
3.1.4 The Joystick
Figure ‎3-4: Joystick

The joystick enables the operator control optical head movements in order to perform
measurements manually. The joystick is used for manual focus and alignment of the eye and to
perform measurement. The optical head movements are depicted in Figure ‎3-4.
Note: It is possible to use a stylus or finger directly on the touch screen to

change the vertical and horizontal alignment of the eye on the
screen.
3.2 Accessories
The following accessories are supplied with the L80:
• Power cord
• Dust cover
• Headrest
• Chin rest paper
• Printer paper roll
• Spare fuse
• Stylus for use on the touch screen
• Operator Manual
14/74
4. Operating the L80 Wave +
Getting Started
Measurement Options
Performing the Test – Automatic Mode
ARK-WF Measurement Results
AR-WF Measurement Results
ARK Measurement Results
AR Measurement Results
TOPO Measurement Results
WF Measurement Results
WF/TOPO Measurement Results
Managing Measurement Results
Manual Measurement
4.1 Getting Started

Activate the device by pressing the ON/OFF Button. A Measurement Screen is the first screen to
appear. The measurement screen last used will be the default screen. To view the list of
measurements and how to change the default screen, see page 17. The numbered elements in Figure
‎4-1 are described below.
To switch off the L80, select Shutdown from the FILE menu and then OK.
Figure ‎4-1: Measurement Screen Elements

Table ‎4-1: Measurement Screen Elements Key
1 Measurement Name Indicates the current test screen
2 Eye Measurement Indicates eye being measured.
3 Menu Bar Select a menu to display the menu options.
4 Patient Information Bar Displays the patient name, date of
measurement, test identification no., and
measurement no.
5 Alignment Allows either manual or automatic alignment.,
focus and measurement
6 Eye Select right, left, or both eyes.
7 Image Window Displays the eye during measurement.
8 Start Test Click to begin the automatic test measurement.
15/74
Operating the L80 Wave +
4.1.1 Entering a New Patient

Entering new patient information is essential for accessing patient data in the system.
TO ENTER A NEW PATIENT:
1. Using the stylus, from the
Measurement Screen Menu Bar select
New Patient. The New Patient Screen
will appear. The system automatically
assigns a unique identification
number (Ident) to each measurement.
2. Using the stylus, select the blank
Surname window to access the on-
screen keyboard. Spell the name using
the stylus on the keyboard (Figure
‎4-3).
Figure ‎4-2: New Patient Screen
3. Using the stylus on the keyboard,
type the patient's surname and select
Enter to return to the New Patient
screen with the surname entered.
4. To enter the First Name, repeat steps
2 and 3 for the First Name window.
Figure ‎4-3: New Patient Keyboard Screen
5. To enter the birthdate, using the

stylus, select the birthdate window to
access the on screen keyboard.
6. Using the stylus on the keyboard,
type the birthdate in the form
dd/mm/yy, and select Enter to return
to the New Patient screen with the
birthdate entered.
Figure ‎4-4: New Patient Birthdate Screen
16/74
7. Select the sex of the patient.
8. Specify whether or not the patient is a
child to automatically adjust the pupil
distance and chin rest.
9. Use the Erase button to clear the
fields and re-enter information.
10.Verify that patient information is
correct and select OK to return to the
Measurement Screen.
Figure ‎4-5: New Patient Adjustment Screen
Note: Child is a person with a PD of 55mm or less.

Note: It is possible to perform measurements without providing patient
details. If the measurements are saved, the test results are stored
according to the Ident number generated by the system.
4.2 Measurement Options

The available measurement options depend on the device configuration and the general
defaults for the specific device model. For more information on ARK measurement
mode selection for the L80 Wave+, refer to section ‎6.1.1, General Action Buttons.
Table ‎4-2 lists and describes the measurement options for the L80 when the ARK
Measurement Mode is set to the Standard configuration. Six measurement options are
available using the L80 device in seven measurement configurations.
Table ‎4-2: L80 Standard Mode Measurement Options
Measurement Measurement Measurement
Name Type Description
ARK • Autorefractometer • Determines corrective prescription for a patient with
• Keratometer imperfect vision.
• Measures cornea curvature and detects astigmatism.
AR • Autorefractometer • Determines corrective prescription for a patient with
imperfect vision.
TOPO • Corneal Topographer • Maps eye surface to evaluate the cornea prior to
treatment and refractive vision correction.
WF • Wave front • Maps eye wave front distortion due to inherent physical
Aberrometer properties of the eye.
WF-TOPO • Wave front • Maps eye wave front distortion due to inherent physical
Aberrometer properties of the eye.
• Corneal Topography • Maps eye surface to evaluate the cornea prior to
ACCO • Accommodation • Measures the accommodation ability of the eye.
PUPIL • Pupil meter • Measures the pupil size in changing lighting conditions.
17/74
Table ‎4-3 lists and describes the measurement options for the L80 when the ARK
Measurement Mode is set to the WF configuration. Six measurement options are
available using the L80 device in five measurement configurations.
Table ‎4-3: L80 WF Mode Measurement Options
Measurement Measurement Measurement
Name Type Description
ARK-WF • Autorefractometer • Determines corrective prescription for a patient
with imperfect vision.
• Wave front Aberrometer
• Maps eye wave front distortion due to inherent
• Keratometer physical properties of the eye.
• Corneal Topography • Measures cornea curvature and detects
astigmatism.
• Maps eye surface to evaluate the cornea prior to
AR-WF • Autorefractometer • Determines corrective prescription for a patient
with imperfect vision.
• Wave front Aberrometer
• Maps eye wave front distortion due to inherent
physical properties of the eye.
TOPO • Corneal Topographer • Maps eye surface to evaluate the cornea prior to
ACCO • Accommodation • Measures the accommodation ability of the eye.
PUPIL • Pupil meter • Measures the pupil size in changing lighting
conditions
Note: It is recommended to use the configuration WF in the general defaults in

section ‎6.1.1, General Action Buttons.
4.2.1 Selecting the Measurement

The measurement name appears at the top of the screen and by default, will be the last
measurement performed.
TO SELECT A DIFFERENT MEASUREMENT:
1. From the Menu Bar select
Measure to open the Measure
Menu.
2. Select the required measurement
name from the Measure Menu.
3. Verify that the name at the top of
the Measurement Screen matches
the selection.
Figure ‎4-6: Measurement Menu

18/74
4.2.2 Positioning the Patient for Measurement
TO POSITION THE PATIENT:
1. Place protective paper over the chin rest. Protective disposable paper should be replaced after
each patient.
2. Instruct the patient to place their chin on the motorized chin rest and support the forehead
on the forehead rest.
CAUTION: Instruct the patient not to move during measurement and to avoid
blinking as much as possible
3. Make sure that the patient's chin touches the front limit of the chin rest.
IF PART OF THE PATIENT PUPIL IS VISIBLE – PROCEED TO INSTRUCTION 4.
IF THE PATIENT PUPIL IS NOT VISIBLE:
4. Using the up and down chin rest controls and the right left joystick movement, bring the
patient pupil into the image window (at least half of the pupil should be visible).
Note: The horizontal and vertical alignment can also be adjusted with a stylus or a
finger used directly on the image window touch screen.
5. Instruct the patient to look through the instrument aperture at the fixation target, an image
of a long road with a hot air balloon in the distance.
Note: If the patient does not see the balloon initially, instruct the patient to
continue to look until the balloon appears.
CAUTION: Do not use the joystick for the initial up/down movement of the pupil
centering in automatic mode. Using the joystick will reduce the range
for automatic alignment
CAUTION: Before measuring AR or WF instruct the patient to continue to fixate on
the balloon even when the red laser dot appears.
CAUTION: During Topo and ARK measurement, warn the patient against staring
at the sudden red bright light. Instruct the patient to blink a few times
prior to measurement starts in order to clean the cornea.
CAUTION: During accommodation measurement, instruct the patient to look at the
hot air balloon all the time and to try to maintain a clear focus on the
balloon. Tell the patient to look at the lines on the balloon and try to
differentiate between the different colors.
4.3 Performing the Test – Automatic Mode

This section describes the different measurement modes.
Note: For the manual measurement procedure, refer to section ‎4.14, Manual
Measurement, on page 42.
19/74
4.3.1 AR Measurement
Note: The AR Measurement is used as an example only. The procedure listed

below applies to the ARK-WF, AR-WF, AR-K, WF, ACCO and PUPIL
measurements, as well.
TO PERFORM THE TEST:
Figure ‎4-7: Measurement Screen Figure ‎4-8: Measurement Image Window

1. From the Menu Bar select MEASURE and select the measurement.
2. Select GO AR to begin the measurement. The Measurement Image Window (Figure ‎4-8)
appears.
3. An image of the eye becomes visible in the Image Window. The progress window, to the
right of the Image Window, indicates measurement progress.
4. A series of rings appear around the pupil as it is centered and focused in the Image
Window.
5. A series of beeps is sounded during the test. Each beep indicates that measurements are
being recorded depending upon the number of measurements selected in the setup menu
(see section ‎6.1.1).
6. Once measurement is completed for one eye, the device automatically proceeds to
measure the second eye if both eye measurements was selected in the setup menu (see
section ‎6.1.1).
20/74
If you ABORT the measurement,
choose Yes to skip the current
measurement and go to the next step.
Choose No to stop the
measurements. For example, you
might measure WF (left eye), abort
during the WF (right eye), but then
continue with TOPO for both eyes.
4.3.2 Sensor View
The L80 device contains a Shack-Hartman sensor, an internal camera that captures real
time images of the retina reflection. In any measurement (other than TOPO and
PUPIL) from the menu bar, select VIEW and then SENSOR to view a superimposed
image on the measurement screen of a live camera image.
In case of automatic measurement difficulties, the sensor image will appear
automatically.
Figure ‎4-9: Sensor View
21/74
Note: Examples of sensor view

Example 1: The sensor has a full circle and the dots
are clearly seen.
Example 2: Too many reflections. Move

right/left/up/down in order to remove the reflection.
Example 3: Not centered. Move right/left/up/down in

order to center the image as in example 1.
Example 4: Image obstructed. Move

right/left/up/down in order to obtain an image as in
example 1.
22/74
4.3.3 Topography Measurement
Note: The TOPO Measurement is used as an example only. The procedure listed
below also applies to WF-TOPO
TO PERFORM THE TEST:
Figure ‎4-10: Measurement Screen Figure ‎4-11: Measurement In Progress
Note: Select ABORT any time during measurement to stop the

measurement and revert back to the Measurement Screen.
1. From the Menu Bar select MEASURE and select the measurement.
2. Instruct the patient to blink a few times to clean the eye.
3. Select TOPO to begin the measurement. The Measurement Image Window (Figure ‎4-8)
appears.
4. An image of the eye becomes visible in the Image Window. The progress window, to the
right of the Image Window, indicates measurement progress.
5. A series of rings appear around the pupil as it is centered and focused in the Image
Window.
6. The red illumination light will turn on and an image of rings will cover the limbus.
7. Once measurement is completed for the one eye, the device automatically proceeds to
measure the second eye if the option to measure both eyes was selected in the setup menu
(refer to section ‎6.1.1, General Action Buttons.).
8. The ringer screen is displayed.
The eye is mapped with 24 rings. To manipulate a ring, select the ring number from the list.
The rings appear in red and green to assist in identifying the individual ring. The following
options are available:
23/74
Figure ‎4-12: Topography Rings

• ERASE: Erase part of the selected ring.
• ADD: Add part of a ring that has been erased or missing.
• CONTINUE: Calculate the map
• PUP. CENTER: Edit the pupil center and size.
• ABORT: Return to the Measurement Screen.
24/74
4.4 ARK-WF Measurement Results
This display is available for the ARK-WF measurement for the L80 when the ARK
Measurement Mode is set to the W.F. configuration (refer to section ‎6.1.2, General
Defaults, page 54). This display mode combines several result options in one view and
provides a convenient summary of the most commonly required measurements.
This mode displays refraction, aberrometry, and keratometry for both the left and the
right eyes, including:
• Refraction at 3 and 5 mm (for day and night vision).
• The main high order aberrations of the eye.
• Spherical aberration for the ocular and the corneal systems.
• The difference of the spherical aberration between the ocular and corneal measurements.
The screen is divided into three main sections:
• Refraction
• Aberrometry
• Keratometry
Note: For practitioners who would like maximum information at a glance without
the need to change between different screens the ARK-WF measurement
screen is recommended. In this screen autorefractometer information is
given for both eyes for two different pupil diameters to simulate daylight and
night time vision. The most common high order aberrations are shown.
These aberrations can be used to plan for and then determine the success
of refractive and cataract surgery. A comparison is given of the spherical
aberration from the corneal and ocular measurements for IOL
determination. Full keratometer data for both eyes is shown. More
information is still available from other screens.
An effort has been made to concentrate all relevant information into a single
screen to save valuable time and reduce the need to waste time searching
for that extra vital piece of data.
25/74
Figure ‎4-13: ARK-WF Measurement Results
Note: It is recommended to use the ARK-WF measurement mode. This single

screen provides a summary of most useful information.
4.4.1 Refraction
The ARK-WF Results screen presents the three refractometry measurements in two
increments: 3 mm and 5 mm.
• SPH: Sphere Measurement
• CYL: Cylinder Measurement
• Ax: Axis measurement
Note: Including data for these two increments enables quick access to day and
night vision information.
4.4.2 Aberrometry
This section of the screen presents the data for the following measurements:
• Pupil – actual pupil size
• Aperture (as defined in the settings) – The aperture of the pupil for the aberrometry results
(in topography settings for corneal and in wave front setting for ocular)
26/74
• Display of three of the most common high order aberrations Coma, Trefoil and Spherical
aberrations, including:
• Ocular SA –the ocular spherical aberration (Z4)
• Corneal SA - the corneal spherical aberration (Z4)
• Internal SA –the difference between the ocular and corneal spherical aberration (Z4).
Note: This information is used to define the (IOL) intraocular lens for pre- and
post- cataract patients.
The map of the eye in this section represents the high order aberrations (HOA). That
is, the residual aberrations after low order (Sphere, Cylinder) correction.
4.4.3 Keratometry
• K1 & K2: Two orthogonal radii values.
• AVG: Average of the K1 & K2.
• CYL: Corneal Cylinder measurement
4.4.4 Result Management Buttons
The Result Management buttons at the bottom of the screen are used to save, print, or
export the results.
• Export – export the data files to a compressed zip

file on the disk on key or network. File name is
clientdb.zip.
Note: Export is useful to send the

data to some hard contact
laboratories.
• Print Ticket – Creates a numerical printout on the

internal device printer.
• Send Data – Exports the data to an external PC or

refractometer, as defined in the data output
configuration.
• Auto Mode for Cylinder – use same sign of the

cylinder according to the sign of the sphere
equivalent.
• Vertex Distance (VD) is set in the Maintenance

mode. Click to switch between 12.0 mm default to
0 mm.
27/74
4.5 AR-WF Measurement Results
This display is available for the AR-WF measurement for the L80 when the ARK
Measurement Mode is set to the W.F. configuration (refer to section ‎6.1.2, General
Defaults, page 54). This display mode combines two result options in one view and
provides a convenient summary of the most commonly required measurements.
This mode displays refraction and aberrometry for both the left and the right eyes,
including:
• Refraction at 3 and 5 mm (for day and night vision)
• The main high order aberrations of the eye
• Spherical aberration for the ocular and the corneal systems
This mode also displays the difference of the spherical aberration between the ocular
and corneal measurements.
The screen shown below is divided into two main sections: Refraction and
Aberrometry
Figure ‎4-14: AR-WF Measurement Results
28/74
4.5.1 Refraction
The AR-WF Results screen presents the three refractometry measurements in two
increments: 3 mm and 5 mm.
• SPH: Sphere Measurement
• CYL: Cylinder Measurement
• Ax: Axis measurement
Note: Including data for these two increments enables quick access to day and
night vision information.
4.5.2 Aberrometry
This section of the screen presents the data for the following measurements:
• Pupil – actual pupil size
• Aperture (as defined in the settings) – The size of the opening of the pupil is used for the
aberrometry results.
Note: It is recommended that this value be set to 5mm in the topography and
wavefront settings. Using the same aperture will provide the most accurate
information of the internal spherical aberration data.
• Display of three of the most common high order aberrations Coma, Trefoil and Spherical
aberrations, including:
• Ocular SA –the ocular spherical aberration (Z4)
• Corneal SA - the corneal spherical aberration (Z4)
• Internal SA –the difference between the ocular and corneal spherical aberration (Z4).
Note: This information is used to define the (IOL) intraocular lens for pre- and
post- cataract patients.
The map of the eye in this section represents the high order aberrations (HOA). That
is, the residual aberrations after low order (Sphere, Cylinder) correction.
29/74
4.5.3 Result Management Buttons

The Result Management buttons at the bottom of the screen are used to save, print, or
export the results.
• Export – export the data to the disk on key or

network. Note: Export is useful to send the data
to some hard contact laboratories.
• Print Ticket – Creates a numerical printout on the

internal device printer.
• Send Data – Exports the data to an external PC or

refractometer, as defined in the data output
configuration.
• Auto Mode for Cylinder – use same sign of the

cylinder according to the sign of the sphere
equivalent.
4.5.4 Export Management Button

Export procedure
 If a USB disk is present you will be prompted to specify a folder on the USB disk
 If the device is connected to a network you will be prompted to specify a folder on the
network.
 If neither a USB disk or network is available, you will get a message that the USB is missing.
 If you have both a USB and network it will ask you if you want the USB or the network
Figure ‎4-15: select the root folder

This menu will pop up
Figure ‎4-16: Warning when saving a measurement
YES  The current screen will be saved as a JPG image
30/74
 The entire data of the measurement will be saved in an internal format
Note: Use this option when sending information to another unit, to an

offline version or to a contact lens manufacturer
NO  ONLY the JPG of the screen will be saved
31/74
4.6 ARK Measurement Results
This display is available for the ARK measurement when the ARK Measurement Mode
is set to the Standard configuration (refer to section ‎6.1.2, General Defaults, page 54).
Figure ‎4-17: ARK Average Results Figure ‎4-18: ARK All Value Results
Both the ARK Average Results Screen and the ARK All Value Results Screen contain
separate displays for right (OD) and left (OS) eyes.
The PD value at the top left of each screen indicates the distance between the pupils and
appears only if both eyes were measured. The vertex distance is also shown.
Refractometry results appear in the top value window and provide separate values for:
• SPH: Sphere
• CYL: Cylinder
• Ax: Axis
• Equiv. Sphere: Sphere in diopters
In the ARK Average Results Screen, refractometry values are displayed as averages of all of
the measurements performed. Select All Values to view the individual results of each
measurement.
Select the C+/- icon to toggle between positive, negative, and automatic cylinder convention.
Keratometry results appear in the bottom value window and display measurement values in
mm and in diopters. Cylinder and axis values are also given.
Select the print icon to print the results on the internal device printer.
32/74
4.7 AR Measurement Results
This display is available for the AR measurement when the ARK Measurement Mode is
set to the Standard configuration (refer to section ‎6.1.2, General Defaults, page 54).
Figure ‎4-19: AR Average Results Figure ‎4-20: AR All Value Results
Both the AR Average Results Screen and the AR All Value Results Screen contain separate
displays for right (OD) and left (OS) eyes.
The PD value at the top left of each screen indicates the distance between the pupils and
appears only if both eyes are being measured. The vertex distance is also shown.
Refractometry results appear in the top value window and provide separate values for:
• SPH: Sphere
• CYL: Cylinder
• AX: Axis
In the AR Average Results Screen, refractometry values are displayed as averages of the total
number of measurements performed. Select All Values to view the individual results of each
measurement.
Select the C+/- icon to toggle between positive and negative cylinder conventions.
Select the print icon to print the results from the internal device printer..
33/74
4.8 TOPO Measurement Results

This display is available for the TOPO measurement and for the ARK-WF
measurement for the L80.when the ARK Measurement Mode is set to the W.F.
configuration (refer to section ‎6.1.2, General Defaults, page 54).
Topography measures the shape of the cornea. TOPO Measurement provides three
distinct measurement results: SIM K, MERIDIANS and K. SCREENING.
4.8.1 SIM_K
Select SIM_K to view Keratometry.
• K1 & K2: Two orthogonal radii

values where K1 is the flattest
meridian, K2 the steepest meridian
• AVG: Average of K1 & K2 - the
mean curvature value between K1
and K2.
• CYL: corneal toricity - the difference
in diopters between curvatures of the
principal meridians and axis of the
negative cylinder
Figure ‎4-21: TOPO SIM_K Results
4.8.2 Meridians
Select MERIDIANS to view the radius of
eye curvature in three increments, 3 mm,
5 mm, and 7 mm.
• K1 & K2: Two orthogonal radii.

• AVG: Average of the K1 & K2
• CYL: Cylinder measurement
Figure ‎4-22: TOPO Meridians Results
34/74
4.8.3 K. Screening
Select K. SCREENING to view Keratoconus
screening results.
• KPI: index of probability of
keratoconus.
• SI: (symmetry index) difference
between the mean power of two
circular zones centered in the vertical
axis.
• AGC: (apical gradient of curvature)
mean variation per unit of length of
the corneal power between the
corneal apex and the periphery of Figure ‎4-23: TOPO K. Screening Results
keratoconus.
• AK: (apical keratometry) curvature of
the corneal apex.
Select SWITCH LEFT to view measurements for the left eye. Select the print icon from
any of the result screens to print the results from the internal device printer.
4.8.4 Peripheral Degrees
Select PERIPH. DEG to view the radius of
curvature and the eccentricity of the cornea
at various predefined positions.
• The positions are defined by the
meridian and by the angle from the
keratometric measurement axis. R0 is
the apical position (corneal apex) and the
angles are 10º, 15º, 20º, 25 º, and 30º.
• The meridians used are the nasal,
temporal, inferior, and superior semi
meridians and the horizontal and vertical
meridians. The mean is the average of
the horizontal and vertical meridians.
Figure ‎4-24: Peripheral Degrees Results
Select SWITCH LEFT to view measurements for the left eye. Select the print icon from
any of the result screens to print the results from the internal device printer
4.8.5 Map Displays
The following four different map types can be displayed:
• Axial map
• Instantaneous (tangential) map
• Elevation
• Refraction
The range and color for the maps can be set in the topographic settings (refer to
section ‎6.1.4, Corneal Topography Defaults). The scale is set in the Tools menu.
35/74
The axial map and an instantaneous (tangential) map of the cornea are displayed on the
screen. Double click on any of the two maps to manipulate them. The elevation and
refraction maps are accessed from the axial and tangential map views when these maps
are enlarged.
Use the menu at the bottom right corner of the screen to choose the map type. See
Appendix B for the color scale defaults.
Remove color scale
View rings
View pupil
View three zone visualization and

goniometer.
View three, five, or seven mm (if
available).
Figure ‎4-25: Topography Map Screen
View cross wire.
The scale for the map being displayed is shown
on the left side of the map, alongside the icon. Toggles between mm and diopter
Three color palettes are available; the ANSI and numerical values.
ISO Standards and a customized palette that
allows more changes to be made. Refer to View numerical values over the map at
section ‎6.1.4, Corneal Topography Defaults for the various angles.
default measurement settings. Shows only Sim-K values
Step: Sets the level color difference.
3D image of the corneal map
Middle Value: In the color scale, manipulate the
colors in relation to the values. Print to external printer
Apply: Select to apply the changes to the Step
and Middle Value. Save (to disk on key)
Default: Reverts to the default color scale.
Tools
Sim-K represents the simulation of the readings See the description of SIM_K on Page
34for an explanation of SIM_K terms.
that would be obtained with an ophthalmometer.
When the Sim-K icon is selected, the steepest
and most curved meridians and the related
keratometric simulated data are shown on the
map.
36/74
4.9 WF Measurement Results
This display is available for the wavefront measurement and for the ARK-WF or AR-
WF measurement for the L80.when the ARK Measurement Mode is set to the W.F.
configuration (refer to section ‎6.1.2, General Defaults, page 54).
When the WF measurement ends, the ocular aberrations view is displayed.
The Wave Front Results screen measures refractometry and high order aberrations in
two increments: 3 mm and 5 mm.
REF: Refractometry
• Sph: Sphere Measurement
• Cyl: Cylinder Measurement
• AXIS: Axis measurement
W.F.: Wave Front
• RMS: Root mean square of the total
aberrations in microns
• LOA: Low Order Aberrations as a
percentage of the total RMS
• HOA: High order aberrations as a Figure ‎4-26: Wave Front Results
percentage of the total RMS
Select SWITCH LEFT to view measurements for the left eye. Select the print icon
from any of the result screens to print the results from the internal device printer
4.9.1 Map Displays
The following two maps are shown:
• Total Aberrations Map: Illustrates the wave front shape of the total Zernike coefficients.
• HOA Aberration Map: Illustrates the wave front shape of the high order Zernike
coefficients (excluding defocus and astigmatism).
Double clicking on the maps enables map manipulation, as specified below.
37/74
View 3 mm pupil
diameter
View 5 mm pupil
diameter
View 7 mm diameter
(if available)
View three zone
visualization and
goniometer
View three, five or
seven mm if available.
Figure ‎4-27: Wave Front Map Screen View cross wire.
Step: Sets the level color difference.
Print
Middle Value: In the color scale, manipulate the colors in
relation to the values. Save (to disk on key)
Apply: Select to apply the changes to the Step and Middle Value.
Default: Reverts to default color scale. 3 D view
On the drop down menu - Power Map: Select the aberration Zoom
to be displayed as the local power map (sphere, cylinder,
prism or coma). This feature calculates and displays the
chosen aberration at each point over the pupil separately
unlike the Wavefront map which shows global parameters for
the whole eye.
Note: The ocular aberration map shows total aberration or just HOA aberration
according to choice for the entire eye. For example if the patient has 1m
of coma at an axis of 45 and -0.5m of spherical aberration, the map will
show a combination of these two aberrations over the requested pupil area.
Information is determined for the entire eye but no information regarding the
locality of defects within the eye is available.
The map calculation uses all the Shack-Hartmann spots in the given pupil
area. The local power map is based on a different calculation. Small
groups of Shack-Hartmann spots are calculated separately. In each small
group of points the sphere, cylinder, prism and coma are calculated. A
position map based on these calculations is displayed. Separate maps are
available for sphere, cylinder, prism and coma.
Localized defects within the eye can be seen in these maps. For example a
small protrusion in the various ocular surfaces may show a change in the
sphere power at that point.
38/74
4.10 WF/TOPO Measurement Results
To view the measurement results for WF/TOPO, refer to section ‎4.9, WF Measurement Results on
page 37, and section ‎4.8, TOPO Measurement Results, on page 34.
4.11 Accommodation Results
The Accommodation Results screen shows the changes in the eye power during the accommodation
process.
Note: The machine contains an automated fixation target that is used for patient
fixation. In WF and AR / ARK modes the target is used for auto fogging to
reduce the risk of patient accommodation during measurement.
In ACCO mode the target initially moves to the auto fogging position, and
then slowly moves closer to the patient. The patient views the target image
and must try to focus on the picture. As the target comes closer to the
patient, the patient will accommodate and measurements are taken. The
machine automatically detects the point when the patient cannot
accommodate any more and will end the measurement.
A graph is then displayed of the change of the eye power as the target
position changes. A comparison is shown with the expected
accommodation ability typical of the patient’s age.
• Sph: Sphere Measurement

• Cyl: Cylinder Measurement
• AXIS: Axis measurement
• ADD: Addition measurement (reading
distance is set in the accommodation setup
menu)
• ACC AMP: Accommodation amplitude, the
change in the eye power during the
measurement.
Figure ‎4-28: Accommodation Results
• AGE AMP: Typical accommodation
amplitude for the patient according to age.
39/74
4.12 Pupil Meter Results

The Pupil Meter Results screen shows the changes in the pupil size as the incident light level
changes.
• Scotopic : Pupil size in scotopic conditions

(low light).
• Mesopic 1: Pupil size in low/medium light
levels.
• Mesopic 2: Pupil size in medium light levels.
• Photopic: Pupil size in photopic conditions
(bright light).
Figure ‎4-29: Pupil Meter Results
40/74
4.13 Managing Measurement Results
Measurement results can be saved or printed by accessing the File menu
from any measurement screen.
FILE MENU BUTTONS
• Retrieve - Use the Retrieve option to access measurements stored in
the device database. Measurements are accessed according to the
patient name entered prior to measurement, or by the Ident number
(Refer to section ‎4.1.1, Entering a New Patient).
1. Select Retrieve to access the Retrieve Measurement Screen.
Figure ‎4-31: Database Retrieve Screen

Figure ‎4-30: Managing
Measurement Results 2. From the Name box, use ▼ or ▲ to locate the patient name.
3. From the Date/Time box, select the date and time of the test in
the event that there was more than one session.
4. From the Examination box, use ▼ or ▲ to select the
measurement to retrieve for the selected patient.
5. The keyboard filter can be used to help find a patient name. Type
in the first few letters of the name: Similar saved names will
appear in the names window.
• Export – Select Export or use the Export button to save screen shots
to a zip file named clientdb.zip on an external Disk on Key
attached to one of the USB ports on the device.
• Save – Select Save to save measurement results to the internal
database.
• Delete – Select Delete to delete the patient record for the specified
Ident number.
• Print Screen – Select Print Screen to print the visible screen to an
external printer connected to the device.
41/74
• Print Ticket – Select Print Ticket or use the Print Ticket button to
create a numerical measurement printout on the internal device
printer.
• Report– Select Report to print a result report on the pre-prepared
results form. See Appendix A for examples of the report types. Up to
three report options are available, depending on the device model:
 Topo: Refer to the TOPO 2 Maps and TOPO 4 Maps sections of
Appendix B: Topography Map for report examples.
 WF: L80 only
 Topo and WF: L80 only
• Setup – Select Setup to access the factory default setting screens.
• Shutdown – Select Shutdown to end the measurement session and
turn the device off.
• Send Data – Exports the data to an external PC or refractometer, as

defined in the data output configuration.
Note: This button is specific to the ARK-WF Measurement Results and

AR-WF Measurement Results for the L80 Wave+ device.
Note: Check the Refraction setting (WF/AR Diam) to choose the pupil
diameter of the refraction to be sent to the Photopter or EMR.
4.14 Manual Measurement
The L80 default measurement mode is automatic. Manual measurement provides the operator with
complete control over focus and alignment of the eye using the joystick and the image window.
Access the manual mode by changing the system defaults (refer to section 6).
TO PERFORM MANUAL MEASUREMENT:
1. Instruct the patient to place the chin on the motorized chin rest and support the forehead on the
forehead rest.
2. Using the chin rest control, bring the patient pupil into the image in the image window. Use the
joystick to focus and align the eye in the image window. For detailed information on using the
joystick, refer to section ‎3.1.4, The Joystick, on page 14. You can also use the stylus or a finger to
adjust the vertical and horizontal alignment of the eye in the image window.
Press GO AR (for AR measurement example). Rings will appear over the pupil and you will see
the following on the screen:
42/74
Figure 32 - Manual Measurement
3. Use the joystick to focus and align the rings in the image window. Use the focus bar on the left
for interactive focus guide.
4. Once the rings are centered and focused, press the Start Button on the joystick to take the
measurement.
43/74
Additional Views
5. Additional Views
Corneal Aberration
Zernike
MTF/PSF
Rings
Visual Acuity
Additional Tools
5.1 Corneal Aberration
Figure ‎5-1: Corneal Aberration View Screen

From the Menu Bar, Select VIEW and then COR. ABER to access the Corneal Aberration Menu
screen. Double click the Total Aberration map or the HOA map to enlarge the maps.
44/74
View 3 mm pupil diameter
View 5 mm pupil diameter
View 7 mm diameter (if available)
View three zone visualization and

goniometer
View three, five or seven mm
if available.
View cross wire.
Figure ‎5-2: Corneal Aberration Map Screen
Step: Sets level color difference. Print
Middle Value: In the color scale manipulate the colors in Save (to disk on key)
relation to the values.
Apply: Select to apply changes to Step and Middle Value. 3 D view
Default: Reverts to default color scale.
Zoom
5.2 Zernike
The Zernike measurements are relevant for Topography and Wave Front. Results for both options
are interpreted in the same manner.
Note: To access the Zernike measurement screen for Topography or for WF

(Model L80 only), select VIEW from the Menu Bar and select ZERNIKE.
From the popup menu, select either TOPO or WF.
Figure ‎5-3: Selecting Zernike

The Zernike measurement lists individual aberrations parameters. Numerical values are displayed in
microns. The red square in the graphic values represents average results for the general population.
The color in the red square represents the actual patient result.
45/74
Additional Views
Figure ‎5-4: Topography Zernike Screen

Select SWITCH RIGHT to view the results for the right eye.
Refer to the Zernike Convention settings on Page 58 in the section Corneal
Topography Defaults to check if the setting is direct or invert.
5.3 MTF/PSF
The MTF/PSF measurement is applicable to Topography and Wave Front (for L80, only). Results
for both options are interpreted in the same manner.
Note: Access the MTF/PSF measurement screen for Topography or for WF by

selecting VIEW from the Menu Bar and selecting MTF/PSF. From the
popup menu select either TOPO MTF/PSF or WF MTF/PSF.
MTF/PSF (Modular Transfer Function/Point Spread Function) displays measurement
graphs containing MTF/PSF measurements.
Figure ‎5-5: Topography MTF/PSF Screen

• Select Correct HOA to access the same image with an HOA correction.
• Select Correct LOA to access the same image with an LOA correction.
• Select SWITCH RIGHT to obtain the same information for the right eye.
• Select print icon to print the results to the device printer.
46/74
Two viewing options are available; single and dual display. Single display shows results
for just one case, no correction, LOA correction, HOA correction or LOA and HOA
correction. Dual display allows for two different cases to be viewed together allowing
for a visual comparison.
5.4 Rings
During the topography measurement, the eye is mapped with rings. The rings enable the operator to
examine separate sections of the eye by manipulating the rings. To open the ring view, double click
on the Axial map or the Instantaneous map with the stylus or select VIEW and then the RINGS
option.
The eye is mapped with 24 rings. To manipulate a ring, select the ring number from the list. The
rings appear in red and green to assist in identifying the individual ring. The following options are
available:
• ERASE: Erase part of the selected ring.

• ADD: Add part of a ring that has been
erased or missing.
• CONTINUE: Calculate the map
• PUP. CENTER: Edit the pupil center and
size.
• ABORT: Return to the Measurement
Screen.
Figure ‎5-6: Topography Rings
5.5 Visual Acuity

Visual acuity measures the eye's ability to distinguish object details and shape using HOA (High
Order Aberrations) and LOA (Low Order Aberrations).
Visual Acuity measurement is applicable to Topography and to Wave Front. Results for
both options are interpreted in the same manner.
Note: Access the Visual Acuity measurement screen for Topography or for WF by
selecting TOOLS from the Menu Bar and select VIS. ACUITY. From the
popup menu either TOPO VIS. ACUITY or WF VIS. ACUITY.
Figure ‎5-7 reflects the actual quality of patient eyesight.
47/74
Additional Views
Figure ‎5-7: Corneal Visual Acuity Screen

• Select Correct HOA to access the same image with an HOA correction.
• Select Correct LOA to access the same image with an LOA correction.
• Select SWITCH RIGHT to obtain the same information for the right eye.
• Select the print icon to print the results to the device printer.
Two viewing options are available: Single and dual display. Single display shows results
for just one case, no correction, LOA correction, HOA correction or LOA and HOA
correction. Dual display allows two different cases to be viewed together for visual
comparison.
48/74
5.6 Additional Tools
The L80 has a set of additional applications to help you get the most from your
machine. The tools are:
 Visual Acuity: measures the eye's ability to distinguish object details and shape
using HOA and LOA.
 Eject Disk on Key: Safe removal of the USB storage.
 Keratoconus screening: view Keratoconus screening results.
 Patient History: see previous results for patients.
 Contact Lens Fitting: allows you to proceed directly to lens fitting
 Depth of Focus:
 Sensor View:
Figure ‎5-8: Tool

Selection
5.6.1 Visual acuity

• Visual acuity – refer to section 5‎ .5.
5.6.2 Eject Disk on Key
• Eject – Eject is used for the safe removal of a disk on key device.
5.6.3 K-Screening
• K-Screening – View keratoconus screening results screen. Refer to section ‎4.8.3, K. Screening.
49/74
Additional Views
5.6.4 History
 Select a patient.
 Select a date to compare two
maps with the difference
map or display three
different maps.
 Examination: Select which
eye to examine.
 Select the type of map to
display.
Figure ‎5-9: History Screen
50/74
5.6.5 Contact lens fitting
Choose a lens manufacturer and then

select the most suitable lens from the
given selection
TLT (Tear Layer Thickness) This numeric
box contains the target TLT for lens
search in the database.
After the TLT value has been changed,
you may have to select a new manufacturer
or a model.
Orient (°) Orientation of K1: It allows
selecting the direction of the flattest
meridian of a toric lens.
Figure ‎5-10: C.L. Fitting Screen The default value is the direction of the
flattest meridian of Sim K. You can
modify this parameter to simulate a lens
rotation.
Double click on the lens image to display

the Additional Functions screen.
Lens
Reset move lens
Tilt lens
Tilt lens
Move meridian
Figure ‎5-11: Additional Functions Screen Coordinates referred to the

vertex of the cornea
While moving the cursor across the map the local values of the Exit: Select this option to return to the
lens fit are shown on the right. main screen of the contact lens.
51/74
Additional Views
5.6.6 Depth of Focus

Depth of Focus: This calculates and
displays the depth of focus of the eye. The
calculation is based on the change of Strehl
Ratio at different points of focus.
Figure ‎5-12: Depth of Focus Screen
Note: A number of different metrics can be used to determine visual ability. An

optometrist measures visual acuity with a Snellen chart. The L80 calculates
the MTF, PSF and the Strehl Ratio.
In a typical eye exam, the optometrist will search for the best prescription by
changing lenses and asking for a patient response. Typically s/he will add
or reduce sphere power in steps of 0.25D and will determine the best
prescription from the patient response according to various criteria and his /
her experience. Some patients have the ability to differentiate between
steps of 0.25D, others cannot. In this function, the patient’s wavefront is
measured and the MTF and Strehl Ratio are calculated. A calculation is
then made of how the MTF and Strehl ratio would change if the sphere
power is changed from best corrected vision (LOA correction).
The depth of focus here is defined as the change in sphere power for a
20% reduction in the Strehl Ratio. This is effectively the difference in
sphere power that the patient is capable of discriminating. [See for example
Susana Marcos et al Journal of Refractive Surgery Volume 21 May/June
2005].
52/74
5.6.7 Sensor View
Figure ‎5-13: Sensor View

Sensor View: Picture measurement of the actual light that reflects from the retina and is detected by
the system. If there are dark or opaque areas in this image, this may be used as a tool for cataract
screening.
53/74
Settings and User Maintenance
6. Settings and User Maintenance

Settings
General Action Buttons
General Defaults
Measurement Defaults
Corneal Topography Defaults
Manage Database
Maintenance
Cleaning
Replacing the Paper Roll
6.1 Settings
CAUTION: Become completely familiar with the original L80
configurations before changing the factory defaults.
The L80 arrives from the manufacturer optimized with default settings. Advanced operators, familiar
with the device, may choose to change the defaults to customize device settings.
Six factory default screens allow the user to change factory defaults. The next sections present
descriptions of the elements that are included in the factory default options.
To access the default screens, open the File Menu and select the Setup option.
6.1.1 General Action Buttons
These four buttons are located at the bottom of all the setting screens.
• Cancel/Exit: Cancels/exits the setting screen and all changes.

• Session: Temporarily saves the setting changes until the machine is rebooted or turned off..
• Save: Saves the changes as the new default, effective immediately.
• Factory: Resets to the factory defaults.
6.1.2 General Defaults

General defaults apply to the overall system setup. Select General to access the General
Default Screen.
• Date: Select ▼ to change the default date.

• Language: Use ▼ or ▲ to change the
interface language.
• Time: Use ▼ or ▲ to reset the time.
• Data Output: Transfer information from
the L80 to another measurement device.
• WF/AR Diam: select either 3 or 5 mm
• Beep: Select the sound level of the
measurement beeps.
• PD: Select the child mode if relevant or
select another value, if known.
Figure ‎6-1: General Default Screen
54/74
• CHIN REST: Select the child mode if
relevant or select another value for tall or
short patients.
• MTF/PSF Default Display: Select
single or dual display for MTF/PSF
display.
• Visual Acuity Display: Select single or
dual display for the visual acuity display.
• ARK Measurement Mode: Select
Standard or W.F.
Note: Standard gives the AR measurement with pupil diameter of 3.5mm. The WF mode gives 3
and 5 mm measurements and all the ocular wavefront maps and data.
Note: If you requested a full corneal topography, AR-K in the WF mode will also collect the data
to display.
Note: To gain full benefit from the L80 capabilities, we recommend using the WF mode.
55/74
6.1.3 Measurement Defaults

The Measurements Default screen is used to manage the defaults parameters for the
wavefront, topography and accommodation.
ARK – TOPO – ACCO
• Step: Select the measurement display
increments.
• CYL: Select negative or positive cylinder
convention. Auto mode uses same sign
of the cylinder according to the sign of
the sphere equivalent.
• Target Luminosity: Select the
luminosity level of the fixation target.
• Vertex Distance: Select the required
vertex distance.
Figure ‎6-2: Wave Front Default Screen

• Focus and Center: Select automatic or manual mode of measurement.
• Measurement Automation: Select the eye(s) to be measured. Aperture: Diameter of pupil
for calculation.
• Ticket: Select a printout option.
• Automatic Save: Select to save measurement results in the device.
• Automatic Print: Select to automatically print a ticket.
• Automatic Zoom: Select for automatic zoom for aberration maps.
• Sensor View: Select to view the sensor image during measurements.
• Report to file: allows you to save the report (see Page 30 Export Management Button) as a
JPG image instead of printed output. The file will be saved on a disk on key or in the network
(if defined). The file name will be of the form:
-for a wavefront: imageWF0_#NAME#.jpg
-for a Topo: imageTOPO0_#NAME#.jpg
56/74
Number of Measurements
• Use ▼ or ▲ to set the number of measurements taken in a single test. The maximum
number of measurements is 10.
Aperture
• The aperture used to calculate the ocular or corneal wavefront, either TOPO or WF
Note: It is advisable to select for 5mm and Topo WF. This allows removal of
spherical aberration (Z4) and ocular lenses.
AR/WF
• Zernike: Select the units (microns or diopters) for the display measurements.
Note: Measurement is based on: Thibos LN, Bradley A, Hong X “A statistical
model of the aberration structure of normal well corrected eyes” Ophthalmic
and Physiological Optics 22 427-433 2002
• Transmission: Select to view the image of the luminosity of the wavefront sensor. If this
feature is selected an additional icon will appear at the enlarged wavefront map.
Accommodation
• Reading Distance (D): Use ▼ or ▲ to set the reading distance for the addition calculation.
Note: the units are diopters.
57/74
6.1.4 Corneal Topography Defaults

The Corneal Topography Default screen is used to change the settings for the TOPO
and WF TOPO measurements. From the General Default screen, select the
Topography option to access the Corneal Topography Default screen.
Topography Pallet
• Map Type: ANSI, ISO or Custom
• Topo Unit: Millimeter or Diopter
Figure ‎6-3: Corneal Topography Default Screen

Topography Scale
 The Preview chart shows the value associated
with the color scale
 Set the Middle Value for the default axial value
(in diopters).
 Check the Green Center Color option to always
have green in the center.
 Select Auto Scale to allow the software to
choose the colors and middle value
Default View: choose the function icons to For an explanation of the icons, see the
display in the default view. descriptions on Page 36 for Figure ‎4-25:
Topography Map Screen.
Color for the data – when data is displaced on

the topography map you can choose between a
black or white font .
Zernike correction – Direct will display the
Zernike as the corneal aberration Invert will
display it as the aberration needed for correction.
58/74
• Report: Use the Report options to change the
configuration of the topography in the
settings and what is displayed in the
topography reports.
 Map Instant: Displays the report axial map and
the instantaneous map.
 View Pupil
 Invert Black: Replaces the black background
with white. Figure ‎6-4: Corneal Topography Report Screen
 Polar Grid
 SIMK Zones
 Goniometer
 See background.
6.1.5 Manage Database
Manage Database: Selecting this button

displays the Database Management options.
• Backup Database: Backup the entire
database to the network or disk on key. At
the end of this operation you can choose to
either erase the entire database or keep it.
• Retrieve Database: Use this function to
retrieve a previously saved database.
• Import Data: Use this function to import a
single record.
• Erase Record(s): Use this function to erase
one or more records
Figure ‎6-5: Database Management Options
• Change Path of Database: Use this
function to select where the database is
saved.
59/74
6.1.6 Maintenance
The Maintenance screen functionality is used to calibrate specific settings. Select the
Maintenance button to access the Maintenance screen.
The following Maintenance functions should only be

used under the guidance of an authorized
Luneau/Visionix technician, with the original tools
provided by Luneau/Visionix:
• Topography Calibration
• Test Topo Calibration
• Test ARK Calibration
• Hardware BIT: Built-in hardware tests for the
various components inside the device.
• Motors Reset: Used to reset the motors if the
positioning becomes unstable.
• Reset: Used to restart the operating system in the Figure ‎6-6: Maintenance Screen
event of software failure.
SOFTWARE UPGRADE
The software upgrade is used to install new software
versions. To perform a software upgrade:
1. Insert the disk on key with the authorized software
upgrade.
2. Select the file install_wf.exe.
3. Follow the instructions that appear on the screen.
CAUTION: Remember to remove the disk on key
before you restart the unit.
• Files Record: Entire data for each measurement is

automatically saved until a new measurement is
performed. You can save all the data of the current
measurement with the file record.
• Recording: Saves all the data of the current patient
to the hard drive. The data is ready to be export
when you choose to do so.
• Export Files: All the data saved data is copied to
the disk on key via the USB port.
• Technician Maintenance: for use by service
engineer only.
60/74
TEAM VIEWER
The Team Viewer is used to allow Visionix technical
support to connect directly to the machine in order to
perform maintenance.
Note: Only use this function when asked to do

so by a technical support engineer.
Note: This function only works if the device is

connected to the internet.
TO LAUNCH THE TEAM VIEWER
Ensure the device is connected to the internet via the
LAN. Click the Team Viewer button
On the splash screen enter your ID and password.
• Team Viewer will automatically connect.
• Follow the instructions given to you by the Figure ‎6-7:Team Viewer Login Screen
Technical Support engineer.
WARNING: Launching Team Viewer will exit you
from the operator program.
6.2 Cleaning
To clean the plastic surface of the L80, dampen a cloth with a commercial, non-abrasive
cleaner and gently wipe the top, bottom and front surfaces.
CAUTION: Do not spray or pour any liquid directly on the device.
CAUTION: Do not use caustic or abrasive cleaners.
6.2.1 Chin Rest

Regular cleaning of the chin rest with a soft cloth and alcohol is strongly recommended.
Chin rest paper coverings are supplied with the device. Use the paper to cover the chin
rest after each patient use.
6.2.2 Forehead Rest
Regular cleaning of the forehead rest with a soft cloth and alcohol is strongly
recommended. The forehead rest is the only part of the machine that comes into
contact with the patient.
6.3 Replacing the Paper Roll

TO REPLACE PAPER ROLL IN THE INTERNAL PRINTER:
1. Open the printer door located on the right side of the device (see Figure ‎3-1: L80 Connector Side
View on page 11).
2. Remove the depleted paper roll and mount the new roll as illustrated on the inside of the printer
door.
3. Feed the paper into the feed drum until the paper is pulled automatically.
4. Close the printer door.
61/74
7. Troubleshooting
A number of options are available from the Maintenance Setup Menu to help in the event of
problems.
 Motors Reset – Motors reset can be used to reset the motors in the event that the
positioning becomes unstable.
 Reset – Reset can be used to restart the software in the event of software failure.
 Software Upgrade - Software upgrade is used to install new versions of the

software.
 Backup Database - Backup database is used to create a backup of the internal

patient database on an external device for example a network or USB device.
 Retrieve Database – Retrieve database is used to move data from an external

database to the internal database.
 Measurement Problem:
 Difficulty of centering: Check that there is no external light or windows next

to the unit. Irregular and large light conditions on the patient or on the unit.
 Pupil size different from expected or actual pupil size: Irregular and large light
conditions on the patient or on the unit.
 High order aberration: Direct light coming to the optics or on the patient.
62/74
Table ‎7-1 lists potential problems and suggestions for resolving them. If the problem persists and the
suggested solution does not remedy the problem, contact a qualified service representative or your
local distributor.
Table ‎7-1: Troubleshooting
Problem Possible Causes Action
• Paper jam • Open the print paper door and
The ticket does not print release the paper.
• Out of paper
• Replace the paper roll.
In manual mode, eye is not visible Patient is out of range due patient • Adjust the chin rest using the
on the screen size. chin rest buttons.
• If problem is recurring enter
the set up menu and select
maintenance → motor reset to
automatically recalibrate.
• Pupil is too small Open sensor image window to
Does not measure AR or WF check Shack Hartmann pattern
• Pupil is not centered and realign using the joystick until
• Centering is not optimal clear image of spots is visible
without significant reflection.
• Poor image quality • Open ringer window and edit
Corneal topography results are poor quality rings.
very noisy • Patient eyes are not fully open
• Remeasure.
63/74
8. Specifications
Specifications
Compliance with International Standards
8.1 Specifications
Table ‎8-1: Device Specifications
Height 500mm (19.5 inches)
Length 530mm (20.8 inches)
Width 310mm (12.2 inches)
Weight 25 Kg max (44 lbs.)
Power Source/Consumption 100/120, 220/240 V AC, 50/60 Hz
Operating Temperature 10°C (50°F) to 40°C (104°F) Relative Humidity 30%-85%
Storage Temperature 10°C (50°F) to 60°C (140°F) Relative Humidity below 70%
Table ‎8-2: General Specifications
Working Distance 91 mm
Alignment XYZ automatic
Display Touch Screen (640 x 480)
Color LCD TFT Screen 10.4”
Observation Area ø 14 mm
Printer Built in BW - External color available
Operating System Windows XP
Footprint 390mm (L) x 300 mm (W)
Regulations CE MDD
Table ‎8-3: AR and Power Mapping (Wave Front) Specifications

Spherical Power Range -20D to +20D
Cylinder Power Range 0D to +8D
Axis 0 - 180°
Measuring Area 2.0 mm - 7.0 mm (3 zones)
Number of Measuring Points 1500 points
Acquisition Time 0.2 sec
Method Shack-Hartmann
Table ‎8-4: Corneal Topography Specifications

Number of Rings 24
Number of Measuring Points 6.144
Number of Analyzed Points > 100,000
64/74
Diameter of Covered Corneal From 0.75 mm > 10 mm
Area at 43D
Diopters Measured Field 1-60
Repeatability 0.02 D
Method Placido Disk
8.2 Compliance with International Standards

The products L80 Wave +, L79ARK-TOPO, and L78TOPO comply with the Medical Device
Directive 93/42/ECC and are in Class IIa (rule 10).
8.3 WEEE Directive

Luneau SAS is registered as manufacturer by the French Agency, ADEME, for the 2002/96/CE,
2002/96/CE and 2003/108/CE directives.
This symbol is located on the L80 Wave + and indicates that the equipment consists of electronic assemblies
and other components that may be subject to Directives 2002/96/EC, 2003/108/EC and 2002/95/EC of the
European parliament, which advises that electrical and electronic devices must not be disposed of as normal
domestic refuse. In order to prevent environmental risks or endangerments by non-professional disposal, the
disposal of this product, including any accessories, must comply with valid practices as outlined in Directives
2002/96/EC, 2003/108/EC and 2002/95/EC and local regulations. All electronic components and systems
should be returned to Original Manufacturer for disposal.
65/74
9. Appendix A: Report Examples
This appendix shows the different type of reports that can be issued.
Note: In addition to these report you can print each screen by using the function
Print Screen – Select Print Screen from the File menu to print the visible
screen to an external printer connected to the device.
9.1 TOPO 2 Maps

The report with the axial map is displayed when the settings below are set in Settings, Topography,
Report
Figure ‎9-1: Topography report axial map
9.2 TOPO 4 Maps

The report with both axial and tangential maps are displayed when the settings below are set in
Settings, Topography, Report
66/74
Figure ‎9-2: Topography report axial and instantaneous maps
67/74
Appendix A: Report Examples
9.3 Wavefront
This report shows the default wavefront map
Figure ‎9-3: Wavefront report
68/74
10. Appendix B: Topography Map
This appendix shows different types of axial maps with different settings.
10.1 Patient #1
Patient with keratoconus and a corneal cylinder of -9.25D
69/74
Appendix B: Topography Map
If ANSI is set the map range will be from 54D to If ISO is set the map range will be from 54D to
29D with 1 D interval 29D with 1 D interval
If custom is set the map range will be in this case If you choose to show the data in D press
from 58 D to 42D with 0.65 D interval
and the different axis
You can also change the interval manually to
0.50 D by using the button

and then
70/74
10.2 Patient #2
Patient with a corneal cylinder of -1.50D post LASIK
71/74
DEFAULT DIOPTER
If ANSI is set the map range will be from 54D to 29D If ISO is set the map range will be from 54D to 29D
with 1 D interval with 1 D interval
If custom is set the map range will be in this case from

51 D to 38D with 0.50 D interval If you choose to show the data in D press and the
different axis
You can also change the interval manually to 0.50 D by
using the button and then
DEFAULT Millimeter
72/74
If ANSI is set there is no display (ANSI is only in If ISO is set the map range will be from 7mm to
Diopter) 9.50 mm with 0.20 mm interval
n/a
If custom is set the map range will be in this case from

5.20mm to 10.20 with 0.20mm interval If you choose to show the data in mm press and
the different axis

You can also change the interval manually to 0.1mm by
using the button and then
73/74
If the auto range and mm is set as follow:

In this case from 7.20mm to 8.75 with 0.05mm
interval
Elevation Map Refraction map
74/74

L80 Wave Operator v35

Загружено:

Сведения о документе

Авторское право

Доступные форматы

Поделиться этим документом

Поделиться или встроить документ

Параметры публикации

Этот документ был вам полезен?

Это неприемлемый материал?

Авторское право:

Доступные форматы

L80 Wave Operator v35

Загружено:

Авторское право:

Доступные форматы

OPERATOR MANUAL

4.8.5 Map Displays ........................................................................................................... 35

Figure ‎5-10: C.L. Fitting Screen .................................................................................................51

June 16, 2010

The L80 contains two main measurement paths:

Table ‎1-1: L80 Function Summary

1.2 Document Scope

2.3 Electromagnetic Interference

2.4 Transport, Storage, and Handling

General Caution. Warning. Risk of Danger

General Mandatory action

Invisible Laser Radiation

This equipment is a Class 1 laser product.

3.1 Device Description

Figure ‎3-1: L80 Connector Side View

1 Printer Paper Door

3.1.2 L80 Operation Side

Figure ‎3-2: L80 Operation Side View

Figure ‎3-3: L80 Patient Side View

3.1.4 The Joystick

Figure ‎3-4: Joystick

Note: It is possible to use a stylus or finger directly on the touch screen to

4.1 Getting Started

Figure ‎4-1: Measurement Screen Elements

4.1.1 Entering a New Patient

Figure ‎4-3: New Patient Keyboard Screen

5. To enter the birthdate, using the

Figure ‎4-4: New Patient Birthdate Screen

Figure ‎4-5: New Patient Adjustment Screen

Note: Child is a person with a PD of 55mm or less.

4.2 Measurement Options

Note: It is recommended to use the configuration WF in the general defaults in

4.2.1 Selecting the Measurement

Figure ‎4-6: Measurement Menu

4.3 Performing the Test – Automatic Mode

Note: The AR Measurement is used as an example only. The procedure listed

Figure ‎4-7: Measurement Screen Figure ‎4-8: Measurement Image Window

4.3.2 Sensor View

Figure ‎4-9: Sensor View

Note: Examples of sensor view

Example 2: Too many reflections. Move

Example 3: Not centered. Move right/left/up/down in

Example 4: Image obstructed. Move

Figure ‎4-10: Measurement Screen Figure ‎4-11: Measurement In Progress

Note: Select ABORT any time during measurement to stop the

Figure ‎4-12: Topography Rings

Figure ‎4-13: ARK-WF Measurement Results

Note: It is recommended to use the ARK-WF measurement mode. This single

• Export – export the data files to a compressed zip

Note: Export is useful to send the

• Print Ticket – Creates a numerical printout on the

• Send Data – Exports the data to an external PC or

• Auto Mode for Cylinder – use same sign of the

• Vertex Distance (VD) is set in the Maintenance

4.5 AR-WF Measurement Results

Figure ‎4-14: AR-WF Measurement Results

4.5.3 Result Management Buttons

• Export – export the data to the disk on key or

• Print Ticket – Creates a numerical printout on the

• Send Data – Exports the data to an external PC or

• Auto Mode for Cylinder – use same sign of the

4.5.4 Export Management Button

Figure ‎4-15: select the root folder

Figure ‎4-16: Warning when saving a measurement