Page 1 CV-5000 USER MANUAL COMPU-VISION CV-5000...
Page 3: Introduction
INTRODUCTION Thank you for purchasing the TOPCON Compu-Vision CV-5000. INTENDED USE / INDICATIONS FOR USE This instrument is used to measure the refractive power of the eye and to test binocular functionality. FEATURES This instrument has the following features:  The compact design enables you to see the patient's face.
Page 4 (4) Do not store the instrument where chemicals are stored or gas is generated. 5. Usage period 8 years from delivery providing regular maintenance is performed (according to the self-cer- tification [Topcon data]) CHECKPOINTS FOR MAINTENANCE Maintenance by user 1. Before use, ensure that the measuring head is installed securely.
Page 5: How To Read This User Manual
HOW TO READ THIS USER MANUAL • Before using the CV-5000 instrument, read the cautions described on P.1 to P.8. • For connecting to other devices, read "6.1.1 CONNECTING PERIPHERAL DEVICES" on P.120. • For quick start up, refer to "3. BASIC OPERATIONS" on P.54 first. •...
Page 6: Display For Safe Use
DISPLAY FOR SAFE USE To encourage safe and proper use and to prevent danger to the operator and others or potential damage to property, important cautionary messages are placed on the instrument body and inserted in the user manual. We suggest that everyone using the instrument understand the meaning of the following displays, icons and text before reading the "SAFETY CAUTIONS"...
Page 7: General Safety Information
GENERAL SAFETY INFORMATION WARNING Ensuring the Safety of Patients and Operators Be careful not to bump the patient's eyes or nose with the instrument during operation. The patient may be injured. Preventing Electric Shocks and Fires. To avoid fire and electric shock, install the instrument in a place free of water and other liquids. To avoid fire and electric shock, do not put cups or other containers with liquids near the instru- ment.
Page 8 CAUTIONS Ensuring the Safety of Patients and Operators This instrument should only be used by skilled operators. When moving the measuring head up and down, be careful not to bump it against the patient's face. The patient may be injured. To prevent the instrument from tipping over or falling and to avoid injury, do not install the instrument on an uneven, unsteady or sloping surface.
Page 9: Maintenance
 TOPCON shall not take any responsibility for damage caused from using this instru- ment in a manner other than that described in this user manual.  Diagnoses made shall be the responsibility of the user and TOPCON shall not take any responsibility for the results of such diagnoses.
Page 10: Warning Displays And Positions
To ensure safety, the machine provides warning displays. Use the instrument correctly by observing the display instructions. If any of the following display labels are missing, contact your TOPCON dealer or your local Topcon office listed on the back cover of this manual.
Page 11: Table Of Contents
CONTENTS INTRODUCTION .......................1 HOW TO READ THIS USER MANUAL ................3 DISPLAY FOR SAFE USE ....................4 GENERAL SAFETY INFORMATION ................5 MAINTENANCE ........................ 7 ESCAPE CLAUSE ......................7 WARNING DISPLAYS AND POSITIONS ................. 8 1.BEFORE USE 1.1 CHECKING THE ACCESSORIES ..................15 OPTIONAL ACCESSORIES ..................
Page 12 5.1.1 VISUAL ACUITY MEASUREMENT ................65 5.1.2 R/G TEST .......................66 5.1.3 ASTIGMATISM TEST .....................68 5.1.4 CROSS CYLINDER TEST (JACKSON CROSS) ............69 5.1.5 CROSS CYLINDER TEST (TOPCON CROSS) .............71 5.1.6 SMART CROSS TEST ...................73 5.1.7 BALANCE TEST (POLARIZATION) ............... 75 5.1.8 BALANCE TEST (POLARIZATION: 2-COLOR) .............76...
Page 13 5.2 PHORIA TEST ........................80 5.2.1 PHORIA TEST (POL. CROSS) ................80 5.2.2 PHORIA TEST (CROSS RING) ................82 5.2.3 PHORIA TEST (MADDOX) ..................83 5.2.4 HORIZONTAL PHORIA MEASUREMENT (PRISM SEPARATION) ......86 5.2.5 VERTICAL PHORIA MEASUREMENT (PRISM SEPARATION) ......88 5.3 OTHER BINOCULAR FUNCTION TESTS ..............90 5.3.1 FIXATION DISPARITY TEST (POL.
Page 14 HELP/MINI HELP UTILITY ..................128 MOUSE NAVIGATION UTILITY ................129 6.2.2 CONVENIENCE FUNCTIONS DURING TEST ............129 SELECTING THE CHANGING STEP FOR LENS ........... 129 CHANGING THE AUXILIARY LENS ............... 130 SELECTING THE TYPE OF OCCLUSION .............. 131 SETTING THE VISUAL ACUITY VALUE DIRECTLY ..........132 SETTING THE CYLINDER AXIS DIRECTLY ............
Page 15 7.MAINTENANCE DAILY CHECKUPS ....................156 ORDERING CONSUMABLES ................. 156 USER MAINTENANCE ITEMS ................156 REPLACING THE FUSE ..................157 CLEANING ....................... 158 Cleaning parts which contact the patient ...............158 Cleaning the lens ....................158 INSPECTING THE MEASURING HEAD MOUNTING SECTION ......159 Point for inspection ....................159 8.SETTING 8.1 BASIC OPERATION FOR "SETTINGS"...
Page 16 Conversion value (When the measured refractive power is minus notation) ..205 10.TROUBLE SHOOTING TROUBLE SHOOTING GUIDE ................206 11.SPECIFICATIONS AND PERFORMANCE DIMENSIONS AND WEIGHT .................. 218 PURPOSE OF USE ....................219 OPERATING PRINCIPLE ..................219 PATIENT’S ENVIRONMENT ................... 220 ELECTRIC RATING ....................220 ELECTROMAGNETIC COMPATIBILITY ..............
Page 17: Before Use
BEFORE USE 1.1 CHECKING THE ACCESSORIES Install the devices (RM, CL and others), which will be connected with CAUTION the optional accessories, out of the CV-5000 patient's environment. Upon unpacking, make sure that all the following standard accessories are included. Figures in ( ) are the quantities.
Page 18: Optional Accessories
Fuses (2) Power cord (1) The shape is different according to the destination. Measuring head connection cable (1) Install CD (1) Use the standard accessories except the following units in the patient's environment. • User manual • Dust cover • Silicone cloth OPTIONAL ACCESSORIES The optional accessories must be connected by a service engineer.
Page 19: Products Sold Separately
PRODUCTS SOLD SEPARATELY The commercial products sold separately are necessary to use the CV system. Use the device complying with UL60950/UL60950-1 or IEC60950/IEC60950-1. • Personal computer (including the main unit, display, keyboard and mouse) Your personal computer must meet the following specifications. OS: Windows XP Professional (32 bits)/Windows 7 Professional (32 bits/64 bits) CPU: Clock frequency is 1GHz or more.
Page 20: Component Names And Functions
1.2 COMPONENT NAMES AND FUNCTIONS To avoid electric shock, do not touch the external connection terminal CAUTION and the patient at the same time. Use all the components in the patient's environment. 1.2.1 MAIN UNIT(Measuring head) (13) (12) (15) (14) (10) (11) (1) Examination window ....
Page 21: Composition Of Parts Which Contact The Human Body
(3) Forehead rest knob....The position of the forehead rest can be adjusted by mov- ing this knob backward/ forward. (4) Leveling knob......Levels the measuring head. (5) Near-point rod holder ....The near-point rod is inserted and attached here. (6) Clamp screw ......
Page 22: Cv Power Supply Unit With External Personal Computer (Power Supply Unit)
1.2.2 CV POWER SUPPLY UNIT WITH EXTERNAL PER- SONAL COMPUTER (POWER SUPPLY UNIT) Front surface The orientation of the printer should be changed to match the type of installation. (1) Power switch......Turns on/off the power. 1. BEFORE USE...
Page 23 Rear panel Only use the connector described in this chapter. (2) Fuse holder ......The fuse is set in this holder. (3) IR connector......Used to connect the infrared communication unit (option). (4) ACP/MC connector ....Used to connect the visual acuity chart with a serial con- nection.
Page 24: Test Screen
1.2.3 TEST SCREEN Menu bar The menu for operation is displayed. Refer to " MENU BAR/TOOLBAR" on P.23 for details. Toolbar The buttons for operation are displayed. Refer to " MENU BAR/TOOLBAR" on P.23 for details. Data display unit The near- and far-point data, subjective and objective data, "Mini Help", etc. are dis- played.
Page 25: Menu Bar/Toolbar
Control window The buttons, mouse navigation and others for operation are displayed. Refer to " FUNCTION BUTTON" on P.36 for details. MENU BAR/TOOLBAR You can access almost all functions from the menu bar. The buttons, which are frequently used in tests, are displayed on the toolbar. Click each button, and you can use the indicated function.
Page 26 Reset • Sets the system to the initial test status again. This function is the same as the [ ] button ([Reset] button) on the toolbar. Exit • Finishes the CV-5000PC software. Course SemiAuto • The "SemiAuto" mode is accessed. P1 Course (1) - P5 Course (5) •...
Page 27 ] button ([Cross cylinder (power)] button) on the toolbar. TOPCON Cross (axis) • The cylinder axis measurement mode of cross cylinder test (TOPCON cross) is accessed. This function is the same as the [ ] button ([TOPCON cross (axis)] button) on the toolbar.
Page 28 AC/A • The AC/A ratio test starts. You can also start this test with the function button after the phoria test. Single ratio contrast • When a LC (liquid crystal) visual acuity chart is connected, it is possible to display a contrast chart.
Page 29 Data Set • :The unaided eye data is set and you can execute the comparison test. • • :The objective data is set and you can execute the comparison test. • Memory :The selected data is stored as the objective data. •...
Page 30 Tools Settings • The settings menu is displayed. This function is the same as the [ ] button ([Settings] button) on the toolbar. Far/Near • Changes the far- and near-point test modes each other. This function is the same as the [ ] button ([Far/Near] button) on the toolbar.
Page 31 Select Fogging Lens • You can change the occlusion type temporarily. It is possible to select a type from the following items. Close, +0.75D, +1.50D, +2.00D and Manual Fog Adjust PD • The mode to operate PD is accessed. This function is the same as the [ ] button ([Adjust PD] button) on the toolbar.
Page 32 Control window • Changes "Show/Hide" of the control window. This function is the same as the [ ] button ([Control window] button) on the toolbar. Refer to " CONTROL WINDOW" on P.37 for details. Toolbar • Main • Changes "Show/Hide" of the main toolbar. Reset •...
Page 33 PRISM • Sets the prism changing step by operating the mouse. You can select the step from the following items. 0.1, 0.2, 0.5 and 1.0 • Sets the PD changing step by operating the mouse. You can select the step from the following items.
Page 34: Data Display Unit
DATA DISPLAY UNIT Title bar Displays the contents of the main data, test name, date and time. (1)-2 (1)-1 (1)-3 (1)-1 Main data title Displays the values in use and the far or near point test. By clicking this tab, the list shown below will display. Click the displayed list to select the data to be set in the measuring head.
Page 35 (1)-2 Test name Displays the current test and program There are two types of programs to select from: • Custom program :Click the [Course list] button to select. The measure- ments can be performed in the sequence that was pro- grammed .
Page 36 (2)-1 Right eye data Displays the lens data, which are set for the right eye of the measuring head. Fit the mouse cursor to each area, and the value is highlighted. The value can be changed by operating the mouse. When the value is highlighted, you can enter a value directly through the key- board.
Page 37 Displays the status of the auxiliary lens set in the measuring head, the cross cylinder lens or TOPCON cross lens during the cylinder test. In addition, for the lens having the axis in the open status, you can check the cylinder axis.
Page 38: Visual Acuity Chart Operation Unit
VISUAL ACUITY CHART OPERATION UNIT Chart page Click the test chart icon. The selected test chart will be shown on the test chart check display section and the test relevant to the icon will start. The mouse operation mode and auxiliary lens used in the test will be set automatically. Click the right mouse button for the test chart icon.
Page 39: Control Window
CONTROL WINDOW Click the [Control window] button, and this is displayed. The displayed buttons are changed to correspond to the functions. Click the right or left mouse button on the mouse navigation, and it is possible to change the value as displayed. 1.
Page 40: Installation
INSTALLATION The service engineer must install the instrument. To make any changes or modify the connection, contact your TOPCON dealer or the local TOPCON office listed on the back cover. 2.1 INSTALLING THE MEASURING HEAD LEVEL ADJUSTMENT Before using the instrument, check if it is horizontal, using the level. If the bubble is not between the two red lines, turn the leveling knob to make the instrument horizontal.
Page 41: Assembly/Installation Of Near-Point Rod And Near-Point Card
ASSEMBLY/INSTALLATION OF NEAR-POINT ROD AND NEAR- POINT CARD Insert the near-point card into the end of the near-point rod. The near-point card is designed to slide on the near-point rod. Insert the near-point rod into its holder and tighten the clamp screw securely. When the near- point rod is not in use, set it upright.
Page 42: Connecting The Measuring Head, Personal Computer
2.2 CONNECTING THE MEASURING HEAD, PERSONAL COMPUTER To avoid fire and electric shock in case of leakage, be sure to use a WARNING grounded outlet. Do not connect to outlets that are not grounded. CAUTION To avoid electric shock, do not handle the plugs with wet fingers. Do not to connect additional a power strip (it shall be not only in CAUTION patient environment also in outside of patient environment).
Page 43: Connecting The Visual Acuity Chart
2.3 CONNECTING THE VISUAL ACUITY CHART Install the visual acuity chart out of the CV-5000 patient's environ- CAUTION ment. There are three types of the methods to connect the visual acuity chart. Use the connection method applicable to the purchased chart. CONNECTING A DEVICE TO RS-232C (ACP-8, MC-3.) Communication cable (DIN/DIN) Visual acuity chart (ACP-8, MC-3)
Page 44: Installation Of Cv-5000 Software
2.4 INSTALLATION OF CV-5000 SOFTWARE Turn on the personal computer. Insert the CV-5000 install CD to the optical drive of the personal computer. The [CV-5000 Installer] screen starts. Click the [Start Setup] button. The setup screen of CV-5000 is displayed. 2.
Page 45 The setup screen of the CV-5000 software appears. Place a check mark for "Create shortcut icon on the Desktop." The short cut is made on the desktop. Place a check mark for "Create shortcut icon on the Startup." The short cut is made on "Startup".
Page 46 The setup screen of "IO Module" appears. Click the [Start Setup] button. The setup screen of "MC-4S" appears. Click the [Start Setup] button. 2. INSTALLATION...
Page 47 The setup screen of "PC-50S" appears. Click the [Start Setup] button. The setup screen of "PC-50SB" appears. Click the [Start Setup] button. 2. INSTALLATION...
Page 48 Place a check mark for the language to be added. Then, click the [Start Setup] button. The installation of the CV-5000 language module is executed. When it is not necessary to add a language, click the [Cancel] button and proceed to the next step.
Page 49 Select the serial communication port to which the CV power supply unit is connected and click the [Connect] button. Check the version and then click the [Start Setup] button. The firmware of the CV power supply unit is updated. Click the [OK] button. The installation is completed.
Page 50: Settings Of Display Properties (Only Whena Dvi Device Is Used As A Visual Acuity Chart)
2.5 SETTINGS OF DISPLAY PROPERTIES (ONLY WHEN A DVI DEVICE IS USED AS A VISUAL ACUITY CHART) Set a display that is not a visual acuity chart as the main display. Click the right mouse button on the desktop and select "Screen Resolution". The "Change the appearance of your displays"...
Page 51 When the selected display is not the main display, place a check mark for "Make this my main display". 2. INSTALLATION...
Page 52 Click the [OK] button and close the window. Example: When "1" is displayed on the personal computer monitor and, "2" on the visual acuity chart: Set the monitor of "1" as the main display. The displayed monitor names and others are changed according to the hardware configuration of the personal computer.
Page 53: Initial Settings (Registering The Visual Acuity Chart Or Others)
2.6 INITIAL SETTINGS (REGISTERING THE VISUAL ACU- ITY CHART OR OTHERS) Turn on the power supply unit and start the CV-5000 software through the personal com- puter. The dialog box, which shows that the number of the COM port to be connected with the CV system is not set, is displayed.
Page 54  When you select "IR control" as the connection type and click the [ ] but- ton at the right, the test signal is sent to the visual acuity chart. This function is convenient when checking that communication can be executed correctly by the selected channel.
Page 55 Select the port number of the connected personal computer on the column of "Serial port for CV power supply unit". Refer to the instruction manual of your personal computer for the port number of the connected personal computer. Click the [OK] button. The test screen appears.
Page 56: Basic Operations
BASIC OPERATIONS To avoid electric shock, do not touch the external connection terminal CAUTION and the patient at the same time. 3.1 FLOW OF OPERATIONS (Refer to "3.2.1".) Turn on the power (Refer to "3.2.2".) Data input Select the test chart and execute the test. (Refer to "3.3".) Test (Refer to "3.3".)
Page 57 Click the [Adjust PD] button. The cornea illumination will illuminate the anterior segment of the patient. The cross lens is set on the measuring head. Have the patient view the far-point visual acuity chart. Look into the front of the examination window from the operators side. Operate the mouse to adjust the PD so that the pupil center of the patient is aligned with the cross center.
Page 58: Data Input
3.2.2 DATA INPUT Input the patient's data to add it to the data list. When TOPCON products such as RM, KR or CL are connected to the CV-5000, it is pos- sible to read the data. Refer to "6.1.3 IMPORTING THE DATA FROM OTHER DEVICES" on P.123 for details.
Page 59  Click "Memory 1", "Memory 2" and "Memory 3" to save temporally the current data. To save the data, input them first. Click the right mouse button for the main data title to display the data list and then click the button of the input data.
Page 60 Exchange the reference data. Click the title bar of the reference data display area. Then, click the desired data in the data list. The selected data is displayed on the reference data display area. 3. BASIC OPERATIONS...
Page 61: Test
3.3 TEST Execute the test applicable to the patient. SELECT THE TEST CHART AND EXECUTE THE TEST. Select the test chart icon on the chart page and execute the test. Click the test chart icon. The selected chart is displayed on the test chart check display area and the test relevant to the icon starts.
Page 62: Select The Test Name And Execute The Test
Refer to "6.3.2 CUSTOMIZE THE TEST PROCEDURE" on P.146 for [Course registrations]. Click the course name. Execute the test. The first test step registered in the selected course is executed. To advance to the next test, click the [Forward] button on the control window. Click the [Backward] button on the control window, and the system returns to the previous test.
Page 63: Prescription
3.4 PRESCRIPTION Click the [Final: Mem] button from the function buttons to copy the subjective data to the Final data and then modify the data if desired. Refer to " RECORDING AND DISPLAYING THE PRESCRIPTION DATA" on P.137 for setting the prescription data. After setting the Final data, adjust the power for the final prescription.
Page 64: General Optometry Procedure
GENERAL OPTOMETRY PROCEDURE By making use of the measured values of RM or CL, you can perform an accurate subjective refractive power measurement efficiently. This section will explain the flow of the typical subjective refractive power measurement (far-point/ near-point) and the binocular (far-point phoria/near-point phoria) measurement. 4.1 DATA INPUT Input the measured data of other devices manually or capture them automatically.
Page 65: Refractive Power Measurement Using Astigmatism Test Chart
REFRACTIVE POWER MEASUREMENT USING ASTIGMATISM TEST CHART Clear the cylinder power and set only the spherical power in advance. (1) Astigmatism chart test (Cylinder axis/Cylinder power) ..Refer to P.68. (2) Checking the spherical power: R/G test ......Refer to P.66. (3) Checking the corrected visual acuity ......
Page 66: Binocular Measurement
4.4 BINOCULAR MEASUREMENT FAR-POINT PHORIA Start the test by using the result of the far-point refractive power refinement. (1) Far-point vertical phoria measurement (Polarization cross test/Cross ring test/Prism separation method) ... Refer to P.80, P.82 and P.83. (2) Far-point horizontal phoria measurement (Polarization cross test/Cross ring test/Prism separation method) ...
Page 67: Operation For Tests
OPERATION FOR TESTS This chapter will explain the tests and operations that can be performed with the CV-5000 instru- ment. This manual will explain the operation when the ACP-8 (A) is used as the far-point chart and NC-3 (E), as the near-point chart in the test. VISUAL ACUITY TEST/SPHERICAL POWER/CYLIN- DER POWER CORRECTION 5.1.1...
Page 68: R/G Test
The following items are automatically changed as shown below. Item Description The test is perfomed with rigth eye, left eye or both eyes. Test eye When the test chart is selected, the status of last test is suc- ceeded. Auxiliary lens Not set.
Page 69 Select the R/G test chart. To perform the R/G test, select the R/G test chart icon on the chart page. In near-point test, set a proper target from the near-point card targets manually. Example of the test chart icons on chart page Far-point Far-point test chart icon Near-point...
Page 70: Astigmatism Test
5.1.3 ASTIGMATISM TEST Search for the approximate astigmatic correction value of the patient. Prepare for the test. Before beginning this test, carry out the following operation: Set the cylinder axis "180" and cylinder power "0.00". Perform fogging in the plus direc- tion and then shift the power in the minus direction.
Page 71: Cross Cylinder Test (Jackson Cross)
Correct the cylinder axis. If the mouse operation mode is not set for "Cylinder axis", click the [Power/Axis] button on the control window to change the mode. Ask the patient whether he/she sees a darker bolder line than others. If there is no such line, the patient does not have astigmatism.
Page 72 The following items are automatically changed as shown below. Item Description When any other item except "binocular" is the last test object, Test eye the status of last test is succeeded. When "binocular" are the last test object, the right eye of the patient is selected. The Jackson cross cylinder lens is selected for the eye being tested.
Page 73: Cross Cylinder Test (Topcon Cross)
Select the cross cylinder test chart. To perform the cross cylinder (TOPCON cross) test, select the cross cylinder test chart icon on the chart page. Then, click the [Topcon CC] button from the function buttons. Example of the test chart icons on chart page...
Page 74 When any other item except "binocular" is the last test object, Test eye the last status is succeeded. When "binocular" are the last test object, the right eye of the patient is selected. The TOPCON cross cylinder lens is set to the test eye. Auxiliary lens Mouse operation The mode to operate the cylinder axis is set.
Page 75: Smart Cross Test
5.1.6 SMART CROSS TEST Measure astigmatism accurately with the Jackson cross cylin- (Temporary-real value) der lens semi-automatically. In general, the cross cylinder test forces the patient to compare the targets having slightly different powers repeatedly. Conse- quently the patient becomes tired from stress. In the smart cross test, the cylinder power and axis, which are input as the initial values, are regarded as the "Temporary-real values".
Page 76 The following items are automatically changed as shown below. Item Description When any other item except "binocular" is the last test object, Test eye the last status is succeeded. When "binocular" are the last test object, the right eye of the patient is selected. The Jackson cross cylinder lens is set to the test eye.
Page 77: Balance Test (Polarization)
5.1.7 BALANCE TEST (POLARIZATION) To make the patient's binocular vision clear, adjust the spherical power according to the visual acuity balance of each eye. Select the balance test (polarization) chart. To perform the balance test (polarization), select the balance test (polarization) chart icon on the chart page.
Page 78: Balance Test (Polarization: 2-Color)
Adjust the balance. Adjust the visual acuity balance between the right and left eyes. The patient sees the upper row of letters with the right eye and the lower row of letters with the left eye. Have the patient compare the top and bottom row of letters and answer which row of letters is seen better, upper or lower.
Page 79 The following settings are automatically changed as shown below. Item Description Test eye Changed to the binocular mode. The polarized filter is set. Auxiliary lens Mouse operation The mode to operate the spherical power is selected. mode Mouse Navigation Check the refined status of the right eye. Adjust the refined status of the right eye on condition that the patient sees the chart bin- ocularly.
Page 80: Balance Test (Prism)
5.1.9 BALANCE TEST (PRISM) To make the patient's binocular vision clear, adjust the spherical power according to the visual acuity balance of each eye. The only difference compared to the "Balance test (Polarization)" is that a general visual acuity chart is used as the test chart. Select "[F] Bino.
Page 81 The following settings are automatically changed as shown below. Item Description Test eye Changed to the binocular mode. The base-up prism of "6 prism" is set to the right eye. Auxiliary lens (The left illustrations are the status as seen from the user side as the CV- 5000 software screen.) In far-point test, the mode to operate the spherical power is Mouse...
Page 82: Phoria Test
5.2 PHORIA TEST 5.2.1 PHORIA TEST (POL. CROSS) Measure heterophoria of the patient by using the "Pol. Cross" chart. Select the "Phoria Test (Pol. Cross)" chart. To perform "Phoria Test (Pol. Cross)", select the "Phoria Test (Pol. Cross)" chart icon on the chart page.
Page 83 Check if the patient has heterophoria. When the patient sees the test chart through the polarized filter, only the vertical lines are seen with the right eye and only the horizontal lines, with the left eye. If the patient does not have heterophoria, he/she sees the vertical line crossing the hori- zontal line at the center.
Page 84: Phoria Test (Cross Ring)
5.2.2 PHORIA TEST (CROSS RING) Measure heterophoria of the patient by using the "Cross Ring" chart. Select the "Phoria Test (Cross Ring)" chart. To perform a "Phoria Test (Cross Ring)", select the "Phoria Test (Cross Ring)" chart icon on the chart page. Example of the test chart icons on chart page Far-point Far-point test chart icon...
Page 85: Phoria Test (Maddox)
The measurement of this test cannot be conducted correctly in a bright room. Perform this test in a semi-dark room. When you use the TOPCON visual acuity charts, ACP-8 and MC-3, the fixation target is displayed. The fixation target may noy provide the luminance required for the test as the dot light source depending on the lighting of the test room.
Page 86 Select the "Phoria Test (Maddox)" chart. To perform "Phoria Test (Maddox)", select the fixation target chart icon on the chart page. Example of the test chart icons on chart page Far-point Far-point test chart icon Near-point Near-point test chart icon chart chart ACP-8(A)
Page 87 Check if the patient has heterophoria. Click the [H/V] button on the control window. You can change the check procedures for horizontal phoria and vertical phoria. When checking horizontal phoria, the horizontal Maddox rod lens is set to the right eye and the dot light source is seen as a vertical line by the right eye.
Page 88: Horizontal Phoria Measurement (Prism Separation)
5.2.4 HORIZONTAL PHORIA MEASUREMENT (PRISM SEP- ARATION) Measure horizontal phoria of the patient by using the chart where characters are arranged on one vertical line. Select the chart where characters are positioned on one vertical line. To perform the horizontal phoria measurement (prism separation), select the icon of the chart where characters are positioned on one vertical line on the chart page.
Page 89 The following items are automatically changed as shown below. Item Description Changed to the binocular mode. The left eye is the object of Test eye the mouse operation. The base-up prism of "6 prism" is set to the right eye. Auxiliary lens (The left illustrations are the status as seen from the operator side as the...
Page 90: Vertical Phoria Measurement (Prism Separation)
5.2.5 VERTICAL PHORIA MEASUREMENT (PRISM SEPARA- TION) Measure vertical phoria of the patient by using the chart where characters are arranged on one horizontal line. Select the chart where characters are arranged on one horizontal line. To perform the vertical phoria measurement (prism separation), select the icon of the chart where characters are arranged on one horizontal line on the chart page.
Page 91 The following items are automatically selected as shown below. Item Description Changed to the binocular mode. The right eye is the object of Test eye the mouse operation. The base-in prism of "10 prism" is set to the left eye. Auxiliary lens (The left illustrations are the status as seen from the operator side as the...
Page 92: Other Binocular Function Tests
5.3 OTHER BINOCULAR FUNCTION TESTS 5.3.1 FIXATION DISPARITY TEST (POL. CROSS WITH FIXA- TION TARGET) Measure fixation disparity of the patient by using the cross chart with fixation target. Prepare for the test. This test must be executed without any disassociation of the eyes. Before this test, cor- rect any disassociation of the eyes by conducting a "Phoria test".
Page 93 The following items are automatically selected as shown below. Item Description Changed to the binocular mode. When the mouse operation mode is set to "Horizontal prism", Test eye the left eye is the object of the mouse operation. When the mouse operation mode is set to "Vertical prism", the right eye is the object of the mouse operation.
Page 94: Convergence/Divergence
Measure the fixation disparity degree in the horizontal direction. If the patient has fixation disparity in the horizontal direction, measure its value. If the mouse operation mode is not set to "Horizontal prism", click the [H/V] button on the control window to change the mode. Have the patient view the vertical lines.
Page 95 To perform the near-point test, select the test chart icon shown below. Far-point Far-point test chart icon Near-point Near-point test chart icon chart chart ACP-8(A) NC-3(E) In far-point test, the chart where the characters are arranged on one vertical line or the visual acuity chart to which the vertical mask is applied is set.
Page 96 Measure divergence. First, measure the divergence of the patient. Have the patient view the chart where characters are arranged on one vertical line. [Checking the blur point] (Only for near point) Instruct the patient to respond whenever he/she sees the blurred characters on the chart.
Page 97: Vertical Vergence
5.3.3 Vertical vergence Measure the vertical vergence of the patient. The result of the test is recorded by pressing the function buttons. Prepare for the test. This test must be executed in the condition that refractive error has been completely cor- rected.
Page 98 The following items are automatically selected as shown below. Item Description Changed to the binocular mode. The right eye is the object of Test eye the mouse operation. Auxiliary lens Not set. Mouse operation The mode to operate "Vertical prism" is set. mode According to the progress of the test, the following two types are alternately displayed.
Page 99: Stereo Test
Measure the upper divergence of the right eye. Measure the upper divergence of the right eye for the patient. Before proceeding to the upper divergence measurement of the right eye, click the [Clear] button to cancel the prism set currently. [Checking the break point] Instruct the patient to respond whenever he/she sees the characters on two lines, which are, in fact, arranged horizontally on one line in the chart.
Page 100 The following items are automatically changed as shown below. Item Description Test eye Changed to the binocular mode. The polarized filter is set. Auxiliary lens Mouse operation The last status is succeeded. mode The display is changed accord- ing to the contents of the last Mouse Navigation test.
Page 101: Coincidence Test (H) (Only For Acp-8)
5.3.5 COINCIDENCE TEST (H) (Only for ACP-8) When the patient sees the image in the horizontal direction after correction, the image size seen by the right eye may be different from the image seen by the left eye. In this test, check if the image size is different between the right and left eyes.
Page 102 Check the horizontal aniseikonia. When the patient sees the test chart through the polarized filter, the center fixation target is seen by both eyes as shown below. In addition, the upper half is seen by the right eye and the lower half, by the left eye. When the patient does not have horizontal aniseikonia, he/she sees the upper and lower images in the same size.
Page 103: Coincidence Test (V)
5.3.6 COINCIDENCE TEST (V) When the patient sees the image in the vertical direction after correction, the image size seen by the right eye may be different from the image seen by the left eye. In this test, check if the image size is different between the right and left eyes.
Page 104 Check the vertical aniseikonia. When the patient sees the test chart through the polarized filter, the center fixation target is seen by both eyes as shown below. In addition, the left half is seen by the left eye and the right half, by the right eye. When the patient does not have vertical aniseikonia, he/she sees the right and left images appear same size.
Page 105: Worth 4 Dots Test
5.3.7 WORTH 4 DOTS TEST Check if the patient has strabismus and suppression. Select the Worth 4 dots test chart. To perform the Worth 4 dots test, select the icon for the Worth 4 dots test on the chart page. Example of the test chart icons on chart page Far-point Far-point test chart icon...
Page 106 Check how the chart is seen. When the patient sees the test chart by each eye through the red and green auxiliary lenses, the three green shapes are seen by the left eye and the two red shapes are seen by the right eye.
Page 107: Sheard's Criteria
5.3.8 SHEARD'S CRITERIA Sheard's criteria is a theory that, to keep normal binocular func- Extra con- Hetero- Eye line tion, the extra convergence or divergence that is twice as large vergence phoria as heterophoria or more is necessary. In this test, check if the patient has extra convergence or diver- gence that meets Sheard's criteria according to the measured heterophoria.
Page 108 The following settings are changed automatically as shown below. Item Description Test eye Changed to the binocular mode. Auxiliary lens Not set. Mouse operation The mode to operate "Horizontal prism" is set. mode According to the initial results of the test, the following two types are alternately displayed.
Page 109: Near-Point Test
NEAR-POINT TEST 5.4.1 ADD TEST Search for the ADD power required for near vision by using the cross cylinder lens and grid chart. Select the grid chart. To perform the ADD test, select the grid test chart icon on the chart page. Set the grid target from the near-point card manually.
Page 110: Monocular Add Test
Search for the necessary ADD power. Have the patient compare the vertical lines with the horizontal ones and answer which are seen more clearly, vertical or horizontal lines. When the patient answers "The horizontal lines are seen more clearly", click the right mouse button for the mouse navigation.
Page 111 The following settings are automatically changed as shown below. Item Description When any other item except "binocular" is the last test object, Test eye the last status is succeeded. When "binocular" are the last test object, the right eye of the patient is set. The cross cylinder lens of 0.5D is set.
Page 112: Minus Lens Amplitude Measurement
5.4.3 MINUS LENS AMPLITUDE MEASUREMENT Place the near-point visual acuity target that meets the maximum near-point visual acuity of the patient at 33cm in front of his/her eyes. Have the patient view this target. When adding the con- cave spherical lenses, check to what degree the patient can see the target clearly. In this way, measure the accommodation power for the patient.
Page 113 The following settings are automatically changed as shown below. Item Description Test eye Changed to the binocular mode. Auxiliary lens Not set. Mouse operation The mode to operate "ADD" is set. mode According to the progress of the test, the following two types are alternately displayed.
Page 114: Positive Relative Accommodation Measurement
Record the result for the "Recovery" point. Click the [Recovery (-)] button to record the result. As the "Blur" point, the value to be recorded is the value obtained by adding 3.00D to the value, which is displayed in "ADD", with the reversed sign. 5.4.4 POSITIVE RELATIVE ACCOMMODATION MEASURE- MENT...
Page 115 The following items are automatically changed as shown below. Item Description Test eye Changed to the binocular mode. Auxiliary lens Not set. Mouse operation The mode to operate "ADD" is set. mode According to the progress of the test, the following two types are alternately displayed.
Page 116: Negative Relative Accommodation Measurement
Measure the "Recovery" point. Instruct the patient to respond whenever he/she sees the target clearly again. Using the indicated button, operate the mouse navigation slowly by one click. When the patient says "I see the target clearly", stop the mouse operation. Record the result for the "Recovery"...
Page 117 The following settings are automatically changed as shown below. Item Description Test eye Changed to the binocular mode. Auxiliary lens Not set. Mouse operation The mode to operate "ADD" is set. mode According to the progress of the test, the following two types are alternately displayed.
Page 118: Ac/A
Measure the "Recovery" point. Instruct the patient to respond whenever he/she sees the target clearly again. Using the indicated button, operate the mouse navigation slowly by one click. When the patient says "I see the target clearly", stop the mouse operation. Record the result for the "Recovery"...
Page 119 The following items are changed automatically as shown below. Item Description The value after shifting by "+1.00D" is set to both eyes. Changed to the binocular mode. The left eye is the object of Test eye the mouse power refinement. The base-up prism of "6 prism"...
Page 120 Measure the changed convergence. When the ADD power is shifted by "+1.00D", the adjustment equal to 1.00D is cancelled in the patient's eye and the convergence is changed. Measure the changed convergence in the same way as the horizontal phoria measure- ment.
Page 121: Convenience Functions
For displaying the subjective or objective data, refer to " DATA DISPLAY UNIT" on P.32. • When the TOPCON products such as RM, KR or CL is not connected, input the data • manually. Refer to "3.2.2 DATA INPUT" on P.56 for details.
Page 122: Connecting Peripheral Devices
Connect the peripheral devices as shown below. Connect devices complying with UL60950/UL60950-1, UL60601-1 or IEC60950/ • IEC60950-1 to the CV system. Ask the authorized Topcon representative service engineer to connect the device. Connect the communication cable to the serial terminal of the personal computer.
Page 123: Setting For Connection
6.1.2 SETTING FOR CONNECTION When you connect the device by serial use, you must set the port. If not, you cannot use the device. Check the connection and verify setting is correct. For the connection method not described in this chapter (e.g. connection through network (LAN), having the data common to two or more CV systems or connection in a link with database), contact the service engineer.
Page 124 Click the [Serial config.] button from the function buttons. The serial setting screen appears. Select "[In] RM/CL data receive" from the "for" list. One device can only be used per port. When connecting two or more devices, set "Connection 1" to "Connection 3" for each connected device. Check the port connected to the device and set the "Port No."...
Page 125: Importing The Data From Other Devices
6.1.3 IMPORTING THE DATA FROM OTHER DEVICES To transfer the data, it is necessary to output the data from RM, KR and CL to CV-5000. For the data output method, refer to the instruction manuals of RM, KR and CL. SETTING THE DATA CAPTURING METHOD The [Data entry] button is used to import data from other devices.
Page 126: Display Rm/Cl Data List
Click the [Exit] button. The check screen to finish the "Settings" menu appears. To save the set data and finish the "Settings" menu, click the [OK] button. To return to the "Settings" menu without saving the set data, click the [Cancel] button. DISPLAY RM/CL DATA LIST When you select "Display RM/CL data list"...
Page 127 Selecting the objective data The ID's of the data measured by RM and KR are displayed in the objective data list. Select the ID of the data to be displayed. Click the tab where the data to be displayed is shown. Then, the following list is displayed.
Page 128: Load Last Data From Rm/Cl
LOAD LAST DATA FROM RM/CL When you select "Load last data from RM/CL." for "[ ] button action" and click the [Data entry] button, the system captures the final output value measured by RM, KR and CL auto- matically. When only one of the RM/KR data and CL data exists, the system captures the existing data. After registering, the reference data is automatically displayed.
Page 129: Inputting Other Data Except "Subjective" Manually
6.1.4 INPUTTING OTHER DATA EXCEPT "SUBJECTIVE" MANUALLY When RM or CL is not connected to the CV system, you can input the measured value printed from the peripheral device manually. For the manual input method, refer to "3.2.2 DATA INPUT" on P.56. 6.
Page 130: Tests
6.2 TESTS This chapter will explain the functions required to perform the tests. 6.2.1 CHECKING THE TEST METHOD You can use the "Help" and "Mini Help" functions that explain the test charts, the test contents, basic operation and the "Mouse Navigation" function to indicate the mouse operation. Chart page (Help) Mini Help Mouse Navigation...
Page 131: Mouse Navigation Utility
"Mini Help" function The simple explanation about the executed test is displayed. In the Sheard's criteria test, the recommended prescription prism value is displayed. • In the AC/A test, the AC/A ratio value is displayed. • For setting "Display/Not display", refer to "8.2.7 Screen settings" on P.192. MOUSE NAVIGATION UTILITY The explanation about mouse operation is displayed.
Page 132: Changing The Auxiliary Lens
CHANGING THE AUXILIARY LENS Click the [Aux. lens] button from the function buttons. Click the [Aux. lens] button, and the auxiliary lens selection screen appears. Open Horizontal Maddox Polarization (45) 6BU Retino- (+1.5) Red/green filter Vertical Maddox Polarization (135) 10BI Retino- (+2.0) ±...
Page 133: Selecting The Type Of Occlusion
SELECTING THE TYPE OF OCCLUSION The occlusion plate is used when the program performs occlusion automatically. The type of occlusion can be changed. The type of occlusion that has just been changed will remain until resetting is done. After resetting, the value saved by setting is set again. Click the [Occlude/Fog] button, and the menu is displayed.
Page 134: Setting The Visual Acuity Value Directly
SETTING THE VISUAL ACUITY VALUE DIRECTLY The following buttons are displayed for some visual acuity test charts. [Visual acuity value] button [Visual acuity value] button • You can input the visual acuity value indicated on the button. In related visual acuity test charts, the [VA] button is displayed. List of [Visual acuity value] buttons [VA] button...
Page 135: Setting The Cylinder Axis Directly
SETTING THE CYLINDER AXIS DIRECTLY Displayed when the mouse operation function is set for "cylinder axis". Click each button, and the cylinder axis power is set at the angle displayed on the button. CANCELLING THE PRISM TEMPORARILY Displayed when a prism is set to the measuring head while the phoria or fixation disparity test is being executed.
Page 136: Selecting The Polarization Lens
SELECTING THE POLARIZATION LENS Displayed when the test requiring the change of polarization is being executed. Click the [polarization selector] button, and the polarized lens angle of the measuring head is changed. DISPLAYING/HIDING THE REFERENCE DATA Click the [Reference Data] button from the function buttons. When the reference data is not displayed, it is displayed.
Page 137: Changing The Reference Data
CHANGING THE REFERENCE DATA Click the title of the reference data display area No. 1. The list of the buttons that can be dis- played on this area is shown. Click the desired item, and the selected data are displayed on the reference data display area No.
Page 138: Changing The Main Data And Reference Data To Each Other
CHANGING THE MAIN DATA AND REFERENCE DATA TO EACH OTHER Click other parts except the title on the reference data display area No. 1 or No. 2. The values of the main data area are changed with the values of the clicked reference data area. TRANSPOSING THE SYMBOL OF CYLINDER POWER (POWER CONVERSION) Click the [Transpose cylinder] button on the toolbar.
Page 139: Recording And Displaying The Prescription Data
RECORDING AND DISPLAYING THE PRESCRIPTION DATA After adjusting all data, click the [Final: Mem] button to record the prescription data. Click the [Final: Set] button to set the recorded data in the main data area. Then, input the value to be corrected for the correction tool such as eyeglasses. Display Status Operation by clicking...
Page 140: Operating The Visual Acuity Chart
6.2.3 OPERATING THE VISUAL ACUITY CHART Click the test target check display or side button. You can operate the visual acuity chart. ] button [R/G] button [Move] button ] button APPLYING THE MASK TO THE TEST CHART When the test chart where the horizontal or vertical mask can be applied is set, click the [ ] or ] button of the line to be highlighted.
Page 141: Adjustment Of Near-Point Card
ADJUSTMENT OF NEAR-POINT CARD When the patient wears multi-focal lenses, measure the eyeglass refractive power at near distance. For installing the near-point rod and near-point card, refer to " ASSEMBLY/INSTAL- LATION OF NEAR-POINT ROD AND NEAR-POINT CARD" on P.39. To avoid injury due to contact, do not bring the user’s face close to the CAUTION near-point rod.
Page 142: Tilting Downward
6.2.4 TILTING DOWNWARD By tilting the measuring head, the instrument can be set in the proper position for the true near- point testing. Do not tilt the instrument downward while the near-point rod is pulled CAUTION down. The near-point rod may hit the instrument or desk and damage the instrument.
Page 143: Registration
6.3 REGISTRATION You can register the test procedure or the test chart, which is used frequently, on the chart page. 6.3.1 CUSTOMIZING THE CHART PAGE You can customize the chart page. For the explanation of screen, refer to "8.2.4 Chart settings" on P.176. CHANGING THE TEST CHART LAYOUT ON THE CHART PAGE You can change the test chart layout on the chart page.
Page 144: Changing The Test Related To The Test Chart
Click the [OK] button. The visual acuity setting screen appears again. Click the [OK] button. The "Settings" menu appears again. Click the [Exit] button. The check screen to finish the "Settings" menu appears. To save the set data and finish the "Settings" menu, click the [OK] button. To return to the "Settings"...
Page 145 Change the test to be executed and the test parameters. Click the test chart icon, and the values in the main data area are Data set changed with those of the selected data. When "None specified" is selected, the last main data setting will be the default. Decides the automatic occlusion control and the object of the mouse operation when clicking the chart icon.
Page 146 Sets the positive shift quantity of the spherical power that should be automatically set to the test eye (the object of the mouse operation) when clicking the chart icon. Select a lens or occlusion plate to be used for occlusion in the test that should be executed when clicking the chart icon.
Page 147: Changing The Test Chart Used In Cross Cylinder Test
Click the [Examination list] button, and "Examination list" is displayed. When you select "[F] Jackson Cross Cylinder", "[F] Topcon Cross Cylinder" or "[F] Smart Cross Cylinder" from "Examination list" and execute each cross cylinder test, you can change the chart to an optional one.
Page 148: Customize The Test Procedure
Click the [Exit] button. The check screen to finish the "Settings" menu appears. To save the set data and exit the "Settings" menu, click the [OK] button. To return to the "Settings" menu without saving the set data, click the [Cancel] button. 6.3.2 CUSTOMIZE THE TEST PROCEDURE You can register the test procedure by using the course registration function.
Page 149 Click the course to be customized. The course registration screen appears. To copy the registered course and make a new course, click the [Basic course] • button from the function buttons and select a course to be copied. Click the [Change Name] button from the function buttons. You can change the •...
Page 150 Click the [Default] button to set the default test parameters to the chart icons registered in "Examination list". Select the [Selected] button, and the default test parameters are set to only the tests selected from "Examination list". Select the [All] button, and the default test parameters are set to all the tests registered in "Examination list".
Page 151 Click the [Exit] button. The check screen to finish the "Settings" menu appears. To save the set data and finish the "Settings" menu, click the [OK] button. To return to the "Settings" menu without saving the set data, click the [Cancel] button. 6.
Page 152: Explanation
6.4 EXPLANATION 6.4.1 DATA TO BE PRINTED 6. CONVENIENCE FUNCTIONS...
Page 153: Using The Patient Education Tools For The Patient
6.4.2 USING THE PATIENT EDUCATION TOOLS FOR THE PATIENT These tools are used to explain the eye structure, eye accommodation, etc. Click the [Human eye] button. The explanation tools are displayed. To return to the test screen, click the test screen. OPERATIONS ENABLED BY THE EXPLANATION TOOLS Start the explanation tools function.
Page 154 Emmetropia • Click the [Emmetropia] button, and the emmetropia screen appears. This screen explains how the eye is focused when refraction is normal. Click the [Far View] button. The anima- tion explains how light is refracted in the eye when seeing a far object. Click the [Near View] button.
Page 155 Astigmatism • Click the [Astigmatism] button, and the astigmatism screen appears. This screen explains the refractive error of astigmatism. Click the [Corrected] button. The anima- tion explains how the refractive error is corrected by using a cylinder lens. Presbyopia • Click the [Presbyopia] button, and the presbyopia screen appears.
Page 156: Progressives
Cataract • Click the [Cataract] button, and the cata- ract screen appears. This screen explains a cataract. Click the [Normal] button. The animation explains the eye status of the person without a cataract. Click the [Cataract] button. The anima- tion explains the eye status of the person having a cataract and his/her vision.
Page 157: Eye Message
Eye Message Click the [EyeMessage] button on the main screen. The refractive error of the patient is displayed on the screen according to the examination results in the CV-5000. When you return to the test screen and change the data while the explanation tools are starting, the data on the "Eye Message"...
Page 158: Daily Checkups
When not in use, turn off the power. • ORDERING CONSUMABLES When ordering consumables, contact your dealer or TOPCON office (listed on the back cover) and tell them the item name, item code and quantity. Item name Item code...
Page 159: Replacing The Fuse
REPLACING THE FUSE To avoid electric shock, be sure to remove the power cable from the instrument body before removing the fuse cover for replacement. WARNING Also, do not connect the power cable to the instrument body with the fuse cover left unfixed. To avoid fire in the event of an instrument malfunction, use a properly WARNING rated fuse.
Page 160: Cleaning
CLEANING Do not wipe the forehead rest, face shield and other resin parts with NOTICE volatile solvent. To prevent the resin parts from discoloring or deterio- rating, do not use benzine, thinner, ether or gasoline. When the external cover, monitor, etc. are stained, wipe with a dry cloth. If the external cover is badly stained, prepare a tepid solution of neutral kitchen detergent.
Page 161: Inspecting The Measuring Head Mounting Section
Raise the measuring head as shown below. If an abnormal noise is heard or any part is not secure between the arm and the arm mounting shaft, immediately contact the TOPCON offices listed on the back cover and ask them to repair your instrument.
Page 162: Setting
SETTING 8.1 BASIC OPERATION FOR "SETTINGS" MENU To customize the chart page or change a variety of settings, start from the "Settings" menu. This chapter will explain the basic procedure for changing the settings. Click the [Settings] button. The "Settings" menu is displayed. Click the corresponding buttons for the set items to change the data.
Page 163 After changing, click the [OK] button. The "Settings" menu appears again. The screen is different according to the setting of each item. Click the [Exit] button. 8. SETTING...
Page 164 The check screen to finish the "Settings" menu appears. To save the set data and finish the "Settings" menu, click the [OK] button. To return to the "Settings" menu without saving the set data, click the [Cancel] button. The test screen appears again. 8.
Page 165: Settings" Menu List
8.2 "SETTINGS" MENU LIST This chapter will explain the function of the "Settings" menu. For the basic operation common to the items of the "Settings" menu, refer to "8.1 BASIC OPERATION FOR "SETTINGS" MENU" on P.160. 8. SETTING...
Page 166 The configuration of the "Settings" menu is shown below. Settings General settings Language▼ Data setting Time setting Next data number Vertex distance▼ Unit of exam distance▼ Serial port for CV power supply unit▼ Function setteings Page1 Reset Default test course▼ Auto file import after press [CL].
Page 167 Chart settings Chart selection. For far vision Device▼ Type▼ Interface▼ For near vision Device▼ Type▼ Near exam distance▼ Visual acuity format ▼ Chart page registration Chart page registration Change Parameters Cross cylinder chart reg. Customize Cross Cylinder Chart Chart software config. Course registrations Course list Course registrations...
Page 168 Screen settings Page1 Data indication. Cylinder sign.▼ Prism style▼ Automatically split prism evenly to both eyes▼ Data in “S” at near exam.▼ Timer or calendar.▼ Reference data window display.▼ Background colour▼ Customize toolbar Page2 Guidance Mini-Help ToolTip Display ToolTip · Test_course name area ·...
Page 169: General Settings
8.2.1 General settings Select a language and set the date, connection, etc. Language Set the language to be used. Date setting Set the date. Time setting Set the time. Next data number Set the data ID to be assigned to the next refraction patient in the range of 0 - 999999. Each time the system is reset, the ID number will increment.
Page 170 Unit of exam distance Select the unit of distance from the following items. The values of "cm" and "inch" are dis- played together on "Near exam distance" of "Chart settings" regardless of the selected unit. • inch • Serial port for CV power supply unit Select the port number of the personal computer that is connected to the CV power supply unit with the external PC.
Page 171: Function Settings
8.2.2 Function settings Assign the functions to the switches and buttons and set the rules to reset the data. Use the [Page 1] and [Page 2] buttons from the function buttons. The display is changed. Page 1 Reset Set the operation after resetting. Default test course •...
Page 172 Print Set the [Print] button operation. Action • You can set "Print", "Output data" or "Print and output data" by clicking the [Print] button. Printout • Data export • Printout & data export • Reset after press [Print]. • Place a check mark for this item. After clicking the [Print] button, the system is automati- cally reset.
Page 173 Page 2 [Del.:RM data]&[Del.:CL data] button action in the data entry screen. Set the operation of the [Delete: RM] and [Delete: CL] buttons displayed on the data entry screen. Action • Select a time frame for the previous data to be deleted. Delete except today’s data.
Page 174: Examination Settings
8.2.3 Examination settings Set the status and values during the test. Use the [Page 1] and [Page 2] buttons from the function buttons. The display is changed. Page 1 Condition to activate auto S.E. Determine the spherical equivalent operation. Manual •...
Page 175 Occluder/cover lens option. Set the occluder (cover lens). Primary occluder • Set the occlusion type to be controlled automatically by the program or operated by the operator during the test. This set data is used as the initial value. Selecting "Open (The operator must set it manually)" invalidates the occlusion con- trolled automatically by the program.
Page 176 Page 2 Default step range. Set the step quantity when changing the refractive power or others. Lens step • Spherical • Set the changing step of the spherical refractive power. 0.25D • 1.00D • 2.00D • 3.00D • Cylinder • Set the changing step of the cylinder refractive power.
Page 177 Addition lens Set the input and change of ADD. Link with Far spherical. • Set whether ADD should be linked with the change of the far-point spherical power after inputting ADD. Place a check mark for this item, and the link operation is done. Allow to input MINUS value for addition.
Page 178: Chart Settings
8.2.4 Chart settings Set the data about the visual acuity charts. Chart selection. Set the visual acuity chart to be used. For far vision • Device • Select the chart device will be used for far-point test. Type • Select the type of the chart to be used for far-point test. Interface •...
Page 179 Cross cylinder chart reg. Access the test selection window and select the type of cross-cylinder desired of "Jackson Cross Cylinder", "Topcon Cross Cylinder" or "Smart Cross". In this case, you can select an optional chart to be used when executing the test.
Page 180: Chart Page Registration
Chart page registration CV-5000 is equipped with the capability to customize the chart icons to be displayed on the chart page. For changing the setting, refer to "6.3.1 CUSTOMIZING THE CHART PAGE" on P.141. (1) List of test chart icons Displays the list of charts contained in the chart device to be used.
Page 181 Data set • Displays the type of the data to be set when starting the test. Test eye • Displays the eye to be tested. Test data • Displays the data to be changed when operating the mouse. • Displays the fog quantity to be automatically set to the test eye when starting the test.
Page 182 - List of tests Displays the list of tests. Specify the test to be executed when clicking the test chart icon as changing the tab. - Setting the test information Displays the parameters of the test to be executed when clicking the test chart icon.
Page 183: Cross Cylinder Chart Reg
Cross cylinder chart reg. Change the test chart to be used in the cross cylinder test. The cross cylinder chart changing screen appears. The mask button is displayed when a mask can be applied to the chart. Refer to " CHANGING THE TEST CHART USED IN CROSS CYLINDER TEST" on P.145.
Page 184: Course Registrations
8.2.5 Course registrations Set the data to customize and register the tests. For the changing procedure, refer to "6.3.2 CUSTOMIZE THE TEST PROCEDURE" on P.146. (1) List of test chart icons Displays the list of the test charts contained in the visual acuity cart device to be used. Click a test chart icon, and it is registered to "Exam list".
Page 185 (4) Test procedure registration function button Displays the command buttons to be used when registering the test procedure. Basic course • Reads the course registered already. Modify • You can edit the tests of the course selected from the "Exam list". Test chart check display/ Setting of mask Dial Navigation...
Page 186 - Mouse Navigation The type of "Mouse Navigation" to be used in the test related to the chart, which is registered in the list of tests, is displayed. To change it, click the [Mouse Navigation] button. The list of "Mouse Navigation" is displayed.
Page 187: Data I/O Settings
8.2.6 Data I/O settings Set the parameters when exchanging data with other models. ] button action. Set how data will be imported when clicking the [Data entry] button. Display RM/CL data list. When RM or CL is connected to the CV system through the serial method or LAN, the measured data is selected from the list and is imported into the CV-5000.
Page 188 Data options to load as subjective data. When the selected data is imported into the CV-5000, it is validated in the main data. Data form • When the selected data is input from an external device, the data is copied for the subjec- tive value (main data).
Page 189: System Configurations
System configurations Set the port to which the device connected to CV-5000 through the serial method or LAN will be connected to. Use the function buttons to change the setting. The authorized service engineer must conduct this setting. Please contact the autho- rized service engineer to change the setting.
Page 190 RM/CL data folder Set the data folder when capturing the data from RM or CL. You can select this button when a check mark is placed for "Enable network connection" on "LAN configuration". RM data folder configuration Set the RM data folder. Use pre installed shared folder •...
Page 191 Click the [ ] button, and the input screen appears. You can input a value by using the alphabet letters, numerals and symbols through the keyboard of the personal computer. CL data folder configuration Set the CL data folder. Use pre-installed shared folder •...
Page 192 Serial configuration Set the devices that will be connected to the serial port on the personal computer connected with the CV system and their application. Set "Connection 1" to "Connection 4". The quantity of the settable connection destination is changed according to the number of serial ports on the personal computer.
Page 193 Data file configuration When the data link is configured with an external personal computer database software through files, set data for this item. File Format Version Select the version of the file format to be used for link. Version 2.14 •...
Page 194: Screen Settings
8.2.7 Screen settings Select settings for the screen display. Use the [Page 1] and [Page 2] buttons from the function buttons. The display is changed. Page 1 Data indication. Cylinder sign. • Select the symbol of the cylinder refractive power. Minus •...
Page 195 Timer or calendar. Select the type of "Time" to be displayed at the upper right corner on the test screen. Calendar • Refraction timer • Reference data window display. Select whether the data from the external device should be displayed constantly or after capturing.
Page 196: Customize Toolbar
CUSTOMIZE TOOLBAR Click the [Customize toolbar] button, and this screen appears. The usable toolbar buttons are displayed in the left column and, the current toolbar buttons, in the right column. Select a toolbar button in the usable button column and click the [Add->] button. The selected button is added to the current toolbar button column.
Page 197 ToolTip Display ToolTip • Show/hide "ToolTip". Place a check mark, and "ToolTip" is displayed. Test_course name area • Small Chart • Toolbar • Time until displaying • Set the time until "ToolTip" is displayed since you fitted the mouse cursor to it. You can select one of "Short", "Normal"...
Page 198: Update
8.2.8 Update Update the system software and copy the setting. The displayed contents are changed by the [Update] button and [Config. copy] button. Update Update the CV system software. The authorized service engineer must update the CV system software. The user must not use this function.
Page 199 Config. Copy. You can copy the setting parameters of one CV system to another CV system. Connect the USB memory to the USB connector on condition that this screen is displayed. The buttons are validated. Import configurations Capture the setting parameters from the USB memory. Connect the USB memory that saves the setting parameters of CV system, and this button is valid.
Page 200: Setting On Windows
8.3 SETTING ON Windows Setting on Windows is needed depending on the functions used by the CV software. 8.3.1 SETTING WHEN USING THE PRINT FUNCTION Set the size of the paper, which is usually used by the printer, to "A4" or "Letter". Refer to the instruction manual of your printer for the paper size.
Page 201: Appendices
(Reverse rotation) Right eye 6- Left eye 10-prism: prism: Base up Base in Retino: +1.50D Retino: +2.00D ± 0.5D Cross cyl- Pinhole (1.5mm) inder (for measur- ing ADD) Close (Occluding TOPCON cross plate) cylinder lens 9. APPENDICES...
Page 202 Status/lens Image Status/lens Image Jackson cross Jackson cross cylinder lens (for (for cylinder cylinder axis test) power test) Only when the measuring head having the circularly polarized filter is connected, this filter is displayed on the list. At this time, the linearly polarized filter (Right: 135, Left: 45) is not installed in the measuring head and will not be displayed on the list.
Page 203: Mouse Navigation
• Astigmatism test • Balance test (Polarization) • Balance test (Prism) • R/G test • Cross cylinder test (TOPCON cross) • Balance test (Polarization: 2-color) • Cross cylinder test (Jackson cross) Smart cross test • • Phoria test (Pol. Cross) Phoria test (Pol.
Page 204 Test Image Fixation disparity test (Pol. cross with fixation tar- • get) • Fixation disparity test (Pol. cross with fixation tar- get) • Fixation disparity test (Pol. scale cross with pol. tilted fixation target) Fixation disparity test (Pol. scale cross with pol. •...
Page 205: Shape Of Plug
9.2 SHAPE OF PLUG Country Voltage/frequency Shape of plug Mexico 110V/50Hz Type C&E Argentina 220V/60Hz Type A Peru 220V/60Hz Type A Venezuela 110V/50Hz Type C&E Type A (Most common) Bolivia & Paraguay 220V/60Hz Type H (Infrequently) Chile 220V/60Hz Type A Colombia 110V/50Hz Type C...
Page 206: Corneal Aligning Device
9.3 CORNEAL ALIGNING DEVICE The forehead rest moves back and forth by turning Scale the forehead rest knob. Patient’s eyes With the patient's forehead resting on the forehead rest, the user look through the corneal aligning win- dow with their eye positioned 25 cm from the cor- neal aligning window.
Page 207: Conversion Value (When The Measured Refractive Power Is Plus Notation)
Conversion value (When the measured refractive power is plus notation) <Table 1> L mm D dptr +1.00 0.001 0.002 0.000 0.004 0.005 0.006 0.007 0.008 0.009 0.01 +2.00 0.004 0.008 0.01 0.02 0.02 0.02 0.03 0.03 0.04 0.04 +3.00 0.01 0.02 0.03 0.04...
Page 208: Trouble Shooting
If a problem has occurred, check the instrument troubleshooting check list shown below. If the problem is not resolved after following the instructions below, or if there is no relevant check item in the list, contact Topcon authorized dealer or TOPCON offices at the address stated on the back cover.
Page 209 Then, turn off and restart the CV system. If the error is system. displayed continuously, the instrument may malfunction. In case this error happens fre- Contact the TOPCON support section. quently, please call our support line. Can't initialize exam/course list!! Reading the examination list has failed. Update the CV software to the newest version.
Page 210 Please confirm the cable connection nection. If the trouble is not solved, the cable may be and the serial configuration. disconnected. Contact the TOPCON support section. Communication error at the port "[In] An error has occurred in the serial communication with LensMeter data receive".
Page 211 • Switch on the CV system again. • If the error is displayed continuously, the instrument may malfunction. Contact the TOPCON support sec- tion. Could NOT open the software chart When the "Chart software config." screen cannot be configuration screen.
Page 212 Phenomena and remedial measure ERROR! Can't Open Volume List. The memory of the CV system may be damaged. Con- tact the TOPCON support section. Error! Couldn't get CPS-ROM ver- • The power supply unit is connected to the personal sion.This software may not run cor- computer through the cable.
Page 213 Turn off the power. Then, restart the CV system. Please switch off and restart CV If the error is displayed continuously, the instrument may system. malfunction. Contact the TOPCON support section. In case this error happens fre- quently, please call our support line. Fail to execute chart software.
Page 214 Please update CV software. the CV system of the current version, this error is dis- played. • Contact the TOPCON support section. Update the CV software to the newest version. Fail to open chart software configu- Wait for a while and display the setting screen of the ration screen because the other task chart again.
Page 215 In case this error happens fre- • If the error is displayed continuously, the instrument quently, please call our support line. may malfunction. Contact the TOPCON support sec- tion. Fail to open the serial port selected • Open "System configurations" on the data input/output as "[I/O] Database connection".
Page 216 The changed parameters are can- • If the trouble is not solved, the instrument may mal- celed. (Error Code **) function. Contact the TOPCON support section. Fail to save received data from the The data folder cannot be accessed. Check whether port "[In] LensMeter data receive".
Page 217 Please report to our support engi- the power again and start the test from the first again. neers the operation performed just To improve the software, report to the TOPCON support before getting this error. section about the operation performed just before this error is displayed.
Page 218 Make sure that the user name and password, which are necessary to access the folder, are correctly set on "RM/ CL data folder" in "System configurations". Save Examination Data ERROR. The memory of the CV system may be damaged. Con- tact the TOPCON support section. 10. TROUBLE SHOOTING...
Page 219 Phenomena and remedial measure Save program course date ERROR. The memory of the CV system may be damaged. Con- tact the TOPCON support section. Save settings parameters ERROR. The memory of the CV system may be damaged. Con- tact the TOPCON support section.
Page 220: Specifications And Performance
SPECIFICATIONS AND PERFORMANCE MEASURING HEAD Measuring range +27.00 to -27.00D Spherical power Measuring step 0.25D/1.00D/2.00D/3.00D Measuring range +8.00 to -8.00D Cylinder power Measuring step 0.25D/1.00D Measuring range 0 to 180° Cylinder axis Measuring step 1°/5°/15°  Measuring range 0 to 20 (all direction) Prism ...
Page 221: Purpose Of Use
PURPOSE OF USE Used to measure the refractive power of eyes and perform all or any portion of a 21 point examination test. OPERATING PRINCIPLE There are two or more automated lens banks that operate independently of each other and depending on the lens requirement will align to provide the correct value and/or task.
Page 222: Patient's Environment
PATIENT’S ENVIRONMENT When the patient or operator may touch the devices (including the connected devices) or when the patient or operator may touch the person contacting the devices (including the connecting devices), the patient's environment is shown below. In the patient's environment, use the device conforming to IEC60601-1. If you are compelled to use any device not conforming to IEC60601-1, use an insulation transformer or make the common protective earth system.
Page 223: Electromagnetic Compatibility
ELECTROMAGNETIC COMPATIBILITY This product conforms to the EMC standard (IEC60601-1-2 Ed.3.0: 2007). a) MEDICAL ELECTRICAL EQUIPMENT requires special precautions regarding EMC and needs to be installed and operated according to the EMC information provided in the ACCOMPANY- ING DOCUMENTS. b) Portable and mobile RF communications equipment can affect MEDICAL ELECTRICAL EQUIPMENT.
Page 224 Guidance and manufacturer's declaration - electromagnetic immunity The CV-5000 is intended for use in the electromagnetic environment specified below. The customer or the user of the CV-5000 should assure that it is used in such an environment. IEC 60601 Compliance Electromagnetic environment Immunity test test level...
Page 225 Guidance and manufacturer's declaration - electromagnetic immunity The CV-5000 is intended for use in the electromagnetic environment specified below. The customer or the user of the CV-5000 should assure that it is used in such an environment. Immunity test IEC 60601 Compliance Electromagnetic environment - test level...
Page 226: Requirement To The External Connection Devices
Those who connect the additional device to the signal input/output units should make a medi- cal system and therefore take total responsibility to obey the requirements of IEC60601-1 about their system. If someone has a question, he/she must contact the TOPCON authorized dealer or TOPCON office at the address on the back cover.
Page 227: System Classification
SYSTEM CLASSIFICATION Types of protection against electric shocks: This instrument is classified as Class I equipment. Class I equipment does not depend only on basic insulation for protection against electric shocks, but also provides a means of connection to a protective earth system of facilities so that metal parts that come into contact do not become conductive while the basic insulation is in failure.
Page 228: Index
Index Symbol Condition to activate auto S.E... 172 CONSUMABLES ....... 156 "Help" utility ........128 CONTROL WINDOW ......37 "Mini Help" function ......129 Control window ........23 [N] Unfused Cross Cylinder CONVERGENCE ........92 (Monoculer) ........108 CORNEAL ALIGNING DEVICE ..204 [AC/A] button ........
Page 229 General settings ........ 167 Near exam distance ......177 Guidance ........... 194 NEAR-POINT CARD ......39 NEAR-POINT ROD ......39 NEAR-POINT TEST ......107 NEGATIVE RELATIVE HORIZONTAL PHORIA ACCOMMODATION MEASUREMENT MEASUREMENT ......114 (PRISM SEPARATION) ...... 86 Next data number ......167 HOW TO READ THIS USER MANUAL ........
Page 230 Time setting ........167 Timer of calender......193 Title bar ..........32 Toolbar ..........22 ToolTip ..........195 TOPCON CROSS ....... 71 TROUBLE SHOOTING ..... 206 Unit of exam distance ......168 Update ..........196 USER MAINTENANCE ITEMS ..156 Vertex distance .........
Page 231 Please provide us with as much detail as possible on the problem. COMPU-VISION CV-5000 USER MANUAL 2013 version (2013.08-10TH Date of issue: August 27, 2013 Published by TOPCON CORPORATION 75-1 Hasunuma-cho, Itabashi-ku, Tokyo, 174-8580 Japan. ©2011-2013 TOPCON CORPORATION ALL RIGHTS RESERVED...
Page 232 COMPU-VISION CV-5000 43224 90292 Printed in Japan 1308-20TH...

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Compu vision cv-5000

Topcon Compu-Vision CV-5000 User Manual

1 Before Use

2 Installation

3 Basic Operations

4 General Optometry Procedure

5 Operation for Tests

6 Convenience Functions

7 Maintenance

8 Setting

9 Appendices

10 Trouble Shooting

11 Specifications and Performance

Index

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