EyePACS Learning Community October 24, 2011 Photographers’ Corner: New Approaches to Old Problems Harry Green, OD, PhD Nancy Nguyen, OD Jorge Cuadros, OD, PhD Barbara Shayesteh UCB Digital Health at 510-642-5456
Transcript
1. EyePACS Learning CommunityOctober 24, 2011Photographers
Corner:New Approaches to Old Problems Harry Green, OD, PhD Nancy
Nguyen, OD Jorge Cuadros, OD, PhD Barbara Shayesteh UCB Digital
Health at 510-642-5456
2. Items to discuss Changes to the photography
certificationprocess New Compact Flash adapters Optimizing External
Photos Review of retinal landmarks Small Pupil Artifacts avoiding
the dreadedshadow Photograph quality before and after the
decisionto dilate Awards
3. Photography Certification New certification website:
http://photographer.eyepacs.com Separate from the main
www.eyepacs.org site where actual patient cases are uploaded Two
parts: Practice Case Module Test Questions Module To start a new
photographer certification: Accounts to the certification site are
by email invitation Email [email protected] with
photographers full name and email address
4. Practice Case Module Capture retinal photos of non-patients
(i.e., other clinicstaff) and upload photos on a case by case basis
ontothe EyePACS photographer certification website Cases are graded
for: Good focus No artifacts Correct view for all 8 photos
(fixation target is moved appropriately) Start by submitting 3-5
full cases These will be evaluated and feedback provided If not of
sufficient quality, more test cases will be requested If of good,
consistent quality, can then proceed to Test Questions
5. Test Questions Module Consists of 10 multiple choice
questions that cover thebasics of effective Digital Retinal Imaging
To pass the test, candidates must correctly answer allquestions. If
a candidate fails the test, he or she is advised toreview the Test
Review page that provides the correctanswer and explanation for
each question thecandidate missed. The candidate will then be given
the option of retakingthe test.
6. Compact Flash to MicroSD Adapters The WhyBending the pins in
the compact flash reader inside the camera back
7. Compact Flash to MicroSD Adapters The WhyBending the pins in
the compact flash reader inside the camera back The HowMicroSD to
Compact Flash adapterMicroSD card very small
8. Compact Flash to MicroSD Adapters
9. Compact Flash to MicroSD Adapters The WhyBending the pins in
the compact flash reader inside the camera back The HowMicroSD to
Compact Flash adapterMicroSD card very small The WhenReady to
ship
10. Tips for External Photos What is important for the external
photo: Pupil margin in sharp focus Iris details in sharp focus The
eye should take up 2/3of the screen as pictured Bright red reflex
to helps indicate presence of cataracts CR-Dgi: pull tab all the
way out for outside photos CR-1: pull tab down and out for outside
photos
11. Retinal Landmarks To Look For Vessels Optic
NerveMacula
12. Alignment and Gaze DirectionInternal Field 1 Internal Field
2 Internal Field 3
13. The Shadow Small Pupil Artifacts
14. The Shadow Small Pupil Artifacts3 MUST HAVE elements 1.
Optic Nerve visible and in adequate focus 2. 50% of the retinal
area visible and in adequatefocus 3. MACULA
15. The Shadow Small Pupil ArtifactsExternalInternal 1 Internal
2 Internal 3
16. The Shadow Small Pupil ArtifactsSolutions:Make sure the
room is completely darkWait longer between photos (30-60sec)Small
pupil s.p. knobAsk patient to wiggle their toesIncrease
flash911DilationShadow Overall dark + shadow
17. Benefits of Dilation
18. September 2011 WinnersVolume East Valley Community HC198
Golden Valley HC - Modesto100 Golden Valley HC - Merced92Growth
compared to August 2011 Lifelong Medical Care showed thehighest
increase over Julys screenings.