EyePACS Learning Community                        October 24, 2011    Photographers’ Corner:New Approaches to Old Problems...
Items to discuss Changes to the photography certification  process New Compact Flash adapters Optimizing External Photo...
Photography Certification New certification website:    http://photographer.eyepacs.com    Separate from the main www.e...
Practice Case Module Capture retinal photos of non-patients (i.e., other clinic  staff) and upload photos on a case by ca...
Test Questions Module Consists of 10 multiple choice questions that cover the  basics of effective Digital Retinal Imagin...
Compact Flash to MicroSD Adapters The Why  Bending the pins in the   compact flash reader   inside the camera back
Compact Flash to MicroSD Adapters The Why  Bending the pins in the   compact flash reader   inside the camera back The ...
Compact Flash to MicroSD Adapters
Compact Flash to MicroSD Adapters The Why  Bending the pins in the   compact flash reader   inside the camera back The ...
Tips for External Photos What is important for the external photo:    Pupil margin in sharp focus    Iris details in sh...
Retinal Landmarks To Look For           Vessels                     Optic Nerve        Macula
Alignment and Gaze DirectionInternal Field 1   Internal Field 2   Internal Field 3
“The Shadow” – Small Pupil Artifacts
“The Shadow” – Small Pupil Artifacts3 MUST HAVE elements 1. Optic Nerve visible and in adequate focus 2. 50% of the retin...
“The Shadow” – Small Pupil Artifacts        External        Internal 1       Internal 2       Internal 3
The Shadow – Small Pupil ArtifactsSolutions:  Make sure the room is completely dark  Wait longer between photos (30-60s...
Benefits of Dilation
September 2011 WinnersVolume East Valley Community HC            198 Golden Valley HC - Modesto          100 Golden Val...
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Eye pacs learning community for 10 24 11

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  • Video of how it works with it in the camera
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  • Eye pacs learning community for 10 24 11

    1. 1. 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
    2. 2. Items to discuss Changes to the photography certification process New Compact Flash adapters Optimizing External Photos Review of retinal landmarks Small Pupil Artifacts – avoiding the dreaded shadow Photograph quality before and after the decision to dilate Awards
    3. 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 ucb.digital.health@berkeley.edu with photographer’s full name and email address
    4. 4. Practice Case Module Capture retinal photos of non-patients (i.e., other clinic staff) and upload photos on a case by case basis onto the 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. 5. Test Questions Module Consists of 10 multiple choice questions that cover the basics of effective Digital Retinal Imaging To pass the test, candidates must correctly answer all questions. If a candidate fails the test, he or she is advised to review the Test Review page that provides the correct answer and explanation for each question the candidate missed. The candidate will then be given the option of retaking the test.
    6. 6. Compact Flash to MicroSD Adapters The Why Bending the pins in the compact flash reader inside the camera back
    7. 7. Compact Flash to MicroSD Adapters The Why Bending the pins in the compact flash reader inside the camera back The How MicroSD to Compact Flash adapter MicroSD card very small
    8. 8. Compact Flash to MicroSD Adapters
    9. 9. Compact Flash to MicroSD Adapters The Why Bending the pins in the compact flash reader inside the camera back The How MicroSD to Compact Flash adapter MicroSD card very small The When Ready to ship
    10. 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 2/3 of the screen as pictured  Bright red reflex to helps indicate presence of cataracts  CR-Dgi: pull tab all the way “out” for “out”side photos  CR-1: pull tab “down and out” for “out”side photos
    11. 11. Retinal Landmarks To Look For Vessels Optic Nerve Macula
    12. 12. Alignment and Gaze DirectionInternal Field 1 Internal Field 2 Internal Field 3
    13. 13. “The Shadow” – Small Pupil Artifacts
    14. 14. “The Shadow” – Small Pupil Artifacts3 MUST HAVE elements 1. Optic Nerve visible and in adequate focus 2. 50% of the retinal area visible and in adequate focus 3. MACULA
    15. 15. “The Shadow” – Small Pupil Artifacts External Internal 1 Internal 2 Internal 3
    16. 16. The Shadow – Small Pupil ArtifactsSolutions: Make sure the room is completely dark Wait longer between photos (30-60sec) Small pupil “s.p.” knob Ask patient to wiggle their toes Increase flash 911 Dilation Shadow Overall dark + shadow
    17. 17. Benefits of Dilation
    18. 18. September 2011 WinnersVolume East Valley Community HC 198 Golden Valley HC - Modesto 100 Golden Valley HC - Merced 92Growth compared to August 2011 Lifelong Medical Care showed the highest increase over July’s screenings.

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