This is the Allen Dot. It is there to stop in internal light flare. It will show up on high myopes. Don't remove it!!! _____ From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Marc Gilels Sent: Monday, August 20, 2012 9:49 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: FW: Topcon 50ex artifact Rule of thumb (My thumb). White spots are on the front lens ( Patient lens), dark spots out of focus are in the middle focus lenses and or CCD chip, in focus dark spots are on the field lens. -----Original Message----- From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx> To: 'optimal@xxxxxxxxxxxxx' <optimal@xxxxxxxxxxxxx> Sent: Mon, Aug 20, 2012 5:14 pm Subject: [optimal] FW: Topcon 50ex artifact 17796_013.JPG Any reason why the Allen dot on our fundus camera should suddenly and seemingly spontaneously degrade? Large, diffuse spot now in our images, MOSTLY high myopes, but not always. See attached images. 17796_019.JPG Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS Ophthalmic Diagnostic Center CPMC Department of Ophthalmology 2100 Webster Street Suite 212 San Francisco CA 94115 (415) 600-3937 FAX (415) 600-6563