HI from Moran, Adeline, When the Moran imagers shoot the pupil series, we use a Nikon D100 with a 28-70 mm zoom. Download into our image data base with a card reader, but crop to just eyes first. When the PA in neuro shoots the pupil series, she uses the Canon PowerShot SX10 IS with a 5 -100 zoom. Download with a cable. Framing in so you have bilateral canthus to canthus and still can see lid position is what we aim for. We use a tripod so you needn’t worry about the camera drifting with the lights off. I personally have the pt hold their head still against the chair or the wall using Mr. Bill Nyberg’s fabulous tool, a light weight box that the pt holds between the hard surface and their head. It is a great tool – the pt can hear their head move against the box, and they hold really still – if they are capable of that. Pts can even tell you when they have moved so you can re-align. Good luck – the investment in the camera will be worth it. Glad the Moran protocol translates well – Dr. Digre sat at the foot of the master, Dr. Stan Thompson at Iowa, and we have been using that protocol with excellent success for 25 years. As ever, p From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Marshall Tyler Sent: Monday, August 25, 2014 11:13 AM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: Pupil Photos Set-up? Adeline, Position patient with head against wall and where you can get to the light switch while holding the camera in shooting position. Consider a foot switch! Frame up, shoot room light photos - far & near, Frame up, lights off 5 seconds, don't move, voice command to patient: "Open eyes wide by # ONE, 3,2,1", shoot, verify focus and framing, repeat using 30 seconds. Re-shoot as necessary. May the force be with you, Marshall Marshall E Tyler, FOPS www.TwinChimney.com<http://www.TwinChimney.com> Books for the Ophthalmic Photographer [Image removed by sender.] sv Silk On Mon, Aug 25, 2014 at 12:55 PM, Adeline Stone <astone@xxxxxxxxxxxxxx<mailto:astone@xxxxxxxxxxxxxx>> wrote: Hello- We have a new neuro-ophthalmologist and I am wondering the set-up for external pupil photos? We are following the (adies) moran eye center protocol room light at far, near, with reaction, room lights off 5 secs, pilo for 30 then room lights off 5secs. I am taking these with an IPad which is what we do our upper lid photos with. You can imagine these were not very good or easy to get…. Any suggestions on equipment would be great so we can get better quality? Thanks, Adeline Stone, COT CRA Diagnostic Services Supervisor