The images look like spots on the lens, but it could be an external light reflection from a ceiling light or other light. I would try a good lens cleaning, and check for room light reflections?? Randall Verdick, FOPS Educational Media Coordinator Department of Ophthalmology University of Iowa From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Darrin Landry Sent: Monday, November 25, 2013 6:29 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] artifact issue Optimalers: I have a practice with an artifact problem. They are using a Topcon 50X camera. At first blush it looks like a typical tears on the objective lens issue, but fervent cleaning of the lens didn't fix the problem, and it can't be viewed either from the front or through the minus diopter lens setting. I have asked 5 times if they are sure they cleaned the lens well. I am assuming it's something on the objective lens, as it's a white artifact (I am troubleshooting this over the phone, as they are very rural, and no chance I will be in their neck of the woods anytime soon. If I am, something has gone terribly wrong in my career). I am thinking it's on the anterior surface of the objective lens, but it's not easy talking someone through dismantling the objective lens over the phone. Changing filters, magnification and focus doesn't change the appearance of this artifact. This came on rather sudden as well- not a slow growing problem. I have attached the example they sent me- if anyone has any ideas, thoughts, etc, I welcome your input. Thanks in advance Darrin Darrin Landry, CRA, OCT-C Bryson Taylor Inc. ________________________________ Notice: This UI Health Care e-mail (including attachments) is covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521, is confidential and may be legally privileged. If you are not the intended recipient, you are hereby notified that any retention, dissemination, distribution, or copying of this communication is strictly prohibited. Please reply to the sender that you have received the message in error, then delete it. Thank you. ________________________________