[optimal] Re: question about OCT-C Certification

  • From: Michael Turano <turano@xxxxxxxxx>
  • To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
  • Date: Thu, 14 Aug 2014 17:43:22 -0400

Correct Sandor. The OCT portfolio review committee could care less about any 
normative database information - they care about image quality and pathology 
requested. Physicians on the other hand may want proper normative information 
for diagnosis. 

Michael Turano

C 856.340.5675
C 917.826.9506
F 917.591.1841

Sent from my iPhone

On Aug 14, 2014, at 4:49 PM, sandor ferenczy <sandorferenczy@xxxxxxxxx> wrote:

Lori -
To speak for Michael, the quality statement was *specifically* in reference to 
OCT certification portfolio.

-sandor

> On Aug 14, 2014, at 7:21 PM, "COPC Photography" 
> <copcphotography@xxxxxxxxxxxxxxxxx> wrote:
> 
> Michael
> On one hand you say that Cirrus/Stratus is age matched, … .  On the other 
> hand you say changing DOB doesn’t matter, only quality.  
>  
> I have worked with both Cirrus and Stratus and know your first assertion is 
> correct.  The numbers may not change with changing of the DOB, but it assigns 
> a color value in the comparison boxes when the age is adjusted up to 18.
>  
> I have to print an ‘age adjusted’ analysis and then re-edit back to the 
> correct DOB so the docs can compare to an 18 yo for those that are younger. 
> Right or wrong, not for me to judge.
>  
> Lori
>  
>  
> From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
> Behalf Of Michael Turano
> Sent: Wednesday, August 13, 2014 11:35 AM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: question about OCT-C Certification
>  
> Normative data on the Cirrus is age matched. Has been this way since it was 
> introduced. Same as on Stratus. That's why DOB is not optional and any 
> patient under 18 has no normative data associated with their measurement. 
>  
> For an OCT portfolio changing the DOB doesn't matter because the portfolio 
> review does not care about the normative data only the quality of the OCT 
> image. 
> 
> Michael Turano
>  
> C 856.340.5675
> C 917.826.9506
> F 917.591.1841
>  
> Sent from my iPhone
> 
> On Aug 13, 2014, at 1:53 PM, "Miller CRA, OCT-C, Gary E." 
> <gmiller@xxxxxxxxxxxxx> wrote:
> 
> Well, I did a 'quick and dirty' experiment on our Cirrus. I had one of my 
> coworkers do RNFL measurements on my eye.  We compared my scans by changing 
> the DOB to 1928 and then to 1995. (neither of which is my real birthday!)
>  
> To my surprise, there was only a slight difference when comparing my RNFL 
> between the two 'normaltive' database readings. I did get into the yellow 
> readings in a few quadrants in  the one scan, but was all green in the other.
>  
> For what it's worth...
>  
> Gary
> From: optimal-bounce@xxxxxxxxxxxxx [optimal-bounce@xxxxxxxxxxxxx] on behalf 
> of Steffens, Timothy [tjsteffe@xxxxxxxxxxxxx]
> Sent: Wednesday, August 13, 2014 1:22 PM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: question about OCT-C Certification
> 
> Any instrument that has an age matched normative database, Cirrus, Stratus 
> and Heidelberg. I’m not sure about Optovue and Topcon.
>  
> Thanks,
> Tim
>  
>  
> From: "<Miller CRA>", <OCT-C>, PA <GMILLER@xxxxxxxxxxxxx>
> Reply-To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
> Date: Wednesday, August 13, 2014 at 1:17 PM
> To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
> Subject: [optimal] Re: question about OCT-C Certification
>  
> I know it could matter on the Cirrus. An incorrect birth date could throw of 
> what would be 'normal' to someone of that age. y that, I suspect comparing a 
> scan from a 30 year old against the normative database of a 60 year old could 
> be an issue... and visa versa.
>  
> But now that my curiosity is peeked, I will have to run a little test and see.
>  
> Gary
> From: optimal-bounce@xxxxxxxxxxxxx [optimal-bounce@xxxxxxxxxxxxx] on behalf 
> of Tom Steele [tsteele@xxxxxxxxxxxxxx]
> Sent: Wednesday, August 13, 2014 1:14 PM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: question about OCT-C Certification
> 
> Steven,
>  
> Which devices would this still be an issue.
>  
> Thank You,
>  
> Tom Steele, CRA                                                               
>                    
> Midwest Eye Institute
> 200 West 103rd Street
> Indianapolis, Indiana 46290
> 317.817.1018
> tsteele@xxxxxxxxxxxxxx
>  
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> From:optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
> Behalf Of Stephen Travers
> Sent: Wednesday, August 13, 2014 1:02 PM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: question about OCT-C Certification
>  
> Hi Steve
>  
> Regarding the naming convention for entering the patients birthday into the 
> OCT unit, remember that some OCT units use the patients birthday to assist in 
> determining if that patients OCT results fall within the “Normal” range 
> expected from the OCT normative database . If you do not enter the correct 
> birthday this may result in a false positive or negative when compared with 
> the Normative values of the specific database .
>  
> Hope this helps
>  
> Stephen
>  
>  
> Stephen Travers
> Manager Clinical Affairs
> Heidelberg Engineering,Inc
> 1808 Aston Ave | Suite 130 | Carlsbad, CA |  92008
>  
> Tel:         760-536-7000 | 800-931-2230
> Fax:        760-536-7100
> Mobile:    817-716-2699
> Email: stravers@xxxxxxxxxxxxxxxxxxxxxxxxx
>  
>  
>  
> From:optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
> Behalf Of Steve Lusk
> Sent: Wednesday, August 13, 2014 9:53 AM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: question about OCT-C Certification
>  
> Great thanks for the info. I do have one other question. I know there is the 
> exam fee for OPS, do we have to pay an additional fee to the company who 
> comes to our locality to administer the written exam?
>  
>  
> Steve Lusk, CRA
> Vistar Eye Center Retina Consultants
> 5296 Peters Creek Road
> Roanoke, VA 24019
> Phone: (540) 342-3400 ext. 4731
> Fax: (540) 362-1155
> slusk@xxxxxxxxxxxxx
> www.vistareye.com
>  
> The information contained in this email may contain confidential health
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> Thank you.
>  
> From:optimal-bounce@xxxxxxxxxxxxx on behalf of Miller CRA, OCT-C, Gary E.
> Sent: Wed 8/13/2014 10:05 AM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: question about OCT-C Certification
> 
> Great! You are welcome, Steve.
>  
> By the way, I am not sure if you or others out there are aware, but the OPS 
> Board of Certification has just launched their new, updated OCT-C exam which 
> now includes Spectral Domain technology. Also, the cost of the exam has been 
> dropped to $200 for those taking the exam before September 28, 2014!! The 
> only thing to be aware of is the scores for those taking the exam during this 
> special pricing period will be held until mid October. So you would need to 
> wait until then to hear if you passed.
>  
> Let me know if you have any other questions, Steve...
>  
> Gary
>  
> From:optimal-bounce@xxxxxxxxxxxxx [optimal-bounce@xxxxxxxxxxxxx] on behalf of 
> Steve Lusk [slusk@xxxxxxxxxxxxx]
> Sent: Wednesday, August 13, 2014 9:24 AM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: question about OCT-C Certification
> 
> Excellent. That is what I was looking for.
> Thanks!
>  
>  
>  
> Steve Lusk, CRA
> Vistar Eye Center Retina Consultants
> 5296 Peters Creek Road
> Roanoke, VA 24019
> Phone: (540) 342-3400 ext. 4731
> Fax: (540) 362-1155
> slusk@xxxxxxxxxxxxx
> www.vistareye.com
>  
> The information contained in this email may contain confidential health
> information that is privileged and legally protected from disclosure by
> federal law, the Health Insurance Portability and Accountability Act
> (HIPAA). This information is intended only for the use of the individual
> or
> entity named above. If you are not the intended recipient, you are herby
> notified that reading, disseminating, disclosing, distributing, copying,
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> is strictly prohibited. If you have received this information in error,
> please notify the sender immediately.
> 
> Thank you.
>  
> From:optimal-bounce@xxxxxxxxxxxxx on behalf of Cornelia Beyer
> Sent: Wed 8/13/2014 2:36 AM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: question about OCT-C Certification
> 
> Agee with Gary , we only use 1/1/1990 for OCT-Portfolio and Clinical Trial 
> purposes
>  
> 
> On Tue, Aug 12, 2014 at 1:51 PM, Steve Lusk <slusk@xxxxxxxxxxxxx> wrote:
> I have quite a mundane question that as a group, we are split on. Under the 
> naming convention for OCT, do we enter the applicants birthday or is 1-1-1900 
> simply used as a signifier to satisfy the software requirements.
> Thanks
> 
> Steve Lusk, CRA
> Vistar Eye Center Retina Consultants
> 5296 Peters Creek Road
> Roanoke, VA 24019
> Phone: (540) 342-3400 ext. 4731
> Fax: (540) 362-1155
> slusk@xxxxxxxxxxxxx
> www.vistareye.com
> 
> The information contained in this email may contain confidential health
> information that is privileged and legally protected from disclosure by
> federal law, the Health Insurance Portability and Accountability Act
> (HIPAA). This information is intended only for the use of the individual
> or
> entity named above. If you are not the intended recipient, you are hereby
> notified that reading, disseminating, disclosing, distributing, copying,
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> Thank you.
> 
> 
> 
> -----Original Message-----
> From: optimal-bounce@xxxxxxxxxxxxx on behalf of aissa9400@xxxxxxxxx
> Sent: Sun 8/10/2014 10:00 AM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: Photographing techniques using a Zeiss 2x 
> magnification lens
> 
> James,
> 
> I figured that. I'm going to try everyone's suggestions this week and 
> hopefully my eyes will cooperate.
> 
> A.D. sent by iPhone
> 
> 
> > On Aug 10, 2014, at 9:00 AM, JamesStrong <jamesdstrong@xxxxxxxxx> wrote:
> >
> > FWIW - changing settings on the camera body will have no affect on 
> > focus/parfocality - it's an optics issues.
> >
> > j-
> >
> >
> >> On Sat, Aug 9, 2014 at 11:22 AM, Eric Kegley <ekegley@xxxxxxxxxxxxxxxxx> 
> >> wrote:
> >> Because the mag is higher, it is very important that your image is as 
> >> sharp as possible trough the eyepiece. Also, you said something about the 
> >> diopter compensation wheel being as plus as possible.  You shouldn't have 
> >> to change that unless your subject is very hyperopic. My advice would be 
> >> to make sure your reticle is very well focused and then focus carefully on 
> >> the center of the frame.
> >>
> >> Thanks,
> >> EK
> >>
> >> Eric Kegley, CRA, COA
> >> Director of Ophthalmic Imaging
> >> 6560 Fannin St., Suite 750
> >> Houston, TX 77030
> >> Main 713 524-3434
> >>
> >> Sent from my iPhone
> >>
> >>> On Aug 9, 2014, at 9:31 AM, Marshall Tyler <marshalletyler@xxxxxxxxx> 
> >>> wrote:
> >>>
> >>> Are the eyepiece sharp at the same time as the image is sharp?
> >>> Try a test target of a ruler or sm as 'll printed text which you tilt 
> >>> relative to the plane of focus. It should be sharp in the center. If 
> >>> sharp closer or further away you have a focusing problem. If is not sharp 
> >>> anywhere you may have a lens/system problem.
> >>>
> >>> Thank you,
> >>> Marshall
> >>> Marshall E Tyler
> >>>
> >>>> On Aug 8, 2014 11:09 PM, <aissa9400@xxxxxxxxx> wrote:
> >>>> Thanks Jeremy for the eye opener. I hope it's not a waste $ for the lens.
> >>>>
> >>>> I've changed the compensation lens to the highest plus mag on the FF4 
> >>>> and turn the dial all the way. The image looked clearer but no cigar. 
> >>>> I'm going to try and change the setting on the 6D itself to macro, not 
> >>>> sure what will happen and if it will even let me change the setting 
> >>>> while it's connected to the PC.
> >>>>
> >>>> I would like more input on my thoughts if possible.
> >>>>
> >>>> Aissa
> >>>>
> >>>> A.D. sent by iPhone
> >>>>
> >>>>
> >>>>> On Aug 8, 2014, at 10:16 PM, Jeremy Pantell <jpantell@xxxxxxxxxxxxx> 
> >>>>> wrote:
> >>>>>
> >>>>> HI AISSA!  I guess the question is whether the Canon 6D/Zeiss 2X 
> >>>>> adapter will "parfocal" with the Zeiss eyepiece.  I would focus off 
> >>>>> your monitor while trying to come up with a better solution.  When 
> >>>>> using the 2X with a film setup there was no particular magic about it.  
> >>>>> Just focus very carefully and compose within the viewfinder grid.  Good 
> >>>>> patients would yield very nice results.
> >>>>>
> >>>>> sincerely, jeremy p. pantell bfa cra
> >>>>>
> >>>>>
> >>>>> On Friday, August 8, 2014 4:06 PM, Aissa Dirawatun 
> >>>>> <aissa9400@xxxxxxxxx> wrote:
> >>>>>
> >>>>>
> >>>>> Hello everyone,
> >>>>>
> >>>>> Our practice purchased a Zeiss 2x lens adapter for our FF4 (w/ Canon 
> >>>>> 6D) camera to use for ONH pictures. I'm having trouble focusing the 
> >>>>> image. I need your advice.
> >>>>>
> >>>>> Thank you!
> >>>>>
> >>>>> Aissa Dirawatun, COA
> >>>>> Ophthalmic Photographer/Technician
> >>>>> Virginia Retina Center
> >>>>> 20 Rock Pointe Lane Suite 20
> >>>>> Warrenton, VA 20155
> >>>>>
> >>>>> --
> >>>>> "Reading makes immigrants of us all. It takes us away from home, but 
> >>>>> more important, it finds homes for us everywhere." ~ Jean Rhys 1890-1979
> >
> 
>  
>  
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