The Spectralis has a focus range of +40 to –26 so she is within range. Have her use her contacts or shoot through her glasses. Thanks, Tim Steffens, CRA Director of Ophthalmic Imaging University of Michigan Kellogg Eye Center 1000 Wall Street Ann Arbor, MI 48105 P: 734-936-2283 tjsteffe@xxxxxxxxx From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx<mailto:cpmceyelab@xxxxxxxxxxxxxxxx>> Reply-To: "optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>" <optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>> Date: Monday, May 5, 2014 6:44 PM To: "optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>" <optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>> Subject: [optimal] Re: From Denice Spectralis on high myopes Yes, we tried that. She’s actually a -20 myope so even with that trick, out of the focal range What lens to shoot through? 90Volk? 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 From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx> [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Steffens, Timothy Sent: Monday, May 05, 2014 02:48 PM To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx> Subject: [optimal] Re: From Denice Spectralis on high myopes The reference arm is only for OCT. If the patient is that myopic press the more button and you can get an extra -6 to –12 diopters if needed. Thanks, Tim Steffens, CRA Director of Ophthalmic Imaging University of Michigan Kellogg Eye Center 1000 Wall Street Ann Arbor, MI 48105 P: 734-936-2283 tjsteffe@xxxxxxxxx<mailto:tjsteffe@xxxxxxxxx> From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx<mailto:cpmceyelab@xxxxxxxxxxxxxxxx>> Reply-To: "optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>" <optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>> Date: Monday, May 5, 2014 2:58 PM To: "optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>" <optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>> Cc: Spectralis Group <spectralis-user-group@xxxxxxxxxxxxxxxx<mailto:spectralis-user-group@xxxxxxxxxxxxxxxx>> Subject: [optimal] From Denice Spectralis on high myopes Other than fussing with the reference arm When shooting FA on extreme myopia ( >-15.00) Why no XL feature on FA? Only with OCT Shoot through contact lens? Any suggestions for sharper focusing here? 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 ********************************************************** Electronic Mail is not secure, may not be read every day, and should not be used for urgent or sensitive issues ********************************************************** Electronic Mail is not secure, may not be read every day, and should not be used for urgent or sensitive issues