[optimal] Re: optimal Digest V4 #137 (Out of Office Reply)
- From: "Mindy Cole" <ColeM@xxxxxxxxxxx>
- To: <optimal@xxxxxxxxxxxxx>
- Date: Sat, 20 Jul 2013 01:13:55 -0400
I am currently out of the office and will be returning on Monday July 29. I
will reply to your message when I return. If you need immediate assistance
please contact the Department of Ophthalmology at 315-464-5253.
Mindy
>>> FreeLists Mailing List Manager <ecartis@xxxxxxxxxxxxx> 07/20/13 01:13 >>>
optimal Digest Fri, 19 Jul 2013 Volume: 04 Issue: 137
In This Issue:
[optimal] anterior heidelberg, viewing thru hazy cornea
[optimal] Re: Heidelberg Review Stations Help
[optimal] Re: anterior heidelberg, viewing thru hazy cornea
[optimal] Re: anterior heidelberg, viewing thru hazy cornea
[optimal] Re: anterior heidelberg, viewing thru hazy cornea
[optimal] Re: Heidelberg Review Stations Help
[optimal] Re: anterior heidelberg, viewing thru hazy cornea
[optimal] Re: anterior heidelberg, viewing thru hazy cornea
[optimal] Career Opportunity Downtown Chicago
[optimal] Re: anterior heidelberg, viewing thru hazy cornea
[optimal] Re: Heidelberg Review Stations Help
----------------------------------------------------------------------
Date: Fri, 19 Jul 2013 10:04:24 -0400
Subject: [optimal] anterior heidelberg, viewing thru hazy cornea
From: John Head <gnarlyroot12@xxxxxxxxx>
We have a new anterior lens and module for the Hedelberg Spectralis at a
second site, but not much experience using it. As a photographer familiar
with the other Heidelberg functions, how much differnet is the anterior
scanning methodology? trying it a couple times, it seems that fixation can
be an issue? are there any optimal scan settings, ie ART levels, HS or HR?
basically I'm looking for some pointers, because an MD wishes to see the
angle for possible peripheral anterior synchiae, or a "mass blocking" which
may be causing a "malpositioned ACIOL in the chamber."
the trouble is, I don't know enough about the machines capability,
especially when the MD says she cannot see the angle due to a "hazy cornea."
any suggestions or comments would be appreciated.
Thanks,
John Head, CRA
------------------------------
From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
Date: Fri, 19 Jul 2013 08:20:52 -0700
Subject: [optimal] Re: Heidelberg Review Stations Help
Hey, FINALLY someone in the OPS with more initials! I quit getting them
because of the grief I was taking from my colleages. LOL. What is OSA and RMA?
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] On
Behalf Of Ray Gardner
Sent: Thursday, July 18, 2013 8:46 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Heidelberg Review Stations Help
We have six Spectralis machines and 14 review stations 12 are exam lanes and 2
laser rooms. You will need to get additional licenses and come in packs.
Contact you Heidelberg rep and they can walk you through it.
G. Ray Gardner, CRA, OCT-C, CDOS, COA, OSA, RMA
Southwest Retina Specialists
7411 Wallace Blvd.
Amarillo, Texas 79106
office (806)351-1870
fax (806)351-1690
cell (806)676-9793
email: raygardner99@xxxxxxxxx<mailto:raygardner99@xxxxxxxxx>
From: Eric Kegley <ekegley@xxxxxxxxxxxxxxxxx<mailto:ekegley@xxxxxxxxxxxxxxxxx>>
To: "optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>"
<optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>>
Sent: Wednesday, July 17, 2013 8:41 AM
Subject: [optimal] Re: Heidelberg Review Stations Help
Tom,
You need 4 licenses at least. You can set as many review stations as you would
like as floating licenses but can only access 3 if them at a time.
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 Jul 17, 2013, at 6:03 AM, "Tom Steele"
<TSteele@xxxxxxxxxxxxxx<mailto:TSteele@xxxxxxxxxxxxxx>> wrote:
Everyone,
How do you handle multiply review stations for the Heidelberg within the
clinic? Right now the doctors want to be able to open more than 1 review
station at a time from multiply exam rooms; thus I might be imaging a patient
and 3 doctors want to review 3 different patients at the same time. Perhaps
someone from Heidelberg will be reading this and can point a solution to me.
Thank You,
Tom Steele, CRA
Midwest Eye Institute
200 West 103rd Street
Indianapolis, Indiana 46290
317.817.1018
tsteele@xxxxxxxxxxxxxx<mailto:tsteele@xxxxxxxxxxxxxx>
CONFIDENTIALITY NOTICE:
This message is intended only for the use of the individual or entity to which
it is addressed and may contain information that is confidential and/or
privileged. If the reader of this message is not the intended recipient, you
are hereby notified that any dissemination, distribution or copying of this
communication is strictly prohibited. If you have received this communication
in error, please notify us immediately by telephone and return the original
message to us at the above email address
------------------------------
From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
Date: Fri, 19 Jul 2013 08:23:42 -0700
Subject: [optimal] Re: anterior heidelberg, viewing thru hazy cornea
Ah, the elusive "Gray zone" of the sulcus, sclera spur and beyond. UBM works
great, to a point. AS-OCT has it's shining moments. Gonio can make pretty
pictures. We're all looking for the Holy Grail- easy, high resolution images
of the iris and beyond. Something that can slice through pigment, yet
penetrate deep enough for the Glaucoma guys.
Sometimes, it's having the confidence to know that it's the technology failing
you, not your skills. Just as you get to the Angle and beyond, things start to
fall apart. UBM or at least 20MHz US works pretty well for the lens, at least
anteriorly, but depending on the eye, the depth of the AC, yadayadayada, really
getting enough information deep enough into the anterior posterior chamber is
tricky....
Don't even get me started about reproducible metrics!
D.
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] On
Behalf Of John Head
Sent: Friday, July 19, 2013 7:04 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] anterior heidelberg, viewing thru hazy cornea
We have a new anterior lens and module for the Hedelberg Spectralis at a second
site, but not much experience using it. As a photographer familiar with the
other Heidelberg functions, how much differnet is the anterior scanning
methodology? trying it a couple times, it seems that fixation can be an issue?
are there any optimal scan settings, ie ART levels, HS or HR?
basically I'm looking for some pointers, because an MD wishes to see the angle
for possible peripheral anterior synchiae, or a "mass blocking" which may be
causing a "malpositioned ACIOL in the chamber."
the trouble is, I don't know enough about the machines capability, especially
when the MD says she cannot see the angle due to a "hazy cornea."
any suggestions or comments would be appreciated.
Thanks,
John Head, CRA
------------------------------
Date: Fri, 19 Jul 2013 11:27:33 -0400
Subject: [optimal] Re: anterior heidelberg, viewing thru hazy cornea
From: JamesStrong <jamesdstrong@xxxxxxxxx>
Denice
Now THAT sounds like an interesting Scientific Session topic... a
comparison of imaging modalities for the filtering angle blablabla.
:)
j-
On Fri, Jul 19, 2013 at 11:23 AM, CPMC Ophthalmic Diagnostic Center <
cpmceyelab@xxxxxxxxxxxxxxxx> wrote:
> Ah, the elusive “Gray zone” of the sulcus, sclera spur and beyond. UBM
> works great, to a point. AS-OCT has it’s shining moments. Gonio can make
> pretty pictures. We’re all looking for the Holy Grail- easy, high
> resolution images of the iris and beyond. Something that can slice through
> pigment, yet penetrate deep enough for the Glaucoma guys.****
>
> ** **
>
> Sometimes, it’s having the confidence to know that it’s the technology
> failing you, not your skills. Just as you get to the Angle and beyond,
> things start to fall apart. UBM or at least 20MHz US works pretty well for
> the lens, at least anteriorly, but depending on the eye, the depth of the
> AC, yadayadayada, really getting enough information deep enough into the
> anterior posterior chamber is tricky….****
>
> ** **
>
> Don’t even get me started about reproducible metrics!****
>
> ** **
>
> D.****
>
> ** **
>
> *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]
> *On Behalf Of *John Head
> *Sent:* Friday, July 19, 2013 7:04 AM
> *To:* optimal@xxxxxxxxxxxxx
> *Subject:* [optimal] anterior heidelberg, viewing thru hazy cornea****
>
> ** **
>
> We have a new anterior lens and module for the Hedelberg Spectralis at a
> second site, but not much experience using it. As a photographer familiar
> with the other Heidelberg functions, how much differnet is the anterior
> scanning methodology? trying it a couple times, it seems that fixation can
> be an issue? are there any optimal scan settings, ie ART levels, HS or HR?
> ****
>
> ****
>
> basically I'm looking for some pointers, because an MD wishes to see the
> angle for possible peripheral anterior synchiae, or a "mass blocking"
> which may be causing a "malpositioned ACIOL in the chamber."****
>
> ****
>
> the trouble is, I don't know enough about the machines capability,
> especially when the MD says she cannot see the angle due to a "hazy cornea."
> ****
>
> ****
>
> any suggestions or comments would be appreciated.****
>
> ****
>
> Thanks,****
>
> John Head, CRA****
>
------------------------------
Date: Fri, 19 Jul 2013 08:35:43 -0700 (PDT)
From: Ray Gardner <raygardner99@xxxxxxxxx>
Subject: [optimal] Re: anterior heidelberg, viewing thru hazy cornea
The Heidelberg uses light to make the image and if you and see in due the
opacity you will not be able to get an image. The best option would be to use a
UBM ultrasound.
G. Ray Gardner, CRA, OCT-C, CDOS, COA, OSA, RMA
Southwest Retina Specialists
7411 Wallace Blvd.
Amarillo, Texas 79106
office (806)351-1870
fax (806)351-1690
cell (806)676-9793
email: raygardner99@xxxxxxxxx
________________________________
From: John Head <gnarlyroot12@xxxxxxxxx>
To: optimal@xxxxxxxxxxxxx
Sent: Friday, July 19, 2013 9:04 AM
Subject: [optimal] anterior heidelberg, viewing thru hazy cornea
We have a new anterior lens and module for the Hedelberg Spectralis at a second
site, but not much experience using it. As a photographer familiar with the
other Heidelberg functions, how much differnet is the anterior scanning
methodology? trying it a couple times, it seems that fixation can be an issue?
are there any optimal scan settings, ie ART levels, HS or HR?
basically I'm looking for some pointers, because an MD wishes to see the angle
for possible peripheral anterior synchiae, or a "mass blocking" which may be
causing a "malpositioned ACIOL in the chamber."
the trouble is, I don't know enough about the machines capability, especially
when the MD says she cannot see the angle due to a "hazy cornea."
any suggestions or comments would be appreciated.
Thanks,
John Head, CRA
------------------------------
Date: Fri, 19 Jul 2013 08:39:51 -0700 (PDT)
From: Ray Gardner <raygardner99@xxxxxxxxx>
Subject: [optimal] Re: Heidelberg Review Stations Help
LOL the OSA is the surgery assistant certification and the RMA is registered
medical assistant. I thought about adding CIA, FBI, NSA but the tests are to
hard LOL
G. Ray Gardner, CRA, OCT-C, CDOS, COA, OSA, RMA
Southwest Retina Specialists
7411 Wallace Blvd.
Amarillo, Texas 79106
office (806)351-1870
fax (806)351-1690
cell (806)676-9793
email: raygardner99@xxxxxxxxx
________________________________
From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
To: "'optimal@xxxxxxxxxxxxx'" <optimal@xxxxxxxxxxxxx>
Sent: Friday, July 19, 2013 10:20 AM
Subject: [optimal] Re: Heidelberg Review Stations Help
Hey, FINALLY someone in the OPS with more initials! I quit getting them
because of the grief I was taking from my colleages. LOL. What is OSA and RMA?
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] On
Behalf Of Ray Gardner
Sent: Thursday, July 18, 2013 8:46 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Heidelberg Review Stations Help
We have six Spectralis machines and 14 review stations 12 are exam lanes and 2
laser rooms. You will need to get additional licenses and come in packs.
Contact you Heidelberg rep and they can walk you through it.
G. Ray Gardner,CRA, OCT-C, CDOS, COA, OSA, RMA
Southwest Retina Specialists
7411 Wallace Blvd.
Amarillo, Texas 79106
office (806)351-1870
fax (806)351-1690
cell (806)676-9793
email: raygardner99@xxxxxxxxx
From:Eric Kegley <ekegley@xxxxxxxxxxxxxxxxx>
To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
Sent: Wednesday, July 17, 2013 8:41 AM
Subject: [optimal] Re: Heidelberg Review Stations Help
Tom,
You need 4 licenses at least. You can set as many review stations as you would
like as floating licenses but can only access 3 if them at a time.
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 Jul 17, 2013, at 6:03 AM, "Tom Steele" <TSteele@xxxxxxxxxxxxxx> wrote:
Everyone,
>
>How do you handle multiply review stations for the Heidelberg within the
>clinic? Right now the doctors want to be able to open more than 1 review
>station at a time from multiply exam rooms; thus I might be imaging a patient
>and 3 doctors want to review 3 different patients at the same time. Perhaps
>someone from Heidelberg will be reading this and can point a solution to me.
>
>
>Thank You,
>
>Tom Steele, CRA
>
>Midwest Eye Institute
>200 West 103rd Street
>Indianapolis, Indiana 46290
>317.817.1018
>tsteele@xxxxxxxxxxxxxx
>
>
> CONFIDENTIALITY NOTICE:
>
>This message is intended only for the use of the individual or entity to which
>it is addressed and may contain information that is confidential and/or
>privileged. If the reader of this message is not the intended recipient, you
>are hereby notified that any dissemination, distribution or copying of this
>communication is strictly prohibited. If you have received this communication
>in error, please notify us immediately by telephone and return the original
>message to us at the above email address
>
------------------------------
Date: Fri, 19 Jul 2013 08:40:22 -0700 (PDT)
From: Ray Gardner <raygardner99@xxxxxxxxx>
Subject: [optimal] Re: anterior heidelberg, viewing thru hazy cornea
Sorry cant see in
G. Ray Gardner, CRA, OCT-C, CDOS, COA, OSA, RMA
Southwest Retina Specialists
7411 Wallace Blvd.
Amarillo, Texas 79106
office (806)351-1870
fax (806)351-1690
cell (806)676-9793
email: raygardner99@xxxxxxxxx
________________________________
From: Ray Gardner <raygardner99@xxxxxxxxx>
To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
Sent: Friday, July 19, 2013 10:35 AM
Subject: [optimal] Re: anterior heidelberg, viewing thru hazy cornea
The Heidelberg uses light to make the image and if you and see in due the
opacity you will not be able to get an image. The best option would be to use a
UBM ultrasound.
G. Ray Gardner, CRA, OCT-C, CDOS, COA, OSA, RMA
Southwest Retina Specialists
7411 Wallace Blvd.
Amarillo, Texas 79106
office (806)351-1870
fax (806)351-1690
cell (806)676-9793
email: raygardner99@xxxxxxxxx
________________________________
From: John Head <gnarlyroot12@xxxxxxxxx>
To: optimal@xxxxxxxxxxxxx
Sent: Friday, July 19, 2013 9:04 AM
Subject: [optimal] anterior heidelberg, viewing thru hazy cornea
We have a new anterior lens and module for the Hedelberg Spectralis at a second
site, but not much experience using it. As a photographer familiar with the
other Heidelberg functions, how much differnet is the anterior scanning
methodology? trying it a couple times, it seems that fixation can be an issue?
are there any optimal scan settings, ie ART levels, HS or HR?
basically I'm looking for some pointers, because an MD wishes to see the angle
for possible peripheral anterior synchiae, or a "mass blocking" which may be
causing a "malpositioned ACIOL in the chamber."
the trouble is, I don't know enough about the machines capability, especially
when the MD says she cannot see the angle due to a "hazy cornea."
any suggestions or comments would be appreciated.
Thanks,
John Head, CRA
------------------------------
From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
Date: Fri, 19 Jul 2013 08:41:54 -0700
Subject: [optimal] Re: anterior heidelberg, viewing thru hazy cornea
Actually, I have lectured several times for the OPS/ATPO/ASORN on comparative
anterior segment imaging techniques. Most recently, Mid Year meeting in
Chicago.
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] On
Behalf Of JamesStrong
Sent: Friday, July 19, 2013 8:28 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: anterior heidelberg, viewing thru hazy cornea
Denice
Now THAT sounds like an interesting Scientific Session topic... a comparison of
imaging modalities for the filtering angle blablabla.
:)
j-
On Fri, Jul 19, 2013 at 11:23 AM, CPMC Ophthalmic Diagnostic Center
<cpmceyelab@xxxxxxxxxxxxxxxx<mailto:cpmceyelab@xxxxxxxxxxxxxxxx>> wrote:
Ah, the elusive "Gray zone" of the sulcus, sclera spur and beyond. UBM works
great, to a point. AS-OCT has it's shining moments. Gonio can make pretty
pictures. We're all looking for the Holy Grail- easy, high resolution images
of the iris and beyond. Something that can slice through pigment, yet
penetrate deep enough for the Glaucoma guys.
Sometimes, it's having the confidence to know that it's the technology failing
you, not your skills. Just as you get to the Angle and beyond, things start to
fall apart. UBM or at least 20MHz US works pretty well for the lens, at least
anteriorly, but depending on the eye, the depth of the AC, yadayadayada, really
getting enough information deep enough into the anterior posterior chamber is
tricky....
Don't even get me started about reproducible metrics!
D.
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<mailto:optimal-bounce@xxxxxxxxxxxxx>] On
Behalf Of John Head
Sent: Friday, July 19, 2013 7:04 AM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] anterior heidelberg, viewing thru hazy cornea
We have a new anterior lens and module for the Hedelberg Spectralis at a second
site, but not much experience using it. As a photographer familiar with the
other Heidelberg functions, how much differnet is the anterior scanning
methodology? trying it a couple times, it seems that fixation can be an issue?
are there any optimal scan settings, ie ART levels, HS or HR?
basically I'm looking for some pointers, because an MD wishes to see the angle
for possible peripheral anterior synchiae, or a "mass blocking" which may be
causing a "malpositioned ACIOL in the chamber."
the trouble is, I don't know enough about the machines capability, especially
when the MD says she cannot see the angle due to a "hazy cornea."
any suggestions or comments would be appreciated.
Thanks,
John Head, CRA
------------------------------
Date: Fri, 19 Jul 2013 10:44:21 -0500 (GMT-05:00)
From: evica <evicas@xxxxxxxxxxxxx>
Subject: [optimal] Career Opportunity Downtown Chicago
Northwestern Medical Faculty Foundation, Department of Ophthalmology a large
academic practice (Feinberg School of Medicine, Northwestern University)is a
quickly growing department, in the heart of downtown Chicago, IL looking for an
experienced Ophthalmic Photographer. This candidate will primarily be
responsible for technical, clinical support and patient care for various
physicians and sub-specialties in the department of ophthalmology. This
includes various angiographic and photographic tests to be performed as well
for supporting physicians as the need arises for specific testing. The
photographer acts as a liaison between patients and physicians answering
questions and providing educational assistance.
Requirements:
• Certified Retinal Angiographer.
• Previous experience in ophthalmic photography required, at least 1 year of
experience with OCT, Fundus Photography and FA.
• Exceptional interpersonal skills, including the ability to establish and
maintain effective relationships with patients, physicians, management, staff,
and other customers.
• Demonstrated customer service skills, including the ability to use
appropriate judgment, independent thinking and creativity when resolving
patient issues.
• Ability to effectively handle challenging situations.
• Ability to balance multiple priorities.
• Excellent verbal and written communication skills.
• Ability to use select software applications, Photoshop, Illustrator and
Powerpoint.
• Basic knowledge of ophthalmology required.
Send Resume to esimjanoski@xxxxxxxx
------------------------------
From: Sandor Ferenczy <sandorferenczy@xxxxxxxxx>
Date: Fri, 19 Jul 2013 11:51:30 -0400
Subject: [optimal] Re: anterior heidelberg, viewing thru hazy cornea
this is part of the reason we still use the Visante AS-OCT over the
adapted posterior seg OCTs (we have lenses for the Spectralis and the
RTVue and the iVue)
The longer wavelength and higher power output of the Visante (not to
mention the limbus-to-limbus imaging) make it a far more capable
imager than the others. Though, as always, with drawbacks. The Visante
may be able to fully image the IPE cyst that the Spectralis cannot
even "see" but the details in the conjunctival squamous cell ca on the
Spectralis make the Visante images look like pastel drawings.
Proper tools for the job, etc.
And John, in terms of using the anterior segment lenses, it is pretty
easy. I would spend 10 minutes testing it on a co-worker (or on
yourself - it is possible) and just get comfortable. Especially when
you are dealing with a poor view, think outside the box, and just try
different imaging angles and settings until you get the best looking
image on screen. "Normal" doesnt always work when you are
photographing "abnormal".
-sandor
On Fri, Jul 19, 2013 at 11:23 AM, CPMC Ophthalmic Diagnostic Center
<cpmceyelab@xxxxxxxxxxxxxxxx> wrote:
> Ah, the elusive “Gray zone” of the sulcus, sclera spur and beyond. UBM works
> great, to a point. AS-OCT has it’s shining moments. Gonio can make pretty
> pictures. We’re all looking for the Holy Grail- easy, high resolution
> images of the iris and beyond. Something that can slice through pigment,
> yet penetrate deep enough for the Glaucoma guys.
>
>
>
> Sometimes, it’s having the confidence to know that it’s the technology
> failing you, not your skills. Just as you get to the Angle and beyond,
> things start to fall apart. UBM or at least 20MHz US works pretty well for
> the lens, at least anteriorly, but depending on the eye, the depth of the
> AC, yadayadayada, really getting enough information deep enough into the
> anterior posterior chamber is tricky….
>
>
>
> Don’t even get me started about reproducible metrics!
>
>
>
> D.
>
>
>
> 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] On
> Behalf Of John Head
> Sent: Friday, July 19, 2013 7:04 AM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] anterior heidelberg, viewing thru hazy cornea
>
>
>
> We have a new anterior lens and module for the Hedelberg Spectralis at a
> second site, but not much experience using it. As a photographer familiar
> with the other Heidelberg functions, how much differnet is the anterior
> scanning methodology? trying it a couple times, it seems that fixation can
> be an issue? are there any optimal scan settings, ie ART levels, HS or HR?
>
>
>
> basically I'm looking for some pointers, because an MD wishes to see the
> angle for possible peripheral anterior synchiae, or a "mass blocking" which
> may be causing a "malpositioned ACIOL in the chamber."
>
>
>
> the trouble is, I don't know enough about the machines capability,
> especially when the MD says she cannot see the angle due to a "hazy cornea."
>
>
>
> any suggestions or comments would be appreciated.
>
>
>
> Thanks,
>
> John Head, CRA
------------------------------
From: "Barbara McCalley" <ops@xxxxxxxxxx>
Subject: [optimal] Re: Heidelberg Review Stations Help
Date: Fri, 19 Jul 2013 14:35:18 -0500
Considering the limited amount of space we have on nametags, etc. I only use
the OPS credentials for our educational programs, etc.
--
Barb McCalley
ops@xxxxxxxxxx
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Ray Gardner
Sent: Friday, July 19, 2013 10:40 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Heidelberg Review Stations Help
LOL the OSA is the surgery assistant certification and the RMA is registered
medical assistant. I thought about adding CIA, FBI, NSA but the tests are to
hard LOL
G. Ray Gardner, CRA, OCT-C, CDOS, COA, OSA, RMA
Southwest Retina Specialists
7411 Wallace Blvd.
Amarillo, Texas 79106
office (806)351-1870
fax (806)351-1690
cell (806)676-9793
email: raygardner99@xxxxxxxxx
From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
To: "'optimal@xxxxxxxxxxxxx'" <optimal@xxxxxxxxxxxxx>
Sent: Friday, July 19, 2013 10:20 AM
Subject: [optimal] Re: Heidelberg Review Stations Help
Hey, FINALLY someone in the OPS with more initials! I quit getting them
because of the grief I was taking from my colleages. LOL. What is OSA and
RMA?
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] On
Behalf Of Ray Gardner
Sent: Thursday, July 18, 2013 8:46 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Heidelberg Review Stations Help
We have six Spectralis machines and 14 review stations 12 are exam lanes and
2 laser rooms. You will need to get additional licenses and come in packs.
Contact you Heidelberg rep and they can walk you through it.
G. Ray Gardner, CRA, OCT-C, CDOS, COA, OSA, RMA
Southwest Retina Specialists
7411 Wallace Blvd.
Amarillo, Texas 79106
office (806)351-1870
fax (806)351-1690
cell (806)676-9793
email: raygardner99@xxxxxxxxx
From: Eric Kegley <ekegley@xxxxxxxxxxxxxxxxx>
To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
Sent: Wednesday, July 17, 2013 8:41 AM
Subject: [optimal] Re: Heidelberg Review Stations Help
Tom,
You need 4 licenses at least. You can set as many review stations as you
would like as floating licenses but can only access 3 if them at a time.
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 Jul 17, 2013, at 6:03 AM, "Tom Steele" <TSteele@xxxxxxxxxxxxxx> wrote:
Everyone,
How do you handle multiply review stations for the Heidelberg within the
clinic? Right now the doctors want to be able to open more than 1 review
station at a time from multiply exam rooms; thus I might be imaging a
patient and 3 doctors want to review 3 different patients at the same time.
Perhaps someone from Heidelberg will be reading this and can point a
solution to me.
Thank You,
Tom Steele, CRA
Midwest Eye Institute
200 West 103rd Street
Indianapolis, Indiana 46290
317.817.1018
tsteele@xxxxxxxxxxxxxx
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End of optimal Digest V4 #137
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