Module 10 Section 3

 

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Module 10:

Fundus Photography
 

Section 3:

Troubleshooting (including image defects and artifacts)
     
 

 

 

Problems are listed numerically with check points following.  Follow these check points in order.  A separate section is devoted to correcting image defects and artifacts.

 

1) Illumination lamp does not light:

  • Power switch is on.

  • Power saver function is off.  Not every camera has this. Check your manual.

  • Illumination light adjustment (28) is in midrange or above.

  • Check fuses.

  • Check the light bulb to see if it is burned out or not seated properly.

 

2) Flash lamp does not flash :

  • Power switch is on.

  • Power saver function is off.  Not every camera has this.  Check your manual.

  • Flash intensity control (21,22) is not on NF (no flash).

  • Upper / Lower switch is set for the particular camera being used.

  • Digital imaging: software is set to image capture mode.

  • 35 mm photography: camera back is properly mounted, film is not at end of roll, and motor drive is turned on.

  • Check fuses.

  • Check flash lamp to see if it is burned out or not seated properly.

 

3) 35mm camera back does not work:

  • Power switch is on.

  • Power saver function is off.  Not every camera has this.  Check your manual.

  • Upper / Lower switch is set on Lower.

  • Camera back is properly mounted, film is not at end of roll, and motor drive is turned on.

  • Check fuses.

  • If camera back is jammed,  you may need to have it serviced.

 

4) Digital imaging: the flash works, but there is no image on the screen:

  • Upper / Lower switch is set on Upper.

  • Software is set to image capture mode.

  • Digital camera is turned on and is properly mounted/aligned.

  • Flash intensity (21,22) is not set too low or too high.

 

5) The flash works but the Polaroid attachment does not work:

  • Upper / Lower switch is set on Upper.

  • Check the Polaroid back to be sure that it is properly mounted.

  • Check fuses.

 

6) Operator cannot see an image of the patient’s eye through the eyepiece:

  • Lens cap is off.

  • Illumination light is on.

  • Barrier and Exciter filters are both off.

  • Check diopter compensation knob (5) for proper position.

  • Check angle lever (6) for proper positioning.

 

7) Good focus is not possible:

  • Check the eyepiece for proper adjustment.

  • Check for correct position of the diopter compensation knob (5)

  • Check for good pupil dilation.

  • Determine if the patient has a cataract or corneal problem that may prevent good focus. Prior use of gonio gel can prevent good focus.

 


 

Image Defects and Artifacts

These descriptions may apply to the image that is seen by the operator when looking into the eyepiece or to the resultant image on-screen or on film.

 

1) The periphery of the image is dark:

Cause: The camera is too far away from the eye and/or the eye is not dilated enough.

Solutions: 1) Re-adjust the alignment (forward or backward) of the camera to achieve even illumination. 2) Change the illumination diaphragm lever (16) to "S" and/or try a more narrow view (35 or 20 degrees) if dilation will not improve with more drops.

 

2) The center of the image is dark:

 

Cause: Poor dilation.  Improper alignment contributes to the effect.

Solutions: Re-adjust the alignment (forward or backward) of the camera to achieve more even illumination.  Change the illumination diaphragm lever (16) to "S" and/or try a more narrow view (35 or 20 degrees) if dilation will not improve with more drops.

 

3) Image flare or washed out image (overexposure):

Causes: The camera may be too close to the eye.  The flash intensity may be too bright.  The illumination lamp may be too bright.  The illumination diaphragm may be set on "S" when photographing through a widely dilated pupil with the 50 degree angle of coverage.

Solutions: Re-adjust the camera alignment (back up).  Turn down the flash intensity (21,22) if the captured image is washed out.  Turn down the illumination lamp (28) if the eyepiece view is washed out.  Only use the illumination diaphragm "S" setting (16) on a relatively small pupil.

 

4) The eyepiece image or the captured image is too dark (underexposure):

Cause: If the image through the eyepiece is too dark, then the illumination lamp is too low and/or the pupil is not well dilated.

Solution: Turn up the illumination lamp (28). Try to improve dilation. Use the "S" setting on the illumination diaphragm lever (16).

Cause: If the captured image is too dark, then the flash intensity is too low and/or the pupil is not well dilated. A small pupil will cause an unevenly illuminated dark image.

Solution: Turn up the flash intensity (21,22). Try to improve dilation. Use the "S" setting on the illumination diaphragm lever (16).

 

5) There are white spots on the retinal image when looking through the eyepiece and on the captured image:

Cause: Spots on the objective lens (4).

Solution: Carefully clean the objective lens following the instructions in the camera manual. Do not use facial tissue. These lenses are specially coated and easily scratched. Take care to use the lens cap when not in use and avoid bumping the lens into the patient’s nose.

 

6) Your color slide film comes back black, without an image on it:

Cause: Either the flash was not firing or more likely, the film was not advancing.

Solution: When loading the film, watch the rewind crank to be sure the film is advancing.

 

7) Your image has what seems to be a white curtain coming down over it, or the image is totally white.

Cause: You have fired the flash while the patient is blinking.

Solution: Tell the patient "don’t blink" just before you fire the flash, or hold the eyelid up.

 

8) Your image has a crescent at the edge of the frame.

Cause: The light from the camera is striking the iris.

Solution: Move the camera in the direction opposite the location of the crescent.

 

9) Your color slide film has some overlapping images:

Cause: The film was not advancing properly.

Solution: Take more care in loading the film. Be sure the film is seated properly.

 

10) Your color slide film has some frames that have only partial images and some images that look like they did not develop properly.

Cause: The camera back was opened before the film was re-wound.

Solution: Always turn the re-wind crank clockwise to determine if there is film loaded in the camera before you open the camera back.  If there is film loaded and not re-wound, the crank will stop turning.

 

11) Your color slide film has images that seem to be cut in half.

Cause: The shutter is not synchronized with the flash.  This can only happen with camera backs that have adjustable shutter speeds.

Solution: Be sure the shutter speed to set to "X" or 1/60 or slower.

 

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