Specifications

The EyePACS Handbook: Tools for Program Success
TABLE OF CONTENTS
TABLE OF CONTENTS ..................................................................................................... 1
I ABOUT THE PROGRAM ............................................................................................... 3
About this Handbook .................................................................................................................. 3
Program Description and Goals .................................................................................................. 5
About Diabetic Retinopathy Screening ..................................................................................... 5
History of the EyePACS Program ............................................................................................. 5
About EyePACS – Eye Picture Archive Communication System ................................................. 5
A Note to CEOs, Operations Directors, and Clinic Managers ...................................................... 6
The EyePACS Team .................................................................................................................... 7
Expectations of Clinics with Diabetic Retinopathy Cameras ....................................................... 8
Getting Started Checklist ........................................................................................................... 9
Selecting Optimal Camera Operators ....................................................................................... 10
The First 60 Days: Benchmarks and Milestones ....................................................................... 11
The First Month ..................................................................................................................... 11
The Second Month ................................................................................................................ 13
Integrating Screenings into Clinic Workflow ............................................................................. 14
Minimum Technical Requirements ........................................................................................... 16
Space and Facilities Requirements............................................................................................ 17
The External Evaluation Process ............................................................................................... 18
II FOR CAMERA OPERATORS (PULLOUT SECTION) ...................................................... 19
Camera Diagrams and Settings ................................................................................................ 19
Diagram of the Canon Fundus CR‐DGi ................................................................................... 19
Diagram of the Canon Rebel .................................................................................................. 20
Recommended Camera Settings ............................................................................................ 21
Talking to Patients about the Screening ................................................................................... 22
General Suggestions .............................................................................................................. 22
Common Patient Questions ................................................................................................... 23
How to Perform a Diabetic Retinopathy Screening ................................................................... 26
Overview of the Photography Process .................................................................................... 26
EyePACS Photographer Certification ..................................................................................... 26
Anatomy of the Retina .......................................................................................................... 27
Camera Preparation .............................................................................................................. 28
External Photos ..................................................................................................................... 28
Internal Photos ...................................................................................................................... 30
Images of the Right Eye ......................................................................................................... 37
Images of the Left Eye ........................................................................................................... 38
Helpful Hints ......................................................................................................................... 39
Pupil Dilation Protocol ........................................................................................................... 40
Uploading Images to EyePACS ................................................................................................. 42
Screening without the Internet ................................................................................................. 46
DRS Encounter Form ................................................................................................................ 51
DRS Cheat Sheet ...................................................................................................................... 53
Good Pictures v. Bad Pictures ................................................................................................... 54