INSTRUCTION MANUAL

OPHTHALMOMETER

OM-4
Thank you for purchasing the TOPCON Ophthalmometer OM-4. To get the from the best use
from the instrument, please carefully read these instructions and place it in a convenient location
for future reference.

PRECAUTIONS
1. Always use or keep this instrument where it will be unaffected by heat, humid-
ity or dust, and avoid exposing the instrument to direct sunlight.
2. Check that all cables are correctly and firmly connected.
3. Never touch the lens or prism surfaces with your finger or with any hard ob-
ject.
4. Always turn the power source off before disconnecting the cables or when re-
placing the bulb.
5. When disconnecting the cables, do not use excessive force and never attempt
to unplug the connection by directly pulling on the cable.
6. If any trouble occurs with your instrument or its accessories, first refer to the
troubleshooting guide in this manual and carry out the checks listed. If nothing
is found by your check, then ask your dealer or TOPCON to service it.
7. Always turn the power source off and replace the cover on the instrument
when it is not in use.
 CONTENTS
1. NOMENCLATURE .................................................................................................................... 1

2. ASSEMBLY ............................................................................................................................... 3
2.1 Components...................................................................................................................... 3
2.2 Assembly Procedure ........................................................................................................ 4

3. OPERATION PROCEDURES................................................................................................... 6
3.1 Preparations...................................................................................................................... 6
3.2 Practice measurements with the test ball ......................................................................... 6
3.3 Measurement of the radius of curvature of the cornea..................................................... 8
3.4 Measurement of contact lenses...................................................................................... 10

4. MAINTENANCE ...................................................................................................................... 11
4.1 Exchange of the lamp ..................................................................................................... 11
4.2 Exchange of the fuse ...................................................................................................... 11
4.3 Cleaning the instrument .................................................................................................. 11
4.4 General care ................................................................................................................... 11

5. BEFORE REOUESTING SERVICE ........................................................................................ 12

6. FEATURES.............................................................................................................................. 12

7. SPECIFICATIONS................................................................................................................... 13
1

1. NOMENCLATURE

Fig. 1
 2

Fig. 2
3

2. ASSEMBLY
2.1 Components
The following items are contained in a packing box:
Instruction manual 1 each
Conversion table 1 each
Dust cover 1 each
Table top 1 each
Accessory box 1 set
Rail covers 1 pair
Power cord 1 each
Chin rest and head rest 1 each
Screwdriver 1 each
Measuring head and base 1 each

Fig. 3 Fig. 4

Fig. 5 Fig. 6
 4

• The contents of the accessory box are: only screwed into their screwholes temporarily and
Spanner (not supplied with the table for ophthalmic can be unscrewed very easily. Use them to fix the
stand) 1 each table on top of the elevating mechanism of the
Silicone cloth 1 each adjustable instrument table, as illustrated in Fig. 8.
Lamps (spares) 9 each
Contact lens holder 1 each b) Installing the ophthalmic stand. Simply insert
Test ball (R 7.50) 1 each the pole protruding from the bottom surface of
Fuse 2 each the table into the socket on the lower instru-
for IEC 0.5A 2 each ment arm and tighten the fixing screw. as
6A 1 each shown in Fig. 9.
Chin rest pads 1 pack
Column 1 each
Cleaning brush 1 each
Pad fixing pin 2 each

Fig. 9

2) Attachment of the Chin Rest and Head Rest

Section
Unscrew four attachment screws which are tempo-
rarily screwed into the attachment mount of the
Fig. 7 chin rest and head rest section. Then, fix the sec-
tion to the mount with these four screws, as shown
2.2 Assembly Procedure in Fig. 10.

Please check the primary voltage set to the instru-

ment. (See Fig. 13)

1) Installing the Table

a) Unscrew four attachment bolts on the bottom
side of the instrument’s table. These bolts are

Fig. 10

Fig. 8
5

3) Setting up the Base

Simply place the base section (with measur-
ing head) on top of the table, with outrigger
rollers aligned on top of the toothed rails (18).
Next, insert the rail covers in place. over the
rails, by inserting the flange of the cover into
the slight opening between the rail and table
surface, as in Fig. 11.

Voltage selector

for IEC

Fig. 11

4) Fixing the Chin Rest Pads

Pull out the pad fixing pins of the chin rest
(20), by pushing them up from below. Next,
place a suitable quantity of pads on the chin
rest and fix them in place, with the two pad Voltage selector
fixing pins. as in Fig. 12.
Tear off one tissue pad each. after each pa- Fig. 13
tient, which will place a new one in place for
the next patient.

Fig. 14
Fig. 12
6) Check the light
5) Connecting the Electrical Cords Switch on the power switch pilot lamp, mire
Switch off the power switch (5). lamp and ill scale are lighted.
Then, connect the power cord (3) and con- and check whether illumination lamp for scale
nector cord (1) to the room receptacle and are lighted.
connector respectively as in Fig. 13 and 14.
 6

3. OPERATION PROCEDURES
3.1 Preparations 6) Set 0°, or 180°, of the protractor scale (15) to
1) Use a room which is dimly lighted since a room the black-colored horizontal index (17) as in Fig.
in total darkness will be too dark to make the re- 18.
quired adjustments.
If a special room cannot be prepared, use a room
without direct sunlight and cover the windows with
dark thick curtains.
Furthermore, Iocate the instrument so that the pa-
tient will not be looking towards the window.
2) Connect the power cord (3) to the room recepta-
cle, if it has not been connected yet.
3) Switching on the power switch (5) and check
whether the pilot.
4) Set the illumination control switch (6) to N-
Position.
5) Adjust the instrument to the observer’s eye.
Fig.18
First, draw out the eyepiece (13) as far as possible,
by revolving it counter-clockwise to its limit.
3.2 Practice Measurements with the Test
Next, place a white paper before the mire plate (23)
Ball
at the position of the patient’s eye, as in Fig. 15 and
1) Attachment of the column
a blurred black circle image will be seen, as in Fig.
Set up the column (27) in the opening available on
1 6. Revolve the eyepiece slowly in the clockwise
the chin rest. Then, place the test ball (26) on top
direction and stop when the circle image is seen
of the column, as in Fig. 19.
distinctly as double circle, as in Fig. 17.

Fig. 19

2) Position the instrument correctly before the

Fig. 15 test ball.
Adjust the chin rest adjustment knob (19) to fit the
test ball into height mark (24) of the chin rest.
Position the observer’s eye so that it is located
along an extension of a line running through the
leveling pin (16) and black-colored horizontal index
(17). Next. use the joystick (8) and position the test

Fig. 16 Fig. 17
7
ball on the same line of sight. as in Fig. 20.
This operation will position the test ball and instru-
ment (measuring head) at the correct height.
Fig. 20
Operate the main body with hold the joystick softly
like. as shown in Fig. 21. And following operating is
operated in holding the joystick:
• Elevation control of instrument
(Rotating the joystick)
• Roughly horizontal positioning of the instru-
ment. (Slide the main body with holding the joy-
stick)
• Accurately horizontal positioning of the instru-
ment (Lean the joystick)
Fig. 21
Next, use the joystick and position the measuring
head in front of the test ball. while looking into the.
eyepiece, so that the mire images show up in the
field of view.
The mire image in the center of the field of view will
be seen doubled. as in Fig. 22, when the instru-
ment is not positioned at the correct distance to the
test ball.
Fig. 22
The instrument will be set to the correct distance
when the double images. in the center of the field
of view. are coincided into a single image by ad-
justing the joystick. The coincided image should be
located approximately in the center of the field of
view, at this time. but, if it is not, use joystick and
center it properly so that it is concentric with the
double images in the center of the field of view. as
in Fig. 23.
Fig. 23
3) Measurement
Three mire images, as in Fig. 23, are to be seen in
the eyepiece at this time, and the horizontal knob
(11) and vertical knob (12) should be revolved to
coincide the I mark of the left mire image with the
mark of the center mire image, and the
mark of the top mire image with the mark of
the center image, which will be the result of the
 8

measurement (see Fig. 24), to be read as follows: head rest (22), as in Fig. 25.

Fig. 24

Reading of the vertical scale

7.50mm (45.0dptr)
Reading of the horizontal scale
7.50mm (45.0dptr)
Fig. 25

When the reading of the horizontal and vertical

2) Positioning the instrument in front of the
scales are identical, it will not be necessary to de-
patient
termine the axis. The test ball is supplied for the
The same operations undertaken for positioning
purpose of practising measurements. as well as for
the instrument before the test ball should be un-
checking the accuracy of the instrument which
dertaken now. except that the patient’s eye will
should be undertaken from time to time.
replace the test ball.
The horizontal knob, vertical knob and axis rotating
In other words, position the observer’s eye. leveling
handle (9) can be manipulated with one hand. after
pin (16) . black-colored horizontal index (17) and
a little practice. Operations will be even more sim-
patient’s eye on the same line of sight. using the
ple. in this case, if the auxiliary knob (10) is at-
joystick (8) if necessary, for this purpose. Fig. 26.
tached to the horizontal knob, in the case of a right-
handed person, and to the vertical knob, in the ca-
Fig. 26
se of a left-handed person, as it will make opera-
tions much easier.

3.3 Measurement of the Radius of Curva-

ture of the Cornea
1) Positioning the patient
Place a suitable quantity of pads on the chin rest
and fix them in place, with the two pad fixing pins,
as in 2-2 4).
Have the patient sit relaxed before the instrument.
Next. adjust the Adjustable Instrument Table (ex:
AIT-10B “Optional accessory”) to fit the patient’s
eye height point outline according to the height
mark (24) of chin rest. Adjust the chin rest adjust-
ment knob (19). place the patient’s chin on the chin Next, obstruct another eye to see nothing for the
rest (20) and the forehead against the patient by occluder (21).
9

Shows the view seen by the observer, at this time.

Once the height of the instrument and patient’s eye
has been properly adjusted. in the
above manner. use the joystick to produce the mire
images. (See Fig. 27)

Fig. 28

Fig. 27

In case that the image is dark and hard to see turn

the illumination control switch (6) to H-Position.
However, do not make the image too bright, as it
will not only tire the patient but also will shorten the
lamp-life. Fig. 29
For the purpose of making measurements easier
and for obtaining accurate results, the patient Therefore, revolve the axis rotating handle and
should be warned against moving the face. The rotate the measuring head until the displace-
patient should be looking at the pupil image seen ment in the marks is eliminated, as in Fig. 30.
reflected in the reflection mirror directly in front, (This will result in coinciding the measuring
without shifting the eye. The instrument will be set head with the axis of the corneal astigmatism.)
to the correct distance when the double images, in
the center of the field of view, are coincided into a
single image by adjusting the joystick.

3) Measurements
a) When there is corneal astigmatism.
Turn the axis rotating handle (9). as in Fig. 28,
when corneal astigmatism exists, the mark
of the top mire image and the mark of the
center mire image will be seen displaced, as in
Fig. 29.

Fig. 30

Coincide the I mark of the left mire image with

the : mark of the center mire image and the
mark of the top mire image with the
 10

mark of the center mire image, at this an-

gle, with the horizontal and vertical knobs which
shows how simple and fast one-position meas-
urement is.

Fig. 32 Fig. 33

Fig. 32 shows measurement of the radius of cur-

vature of the concave face, while Fig. 33 shows
that of the convex surface. The contact lens will not
fall from the holder, even when it is turned upside
down, because of the surface tension of the water
Fig. 31 filling the holder’s depression. The contact lens
holder, with the contact lens, should be placed
Read the result of the measurement. In the ca- softly on the column, as in Fig. 34.
se of Fig. 31.The vertical scale indicates a radi-
us of curvature of the cornea of 7.50mm (re-
fractive power of the cornea is 45.0 dptr) and
axis 110° (read off against the vertical index).
The horizontal scale shows that the radius of
curvature of the cornea is 7.70mm (corneal re-
fractive power is 43.8dptr) and axis is 200 (the
axis of the horizontal scale is read off from the
Fig. 34
horizontal index.)
b) When corneal astigmatism does not exist. If
2) Correct position of the instrument to the
corneal astigmatism does not exist, there will be
contact lens
no displacement in the marks, even when the
The operation undertaken here is the same as that
measuring head is rotated. There-fore, meas-
explained in “3-2. 2)”, which should be followed.
urement will be the same as when measuring
the test ball. (See “3-2.3)”) The measurement
3) Measurement
results are the value along the circumference of
Measurement should be made in the same manner
the corneal surface of 2.3mm to 4.9mm diame-
explained in “3-2. 3)”.
ters (at 5.5mm to 12mm radius of curvature of
However, compensation will be required in the
the cornea).
measurement results for the radius of curvature of
the concave face. Therefore. refer to the “Com-
3.4 Measurement of Contact Lenses
pensation Table for the Radius of Curvature of the
1) Attachment of the column
Concave Face” which is supplied with the instru-
Set up the column (27) in the opening available on
ment.
the chin rest (20). as in “3-2.1)”.
The compensation required, for example. is 0.02
Next, fill the hole in the contact lens holder (25) with
mm in the case of a 8.00 mm radius of curvature.
water and softly press the contact lens, which is to
Therefore, the compensation table should be util-
be measured, against this section, with the face to
ized when the precision required calls for its use.
be measured on the outside (as in Fig. 32 and 33).
11

4. MAINTENANCE
Fuse holder
4.1 Exchange of the Lamp
The mire place (23) and lamp will be quite hot,
should the lamp go out while the instrument is in
use. Therefore, let them cool down a little bit and
then replace lamp in the following manner:
(1) After switching off the Power switch (5) of the
Power supply unit (4), disconnect the Power
cord (3).
(2) Take a firm hold of the leveling pin (16) and
revolve it about two or three times in the coun-
ter-clockwise direction. to loosen.
for IEC
(3) Pull out the mire plate next which will expose
the lamp. Revolve it in the counter-clockwise di-
rection, too, and detach. Fuse holder
(4) Insert the replacement bulb and revolve it
clockwise until it stops and is securely attached.
(5) Replace the mire plate carefully. The mire plate
is notched, therefore, line up the notched sec-
tion with an alignment pin inside the instrument.
Push it in fully and then screw in the leveling pin
which will fix the mire plate securely.
(6) Connect the power cord, Switch on the Power
switch, and check whether illumination lamps
are lighted.
Fig. 36
Fig. 35

4.3 Cleaning the instrument

4.2 Exchange of the Fuse
(1) After switching off the power switch (5) of the
power supply unit (4), disconnect the power
cord (3).
(2) Check the fuses on the rear of the power supply
unit. Unscrew the fuse holder with a screwdriver
in the counter-clockwise direction and exchange
the fuses.
1) Cleaning the Lenses and Mirrors
As a general rule. the surfaces of the lenses and
mirrors should not be touched, as much as possi-
ble.
When dirty, try to brush away the dust and dirt with.
the accessory cleaning brush, which should, fur-
thermore, be stored in accessory drawer when not
in actual use.
If the lens and/or mirror cannot be cleaned by
brushing, however, wipe the surface with a soft,
well-washed cotton cloth, linen cloth, etc., which
can be lightly dipped into a solution of 4 parts ether
and 1 part alcohol. Do not wet the cloth excessively
but repeat. it necessary. Furthermore, do not rub
the surface but wipe lightly, repeating, if necessary,
until the surface is clean. Do not use anything
which might scratch the delicate surfaces.
2) The gliding plate (7) and rails (18) on the table
(2) must be cleaned from time to time, to insure
smooth movement of the base over the table.
3) The plastic parts of the instrument, such as chin
rest. head rest, etc., should not be cleaned with
any kind of chemical solution.
 12

4.4 General Care 6.5 Speedy One-Position Measurement

The instrument should not be used in a room which
is dusty. is damp or has direct sunlight. The dust
cover should always be placed over the instrument
when it is not being used.
5. BEFORE REQUESTING
The other principal meridian is also measured at
the same time while measuring one of the principal
meridians with the TOPCON Ophthalmometer
which means that it is not necessary to measure
both principal meridians separately, in the case of
corneal astigmatism. Thus it’s more speedy than
Two-Position Measurements and also more accu-
rate.

SERVICE 6.6 Superior Handling Ease

If something is wrong with the instrument, Please
check the following points before contacting the
authorized distributor for repair.
5.1 Illumination lamp does not light up.
(1) Check whether the Power cord (3) and con-
nector cord (1) are properly connected.
(2) Check fuses
5.2 In case that the ring of mire plate be-
come dark partly.
Because the filament has broken, please See
4-1.
The horizontal and vertical knobs, as well as axis
rotating handle, are located for simple operational
ease and permit one-hand operations. with an aux-
iliary knob available for increasing handling ease
for both right-handed and left-handed persons. And
this is more excellence joystick which can adjust
not only elevation control of the instrument but also
horizontal positioning of the instrument.
6.7 Inspection of Unusual Cornea in
Irregular Astigmatism
Inspection is possible by simply checking the
shape of mire images.

6. FEATURES
6.1 Internal Reading Scales
The millimetre scales for the radius of curvature
(bottom figures) and the diopter scales for the cor-
neal refractive power (top fi9ures) of both horizon-
tal(H) and vertical(V) axes, are seen in the field of
view, together with the mire images, during the
measurement.

6.2 Wide Range of Measurements

Range of measurements is extremely wide, with
millimetre scale covering 5.5 to 12.0 mm and the
diopter scale covering 60 to 28 diopters.

6.3 Highly Precise Measurements

Mire images are very sharp and easy to coincide,
producing measurement results with the mini-mum
of individual variations.

6.4 Speedy. Accurate Focusing

Adjustments
Focusing adjustments are speedy but very accu-
rate, requiring coincidence of double images only
which is simple and without individual variations.
13

7. SPECIFICATIONS

Measuring Head
Type ........................................................................... Sutcliffe type
Magnification .............................................................. 20x
Eyepiece adjustment range ........................................ 0 to ±5 dptr
Measuring range

Corneal radius of curvature................................... 5.5 to 12mm

Minimum reading .................................................. 0.01 mm
Corneal refractive power ....................................... 60 to 28 dptr
Minimum reading .................................................. 0.125dptr
Axis corneal astigmatism ...................................... 0 to 180°
Scale reading system ................................................. Internal reading radius of curvature and
refractive power scales; external reading
protractor scale.
Lamp .......................................................................... 6V - 3W (8 each)

Base

Longitudinal base travel.............................................. 90 mm

Lateral base travel ...................................................... 100 mm
Fine cross-slide base adjustments ............................. 15mm
Vertical travel of measuring head ............................... 30 mm
Vertical travel of chin rest ........................................... 80 mm

Power Unit
Primary ....................................................................... AC 100V, 120V, 220V, 240V;
................................................................................... adjustable with voltage selector
Frequency................................................................... 50/60 Hz
Secondary .................................................................. AC 6V and 7.5V; adjustable with switch
Power Consumption ................................................... 30VA

Dimensions and Weight

Dimensions................................................................. Table Model 550mm x 370mm
Unit Model 440mm x 350mm
Weight ........................................................................ 16 kgs.

Subject to change in design and/or specifications, without advance notice.

 OPHTHALMOMETER

OM-4

TOPCON AMERICA CORPORATION

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