Eye Drawings Bertil Damato MD Ph D Ocular

Eye. Drawings Bertil Damato MD Ph. D Ocular Oncology Service University of California San Francisco Bertil. Damato@UCSF. edu ©Bertil Damato, 2014

Instructions • • Modify Powerpoint slides as you wish. Save images as JPGs. Upload into your drawing program. Draw over template, using layers if possible. If using Powerpoint, drag, rotate and resize items. Save files with pseudo-anonymized filenames. Send completed drawings to secure site, then rename files. Respect HIPAA, Data Protection Act and other regulations protecting patients’ privacy. ©Bertil Damato, 2014

Instructions Fundus Diagrams • Draw red circle or white spot over appropriate disc to indicate eye laterality. • Concentric circles indicate arc distances and radial lines indicate clock minutes. • If necessary, refer to tables: • to get approximate locations of ora and limbus. • to convert clock minutes to arc millimeters (approximately). ©Bertil Damato, 2014

Arc Distance from Limbus to Fovea (mm) Number of Millimeters per Min or Hr Instructions External Eye Diagrams • Select diagram for appropriate eye. • Blue disc indicates cornea. • If necessary, refer to tables: • to get approximate distance of fovea from limbus. • to convert clock minutes to arc millimeters (approximately). • Fovea is represented by one of the outer rings, according to fovea-limbus distance. • Extraocular muscles are brown. Locations are approximate. ©Bertil Damato, 2014

Date: 20 55’ 5’ 15 Name: 50’ 10 Number: 5 DOB: 45’ 5 5 Eye: 15’ 10 10 15 15 Tumor: 20 20’ 20 40’ 25’ 35’ Dr: 30’ ©Bertil Damato, 2015

Internal Eye Date: Patient • Name: • Number: • DOB: Eye • Laterality: • Axial Length: • Fovea-Ora: • Fovea-Limbus: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to fovea: • Dist. to disc: o Dist. to limbus: o Dist. to ora: Dr: ©Bertil Damato, 2014

Internal Eye Date: Patient • Name: • Number: • DOB: Eye • Laterality: • Axial Length: • Fovea-Ora: • Fovea-Limbus: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to fovea: • Dist. to disc: o Dist. to limbus: o Dist. to ora: Marker-to-Marker • 1 -2 • 1 -3 • 1 -4 • 2 -3 • 2 -4 • 3 -4 Distance to Limbus • 1 • 2 • 3 • 4 Distance to Tumor • 1 • 2 • 3 • 4 Dr: ©Bertil Damato, 2014

Internal Eye Date: Patient • Name: • Number: • DOB: Eye • Laterality: • Axial Length: • Fovea-Ora: • Fovea-Limbus: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to fovea: • Dist. to disc: o Dist. to limbus: o Dist. to ora: Marker-to-Marker • 1 -2 • 1 -3 • 1 -4 • 2 -3 • 2 -4 • 3 -4 Distance to Limbus • 1 • 2 • 3 • 4 Distance to Tumor • 1 • 2 • 3 • 4 Dr: ©Bertil Damato, 2014

External Eye Date: Patient • Name: • Number: • DOB: Eye • Laterality: • Axial Length: • Fovea-Ora: • Fovea-Limbus: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to fovea: • Dist. to disc: o Dist. to limbus: o Dist. to ora: Marker-to-Marker • 1 -2 • 1 -3 • 1 -4 • 2 -3 • 2 -4 • 3 -4 Distance to Limbus • 1 • 2 • 3 • 4 Distance to Tumor • 1 • 2 • 3 • 4 Dr: Right Eye ©Bertil Damato, 2014

External Eye Date: Patient • Name: • Number: • DOB: Eye • Laterality: • Axial Length: • Fovea-Ora: • Fovea-Limbus: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to fovea: • Dist. to disc: o Dist. to limbus: o Dist. to ora: Dr: Right Eye ©Bertil Damato, 2014

External Eye Date: Patient • Name: • Number: • DOB: Eye • Laterality: • Axial Length: • Fovea-Ora: • Fovea-Limbus: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to fovea: • Dist. to disc: o Dist. to limbus: o Dist. to ora: Marker-to-Marker • 1 -2 • 1 -3 • 1 -4 • 2 -3 • 2 -4 • 3 -4 Distance to Limbus • 1 • 2 • 3 • 4 Distance to Tumor • 1 • 2 • 3 • 4 Dr: Left Eye ©Bertil Damato, 2014

External Eye Date: Patient • Name: • Number: • DOB: Eye • Laterality: • Axial Length: • Fovea-Ora: • Fovea-Limbus: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to fovea: • Dist. to disc: o Dist. to limbus: o Dist. to ora: Dr: Left Eye ©Bertil Damato, 2014

Conjunctiva Date: Patient • Name: • Number: • DOB: Eye • Laterality: • Axial Length: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to limbus: 5 10 5 5 5 15 ©Bertil Damato, 2014

Eye Sections Date: Patient • Name: • Number: • DOB: Eye • Laterality: • Axial Length: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to limbus: Dr: ©Bertil Damato, 2014

Internal Eye Plan for Powerpoint COMS Dr: 1 (xxx) 2 (xxx) 3 (xxx) 4 (xxx) Ru-106 Date: Patient • Name: • Number: • DOB: Eye • Laterality: • Axial Length: • Fovea-Ora: • Fovea-Limbus: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to fovea: • Dist. to disc: o Dist. to limbus: o Dist. to ora: Marker-to-Marker • 1 -2 • 1 -3 • 1 -4 • 2 -3 • 2 -4 • 3 -4 Distance to Limbus • 1 • 2 • 3 • 4 Distance to Tumor • 1 • 2 • 3 • 4 TUMOR ©Bertil Damato, 2014

External Eye Plan for Powerpoint • 1 (xxx) 2 (xxx) 3 (xxx) 4 (xxx) COMS Dr: Left Eye Ru-106 Date: Patient Name: • Number: • DOB: Eye • Laterality: • Axial Length: • Fovea-Ora: • Fovea-Limbus: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to fovea: • Dist. to disc: o Dist. to limbus: o Dist. to ora: Marker-to-Marker • 1 -2 • 1 -3 • 1 -4 • 2 -3 • 2 -4 • 3 -4 Distance to Limbus • 1 • 2 • 3 • 4 Distance to Tumor • 1 • 2 • 3 • 4 TUMOR ©Bertil Damato, 2014

External Eye Plan for Powerpoint • Oblique 1 (xxx) 2 (xxx) 3 (xxx) 4 (xxx) COMS Dr: Rectus Ru-106 Date: Patient Name: • Number: • DOB: Eye • Laterality: • Axial Length: • Fovea-Ora: • Fovea-Limbus: Tumor • Diagnosis: • Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to fovea: • Dist. to disc: o Dist. to limbus: o Dist. to ora: Marker-to-Marker • 1 -2 • 1 -3 • 1 -4 • 2 -3 • 2 -4 • 3 -4 Distance to Limbus • 1 • 2 • 3 • 4 Distance to Tumor • 1 • 2 • 3 • 4 TUMOR ©Bertil Damato, 2014

Useful Apps and Websites (October 12, 2014) http: //incompetech. com/graphpaper/polar : for creating polar graphs http: //www. handymath. com/calculators. html : for calculating arc lengths. https: //github. com/sprang/Brushes : a simple drawing app but does not work with IOS 8. All images and functionality will be lost if IPa. D is updated. Drawing apps from Adobe currently free (October 12, 2014) http: //www. adobe. com/products/draw. html : a drawing app. There are several others I haven’t yet tried out. https: //itunes. apple. com/us/app/mybrushes-pro-draw-paint-sketch/id 557477822? mt=8 another drawing app. When selecting a drawing app, look for: • reliability – that is, an organization with a track record and good reviews • user-friendliness – to be able to draw quickly and easy in a busy environment • layers – to be able to build drawings over a photograph and to update sketches Remember to comply with HIPAA and Data Protection regulations in your region. My filenames only have the patient’s initials and date before I send them to a secure hospital system. Any feedback would be most welcome. Bertil Damato. B@vision. UCSF. edu ©Bertil Damato, 2014