EyeDrawings

Bertil Damato MD PhDOcular Oncology ServiceUniversity of California San Francisco

DamatoB@vision.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

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

Number of Millimeters per Min or Hr

Arc Distance from Limbus to Fovea (mm)

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:

Internal Eye

Dr:©Bertil Damato, 2014

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• 3-4Distance to Limbus• 1• 2• 3• 4Distance to Tumor• 1• 2• 3• 4

Internal Eye

Dr:©Bertil Damato, 2014

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• 3-4Distance to Limbus• 1• 2• 3• 4Distance to Tumor• 1• 2• 3• 4

Internal Eye

Dr:©Bertil Damato, 2014

Dr:

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• 3-4Distance to Limbus• 1• 2• 3• 4Distance to Tumor• 1• 2• 3• 4

External Eye Right Eye

©Bertil Damato, 2014

Dr:

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:

External Eye Right Eye

©Bertil Damato, 2014

Dr:

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• 3-4Distance to Limbus• 1• 2• 3• 4Distance to Tumor• 1• 2• 3• 4

External Eye Left Eye

©Bertil Damato, 2014

Dr:

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:

External Eye Left Eye

©Bertil Damato, 2014

10

5 5

5

15

5

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:

©Bertil Damato, 2014

Conjunctiva

Eye SectionsDate: Patient• Name: • Number: • DOB:

Eye• Laterality:• Axial Length:

Tumor• Diagnosis:• Lat. Meridian 1: • Lat. Meridian 2: • Long. Diameter: • Trans. Diameter: • Thickness: • Dist. to limbus:

©Bertil Damato, 2014

Dr:

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• 3-4Distance to Limbus• 1• 2• 3• 4Distance to Tumor• 1• 2• 3• 4 Dr:

©Bertil Damato, 2014

Ru-106

COM

S

TUMOR

1(xxx)

2(xxx)

3(xxx)

4(xxx)

Internal Eye Plan for Powerpoint

Dr:

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• 3-4Distance to Limbus• 1• 2• 3• 4Distance to Tumor• 1• 2• 3• 4

Left Eye

©Bertil Damato, 2014

Ru-106

COM

S1

(xxx)2

(xxx)3

(xxx)4

(xxx)

TUMOR

External Eye Plan for Powerpoint

Rectus

Oblique

1(xxx)

2(xxx)

3(xxx)

4(xxx)

©Bertil Damato, 2014

Ru-106

COM

S

TUMOR

Dr:

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• 3-4Distance to Limbus• 1• 2• 3• 4Distance to Tumor• 1• 2• 3• 4

External Eye Plan for Powerpoint

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 workwith IOS8. All images and functionality will be lost if IPaD is updated.Drawing apps from Adobe currently free (October 12,2014)

http://www.adobe.com/products/draw.html : a drawing app. There are severalothers I haven’t yet tried out.

https://itunes.apple.com/us/app/mybrushes-pro-draw-paint-sketch/id557477822?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.Myfilenames only have the patient’s initials and date before I send them to a securehospital system.

Any feedback would be most welcome.

Bertil Damato

DamatoB@vision.UCSF.edu

©Bertil Damato, 2014