Drop a fundus or anterior-segment photo here, or load one, for an automatic cup-to-disc ratio. To refract or dispense, open Exam: no image needed.
Runs in your browser. Nothing you add here is uploaded.Images leave only for an archive you set up in Settings.
100%
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Patient / encounter OD
Disc analysis OD
Vertical CDR
—
Horizontal CDR
—
Disc diameter
— mm
Disc area
— mm²
Disc → fovea
—
Findings 0
No marks yet.
Refraction — both eyes
Visual acuity hover a value and scroll
Dist UC
Dist CC
Near
OD
OS
Autorefraction / retinoscopy
Sph
Cyl
Axis
OD
OS
Subjective — final Rx
Sph
Cyl
Axis
Add
OD
OS
Keratometry
K1
K2
Axis
OD
OS
Pressures & anterior segment
IOP
Pachy
Lens status
OD
OS
Observations
Observation
OD
OS
Runs entirely from the final Rx — no photo required. Load a face photo only if you want to estimate PD from it.
Interpupillary distance binocular, mm
Monocular PD mm
Mono dist
Mono near
OD
OS
PD from photo optional · estimate only
Load a face photo with a card (ID-1, 85.6 mm) held to the brow, in the plane of the pupils. The subject fixates a distant target (not the camera) and the camera is at least 1.5 m away, zoomed in: a near fixation or a close camera reads the PD a few mm short. Draw a ruler across the card's long edge, then across pupil-to-pupil.
No photo scale set
Prism
Amount Δ
Base
OD
OS
Lens binocular
Frame boxing system, mm
Fitting
Seg ht
OC ht
OD
OS
Lens layout / centration from PD, frame & heights
Gold cross = optical center / fitting cross per lens; dashed line = frame midline & datum. "dec" is horizontal decentration from the box center, "h" the fitting height (OC height; the segment height, when entered, is the short grey line marked "seg"). A "?" marks a value outside the frame.
Contact lens
Brand
BC
DIA
Power
OD
OS
Eye exam tests
Opens the chosen chart in a separate window — put it on the patient-facing screen and control it from here. Set the display, distance and true-size calibration in Settings (gear icon).
Presenting · —
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Showing—
Colours are computed for sRGB. Results are invalid on an uncalibrated or wide-gamut display, or with Night Shift / f.lux / an OS colour filter on — those filters simulate colour blindness. A missed plate is a reason to refer for standardized plates, never a finding.
Image & data
Settings
Test display
Placing a chart on a second monitor uses your browser's window-management permission. If it isn't granted, the window opens here — drag it across and press F for fullscreen.
Screen calibration
Charts are sized for a real viewing distance and physical pixel size, so acuity is accurate. Set both:
Hold a standard card (credit / ID, 85.6 mm wide) against the box and drag the slider until it matches the card's width.
85.6 mm card
Display density: —
Optotype order
Fixed shows the classic chart letters in their original order; Randomize scrambles them. The Shuffle button re-randomizes any time.
Mirror chart
Report branding
Off prints the standard Carino letterhead. On puts your practice name, logo and details on every exported PDF. Nothing leaves this computer — the profile is stored in this browser only.
Preview of the first page header.
The licence label is free text because every regulator names it differently — write it exactly as it must appear on a prescription.
The study's own Examiner field wins when it is filled in; the prescriber here is used only when it is blank, and the licence number is printed only when the two names match.
Letters and privacy notice
Used by the referral letter and the privacy notice template (Spanish, for Mexico). A value left empty prints as a marked blank to complete.
No logo
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PNG, JPEG, WebP, GIF or SVG. It is resized to fit 600 × 200 px and re-encoded, so the stored copy stays under 256 KB.
Contrast: —
Only the exported documents use this colour; the application keeps its own. A pale colour is darkened for the title so it stays readable on white paper.
The profile file carries the logo with it, so a second computer can be set up by importing one file.
Storage
Inbox folder
Pictures and PDF reports that a camera or OCT saves into this folder appear in the Inbox, to be filed to a patient and an eye. The files in the folder are never changed, moved or deleted.
Archive (DICOMweb)
Send the report and the eye images of a visit to your PACS. Leave the address empty to keep everything on this device.
For Carino DICOM this is the web.auth_token — the archive's administrator token. Anyone who has it can read and change the whole archive.
Stored unencrypted in this browser. Without it, the token is asked for again after the page is reloaded.
The camera's nominal retinal scale (manufacturer figure, or field of view in degrees × 0.29 mm/° ÷ image width in pixels). Written as DICOM Pixel Spacing on fundus images; it is required for a fundus camera, so without it those objects are not conformant. The disc-based mm/px is an assumption and is never written.
Patients
Backup
One file with every patient, visit and image on this device. Importing it merges: nothing already here is overwritten or duplicated.
Send to archive
Archive outbox
Inbox
Export
Building preview…
Referral letter
A letter to an ophthalmologist with the values recorded in this visit. It states no diagnosis.
Camera — OD
Pick your webcam or a connected fundus / slit-lamp camera. The captured frame becomes the current eye's image.
