Creating and Modifying Exam Drawings

1. Click the ExamDRAW icon in the top middle of the ExamWRITER chart window.

   The ExamDRAW Options window opens.

2. Select a template and drawing date from the Drawing date calendar, then click Continue.

The ExamDraw window opens.

You can only use each ExamDRAW template once per day per patient exam. For example, you can create a drawing using the amsler grid template and a separate drawing using the cataracts template in the same patient exam on the same day, but you cannot create two drawings using the amsler grid template in the same patient exam on the same day.
3. To copy the drawing from a previous date forward to the current date to modify and record it on the current date, click the History tab at the bottom of the window and click Copy Forward.
   To view a historical record of a patient’s drawings, move the white slider bar on the History tab at the bottom of the window to the desired date on the timeline or press your keyboard’s left and right arrow keys.
4. To add auto text to the drawing and the Autotext tab when you add a disease, click File in the top-left corner of the window, select Configure, and follow the instruction below; if you have already defined your auto text drawing options, skip this step.
   1. Ensure that the Disease state text check box is selected to insert auto text on the drawing.
   2. Select a font style from the Font drop-down menu.
   3. Type or select a font size from the Size menu.
   4. Select the Bold and Italic check boxes, if desired.
   5. Click OK.
5. Select the Diseases, Tools, Size, Opacity, and Colors you want to use on the left side of the window.
6. To create a central retina or entire fundus drawing and draw on an inverted image, select Inverted from the Options drop-down menu in the top-right corner of the window.
7. To create an external exam drawing and modify the size of the pupils, select a size from the Options drop-down menu in the top- right corner of the window.
8. Draw on the eyes.
   1. Select a disease from the Disease column on the left side of the window.
   2. If the disease has a drop-down menu, select the most appropriate option.
   3. Click on the eyes to indicate where the disease is present.

   Auto text is automatically added to the Autotext tab at the bottom of the window when you add a disease to a drawing. The retina location is documented in Disc Diameters and clock position on the Autotext tab for central retina and entire fundus drawings. If you do not want to use the auto text, deselect the check box next to the auto text on the Autotext tab. You can use the text tool (the T icon) to add your own text to the drawing. To add comments to the auto text that appears when you draw on the eye, click the Autotext tab, double-click in the Comments column next to the auto text, and type your comments.

   • To undo, redo, or clear changes that you have made to a drawing, click Editin the top-left corner of the window and select Clear Changes, Undo, or Redo.
   • To delete diseases or text that you have placed on the eyes, left-click on the disease or text and select Delete.
   • To record sizes and grades in a cataract drawing, click the Cataracts tab at the bottom of the Cataracts tab.
   • To record grades in a gonioscopy drawing, click the Gonioscopy tab at the bottom of the Gonioscopy tab.
   • To record C/D ratios in an optic nerve cupping drawing, click the Optic Nerve Cupping tab at the bottom of the Optic Nerve Cupping tab.
   • A dotted line defines where the central retina stops and the periphery starts on the Entire Fundus tab. Diseases recorded within the dotted line are also documented in the Central Retina tab and vice versa.
   • After you have recorded a drawing using a template and saved it, the tab denoting that template turns green. If you have recorded a drawing using a template but have not saved it, the tab denoting that template turns pink.
9. Click the Comments tab at the bottom of the window to add general comments to the drawing.
10. Click the tabs at the top of the ExamDRAW window to create other drawings.
11. Click the X in the top-right corner of the window to save the drawing and exit ExamDRAW.

    The Save and Exit window opens.

12. Click Yes to save the drawing(s).

    ExamDRAW drawings are visible and accessible under the Images, Drawing and Graphics category bar on the Images - Drawings tab in ExamWRITER.