Table 2.

Sample Responses About the Automated Camera

AUTOMATED CAMERA	QUOTE
(a) Loss of control over camera features	The [automated] camera, it does everything by itself. All we do is put in information and push the start button. If the image quality comes out bad, we have to wait until it finishes taking all the pictures. And then we delete the picture that's not good. And we do it again. With the [manual] camera, I feel I have more control of the camera. I can move it the way I need it to be moved. I can snap the picture as soon as the picture is ready to be taken. Sometimes the patients blink, move their eyes a lot. I just feel the [manual] camera, I can have more control of it…I don't know about anybody else but I like to have control of the camera. I just think the control of the camera has a lot to do with the pictures. Because the [automated] camera, it kinda comes out different. And we have to go back and do the picture again. And we have the patients waiting outside. —Medical assistant/photographer
(b) Time inefficient	One particular patient, she would blink a lot. She would move her pupils a lot. It was hard for the [automated] camera to read the eye. Either the head was too far back, was too much to the right. I actually had to do that exam four times. The exam—since we have it calculated to wait for 20 seconds after the picture was taken, so the picture's taken 20 seconds later. It tries to find the eye and takes a picture again—every 20 seconds for six pictures…It's just time-wise, hard to maneuver…I've got to repeat the process a couple of times and it does delay the time-frame that we have. —Medical assistant/photographer
(c) Poorer image quality	[My image ratings would be] “insufficient for full interpretation”; “repeat retinal exam.” It was hard to take and focus the camera [was bad]. Most of my reports used to say that. [With the manual camera] they're getting a little bit better. —Medical assistant/photographer