CN100348160C - Photon self control therapeutic instrument for amblyopia - Google Patents

Photon self control therapeutic instrument for amblyopia Download PDF

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Publication number
CN100348160C
CN100348160C CNB001273000A CN00127300A CN100348160C CN 100348160 C CN100348160 C CN 100348160C CN B001273000 A CNB001273000 A CN B001273000A CN 00127300 A CN00127300 A CN 00127300A CN 100348160 C CN100348160 C CN 100348160C
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amblyopia
photon
light beam
laser
circuit
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CN1351863A (en
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王成祥
张志韬
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LINDA ELECTRIC EQUIPMENT CO Ltd SHANGHAI
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LINDA ELECTRIC EQUIPMENT CO Ltd SHANGHAI
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Abstract

The present invention relates to the field of a medical appliance, particularly to a laser photon self control therapeutic instrument for amblyopia. The photon self control therapeutic instrument for amblyopia, which is disclosed by the present invention is composed of a laser photon generator circuit (B), a self control light velocity cutting system (C), a light spot regulating device (D), a treatment time controlling circuit (E) and a power supply circuit (A). The photon self control therapeutic instrument for amblyopia of the present invention is characterized in that the continuous exposure time of light beams is smaller than 0.04 seconds, light spots are enlarged, and treatment time is controlled by cutting off self control light velocity, regulating the light spots and controlling the treatment time for laser photons. The therapeutic instrument has safety and validity for treating the amblyopia, solves a safety problem in the prior art and has good applying prospects.

Description

A kind of photon self control therapeutic instrument for amblyopia
The present invention relates to medical instruments field, be specifically related to laser photon automatic control amblyopia treatment device.
All eyes do not have the significant organic pathological changes, because of functional factor is main distant vision≤0.8 that causes, and can not the rectifier be amblyopia.Amblyopia is a kind of commonly encountered diseases in the childhood development process, and sickness rate is about: 2-4%.The cause of disease of amblyopia is to cause to the vision conducting system of the visual center and the function and the paramophia in the full field of maincenter owing to beginning from the retinal ganglion cell.It is disorderly that the essence of amblyopia is that stereopsis vision is grown, and the not only simple eye or eyes of amblyopia patient are corrected defects of vision and are lower than normal value, and do not have complete stereopsis, or even stereo blind.Amblyopia is a kind of disease of serious harm children vision, though at present multiple treatment amblyopia method is arranged, some cycle is long, and the patient is reluctant to accept, and curative effect is not high though some saves time.According to the data of having grasped, the treatment amblyopia roughly has following method: kaleidoscope amblyopia health therapy method (CN 2370851Y); Normal optical flicker therapy (CN 2039552U).That utilizes the laser therapy amblyopia has all light devices (CN 2275721Y) of laser; Quasi-single beam bidirecitonal laser therapeutic instrument (CN 1066797A); Laser eye treatment laser instrument (CN 1059236A); Automatic frequency conversion laser therapeutic apparatus for amblyopia (CN1124170A) etc.Utilize the heat effect and the actinic effect direct irradiation eyeball of laser photon, the amblyopia that can treat children effectively.But an important safety problem is also arranged simultaneously.If the relevant safety requirements of not strict execution, laser beam also damages human eye easily.It is documented that the degree that human eye is injured depends on the wavelength of laser photon, the time and the dosage (power of laser photon or energy on the unit are) of human eye Stimulated Light photon effect.Because the lensing of human eye itself can focus on incident illumination on the retina, so the low-power laser light beam also can damage retina with big power density.
The objective of the invention is to provide amblyopia therapeutic equipment a kind of brand-new automatic control, safe and reliable, determined curative effect.
Photon self control therapeutic instrument for amblyopia disclosed by the invention, by laser photon generator circuit, automatic control light beam cut off system, hot spot adjusting device, treatment time control circuit and power circuit etc. form.Wherein power circuit and treatment time control circuit, laser photon generator circuit and the automatic control light beam system of cutting off link; The laser photon generator circuit respectively with light beam cut off system and treatment time control circuit link; The laser photon generator circuit is made up of laser tube power circuit, he-ne laser tube and laser tube power control circuit; Light beam cuts off system and is made up of motor-drive circuit, motor and open-work type cylinder; The hot spot adjusting device is made up of two parallel convex lenss; Treatment time, control circuit was made up of time display circuit and time control circuit.It is the He-Ne Lasers light beam of 632.8 nanometers that the laser photon generator produces wavelength, and light beam is sent to the light beam diced system.Through the light beam diced system continuous light beam is become interrupted light beam, the Changing Pattern of light beam is: 2 times/second, continue 20 seconds; 4 times/second, continue 20 seconds; 16 times/second, continue 20 seconds.Interrupted light beam is that 30mm~50mm hot spot (measuring apart from 2 meters of laser photon output point) shines on patient's retina through the diameter that the hot spot adjusting device changes over continuous flicker; Photon hot spot flicker Changing Pattern is: 2 cycle per seconds continue 20 seconds; 4 cycle per seconds continue 20 seconds; 16 cycle per seconds continue 20 seconds.The Changing Pattern of photon hot spot flicker is control automatically, and the cycle is 1 minute.Treatment time, control circuit was by the generation of the time control laser beam of setting.
In the Figure of description of the present invention:
Fig. 1 is the laser photon generator circuit figure in the photon self control therapeutic instrument for amblyopia
Fig. 2 cuts off system schematic for the light beam in the photon self control therapeutic instrument for amblyopia
Fig. 3 is the circuit diagram of motor speed
Fig. 4 is the hot spot adjusting device sketch map in the photon self control therapeutic instrument for amblyopia
Fig. 5 is the treatment time automatic control circuit figure in the photon self control therapeutic instrument for amblyopia
Fig. 6 is a photon self control therapeutic instrument for amblyopia complete machine block diagram
Laser photon generator circuit in the photon self control therapeutic instrument for amblyopia disclosed by the invention is seen Fig. 1, is made up of laser tube power circuit 1, he-ne laser tube 2, laser tube power control circuit 6.Wherein laser instrument adopts 250mm, the helium neon laser of power 2mw; Its 1500V high voltage power supply adopts corresponding switch mode power supply.
Fig. 2 sees in the light beam system of cutting off in the photon self control therapeutic instrument for amblyopia disclosed by the invention, and is made up of motor-drive circuit 3, motor 4 and open-work type cylinder 5.Motor speed is controlled automatically by motor-drive circuit, and its Changing Pattern is: 2 revolutions per seconds, continue 20 seconds; 4 revolutions per seconds, continue 20 seconds; 16 revolutions per seconds, continue 20 seconds.What motor-drive circuit adopted is the circuit (Fig. 3) that changes dutycycle control motor speed.U wherein 1, U 2, U 3, U 4Form sequential control circuit, Q 1, Q 2Form on-off circuit, A is a motor.U 1, U 2, U 3, U 4Interlock control, U 1Identical according to sequential output width, three kinds of square waves that amplitude is different pass through D 1, D 2The conducting electric current of on-off circuit changes dutycycle, controls its motor speed.
Hot spot adjusting device in the photon self control therapeutic instrument for amblyopia disclosed by the invention is seen Fig. 4, is made up of two convex lenss of L1, L2.Laser beam is dispersed through L1, focuses on through L2 again, produces hot spot.
Treatment time automatic control circuit in the photon self control therapeutic instrument for amblyopia disclosed by the invention is seen Fig. 5, by U 1, U 2, U 3, LED 1, LED 2, LED 3The makeup time display circuit, LED 1, LED 2, LED 3Be charactron.U 4, U 5, U 6, U 7, U 8The makeup time control circuit.When therapeutic process finished, U4 exported control signal, turn-offed Laser Power Devices.
Below in conjunction with Fig. 6 photon self control therapeutic instrument for amblyopia complete machine block diagram, introduce the work process of therapeutic instrument of the present invention in detail:
Photon self control therapeutic instrument for amblyopia of the present invention as shown in Figure 6 cuts off the C of system, hot spot adjusting device D, treatment time control circuit E and power circuit A etc. by laser photon generator circuit B, automatic control light beam and forms.Wherein laser photon generator circuit B cuts off the C of system with light beam respectively and treatment time control circuit E links; Laser photon generator circuit B is made up of laser tube power circuit 1, he-ne laser tube 2 and laser tube power control circuit 6; Light beam cuts off the C of system and is made up of motor-drive circuit 3, motor 4 and open-work type cylinder 5; Hot spot adjusting device D is made up of two sides parallel convex lens L1, L2; Treatment time control circuit E is made up of time display circuit 8 and time control circuit 7.Power circuit A output two-way galvanic current is pressed DC5V and DC9V after energized, the 5V running voltage offers the time control circuit 7 of treatment time control circuit E, and the 9V running voltage offers laser tube power control circuit 6 among the laser photon generator circuit B and automatic control light beam and cuts off motor-drive circuit 3 among the C of system.After the time control circuit 7 input 5V running voltages, driving time display circuit 8 shows pre-set treatment time (being generally four minutes), after the motor-drive circuit 3 input 9V running voltages, drive motors is according to pre-set working procedure (fast-middling speed-at a slow speed-fast) commentaries on classics of not stopping transport.After the laser tube power control circuit 6 input 9V running voltages, wait for the input of complete machine enabling signal.This moment, complete machine was in quasi-operating status.When the external world gives the laser tube power control circuit 6 one enabling signals, the laser tube power control circuit is just exported a high level signal, control laser tube power circuit 1 inserts the 220V alternating current power supply, produce the laser tube high tension voltage, laser generator is started working, drive he-ne laser tube 2 and send laser beam, this high level signal is input to time control circuit 7 simultaneously, and start-up time, control circuit entered countdown.The photon continuous light beam that he-ne laser tube 2 produces, process light beam chopping up apparatus C becomes the interrupted light beam of continuous variation.Interrupted light beam is the hot spot of 30mm-50mm through the diameter that hot spot adjusting device D changes over continuous flicker.After time control circuit 7 is finished countdown work, export a high level signal return laser light pipe power control circuit 6, make it disconnect the 220V alternating voltage of laser tube power circuit 1, he-ne laser tube 2 stops to export laser beam, and machine enters quasi-operating status once more.Power cutoff, full machine quits work.
The person's character of light is a photon, and photon is represented luminous energy.Laser photon is represented laser light energy.Laser photon has four big effects: i.e. heat effect, galvanomagnetic-effect, pressure effect and actinic effect.The photon wave spectrum scope that wherein causes actinic effect is the nearultraviolet rays and the visible light of 350~700 nanometers normally, and the wavelength of He-Ne Lasers photon is 632.8 nanometers, glows can produce actinic effect.The super beginning that human eye produces the vision conduction partly is amphiblestroid cone cell and looks very thin born of the same parents, and the cone cell that is in macular area is the most responsive part of central vision.The He-Ne Lasers photon wavelength is 632.8 nanometers, glows, and is the most responsive wavelength of pyramidal cell.Therefore, utilize He-Ne Lasers photon irradiation macular area, can cause the activity of retina cone cell, can effectively improve the local microcirculation and the metabolism of macular area.Photon self control amblyopia instrument of the present invention utilizes the heat effect and the actinic effect of He-Ne Lasers photon exactly, and the excitation optic nerve promotes it to grow, and reaches the purpose of treatment children amblyopia.
Photon self control therapeutic instrument for amblyopia of the present invention is compared with automatic frequency conversion laser therapeutic apparatus for amblyopia, and circuit theory still is that machine construction is all different fully, the following advantage of tool of the present invention:
1, it is more safer than light beam diaphragm system that light beam cuts off system.Automatic frequency conversion laser therapeutic apparatus for amblyopia, what the processing of light beam was adopted is two frequency multiplication dark slide systems, laser beam can only change the density of light beam, and continuous light beam is not processed into interrupted light beam by after this system handles.Be not easy to guarantee with such continuous light beam irradiation eyeball safety.Photon self control therapeutic instrument for amblyopia of the present invention, what adopt is cylinder open-work light beam chopping up apparatus, can be divided into interrupted light beam to continuous light beam, greatly reduce time of exposure like this, even motor is in minimum speed (2 revolutions per seconds), the time of exposure of light beam is also less than 0.04 second each time, thereby is perfectly safe.The flicker hot spot that constantly changes more has incentive to cone cell simultaneously, and activation effect is better.
2, motor-drive circuit is more advanced.By clinical verification, when motor is in low-grade rotating speed, should reduce its rotating speed as far as possible, can strengthen the amplitude of variation of photon flicker like this, strengthen incentive action, thereby improve its therapeutic effect optic nerve.Automatic frequency conversion laser therapeutic apparatus for amblyopia control motor speed is realized by changing driving voltage.This control method has apparent in view shortcoming.Because motor has magnetic hysteresis, uncontrollable its rotating speed when the slow-speed of revolution.Therefore this machine motor deep low gear rotating speed only accomplishes that per second 7.5 changes.What photon amblyopia therapeutic equipment of the present invention adopted is brand-new drive circuit.Control motor speed by changing dutycycle rather than changing voltage, can avoid the influence of magnetic hysteresis, motor speed can be done very lowly, minimumly accomplishes 2 revolutions per seconds.Compare the amplitude of variation that photon self control therapeutic instrument for amblyopia of the present invention has strengthened the photon flicker with the automatic frequency-conversion amblyopia therapeutic equipment, can increase the effectiveness of treatment.
3, increased final stage hot spot blood processor.Automatic frequency conversion laser therapeutic apparatus for amblyopia from the light beam of diaphragm system output, is not handled again, and the size of light beam is fixed (20mm).Photon amblyopia therapeutic equipment of the present invention is provided with a hot spot adjusting device of being made up of biconvex mirror after light beam cuts off system.By regulating two distances between the convex lens, promptly the size of scalable hot spot can be regulated (measuring apart from 2 meters of laser photon launch point) usually between 30~50mm.Hot spot by the output of hot spot regulating system has two outstanding advantages: the one, because hot spot is enough big, can shine patient's full eye and acupuncture point on every side, as behind fair, Sibai, the ball, chengqi, Zanzhu etc., make it produce the laser accunputure effect, dredging the meridian thus, the function of nervous system regulation is improved the blood circulation of eyes, improves therapeutic effect; Because hot spot enlarges, the photonic power density on the unit are reduces greatly, is about 0.6mw/cm simultaneously 2Below, satisfied safety requirements greatly.
4, photon self control therapeutic instrument for amblyopia of the present invention is provided with the treatment time automatic control circuit simultaneously.After treatment finished, the high-tension electricity pressure energy of laser automatically shut down.
Photon self control therapeutic instrument for amblyopia of the present invention not only has better curative effect to children with amblyopia below 12 years old, and tradition is thought that 13~16 years old invalid patient also has better curative effect.At the Pingjiang River, Suzhou hospital amblyopia treatment center, with photon self control therapeutic instrument for amblyopia of the present invention 207 routine amblyopia patients to be treated, total effective rate reaches 90.3%, and wherein healing person is 92, accounts for 44.4%, and 95 of progress persons account for 45%.Slight amblyopia treatment effective percentage is 93.7%, and moderate amblyopia effective percentage is 89.4%, and the moderate and severe degree of amblyopia effective percentage is 88.1%.
Relevant definition and curative effect situation division are as follows:
1. slight amblyopia is corrected defects of vision and is 0.8-0.6
2. the moderate amblyopia is corrected defects of vision and is 0.5-0.2
Moderate and severe degree of amblyopia correct defects of vision≤0.1
Amblyopia treatment curative effect evaluation criteria
1. invalid: vision regresses, constant or improve only delegation
2. it is progressive: more than vision raising 2 row or 2 are gone
3. be almost recovered: correct defects of vision bring up to 0.9 or more than
4. recovery from illness: still keep normal through 3 years follow-up visual acuity
The curative effect statistical table
Be almost recovered Progressive Invalid Effective percentage
63 of slight amblyopias 34 54% 25 39.7% 4 6.3% 93.7%
85 of moderate amblyopias 37 43% 39 49.9% 9 10.6% 89.4%
59 of moderate and severe degree of amblyopia 31 35.6% 31 52.5% 7 11.9% 88.1%
Add up to 207 92 44.4% 95 45.9% 20 9.7% 90.3%
Photon self control therapeutic instrument for amblyopia of the present invention cuts off, regulates hot spot by laser photon being carried out the automatic control light beam, controls treatment time, the continuous exposure time that makes light beam less than 0.04 second, strengthened the photon flicker amplitude, enlarge hot spot, controlled treatment time, treatment to amblyopia has more safety and effectiveness, solve safety issue of the prior art, had good application prospects.
Embodiment 1
Yellow * * No. 31, school district, 7 years old University Of Suzhou north of man--Room 402
Vision before the treatment:
Right 0.06+7.00DS → 0.1 (4.0)
A left side 0.5 (4.7)+5.00DS → 0.6 (4.8)
Use photon amblyopia therapeutic equipment treatment vision four courses of treatment (per course of treatment ten times) and be significantly improved, binocular vision is respectively:
Right 0.4 (4.6)+5.00DS → 0.5 (4.7)
A left side 0.6 (4.8)+4.00DS → 0.8 (4.9)
Embodiment 2
The river * * Room, Building 37-305, preceding residential district is seen in 11 years old Suzhou of man
Vision before the treatment:
Right 0.2 (4.3)-2.25DS+1.00DC * 105 ℃ → 0.6 (4.8)
A left side 0.2 (4.3)-2.25DS+1.00DC * 90 ℃ → 0.6 (4.8)
After treating for four courses of treatment with the photon amblyopia therapeutic equipment, correcting defects of vision reaches 1.2, is almost recovered.
The eyes naked vision is:
Right 0.5-2.25DS+1.00DC * 105 ℃ → 1.2
Left side 0.5-2.25DS+1.00DC * 90 ℃ → 1.2
Embodiment 3
Wu * * ring Room 101, Building 4, nine lanes, south, 14 years old Suzhou of man
Vision is before the treatment:
Right 0.5-1.50DS+1.00DC * 90 ℃ → 0.8
Left side 0.3+1.50DS → 0.3
After treating for 5 courses of treatment with the photon amblyopia therapeutic equipment, its vision rises to:
Right 1.0-1.50DS+1.00DC * 90 ℃ → 1.0
Left side 1.0+0.5DS → 1.0.

Claims (8)

1, a kind of photon self control therapeutic instrument for amblyopia, it is characterized in that this therapeutic instrument cuts off system (C), hot spot adjusting device (D), treatment time control circuit (E) and power circuit (A) by laser photon generator circuit (B), automatic control light beam and forms, wherein power circuit (A) and treatment time control circuit (E), laser photon generator circuit (B) and automatic control light beam cut off system (C) and link; Laser photon generator circuit (B) cuts off system (C) with light beam respectively and links with treatment time control circuit (E); The continuous laser light beam that is sent by laser photon generator circuit (B) cuts off system (C) through the automatic control light beam and becomes interrupted light beam, and this interrupted light beam changes over the hot spot of continuous flicker through hot spot adjusting device (D).
2, a kind of photon self control therapeutic instrument for amblyopia as claimed in claim 1 is characterized in that wherein said laser photon generator circuit (B) comprises laser tube power circuit (1), he-ne laser tube (2) and laser tube power control circuit (6).
3, a kind of photon self control therapeutic instrument for amblyopia as claimed in claim 1 is characterized in that wherein said light beam cuts off system (C) and comprises motor-drive circuit (3), motor (4) and open-work type cylinder (5).
4, a kind of photon self control therapeutic instrument for amblyopia as claimed in claim 1 is characterized in that wherein said hot spot adjusting device (D) is made up of two sides parallel convex lens L1, L2.
5, a kind of photon self control therapeutic instrument for amblyopia as claimed in claim 1 is characterized in that wherein said treatment time control circuit (E) comprises time display circuit (8) and time control circuit (7).
6, a kind of as claim 1 or 3 described photon self control therapeutic instrument for amblyopia, it is characterized in that the wherein said light beam system that cuts off becomes interrupted light beam to continuous light beam, the Changing Pattern of light beam is: 2 times/second, continue 20 seconds; 4 times/second, continue 20 seconds; 16 times/second, continue 20 seconds.
7, a kind of as claim 1 or 4 described photon self control therapeutic instrument for amblyopia, it is characterized in that wherein said interrupted light beam changes over the hot spot of continuous flicker through the hot spot adjusting device, spot diameter is 30mm~50mm.
8, a kind of as claim 1 or 5 described photon self control therapeutic instrument for amblyopia, it is characterized in that wherein said treatment time control circuit after treatment finishes, the high-tension electricity pressure energy of laser automatically shuts down.
CNB001273000A 2000-11-07 2000-11-07 Photon self control therapeutic instrument for amblyopia Ceased CN100348160C (en)

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CN100348160C true CN100348160C (en) 2007-11-14

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106823158A (en) * 2017-02-27 2017-06-13 崔秀丽 A kind of application method of amblyopia therapeutic equipment and amblyopia therapeutic equipment
US10512586B1 (en) 2018-07-12 2019-12-24 Rayer Lavonne Lee System and method for vision rehabilitation therapy

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU511079A1 (en) * 1974-11-15 1976-04-25 Московский научно-исследовательский институт глазных болезней им. Гельмгольца Method of treating amblyoli
CN1066797A (en) * 1991-05-22 1992-12-09 栾文彦 Quasi-single beam bidirecitonal laser therapeutic instrument
CN1124170A (en) * 1994-11-02 1996-06-12 李志升 Automatic frequency conversion laser therapeutic apparatus for amblyopia
RU2129848C1 (en) * 1996-11-10 1999-05-10 Дмитрий Игоревич Цыганов Amblyopia treatment device
RU2147424C1 (en) * 1999-04-05 2000-04-20 Небера Сергей Анатольевич Method for treating the cases of amblyopia

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU511079A1 (en) * 1974-11-15 1976-04-25 Московский научно-исследовательский институт глазных болезней им. Гельмгольца Method of treating amblyoli
CN1066797A (en) * 1991-05-22 1992-12-09 栾文彦 Quasi-single beam bidirecitonal laser therapeutic instrument
CN1124170A (en) * 1994-11-02 1996-06-12 李志升 Automatic frequency conversion laser therapeutic apparatus for amblyopia
RU2129848C1 (en) * 1996-11-10 1999-05-10 Дмитрий Игоревич Цыганов Amblyopia treatment device
RU2147424C1 (en) * 1999-04-05 2000-04-20 Небера Сергей Анатольевич Method for treating the cases of amblyopia

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