CN101156815B - A comprehensive therapeutical instrument for amblyopia with three-level vision function - Google Patents
A comprehensive therapeutical instrument for amblyopia with three-level vision function Download PDFInfo
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Abstract
Description
【技术领域】【Technical field】
本发明属于眼科医疗器械技术领域,特别涉及一种具有三级视功能的弱视综合治疗仪。The invention belongs to the technical field of ophthalmic medical devices, and in particular relates to a comprehensive amblyopia treatment instrument with tertiary vision functions.
【背景技术】【Background technique】
弱视是指眼球内外经过检查未见有器质性病变,而视力不能矫正到正常的视觉状态。弱视可分为:斜视性弱视、屈光参差性弱视、屈光不正性弱视、形觉剥夺性弱视、先天性弱视。目前,在儿童中存在较高的弱视患者比例,弱视对患者最大的危害是患者不仅双眼或单眼视力低下,而且没有完善的双眼视觉功能,没有精细的立体视觉。所以,有必要通过弱视治疗仪对患有弱视的眼睛加强训练,人为地促进其视功能发育,从而达到正常的视觉状态。Amblyopia refers to that the inside and outside of the eyeball has no organic lesions after inspection, but the vision cannot be corrected to a normal visual state. Amblyopia can be divided into: strabismic amblyopia, anisometropic amblyopia, ametropia amblyopia, form deprivation amblyopia, congenital amblyopia. At present, there is a relatively high proportion of amblyopia patients in children. The greatest harm of amblyopia to patients is that patients not only have low binocular or monocular vision, but also do not have perfect binocular vision function and fine stereo vision. Therefore, it is necessary to strengthen the training of eyes suffering from amblyopia through amblyopia treatment equipment, and artificially promote the development of their visual function, so as to achieve a normal visual state.
目前的弱视治疗仪按功能可以分为四类:兴奋视网膜黄斑锥体细胞功能的弱视治疗仪(如红闪仪、红玻璃片、后像增视仪)、增加黄斑区血液循环功能的弱视治疗仪(如低功率氦氖激光仪)、兴奋大脑中枢细胞功能的弱视治疗仪(如视觉生理刺激仪)、结合2种以上刺激功能的多功能弱视治疗仪或综合性弱视治疗仪。Current amblyopia treatment devices can be divided into four categories according to their functions: amblyopia treatment devices that stimulate the function of retinal macular pyramidal cells (such as red flash devices, red glass sheets, and afterimage enhancement devices), and amblyopia treatment devices that increase blood circulation in the macular area Apparatus (such as low-power He-Ne laser apparatus), amblyopia therapeutic apparatus (such as visual physiological stimulator) that stimulates the function of brain central cells, multifunctional amblyopia therapeutic apparatus or comprehensive amblyopia therapeutic apparatus that combines two or more stimulating functions.
由于上述各种弱视治疗仪的治疗原理均是建立在提高视网膜黄斑中心凹或视中枢的视觉兴奋性的基础上,不涉及到视力直接训练。为了提高视力,通常还需要对患者进行精细视力训练,而且对弱视的治疗,视力的提高不是最终目标,立体视觉的恢复才是最终的目的。因此,上述弱视治疗仪器的疗效在一定程度上还存在着缺陷;且目前的治疗仪在训练方法中没有充分调动患者的手、脑、眼,实现感知协调功能,进行全方位的恢复训练;训练过程也没有充分考虑旁人如患儿家长的参与;无法对双眼进行同时视、融合功能、立体视等三级视功能的训练;训练所采用的图片设计也没有充分考虑多样性,图片单一,趣味性较差,无法满足患者的需求特别是患儿的好奇心理状态。Because the treatment principles of the above-mentioned various amblyopia treatment instruments are all based on improving the visual excitability of the retinal macular fovea or the visual center, it does not involve direct vision training. In order to improve vision, it is usually necessary to carry out fine vision training for patients, and for the treatment of amblyopia, the improvement of vision is not the ultimate goal, but the recovery of stereo vision is the ultimate goal. Therefore, the curative effect of above-mentioned amblyopia treatment instrument also has defect to a certain extent; The process also did not fully consider the participation of others such as the parents of children; it was impossible to train the three-level vision functions such as simultaneous vision, fusion function, and stereo vision for both eyes; Sexuality is poor, unable to meet the needs of patients, especially the curious psychological state of children.
中国专利号ZL200520120630.9公开了一种多功能弱视治疗仪,包括内装有平光玻片的镜筒、机壳、光源、底座、安装在底座上端面的控制面板和安装底座内腔的线路板,镜筒下方接装有限光筒,限光筒内沿轴向安装有凸透镜,机壳内设有输片机构,底片安装在输片机构的卷轴上,输片机构的卷轴旋钮位于机壳外,输片机构底部下方设有垂直于底片的聚光筒,该聚光筒的上端沿轴向安装有凸透镜、下端沿轴向安装有磨沙片,光源安装在底座内的后部,并对着磨沙。上述专利产品存在以下缺点:(1)当其采用双目镜筒时,画片采用卷筒式,卷筒所卷出的画片处于两个目镜筒的正中线上,因此,两眼只能同视一幅画片,致使双眼无法进行同时视、融合以及立体视的训练;(2)其光源采用本领域惯用的白炽灯光源,当需要红光时,在发光体前方安置一红色滤光片而形成红光。但其提供的光源对视网膜的刺激强度弱,红光波长的误差大,无法较准确地定位在红光的最佳波长640nm处(弱视治疗的最佳波长),治疗效果差。Chinese Patent No. ZL200520120630.9 discloses a multifunctional amblyopia treatment device, which includes a lens barrel with a flat glass slide inside, a casing, a light source, a base, a control panel installed on the upper end surface of the base, and a circuit board installed in the inner cavity of the base. A finite light tube is installed under the lens barrel, and a convex lens is installed in the axial direction in the light limiting tube. There is a film feeding mechanism inside the casing, and the film is installed on the reel of the film feeding mechanism. The bottom of the film conveying mechanism is provided with a condenser tube perpendicular to the film. The upper end of the condenser tube is installed with a convex lens along the axial direction, and the lower end is installed with a frosted sheet along the axial direction. The light source is installed at the rear of the base and faces the frosted. There are following shortcoming in above-mentioned patented product: (1) when it adopts binocular tube, picture adopts reel type, and the picture that reel rolls out is on the midline of two eyepiece tubes, therefore, two eyes can only see at the same time. A picture makes it impossible for both eyes to perform simultaneous vision, fusion and stereopsis training; (2) the light source adopts the usual incandescent light source in this field. When red light is needed, a red filter is placed in front of the illuminant to form red light. However, the light source provided by it has weak stimulus intensity to the retina, and the error of the red light wavelength is large, so it cannot be accurately positioned at the optimal wavelength of red light at 640nm (the optimal wavelength for amblyopia treatment), and the treatment effect is poor.
【发明内容】【Content of invention】
本发明公开了一种具有三级视功能的弱视综合治疗仪,其解决了现有弱视治疗仪存在缺乏三级视功能、功能少、疗效差的技术问题。The invention discloses a comprehensive amblyopia treatment instrument with tertiary vision function, which solves the technical problems of lack of tertiary vision function, few functions and poor curative effect in the existing amblyopia treatment instrument.
为解决上述技术问题,本发明所采用的技术方案如下:一种具有三级视功能的弱视综合治疗仪,包括底座、支座及主体,底座通过支座与主体的壳体相连,主体的壳体内设双目镜筒、凸透镜、画片、匀光片及背光源,沿每一目镜筒轴向依次安装凸透镜、画片、匀光片、背光源。In order to solve the above-mentioned technical problems, the technical scheme adopted in the present invention is as follows: a comprehensive treatment instrument for amblyopia with three-stage visual function, comprising a base, a support and a main body, the base is connected with the shell of the main body through the support, and the shell of the main body The body is provided with binocular tubes, convex lenses, pictures, uniform light sheets and backlights, and the convex lenses, picture plates, light uniform films, and backlights are sequentially installed along the axial direction of each eyepiece tube.
所述的弱视综合治疗仪,背光源为LED背光源。In the comprehensive treatment apparatus for amblyopia, the backlight source is an LED backlight source.
所述的弱视综合治疗仪,每一LED背光源由红色LED和白色LED组成,使用时,一种LED发光。In the comprehensive treatment apparatus for amblyopia, each LED backlight is composed of a red LED and a white LED, and when in use, one LED emits light.
所述的弱视综合治疗仪,壳体内设画片插座,画片插装于画片插座。In the comprehensive treatment apparatus for amblyopia, a picture socket is arranged in the casing, and the picture is inserted into the picture socket.
所述的弱视综合治疗仪,画片至少设一种精细目力训练画片或视觉刺激训练画片或三级视功能训练画片。In the comprehensive treatment device for amblyopia, at least one kind of fine vision training picture or visual stimulation training picture or three-level visual function training picture is provided for the picture.
所述的弱视综合治疗仪,主体的壳体与支座间为转动式连接,可调节主体的俯仰角。In the comprehensive treatment apparatus for amblyopia, the housing of the main body and the support are connected in a rotational manner, so that the pitch angle of the main body can be adjusted.
所述的弱视综合治疗仪,底座内设控制电路,底座连接遥控器。In the comprehensive therapeutic apparatus for amblyopia, a control circuit is arranged in the base, and the base is connected to a remote controller.
所述的弱视综合治疗仪,遥控器上带有显示屏或控制键盘。The comprehensive therapeutic apparatus for amblyopia has a display screen or a control keyboard on the remote controller.
所述的弱视综合治疗仪,凸透镜与画片间设两个海丁格刷,两个海丁格刷分别对应双目镜筒。In the comprehensive treatment apparatus for amblyopia, two Haidinger brushes are arranged between the convex lens and the picture sheet, and the two Haidinger brushes correspond to the binocular tubes respectively.
所述的弱视综合治疗仪,壳体由上壳、下壳扣接而成,上壳上方设有翻盖。In the comprehensive treatment apparatus for amblyopia, the shell is formed by buckling an upper shell and a lower shell, and a flip cover is arranged above the upper shell.
通过本发明的技术方案,本弱视综合治疗仪除了具有海丁格刷训练、红光闪烁训练、精细等级视力对比度训练、光栅训练、精细目力训练、后像训练外,还具有三级视训练功能,包括同时视、立体视、融合功能,其不仅通过精细目力训练提高弱视患者的视力,还通过三级视功能训练恢复和建立弱视患者的立体视觉。Through the technical scheme of the present invention, in addition to Haidinger brush training, red light flashing training, fine-level vision contrast training, grating training, fine vision training, and after-image training, the comprehensive treatment instrument for amblyopia also has three-level visual training functions. , including simultaneous vision, stereo vision, and fusion functions. It not only improves the vision of amblyopia patients through fine vision training, but also restores and establishes the stereo vision of amblyopia patients through three-level vision function training.
本综合弱视治疗仪通过设置双画片,即双目镜筒轴向分别安装画片来实现三级视功能,通过同时视、融合功能、立体视训练,恢复和建立弱视患者的立体视觉。同时视是双眼视觉的基础,通过本弱视治疗仪地训练,可以帮助患者均衡地接受来自双眼的视觉信息,建立起正常的同时视功能,防止弱视的复发,为融合功能、立体视功能的建立奠定基础。通过融合训练,可以提高双眼的协调运动能力,增加融合范围,矫治轻度斜视,提高视觉技巧,有效缓解疲劳,为立体视功能的建立奠定基础。立体视是最高级的双眼视觉功能,是以少数高级生物所特有的视觉功能,通过训练可以建立起正常的立体视功能,为从事精细操作创造条件。The comprehensive amblyopia treatment device realizes the three-level vision function by setting double pictures, that is, the pictures are respectively installed in the axial direction of the binocular lens barrel, and restores and establishes the stereo vision of amblyopia patients through simultaneous vision, fusion function and stereo vision training. Simultaneous vision is the basis of binocular vision. Through the training of this amblyopia treatment device, it can help patients receive visual information from both eyes in a balanced manner, establish normal simultaneous vision function, prevent the recurrence of amblyopia, and lay a foundation for the establishment of fusion function and stereo vision function. Lay the groundwork. Through fusion training, it can improve the coordinated movement ability of the eyes, increase the range of fusion, correct mild strabismus, improve visual skills, effectively relieve fatigue, and lay the foundation for the establishment of stereoscopic vision. Stereoscopic vision is the most advanced binocular vision function. It is a unique visual function of a few advanced creatures. Through training, normal stereoscopic vision can be established to create conditions for fine manipulation.
此外,本发明的弱视综合治疗仪采用红色LED和白色LED组合的背光源,使用时,只亮红色LED或白色LED。这样,不仅光线转换方便,而且LED光源发光强,由于LED光源属于冷光源,对视网膜的刺激更加符合医学要求,治疗效果佳;另,背光源采用LED不仅光电转换效能高、功耗低,而且寿命长。In addition, the comprehensive treatment instrument for amblyopia of the present invention adopts a backlight combined with red LEDs and white LEDs, and only red LEDs or white LEDs are lit when in use. In this way, not only the light conversion is convenient, but also the LED light source is strong. Since the LED light source is a cold light source, the stimulation to the retina is more in line with the medical requirements and the treatment effect is good; long life.
最后,本发明的弱视综合治疗仪极富趣味性,在进行治疗时,旁人如弱视患儿的家长也可参与,是一种可明显提高弱视患者的视力、恢复立体视觉的综合弱视治疗仪。Finally, the comprehensive amblyopia treatment device of the present invention is very interesting. During the treatment, others such as parents of amblyopia children can also participate. It is a comprehensive amblyopia treatment device that can significantly improve the vision of amblyopia patients and restore stereo vision.
【附图说明】【Description of drawings】
图1为本发明弱视治疗仪的结构剖视图。Fig. 1 is a structural sectional view of the amblyopia therapeutic apparatus of the present invention.
图2为本发明弱视治疗仪的另一结构剖视图。Fig. 2 is another structural sectional view of the amblyopia therapeutic apparatus of the present invention.
图3为本发明弱视治疗仪的立体图。Fig. 3 is a perspective view of the amblyopia therapeutic apparatus of the present invention.
图4为本发明弱视治疗仪的侧视图。Fig. 4 is a side view of the amblyopia therapeutic apparatus of the present invention.
图5为本发明弱视治疗仪的控制电路原理图。Fig. 5 is a schematic diagram of the control circuit of the amblyopia therapeutic apparatus of the present invention.
【具体实施方式】【Detailed ways】
下面结合附图对本发明作详细说明。The present invention will be described in detail below in conjunction with the accompanying drawings.
如图1-4所示,本弱视综合治疗仪包括底座1、支座2、主体3,底座1之上通过支座2与主体3的壳体4相连。壳体4内设双目镜筒,即两个目镜筒11,目镜筒11与分光镜筒12相连,两者间安装凸透镜17。沿分光镜筒12的轴向向内依次设海丁格刷19、画片插座18、匀光片20、背光源15。背光源15、电机21与控制电路板5电联接,电机21驱动海丁格刷19。画片14为双画片,双画片分别对应于双目镜筒,其插装于画片插座18,以便更换画片,画片可以为精细视力训练画或三级视训练画。每个背光源15由若干红色LED和白色LED组成,工作时,只亮红色LED或白色LED;安装在LED背光源1 5前方的匀光片20使LED背光源发出的光线均匀。As shown in Figures 1-4, the comprehensive treatment apparatus for amblyopia includes a
壳体4与支座2间为转动式相连,以调节主体3内目镜筒的俯仰角。壳体4由上壳22、下壳23扣接而成,上壳22设有一转动式翻盖24,打开翻盖24,可以插装画片14,所以,本弱视治疗仪更换画片非常简便。壳体4侧面开设一孔25,可于凸透镜17与画片14间置放一玻璃(图中未画),在治疗的同时,采用指示棒伸入侧面开孔25,指示棒随画片指示,充分调动患者的手、脑及眼同步训练,增强其感知协调功能,取得更好的治疗效果。The casing 4 is connected to the
底座1与支座2固定相连,底座1内设控制电路板5,表面设LED指示灯7及喇叭6。底座1通过接口8与控制器16电联接,控制器16设有控制键9及液晶显示屏10。The
下面结合附图5,详述本发明弱视治疗仪的控制电路原理:Below in conjunction with accompanying drawing 5, describe the control circuit principle of the amblyopia treatment instrument of the present invention in detail:
1、中央控制单元:采用单片机实现整体电路的控制。由于单片机集成度高、功能性强、通用性好,特别是它具有体积小、重量轻、能耗低、价格便宜、可靠性高、抗干扰能力强和使用方便等独特优点,目前已成为测量控制应用系统中的优选机种和新电子产品的关键部件。1. Central control unit: use single-chip microcomputer to realize the control of the whole circuit. Due to the high integration, strong functionality, and good versatility of the single-chip microcomputer, especially its unique advantages such as small size, light weight, low energy consumption, cheap price, high reliability, strong anti-interference ability, and convenient use, it has become a measurement tool at present. The preferred model in the control application system and the key component of new electronic products.
利用单片机强大的控制功能,在本控制电路中,用它来实现灯光调节电路、电机控制电路、液晶显示电路和语音提示电路的整体控制,同时接收键盘输入的控制信号,实现简单的人机交互。Using the powerful control function of single chip microcomputer, in this control circuit, it is used to realize the overall control of light adjustment circuit, motor control circuit, liquid crystal display circuit and voice prompt circuit, and at the same time receive the control signal input by the keyboard to realize simple human-computer interaction .
2、背光控制电路:背光控制包括光线的强度和闪烁频率地调节。本电路利用DAC0832芯片配合运放芯片LM324实现背光源的调节,DAC0832是数模转换芯片,它接收单片机的电压控制数据和相应的控制信号,实现输出电压大小的调节,从而实现不同光线强度的转换。DAC0832可以使输出电压从0到一个特定值的变化,当输出电压为0时,灯就灭,反之当输出电压达到一定值时灯亮;单片机电压控制数据按一定频率变化输出,实现灯的闪烁。2. Backlight control circuit: Backlight control includes the adjustment of light intensity and flicker frequency. This circuit uses the DAC0832 chip and the operational amplifier chip LM324 to realize the adjustment of the backlight. The DAC0832 is a digital-to-analog conversion chip. It receives the voltage control data and the corresponding control signal of the single-chip microcomputer to realize the adjustment of the output voltage, so as to realize the conversion of different light intensities. . DAC0832 can change the output voltage from 0 to a specific value. When the output voltage is 0, the light will be off. Otherwise, when the output voltage reaches a certain value, the light will be on. The single-chip voltage control data is output at a certain frequency to realize the flickering of the light.
3、海丁格刷控制电路:海丁格刷控制电路的主要组成部分也是DAC0832和运放LM324,差别是输出的电压有正负。由于DAC0832具有双极性电压输出的功能,辅以几个特定的电压调节电阻,较容易实现输出电压的正负变化。本控制电路控制的电机是直流减速电机,可以根据输入电压的正负实现电机的正反转。3. Haidinger brush control circuit: The main components of the Haidinger brush control circuit are also DAC0832 and operational amplifier LM324, the difference is that the output voltage is positive or negative. Since DAC0832 has the function of bipolar voltage output, supplemented by several specific voltage adjustment resistors, it is easier to realize the positive and negative changes of the output voltage. The motor controlled by this control circuit is a DC geared motor, which can realize positive and negative rotation of the motor according to the positive and negative input voltage.
4、液晶屏显示电路:液晶屏的主要作用是显示用户操作的各种状态提示,可以使用户较直观的进行操作。液晶屏采用128*64点阵LCD,直接采用单片机驱动,单片机根据用户的操作状态实时更新屏幕显示。4. LCD display circuit: The main function of the LCD screen is to display various status prompts for user operations, allowing users to operate more intuitively. The LCD screen adopts 128*64 dot matrix LCD, which is directly driven by a single-chip microcomputer, and the single-chip microcomputer updates the screen display in real time according to the user's operation status.
5、语音控制电路:语音控制电路的主要组成部分是分段式语音播放芯片,将用户操作时需要提示的语音分段录入该芯片中,直接用单片机控制该芯片,当需要语音提示时,程序使单片机输出控制信号和相应语音段的地址信号给语音芯片,语音芯片根据这些信号选择对应的语音段播放。5. Voice control circuit: The main component of the voice control circuit is a segmented voice playback chip. The voice that needs to be prompted during user operation is segmented into the chip, and the chip is directly controlled by a single-chip microcomputer. When voice prompts are required, the program Make the single-chip microcomputer output the control signal and the address signal of the corresponding voice segment to the voice chip, and the voice chip selects the corresponding voice segment to play according to these signals.
6、键盘输入电路:键盘是人机交互最常用的器件,在本控制电路中需要用户通过键盘选择电路工作的各个模式,配合液晶屏的显示,可实现菜单式选择功能。6. Keyboard input circuit: The keyboard is the most commonly used device for human-computer interaction. In this control circuit, the user needs to select each mode of the circuit through the keyboard. With the display of the LCD screen, the menu selection function can be realized.
7、电源供给电路:由于电路需要的电源不是单一的电压,需要供应不同的电压。本电路将输入的高电压分压和稳压,实现不同电压的分配,主要采用三段稳压芯片,用不同型号的稳压芯片产生不同的电压源,再利用电阻调节电压输出达到需要的电压值。7. Power supply circuit: Since the power supply required by the circuit is not a single voltage, different voltages need to be supplied. This circuit divides and stabilizes the input high voltage to realize the distribution of different voltages. It mainly uses three-stage voltage regulator chips, and uses different types of voltage regulator chips to generate different voltage sources, and then uses resistors to adjust the voltage output to reach the required voltage. value.
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