CN102475536A - Measurement method of exophthalmos, instrument and application of instrument - Google Patents

Measurement method of exophthalmos, instrument and application of instrument Download PDF

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CN102475536A
CN102475536A CN2010105631153A CN201010563115A CN102475536A CN 102475536 A CN102475536 A CN 102475536A CN 2010105631153 A CN2010105631153 A CN 2010105631153A CN 201010563115 A CN201010563115 A CN 201010563115A CN 102475536 A CN102475536 A CN 102475536A
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laser
light source
laser light
orbital rim
lateral orbital
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CN2010105631153A
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CN102475536B (en
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周慧芳
王业飞
范先群
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上海交通大学医学院附属第九人民医院
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Abstract

The invention provides a measurement method of expophthalmos, which realizes the purpose that the distance between a laser source and the top end of cornea and the distance between the laser source and a lateral orbital margin can be measured respectively by utilizing laser, and the two distances are the expophthalmos. The invention also provides a laser exophthalmometer for realizing the measurement method and application of the exophthalmometer. According to the invention, the influences of optical parallax and other factors and influences of different examiners and lateral orbital margin fracture or skin swelling can be eliminated, the exophthalmos can be accurately measured relatively, and quantitative measurement can be performed on up and down displacement of globe.

Description

一种测量眼球突出量的方法、仪器及仪器应用 Projecting amount of the eyeball method, measuring instruments and instrumentation

技术领域 FIELD

[0001] 本发明涉及眼科检查领域,具体而言是一种测量眼球突出量的方法、仪器及仪器应用。 [0001] The present invention relates to the field of ophthalmic examination, a particular amount of a method of projecting eye, measuring instruments and instrumentation.

背景技术 Background technique

[0002] 现有技术主要应用眼球突出计,通过检查者肉眼观察刻度线与角膜顶点重合,测量眼球相对于外侧眶缘的突出量。 [0002] The main application of the prior art meter exophthalmos, tick marks was visually observed and the corneal vertex coincident by the examiner, the measurement of the eye with respect to the amount of projection of the lateral orbital rim. 主要有以下缺点:1.检查者不同,而造成测量结果不同, 即使同一检查者于不同时间检查同一病患,其结果也会有差异;2.当有外侧眶缘骨折、或外侧眶缘处皮肤肿胀时,结果不准确。 The main drawbacks are the following: 1 examiner different, resulting in different measurements, even if the same examiner checks the same patient at different times, the result will vary; 2 when the outer edge of orbital fractures have lateral orbital rim, or. when the swelling of the skin, the result is not accurate.

[0003] 因此,我们需要一种能够相对精确地测量眼球突出度、不受检查者不同及外侧眶缘骨折或皮肤肿胀影响的测量方法及仪器。 [0003] Thus, we need a way to accurately measure relatively exophthalmos, different from the examiner and lateral orbital rim fracture or measurement instruments and swelling of affected skin.

发明内容 SUMMARY

[0004] 本发明的目的是提供一种能在排除视差等因素的影响的同时,保证测量结果的准确性,并且能够对眼球上下移位做出定量测量的测量方法;本发明的另一个目的是提供一种用于测量眼球突出量的测量仪器;本发明的第三个目的是提供所述测量仪器的使用方法。 [0004] The object of the present invention is to provide a negative factors while parallax or the like, to ensure the accuracy of measurements, and measurements can be made quantitative measurement of the vertical displacement of the eye; a further object of the present invention It provides a measuring instrument for measuring a quantity exophthalmos; third object of the present invention is to provide a method of use of the measuring instrument.

[0005] 为了解决上述问题,本发明的技术方案是这样的。 [0005] To solve the above problem, the technical solution of the present invention is such.

[0006] 一种测量眼球突出量的方法,其特征在于,利用激光分别测量出激光源与角膜顶点、激光源与外侧眶缘之间的距离,两距离之差即为眼球突出量。 [0006] A method of measuring the amount of protrusion of the eye, which is characterized by using laser measuring respectively the distance between the corneal vertex and the laser source, laser light source and the lateral orbital rim, is the difference between the two distances amount exophthalmos.

[0007] —种实现上述测量方法的激光眼球突出测量仪,包括支架和操作台,其特征在于, 所述操作台上设有水平移动平台,所述水平移动平台上设有激光测量仪,所述支架上设有外侧眶缘定位装置和面中部十字光线装置,所述外侧眶缘定位装置上设有小镜子。 [0007] - to achieve the above types of measurement methods exophthalmos laser measuring instrument, comprising a bracket and a console, characterized in that the operating table has a horizontal moving platform, a laser measuring device is provided on said horizontal moving platform, the positioning means is provided outside of the orbital rim and the middle cross plane rays on said holder means, with a small mirror on the outer orbital rim positioning means.

[0008] 一种运用上述激光眼球突出测量仪测量眼球突出量的方法,包括以下几个步骤: (1)应用下颂托和额托固定被测量者的头部; [0008] A use of the laser measuring instrument exophthalmos exophthalmos method of measuring the amount, comprising the following steps: (1) Tropsch and mandibular jaw holder fixed head of the measured subject;

(2 )打开面中部十字光线装置使其投射十字光线,调整被测量者的头部位置,使十字光线处于被测量者面部中央; (2) Open the midface cross beam projection means so that the cross light to adjust the position of the head of the person to be measured, so that the cross beam is measured by a central portion;

(3)打开激光测量仪,调节操作杆,实现水平移动平台在横杆上的左右移动,使激光光源正对于角膜顶点,显示屏上的读数即为角膜顶点至激光光源的距离X1 ; (3) Open the laser measuring instrument, the adjustment operation lever, to achieve a horizontal movement platform and move around the transverse rods, so that the laser light source to the corneal vertex n, is the reading on the display the corneal vertex distance X1 to the laser light source;

(4)将外侧眶缘定位装置的A端置于被测量者的外侧眶缘处,调节小镜子,使小镜子的镜面正对激光光源,且与外侧眶缘处于同一竖直面; (4) the lateral orbital rim end A positioning apparatus disposed at the lateral orbital rim of the measured subject, adjustment small mirror, mirror of the small mirror facing the laser light source, and in the same orbital rim and the outer vertical plane;

(5)调节操作杆,使激光光源移动至激光光束与小镜子镜面垂直处,显示屏上的读数即为外侧眶缘至激光光源的距离&。 (5) adjusting the operating lever, moves the laser beam to the laser light source with a small mirror at a vertical mirror, reading on the display is the lateral orbital rim to the laser light source & distance.

[0009] 与现有技术相比,本发明的有益效果是: [0009] Compared with the prior art, the beneficial effects of the present invention are:

应用固定架托及投射光线保证头部位置的相对固定,能够实现眼球上下移位的测量; 应用激光测量角膜顶点及外侧眶缘位置,排除了人眼视差因素的影响,及多次测量重复性附图说明 And projecting light fixator care to ensure the relative positions of the fixed head, it is possible measure the vertical displacement of the eyeball; laser measuring corneal vertex and the outer edge of the orbital position, to eliminate the influence of the human eye parallax factors, and multiple measurement repeatability BRIEF DESCRIPTION

[0010] 下面结合附图和具体实施方式来详细说明本发明。 [0010] The present invention will be described in detail below in conjunction with the accompanying drawings and specific embodiments.

[0011] 图1为本发明的激光眼球突出测量仪的立体示意图。 Measuring a perspective view of a laser eye [0011] Figure 1 is projecting the invention.

[0012] 图2为本发明的激光眼球突出测量仪的使用示意图。 Laser eye [0012] FIG. 2 is a schematic view of projected use of the invention meter.

[0013] 图中标号为:1 一支架、2—外侧眶缘定位装置、3—小镜子、4一激光光源、5—激光测量仪、6—把手、7—显示屏、8—操作杆、9 一水平移动平台、10—横杆、11 一操作台、12—下颂托、13—面中部十字光线装置、14一额托、15—十字光线。 [0013] FIG designated: a holder 1, 2 lateral orbital rim positioning means, 3- small mirror, a laser light source 4, 5-a laser measuring instrument, the handle 6-, 7- display, 8 operating lever, a horizontally movable platform 9, 10 bar, a console 11, the song 12- torr, 13 midface cross beam apparatus, a jaw holder 14, the cross beam 15.

具体实施方式 Detailed ways

[0014] 为了使本发明实现的技术手段、创作特征、达成目的与功效易于明白了解,下面结合具体图示,进一步阐述本发明。 [0014] In order to achieve the technical means of the present invention, the creation of features, to achieve the purpose and effect readily apparent appreciated that specifically illustrated below with reference to further illustrate the invention.

实施例 Example

[0015] 一种测量眼球突出量的方法,其特征在于,利用激光分别测量出激光光源与角膜顶点、激光光源与外侧眶缘之间的距离,两距离之差即为眼球突出量。 [0015] A method of measuring the amount of protrusion of the eye, which is characterized by using laser measuring respectively the distance between the corneal vertex and the laser light source, laser light source and lateral orbital rim, is the difference between the two distances amount exophthalmos.

[0016] 如图1所示,一种激光眼球突出测量仪,由支架1和操作台11组成,所述操作台11 上设有水平移动平台9,所述水平移动平台9上设有激光测量仪5,通过调节操作杆8,实现水平移动平台9的水平移动,进而使激光测量仪5能在操作台上进行水平移动。 [0016] 1, exophthalmos A laser measuring instrument, and a console 11 consisting of a stent, the console 9 is provided with horizontally movable platform 11, provided with a laser level measurement on a mobile platform 9 instrument 5, by adjusting the horizontal movement of the operating lever 9 8, to achieve a horizontal movement platform, thereby enabling the laser measuring instrument 5 can be moved horizontally in the operating table. 所述操作台11可以是现有技术中眼科常用的操作台。 The console 11 may be used in the prior art ophthalmic console.

[0017] 所述支架1上设有外侧眶缘定位装置2和面中部十字光线装置13,所述外侧眶缘定位装置2上设有小镜子3。 It is provided on the [0017] outside of the stent 1 and 2 positioning means orbital rim central plane cross beam means 13, positioning means of the outer orbital rim 3 is provided with a small mirror 2. 外侧眶缘定位装置2为两段式,通过活动铰链与支架1连接, 两段之间亦通过活动铰链连接,使外侧眶缘定位装置2与小镜子3能自由转动。 Lateral orbital rim 2 of a two-stage positioning device, connected by a living hinge and the bracket 1, is also connected by a living hinge between the two sections, the outer orbital rim 2 with a small mirror pointing device 3 is free to rotate. 面中部十字光线装置13上设有十字形光源,能直接投射十字形光线15,用于确保在测量时被测量者的面部处于竖直状态。 The light source is provided with a cross-shaped cross middle plane light device 13, the light directly projected cross 15, for ensuring the surface is in a vertical state were measured in the measurement. 面中部十字光线装置13为两段式,并通过活动铰链与支架1连接, 两段之间亦通过活动铰链连接,使面中部十字光线装置13能自由转动。 Midface cross beam 13 is a two-stage device, and connected by a living hinge and the bracket 1, also by a living hinge connection between the two sections of the middle cross plane rays 13 is free to rotate.

[0018] 所述支架1上还设有额托14和下颂托12,用于固定被测量者的头部,保证头部位置的相对固定。 On [0018] The holder 1 is further provided mandibular jaw holder 14 and the holder 12 for holding the head of the measured person, to ensure a fixed position relative to the head.

[0019] 所述支架1的下方左右两侧还设有把手6,在测量时被测量者能根据自己的习惯选择握住把手6,使被测量者在测量时更舒适。 Under the [0019] left and right sides of the bracket 1 is further provided with a handle 6, when measured by measuring grips the handle 6 can be selected according to their habits, that the person to be measured more comfortable during the measurement.

[0020] 运用上述激光眼球突出测量仪测量眼球突出量的方法,包括以下几个步骤: [0020] The use of the laser measuring instrument exophthalmos exophthalmos method of measuring the amount, comprising the steps of:

(1)用下颂托12和额托14固定被测量者的头部; (1) and 12 torr with the mandibular jaw holder 14 is fixed to the head of the person to be measured;

(2)打开面中部十字光线装置13使其投射十字光线15,调整被测量者的头部位置,如图2所示,使十字光线15处于被测量者面部中央; (2) Open the central plane cross beam 13 so that the light projected cross 15, to adjust the head position of the measured subject, shown in Figure 2, so that the cross beam 15 is measured by a central portion;

(3)打开激光测量仪5,调节操作杆8,实现水平移动平台9在横杆10上的左右移动,使激光光源4正对于角膜顶点,显示屏7上的读数即为角膜顶点至激光光源4的距离X1 ; (3) Open the laser measuring instrument 5, the adjustment operation lever 8, the mobile platform for mobile around a horizontal crossbar 10 at 9, so that the laser light source 4 for positive corneal vertex, the reading on the display 7 is the laser light source to the corneal apex from 4 X1;

(4)如图1和2所示,将外侧眶缘定位装置2的A端置于被测量者的外侧眶缘处,调节小镜子3,使小镜子3的镜面正对激光光源4,且与外侧眶缘处于同一竖直面;(5)调节操作杆8,使激光光源4移动至激光光束与小镜子3镜面垂直处,显示屏7上的读数即为外侧眶缘至激光光源的距离&。 (4) shown in Figure 1, the terminal A and the lateral orbital rim 2 positioning means 2 is placed at the lateral orbital rim of the measured subject, adjusting small mirror 3, the mirror of the small mirror 43 facing the laser light source, and and lateral orbital margin in the same vertical plane; (5) adjusting the operating lever 8, the laser light source 4 to move the laser beam with a small mirror at a vertical mirror 3, the reading on the display 7 is the lateral orbital margin to the distance of the laser light source &.

[0021] 读数X1与&之差即为眼球突出量。 [0021] X1 and the reading is the difference between & exophthalmos amount.

[0022] 如果被测量者的一侧外侧眶缘骨折而另一侧正常,则以正常的一侧作为定位的标准。 [0022] If the outer side of the measuring fracture's orbital rim and the other side of normal, abnormal places located side as a standard. 由于正常人通常都是对称的,正常侧至激光光源4的距离也可以认为是受伤侧至激光光源4的距离。 Since normal are generally symmetrical, normal to the side from the laser light source 4 it may also be considered from injury to the laser light source 4 side.

[0023] 当两侧外侧眶缘均受伤而无法确定正常的外侧眶缘时,通过测量两眼球的角膜定点分别与激光光源4之间的距离,计算出两眼球的相对突出度。 When [0023] When the lateral orbital rim on both sides of the injury can not be determined correctly lateral orbital rim, the eye cornea by measuring the two and the distance between each point of the laser light source 4, to calculate the relative projection of two eyeballs.

[0024] 本发明应用固定架托及投射光线保证头部位置的相对固定,能够实现眼球上下移位的测量,而现有技术不能实现此目标;本方案应用激光测量角膜顶点及外侧眶缘位置,排除了人眼视差因素的影响,及多次测量重复性差的缺点,便于检查结果通用并保证准确。 [0024] The present invention fixator torr and projecting light to ensure the relative positions of the fixed head, it is possible measure the vertical displacement of the eyeball, while the prior art does not achieve this goal; measuring laser of the present embodiment and lateral orbital rim corneal vertex position , to eliminate the influence of the human eye parallax factors, poor reproducibility, and the disadvantage of multiple measurements, to facilitate and ensure accurate test results General.

[0025] 以上显示和描述了本发明的基本原理、主要特征和本发明的优点。 [0025] The above and described the principles of the invention, the main features and advantages of the present invention. 本行业的技术人员应该了解,本发明不受上述实施例的限制,上述实施例和说明书中描述的只是说明本发明的原理,在不脱离本发明精神和范围的前提下本发明还会有各种变化和改进,这些变化和改进都落入要求保护的本发明范围内。 The industry the art will appreciate, the present invention is not limited to the above embodiment, the above-described examples and embodiments described in the specification are only illustrative of the principles of the present invention, without departing from the spirit and scope of the present invention, the present invention also have the respective variations and modifications, changes and modifications which fall within the scope of the claimed invention. 本发明要求保护范围由所附的权利要求书及其等同物界定。 The scope of the invention as claimed by the appended claims and equivalents thereof defined.

Claims (4)

1. 一种测量眼球突出量的方法,其特征在于,利用激光分别测量出激光源与角膜顶点、 激光光源与外侧眶缘之间的距离,两距离之差即为眼球突出量。 A method of measuring the amount of protrusion of the eye, characterized in that the respectively measured by laser distance between the corneal vertex and the laser source, laser light source and lateral orbital rim, is the difference between the two distances amount exophthalmos.
2. 一种实现权利要求1的测量方法的激光眼球突出测量仪,由支架1和操作台11构成,其特征在于,所述支架1上设有外侧眶缘定位装置2、下颂托12、面中部十字光线装置13 和额托14 ;所述操作台11上设有水平移动平台9 ;所述水平移动平台9上设有激光测量仪5 ;所述外侧眶缘定位装置2上设有小镜子3 ;所述外侧眶缘定位装置2和面中部十字光线装置13通过活动铰链与支架1连接,且两者均为两段式,两段之间通过活动铰链连接。 A laser eye to achieve measurement method as claimed in claim 1 meter projection, constituted by the support 1 and the console 11, characterized in that the support is provided with lateral orbital rim on a positioning means 2, the mandibular tray 12, midface cross beam 13 and the jaw holder means 14; horizontal movement of the platform 9 is provided with console 11; the laser measuring instrument 5 is provided with horizontally movable platform 9; with a small lateral orbital rim 2 of the positioning means mirror 3; the lateral orbital rim locating means 2 and 13 by a living hinge bracket midface cross beam device 1 is connected, and both are two-stage, connected by a living hinge between the two sections.
3.根据权利要求2所述的激光眼球突出测量仪,其特征在于,所述支架1上设有把手6。 The laser eye according to claim 2 meter projection, wherein said holder is provided on a handle 6.
4. 一种运用权利要求2所述的激光眼球突出测量仪测量眼球突出量的方法,包括以下几个步骤:(1)应用下颂托12和额托14固定被测量者的头部;(2)打开面中部十字光线装置13使其投射十字光线15,调整被测量者的头部位置,使十字光线15处于被测量者面部中央;(3)打开激光测量仪5,调节操作杆8,实现水平移动平台9在横杆10上的左右移动,使激光光源4正对于角膜顶点,显示屏7上的读数即为角膜顶点至激光光源4的距离X1 ;(4)将外侧眶缘定位装置2的A端置于被测量者的外侧眶缘处,调节小镜子3,使小镜子3的镜面正对激光光源4,且与外侧眶缘处于同一竖直面;(5)调节操作杆8,使激光光源4移动至激光光束与小镜子3镜面垂直处,显示屏7上的读数即为外侧眶缘至激光光源的距离&。 A laser eye use of claim 2 protrudes gauge method measured the amount exophthalmos, comprising the following steps: (1) Application of 12 torr and Chung jaw holder 14 is fixed to the head of the person to be measured; ( 2) open the middle cross plane rays 13 projected cross beam 15 so as to adjust the head position of the measured subject, so that the cross beam 15 in the central portion of the measured subject; (3) open the laser measuring instrument 5, the adjustment operation lever 8, achieve the level of mobile platform 9 is moved in the right and left rail 10, so that the laser light source 4 for positive corneal vertex, the reading on the display 7 is the corneal vertex distance X1 to the laser light source 4; (4) the lateral orbital rim positioning means a terminal 2 is placed at the lateral orbital rim of the measured subject, adjusting small mirror 3, of the small mirror surface 3 facing the laser light source 4, and the outer edge in the same vertical plane orbital; (5) adjusting the operating lever 8 the laser light source 4 to move the laser beam with a small mirror at a vertical mirror 3, the reading on the display 7 is the lateral orbital rim to the laser light source & distance.
CN 201010563115 2010-11-29 2010-11-29 Measurement method of exophthalmos, instrument and application of instrument CN102475536B (en)

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CN104720738A (en) * 2015-04-02 2015-06-24 深圳市斯尔顿科技有限公司 Method utilizing ophthalmology equipment for detecting exophthalmic degree and ophthalmology equipment
CN104799809A (en) * 2015-04-02 2015-07-29 深圳市斯尔顿科技有限公司 Method for detecting human exophthalmos through ophthalmic device and ophthalmic device
CN107960985A (en) * 2017-12-27 2018-04-27 蚌埠医学院 A kind of portable exophthalmos of orbital patients measuring instrument

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