CN106924019B - A kind of amblyopia training system and its application method - Google Patents

A kind of amblyopia training system and its application method Download PDF

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Publication number
CN106924019B
CN106924019B CN201710183726.7A CN201710183726A CN106924019B CN 106924019 B CN106924019 B CN 106924019B CN 201710183726 A CN201710183726 A CN 201710183726A CN 106924019 B CN106924019 B CN 106924019B
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eye
amblyopia
glasses
brightness
contrast
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CN106924019A (en
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刘陇黔
幸浩洋
杨旭波
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04NPICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N13/00Stereoscopic video systems; Multi-view video systems; Details thereof
    • H04N13/30Image reproducers
    • H04N13/332Displays for viewing with the aid of special glasses or head-mounted displays [HMD]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H5/00Exercisers for the eyes
    • A61H5/005Exercisers for training the stereoscopic view
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04NPICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N13/00Stereoscopic video systems; Multi-view video systems; Details thereof
    • H04N13/10Processing, recording or transmission of stereoscopic or multi-view image signals
    • H04N13/106Processing image signals
    • H04N13/15Processing image signals for colour aspects of image signals
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04NPICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N13/00Stereoscopic video systems; Multi-view video systems; Details thereof
    • H04N2013/0074Stereoscopic image analysis

Abstract

A kind of amblyopia training system disclosed by the invention, belong to visual rehabilitation training field, module, dichoptic viewing control module are measured including binocular balance point, the binocular balance point measurement module includes dichoptic viewing glasses, two width visual charts, controller, the two width visual chart is connect with controller respectively, and the dichoptic viewing control module includes 3D glasses, the 3D display device controlled respectively to left eye picture and right eye picture, 3D video playing right and left eyes channel individual control module.The present invention is with more accurate means of testing, it obtains and more accurately balances point data, while training program is realized based on existing multimedia 3D ARTBEATS DESKTOP TECHNOLOGY NTSC, to increase the interest of visual exercise closer to the picture of real space, increase the absorbed degree of curer, improves amblyopia treatment curative effect.

Description

A kind of amblyopia training system and its application method
Technical field
The present invention relates to a kind of visual rehabilitation training field, in particular to a kind of amblyopia training system and its application method.
Background technique
Amblyopia is the development of vision system obstacle disease due to caused by abnormal vision experience in the visual development critical period, Feature is simple eye or eyes most preferably correct defects of vision low and are not accompanied by eye organic disease;Its pathogenic factors includes strabismus, bends Beche-de-mer without spike is poor, height is ametropia and form deprivation.Amblyopia is to lead to the common eye disease of visual impairment, the trouble in population of China Sick rate is about 3%, wherein children's myopia about 12,000,000.Amblyopia may accompany with patient all the life, it can be to patient in economy, the heart Reason, society etc. bring huge burden, and expend a large amount of medical resource.Amblyopia has become one that everybody pays close attention to jointly Social concern.
Occlusion therapy has been continued to use more than 200 years since de Buffon is put forward for the first time to treat amblyopia.It is till now Only, occlusion therapy is still the most common method of clinical treatment amblyopia.But since the compliance of occlusion therapy itself is bad, shadow The limitation of infant appearance and psychology is rung, scholars attempt to find another alternative.Atropine penalization using Ah Tropine medicament for the eyes constrains preferable eye in conjunction with strong or excessively strong eyeglass is owed, and can be used for not receiving clinically occlusion therapy or occlusion therapy loses The infant lost.But for example dizziness, dry, convulsions, excited, irritated, flush etc. can not for the drug side-effect of atropine itself It avoids completely, glare problem is brought after mydriasis, paralysis accommodation is brought after cycloplegia, close, influence study cannot be regarded, and And on long terms, more ultraviolet lights can not be estimated into the intraocularly influence to cataract and retinal disease after mydriasis, so, Clinically, atropine penalization is not intended as amblyopia treatment method preferred and being used for a long time.
Since clinically amblyopia generally wants early detection and treatment just effective, occlusion therapy is generally not used for above the average age for marriage youngster It is virgin and adult;And for 13 years old or more amblyopia patient, there is no direct and conclusive evidences to show that occlusion therapy is effective.In It is that it is high and to the effective treatment method of above the average age for marriage amblyopia that scholars have been devoted to find safety, compliance.
The prior art is insufficient:
1. existing amblyopia training is all based on two dimensional image and stimulates patient's optic nerve, however two dimensional image compares Dry as dust, patient's attention is not easy to concentrate, to influence training effect.
2. two equalization points, i.e. two visual differences can not accurately be measured, to influence training effect.
Summary of the invention
The present invention is intended to provide a kind of amblyopia training system and its application method are obtained more with more accurate means of testing Accurate balance point data, while training program is realized based on existing multimedia 3D ARTBEATS DESKTOP TECHNOLOGY NTSC, with closer real space Picture increase the interest of visual exercise, increase the absorbed degree of curer, improve amblyopia treatment curative effect.
In order to achieve the above objectives, The technical solution adopted by the invention is as follows:
A kind of amblyopia training system disclosed by the invention, including binocular balance point measure module, dichoptic viewing control module, Binocular balance point measurement module includes dichoptic viewing glasses, two width visual charts, controller, the two width visual chart respectively with Controller connection, the dichoptic viewing control module include 3D glasses, show to the 3D that left eye picture and right eye picture control respectively Showing device, 3D video playing right and left eyes channel individual control module.
Preferably, the visual chart is liquid crystal visual chart.
Preferably, the 3D display device is polarization type 3D display device, and the 3D glasses are polarization type 3D glasses.
Further, the 3D display device is shutter 3D display device, and the 3D glasses are shutter type 3 D spectacles.
Further, the 3D display device is color difference formula 3D display device, and the 3D glasses are color difference formula 3D glasses.
A kind of application method of amblyopia training system, above-described amblyopia training system, comprising the following steps:
A. binocular balance point measures, and measures brightness or the contrast equalization point of eyes;
B.3D screen training is drawn by left eye of the 3D video playing right and left eyes channel individual control module to 3D display device Face and right eye picture control respectively, first acquisition 3D video flowing frame image, right and left eyes picture range are determined, according in a step Equalization point reduces the brightness or contrast of the preferable eye picture of eyesight, allows patient to put on 3D glasses viewing video and is trained.
Preferably, binocular balance point measurement the following steps are included:
A1. measured watches two width brightness or the identical visual chart of contrast by dichoptic viewing glasses, judges that two width regard The best vision that power table can respectively be seen;
A2. the brightness or contrast of the seen visual chart of preferable eye are reduced using staircase method, preferable eye, which has an eyesight test, to be greater than Amblyopia eye, the brightness of preferable the seen visual chart of eye or contrast reduce by a gradient, have an eyesight test when there is preferable eye lower than weak Depending at the moment, being considered as a turning point;
A3. the test of a2 step is repeated, after there are 8 turning points, test terminates;Take the brightness or comparison of rear 6 turning points Spend the average data of equalization point;
The calculating of the brightness step:
LtFor brightness step, LmaxFor maximum brightness, CgIt most preferably corrects defects of vision for preferable eye, CbView is most preferably corrected for amblyopia eye Power;
The calculating of the contrast gradient:
DtFor contrast gradient, DmaxFor highest contrast, CgIt most preferably corrects defects of vision for preferable eye, CbIt is most preferably rectified for amblyopia eye Positive eyesight.
Preferably, when the binocular balance point measures, visual chart is tested every time, 10s is presented.
Further, in the b step, the control of contrast the following steps are included:
B1. average brightness is obtained;
B2. every compared with average brightness, obtain difference;
B3. new brightness=average brightness+coefficient * difference, the coefficient < 1;
B4. according to new brightness, inverse operation calculates new R, G, and B value replaces the image RBG value before adjusting to be shown Show.
Further, in the b1 step, RGB is replaced with intermediate grey values 127, and the space HSI is taken with 0.5 times of maximum brightness Generation;In the b2 step, the rgb value of colour picture is made the difference with 127 respectively.
Preferably, in the b1 step, rgb value is first transformed into other HSI color space, strength component I is done with 0.5 Difference, tone H, color saturation S are constant.
The invention has the following advantages:
1. the present invention is directed to be realized by polarized light type 3D glasses, color difference formula 3D glasses or shutter type 3 D spectacles to parallax 3D The visual information of the dichoptic viewing of film, rebalancing eyes is inhibited with the visual cortex for releasing amblyopia eye, does not have to cover to reach And treat the purpose of amblyopia.
2. the present invention carries out visual stimulus using 3D image, treated with the visual stimulus based on 2 dimensional plane pictures before Difference, 3D picture is closer to real space.
3. the present invention realizes that brightness or contrast control respectively to parallax 3D film right and left eyes picture using software, using 3D Film increases the interest of visual exercise as training medium, increases the absorbed degree of curer, improves amblyopia treatment Curative effect.
4. the present invention is based on existing multimedia 3D ARTBEATS DESKTOP TECHNOLOGY NTSCs to realize training program, material is extensive, and interest is high;
5. strength component I makes the difference with 0.5, tone H, color saturation S are constant, and tone can be kept constant.
Detailed description of the invention
Fig. 1 is the effect diagram of two width visual charts of different brightness;
Fig. 2 is the different presentation flow diagram of right and left eyes picture brightness;
Fig. 3 is the different presentation flow diagram of right and left eyes picture contrast;
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, below in conjunction with attached drawing, to the present invention into Row is further described.
A kind of amblyopia training system disclosed by the invention, including binocular balance point measure module, dichoptic viewing control module, Binocular balance point measurement module includes dichoptic viewing glasses, two width visual charts, controller, the two width visual chart respectively with Controller connection, the dichoptic viewing control module include 3D glasses, show to the 3D that left eye picture and right eye picture control respectively Showing device, 3D video playing right and left eyes channel individual control module, the visual chart are liquid crystal visual chart, the 3D display device For polarization type, shutter or color difference formula 3D display device, the 3D glasses are polarization type, shutter or color difference formula 3D glasses.
A kind of application method of amblyopia training system disclosed by the invention, comprising the following steps:
A. binocular balance point measures, and measures brightness or the contrast equalization point of eyes, specifically includes the following steps:
A1. measured watches two width brightness or the identical visual chart of contrast by dichoptic viewing glasses, judges that two width regard The best vision that power table can respectively be seen;
A2. the brightness or contrast of the seen visual chart of preferable eye are reduced using staircase method, preferable eye, which has an eyesight test, to be greater than Amblyopia eye, the brightness of preferable the seen visual chart of eye or contrast reduce by a gradient, have an eyesight test when there is preferable eye lower than weak Depending at the moment, being considered as a turning point (if preferably eye has an eyesight test lower than amblyopia eye, the brightness or comparison of preferable the seen visual chart of eye Degree increases a gradient, has an eyesight test higher than amblyopia at the moment when there is preferable eye, is considered as a turning point);
A3. the test of a2 step is repeated, after there are 8 turning points, test terminates;Take the brightness or comparison of rear 6 turning points Spend the average data of equalization point;
The calculating of the brightness step: 0.1* maximum brightness * (preferable eye most preferably corrects defects of vision-and amblyopia eye most preferably corrects view Power)/preferably eye most preferably corrects defects of vision, and the maximum brightness is the maximum brightness that can show of visual chart;
The calculating of the contrast gradient: 0.1* highest contrast * (preferable eye most preferably corrects defects of vision-and amblyopia eye most preferably rectifys Positive eyesight)/preferably eye most preferably corrects defects of vision, and the highest contrast is the highest contrast that can show of visual chart, described double When eye equalization point measurement, visual chart is tested every time, 10s is presented;
B.3D screen training is drawn by left eye of the 3D video playing right and left eyes channel individual control module to 3D display device Face and right eye picture control respectively, first acquisition 3D video flowing frame image, right and left eyes picture range are determined, according in a step Equalization point reduces the brightness or contrast of the preferable eye picture of eyesight, allows patient to put on 3D glasses viewing video and is trained, specifically Contrast control the following steps are included:
B1. obtain average brightness (or RGB with intermediate grey values 127 replace, as the space HSI is taken with 0.5 times of maximum brightness Generation);
B2. every compared with average brightness, it is (simple a kind of for by colour picture this step there are two types of method to obtain difference Rgb value made the difference respectively with 127, it is complicated a kind of for rgb value to be first transformed into other HSI color space, I (intensity, Strength component) it is made the difference with 0.5, H (Hue, tone) S (Saturation, color saturation) is constant, can keep tone not in this way Become);
B3. new brightness=(coefficient is obtained average brightness+coefficient (coefficient is less than 1) * difference by correction before;Rgb value If the directly substitution of average brightness 127 be calculated, HSI can only obtain new I value in this step, be reduced into RGB will by HSI and The transformation for mula of RGB is being calculated in next step);
B4. according to new brightness, inverse operation calculates new R, G, and B value replaces the image RBG value before adjusting to be shown Show.
Certainly, the present invention can also have other various embodiments, without deviating from the spirit and substance of the present invention, ripe Various corresponding changes and modifications, but these corresponding changes and modifications can be made according to the present invention by knowing those skilled in the art All it should fall within the scope of protection of the appended claims of the present invention.

Claims (5)

1. a kind of amblyopia training system, it is characterised in that: measure module, dichoptic viewing control module, institute including binocular balance point Stating binocular balance point measurement module includes dichoptic viewing glasses, two width visual charts, controller, the two width visual chart respectively with control Device processed connection, the dichoptic viewing control module includes 3D glasses, the 3D display that is controlled respectively left eye picture and right eye picture Device, 3D video playing right and left eyes channel individual control module;
It further include step a, the step a is the measurement of binocular balance point, and the binocular balance point measurement is for measuring the bright of eyes Degree or contrast equalization point, step a include following sub-step:
A1. measured watches two width brightness or the identical visual chart of contrast by dichoptic viewing glasses, judges two width visual charts The best vision that can respectively see;
A2. the brightness or contrast of the seen visual chart of preferable eye are reduced using staircase method, preferable eye has an eyesight test greater than amblyopia Eye, the brightness of preferable the seen visual chart of eye or contrast reduce by a gradient, have an eyesight test when there is preferable eye lower than amblyopia eye When, it is considered as a turning point;
A3. the test of a2 step is repeated, after there are 8 turning points, test terminates;Take the average value of rear 6 turning points as brightness Or contrast equalization point;
The calculating of the brightness step:
(Ⅰ)
LtFor brightness step, LmaxFor the maximum brightness of visual chart, CgIt most preferably corrects defects of vision for preferable eye, CbIt is most preferably rectified for amblyopia eye Positive eyesight;
The calculating of the contrast gradient:
(Ⅱ)
DtFor contrast gradient, DmaxFor the highest contrast of visual chart, CgIt most preferably corrects defects of vision for preferable eye, CbMost for amblyopia eye It is good to correct defects of vision;
Further include the training of step b:3D screen after step a, passes through 3D video playing right and left eyes channel individual control module pair The left eye picture and right eye picture of 3D display device control respectively, first acquisition 3D video flowing frame image, determine right and left eyes picture Range reduces the brightness or contrast of the preferable eye picture of eyesight according to the equalization point in a step, and patient is allowed to put on the sight of 3D glasses See that video is trained.
2. a kind of amblyopia training system according to claim 1, it is characterised in that: the visual chart is liquid crystal visual chart.
3. a kind of amblyopia training system according to claim 1, it is characterised in that: the 3D display device is polarization type 3D Display device, the 3D glasses are polarization type 3D glasses.
4. a kind of amblyopia training system according to claim 1, it is characterised in that: the 3D display device is shutter 3D Display device, the 3D glasses are shutter type 3 D spectacles.
5. a kind of amblyopia training system according to claim 1, it is characterised in that: the 3D display device is color difference formula 3D Display device, the 3D glasses are color difference formula 3D glasses.
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CN107920244A (en) * 2017-11-17 2018-04-17 广州视景医疗软件有限公司 A kind of vision training method, device and equipment
CN107802474A (en) * 2017-11-17 2018-03-16 广州视景医疗软件有限公司 A kind of vision training method, device and equipment
CN107997933B (en) * 2017-11-27 2020-05-29 南京大学 Child visual function training rehabilitation system with real-time assessment function
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CN109683337A (en) * 2019-02-21 2019-04-26 程立军 A kind of vision-protecting device
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