CN108646436A - A kind of cornea K values superelevation or ultralow Ortho-K and its design method - Google Patents

A kind of cornea K values superelevation or ultralow Ortho-K and its design method Download PDF

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Publication number
CN108646436A
CN108646436A CN201810851581.8A CN201810851581A CN108646436A CN 108646436 A CN108646436 A CN 108646436A CN 201810851581 A CN201810851581 A CN 201810851581A CN 108646436 A CN108646436 A CN 108646436A
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arcs
ortho
values
cornea
designed
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CN201810851581.8A
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王江桥
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    • GPHYSICS
    • G02OPTICS
    • G02CSPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00Optical parts
    • G02C7/02Lenses; Lens systems ; Methods of designing lenses
    • G02C7/024Methods of designing ophthalmic lenses
    • GPHYSICS
    • G02OPTICS
    • G02CSPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00Optical parts
    • G02C7/02Lenses; Lens systems ; Methods of designing lenses
    • G02C7/04Contact lenses for the eyes
    • G02C7/047Contact lens fitting; Contact lenses for orthokeratology; Contact lenses for specially shaped corneae

Abstract

The present invention is suitable for Ortho-K field, a kind of cornea K values superelevation or ultralow Ortho-K and its design method are provided, the present invention is calculated by carrying out optometry with accurately corneal topography diagram data plus ophthalmology empirical data, solve orientation problem of the Ortho-K in these special corneal surface shapes, for the flat K values of cornea in 46.5D to 53D and in the cornea of 39.00D to 33.5D ranges, also suitable Ortho-K can be designed, to expand the use scope of Ortho-K significantly.

Description

A kind of cornea K values superelevation or ultralow Ortho-K and its design method
Technical field
The invention belongs to Ortho-K field more particularly to a kind of cornea K values superelevation or ultralow Ortho-Ks And its design method.
Background technology
Ortho-K originates from the U.S., is a kind of hard corneal contact lens of similar contact lenses, mainly passes through night It is worn on the curvature that cornea is gradually changed on cornea, to achieve the purpose that correct defects of vision.Ortho-K is hard using gas permeability Property Contact Lens, i.e., usually said RGP materials make spectacle lens, it is in air-locked hard material PMMA bases Grow up on plinth.
Ortho-K design is generally using eyeglass is tried on, and with assessment technology is tried on, lens parameters determination cannot rely on one Secondary evaluation is just completed, and is generally required repeatedly, assessment repeatedly, and the eyeglass assessment of different time after mirror is especially worn.It is moulded wearing Shape eyeglass can carry out Evaluating Fluorescence Emission again after -2 hours 20 minutes.And how the moulding key factor matched of testing of cornea is by glimmering Piece is tried in the assessment adjustment of light element on, eventually finds suitable eyeglass.Due to the use of assessment technology is tried on, it is limited to the observation of doctor's eyes Identification of the precision to fluorescein collection of illustrative plates can only be designed for the Ortho-K of (39.5D to 46D) within the scope of certain cornea K values, Correct light medium myopia, it is impossible to be used in correction higher and more low k cornea it is various ametropia.
Invention content
In view of the above problems, the purpose of the present invention is to provide a kind of cornea K values superelevation or ultralow Ortho-Ks And its design method, it is intended to which higher of the cornea K values outside 39.5D to 46D and more can not be corrected by solving existing assessment technology of trying on The various ametropia technical problems of low k cornea.
On the one hand, the cornea K values superelevation or the design method of ultralow Ortho-K include the following steps:
Step S1, BC arcs are designed:
Wherein the partially flat K values-in BC arcs curvature value=center are estimated reduces shading value, and light is regarded to realize that BC arcs quantitatively correct cornea The radius of curvature in area;
Step S2, RC arcs are designed:
Wherein RC arcs curvature value ratio BC arc curvature values increase 2D to 10D;
Step S3, AC arcs are designed:
Wherein AC arcs data include the AC arc curvature value ACf in the flat direction and AC arc curvature value ACs in precipitous direction, this In ACf take K the values Kf, ACs of 7 millimeters of area's minimums on corneal topography to take the maximum K values Ks in 7 millimeters of areas on corneal topography;
Step S4, PC arcs are designed:
Wherein PC arcs curvature value ratio AC arc curvature values reduce 2D to 10D.
On the other hand, the Ortho-K designs to obtain using above-mentioned design method, when the Ortho-K designs For the flat K values of cornea in the cornea of 46.5D to 53D, the AC arcs curvature value of corresponding Ortho-K is in 46.5D to 53D models It encloses, when the Ortho-K is designed for cornea of the flat K values of cornea in 39.00D to 33.5D, Ortho-K corresponds to AC arcs curvature value in 33.5D to 39.00D ranges.
The beneficial effects of the invention are as follows:It is existing to try on for cornea K values superelevation or the special corneal surface shape of some ultralow Assessment technology can not design suitable Ortho-K, and the present invention with accurately corneal topography diagram data by carrying out optometry It calculates and adds ophthalmology empirical data, solve orientation problem of the Ortho-K in these special corneal surface shapes, for cornea Flat K values can also design suitable Ortho-K in 46.5D to 53D and in the cornea of 39.00D to 33.5D ranges, To expand the use scope of Ortho-K significantly.
Description of the drawings
Fig. 1 is the structure chart of Ortho-K provided by the invention;
Fig. 2 is a kind of corneal topography of the inclined flat cornea of exception;
Fig. 3 is the corneal topography of another abnormal inclined flat cornea;
Fig. 4 is the corneal topography of two high-k corneas.
Specific implementation mode
In order to make the purpose , technical scheme and advantage of the present invention be clearer, with reference to the accompanying drawings and embodiments, right The present invention is further elaborated.It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, and It is not used in the restriction present invention.
As shown in Figure 1, Ortho-K is base curve area (BC arcs) 1, reversion arc area (RC arcs) 2, positioning successively from the inside to the outside Arc area (AC arcs) 3 and circumference arc area (PC arcs) 4, it is illustrated that label 5 is cornea.The embodiment of the present invention designs BC arcs first, then RC arcs are designed, arc AC arcs and PC arcs are finally designed.The specific implementation process is as follows:
Step S1, BC arcs are designed:
Wherein the partially flat K values-in BC arcs curvature value=center are estimated reduces shading value, and light is regarded to realize that BC arcs quantitatively correct cornea The radius of curvature in area, correction is various ametropia.
Step S2, RC arcs are designed:
Wherein RC arcs curvature value ratio BC arc curvature values increase 2D to 10D;
Step S3, AC arcs are designed:
Wherein AC arcs data include the AC arc curvature value ACf in the flat direction and AC arc curvature value ACs in precipitous direction, this In ACf take K the values Kf, ACs of 7 millimeters of area's minimums on corneal topography to take the maximum K values Ks in 7 millimeters of areas on corneal topography.
There are 3 millimeters of areas, 5 millimeters of areas and 7 millimeters of areas on corneal topography.Fig. 2 shows a kind of angles of the inclined flat cornea of exception Film topographic map, it is illustrated that be 7 millimeters of areas outside circle.This step can be related to two data when designing AC arc data:Flat direction The AC arc curvature value ACf and AC arc curvature values ACs in precipitous direction.ACf takes the K value Kf of 7 millimeters of area's minimums on corneal topography, That is the K values Kf of ACf=Kf, 7 millimeters of areas as shown in Figure 2 minimum are 38.81D, and ACs takes 7 millimeters of area's maximums on corneal topography K value Ks, i.e. ACs=Ks, the maximum K values Ks in 7 millimeters of areas as shown in Figure 2 is 40.81D.
Fig. 3 shows the example of the corneal topography of the inclined flat cornea of another exception, and in figure, the K values Kf of 7 millimeters of area's minimums is 38.86D, the maximum K values Ks in 7 millimeters of areas are 41.14D.
For another example, Fig. 4 shows the corneal topography of two high-k corneas, wherein in the corneal topography in left side, 7 millimeters The K values Kf of area's minimum is 46.45D, and the maximum K values Ks in 7 millimeters of areas is 47.91D, and in the corneal topography on right side, 7 millimeters of areas are most Small K values Kf is 46.20D, and the maximum K values Ks in 7 millimeters of areas is 48.12D.
Therefore this step is according to corneal topography, you can designs AC arcs.
Step S4, PC arcs are designed:
Wherein PC arcs curvature value ratio AC arc curvature values reduce 2D to 10D.
The embodiment of the present invention uses corneal topography total corneal data, integrative medicine optometry, the Ortho-K designed The cornea of applicable super high-k (46.5D to 53D ranges) and super low k (6.5D to 53D ranges).If Ortho-K designs Cornea for the flat K values of cornea in (i.e. radius of curvature is 6.36 to 7.25mm) 46.5D to 53D, Ortho-K are corresponding AC arc curvature value ranges are 46.5D to 53D (i.e. radius of curvature arrives 7.25mm 6.36), if Ortho-K is designed for cornea Flat K values are in the cornea of 39.00D to 33.5D (i.e. radius of curvature arrives 10.07mm 8.65), the corresponding AC arcs of Ortho-K Curvature value range is 33.5D to 39.00D (i.e. radius of curvature arrives 10.07mm 8.65).
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all essences in the present invention All any modification, equivalent and improvement etc., should all be included in the protection scope of the present invention made by within refreshing and principle.

Claims (2)

1. the design method of a kind of cornea K values superelevation or ultralow Ortho-K, the Ortho-K from the inside to the outside according to Secondary is base curve area, that is, BC arcs, reversion arc area, that is, RC arcs, positioning arc area, that is, AC arcs and circumference arc area, that is, PC arcs, which is characterized in that institute Design method is stated to include the following steps:
Step S1, BC arcs are designed:
Wherein the partially flat K values-in BC arcs curvature value=center are estimated reduces shading value, to realize that BC arcs quantitatively correct cornea regarding light area Radius of curvature;
Step S2, RC arcs are designed:
Wherein RC arcs curvature value ratio BC arc curvature values increase 2D to 10D;
Step S3, AC arcs are designed:
Wherein AC arcs data include the AC arc curvature value ACf in the flat direction and AC arc curvature value ACs in precipitous direction, here ACf takes K the values Kf, ACs of 7 millimeters of area's minimums on corneal topography to take the maximum K values Ks in 7 millimeters of areas on corneal topography;
Step S4, PC arcs are designed:
Wherein PC arcs curvature value ratio AC arc curvature values reduce 2D to 10D.
2. a kind of cornea K values superelevation or ultralow Ortho-K, which is characterized in that the Ortho-K uses such as right It is required that 1 design method designs to obtain, when the Ortho-K is designed for the flat K values of cornea at the angle of 46.5D to 53D When film, the AC arcs curvature value of corresponding Ortho-K is in 46.5D to 53D ranges, when the Ortho-K is designed for cornea For flat K values in the cornea of 39.00D to 33.5D, the corresponding AC arcs curvature value of Ortho-K is in 33.5D to 39.00D ranges.
CN201810851581.8A 2018-07-30 2018-07-30 A kind of cornea K values superelevation or ultralow Ortho-K and its design method Pending CN108646436A (en)

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Cited By (2)

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Publication number Priority date Publication date Assignee Title
CN111000525A (en) * 2019-11-21 2020-04-14 明灏科技(北京)有限公司 Corneal plastic lens fitting method and system based on big data
CN112807151A (en) * 2021-01-12 2021-05-18 首都医科大学附属北京同仁医院 Method and system for determining AC value of orthokeratology mirror

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CN111000525A (en) * 2019-11-21 2020-04-14 明灏科技(北京)有限公司 Corneal plastic lens fitting method and system based on big data
CN111000525B (en) * 2019-11-21 2022-02-15 明灏科技(北京)有限公司 Corneal plastic lens fitting method and system based on big data
CN112807151A (en) * 2021-01-12 2021-05-18 首都医科大学附属北京同仁医院 Method and system for determining AC value of orthokeratology mirror

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