Disclosure of Invention
Aiming at the defects of the prior art, the invention provides a corneal thickness measuring instrument and a corneal thickness measuring method, which have the advantages of ensuring the safety protection performance of a patient during corneal detection and the like, and solve the problems that an operator is uncomfortable and damaged due to the fact that dust on the corneal measuring instrument flies into the eye.
In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a corneal pachymeter, including the protecting crust, the standing groove has been seted up to the upside of protecting crust, the inside of standing groove is provided with the corneal pachymeter, the upside of corneal pachymeter is provided with the operation panel, the inside fixedly connected with accessory plate of operation panel, the butt joint groove has been seted up on the right side of accessory plate, the surface rotation of accessory plate is connected with the display screen, the right side fixedly connected with auxiliary block of display screen, the spout has been seted up to the inside of corneal pachymeter, the inside of spout is provided with dust keeper, the downside fixedly connected with connecting rod of protecting crust, the downside sliding connection of connecting rod has interior pole, the lower extreme fixedly connected with sill bar of interior pole, the lower extreme fixedly connected with base of sill bar, the upside of sill bar is seted up flutedly, the inside fixedly connected with buffer spring of recess.
Preferably, the placement groove is internally provided with a heat dissipation opening, the heat dissipation opening is in a conical shape, and the lower side of the auxiliary block is in an inclined shape.
Preferably, dust keeper includes the dust guard, and the sliding surface connection of dust guard is in the inside of spout, and the right side sliding connection of dust guard has the slide bar, and the right-hand member fixed connection of slide bar is in the inside of spout, and the sliding surface of slide bar has cup jointed reset spring, and both ends fixed connection is in the right side of dust guard and the inside of spout about reset spring.
Preferably, the right side of dust guard rotates and is connected with the pulley, and the spacing groove that is linked together with the spout is seted up to the inside of cornea thickness gauge, and the surface of pulley rotates and connects in the inside of spacing groove.
Preferably, the upper side of the dust guard is in a shape of a convex groove, the upper side of the dust guard is provided with a moving groove, and the moving groove is also in an inclined shape.
Preferably, the upper end of the buffer spring is fixedly connected to the connecting rod, and the inside of the buffer spring is in sliding sleeve connection with the surface of the inner rod.
The invention also provides a corneal thickness measuring method,
the first step is as follows: firstly, assisting a patient to put a head, then opening the lower eyelid of the patient, ordering the eyeball of the patient to rotate upwards, dropping a drop of local anesthetic in the conjunctival sac, and wiping the flowing liquid medicine with a cotton swab;
the second step is that: turning on a fixation lamp, adjusting the center fixation of the eye to be inspected, taking off a probe cap, respectively opening the upper eyelid and the lower eyelid of the eye to be inspected by a thumb and a forefinger, holding the measuring probe by the other hand, and pressing a START key on an operation table to START measurement;
the third step: vertically and lightly placing the probe in the center of the cornea, and automatically measuring the thickness of the cornea by a cornea thickness gauge;
the fourth step: the cornea thickness gauge automatically stores five data acquired last in each group, presses the LIST key on the operation table to display the data, presses the PRIAN _ SN key on the operation table to print the result after the measurement is finished, puts the probe back to the original position, and turns off the fixation lamp.
The invention has the beneficial effects that:
1. play spacing effect to the dust guard when the spout is inside to slide through the slide bar, the deviation of dust guard emergence displacement when the spout is inside to slide has been avoided, such mode has ensured to carry out the closed back display screen of diagonal membrane thickness gauge and the closed effect of operation panel gap department, improved the corneal thickness gauge and have good dustproof effect when not using, and then improved most corneal thickness gauge in use and prevented that the dust departure of operation panel angular edge department from causing the dust to get into and lead to the injury in user's the eyes, and then ensured that the cornea detects time measuring and to patient's safety protection performance.
2. Through the inside slip of auxiliary block at the shifting chute, and then the auxiliary block is under the extrusion of the inside of shifting chute to the dust guard, the dust guard slides right in the inside of spout, and then when lasting the upset of display screen is to the use angle, the dust guard is by the inside of the surface extrusion income spout of display screen, the effect to the groove is in order to ensure that the auxiliary block prevents that the auxiliary plate from playing the effect that hinders when overturning, and then has ensured the convenience that has the upset when the display screen overturns, the flexibility that the display screen overturns and promotes the dust guard has been improved.
3. When using the cornea calibrator, need invert the display screen on the surface of accessory plate, and then control the operation panel and carry out work, when the display screen overturns, the display screen drives the supplementary piece and slides in the inside of shifting chute, because the shape of supplementary piece and shifting chute is the slope form, and then has ensured that supplementary piece has good slip trend when the inside of shifting chute slides, and then has ensured that supplementary piece has gliding smoothness nature when following the display screen and overturn.
4. Offer the recess through the upside at the sill bar, and then ensure buffer spring when buffering, when the downside of connecting rod slowly contacts with the upside of sill bar, the inside of recess can be got into to the buffer spring of compressed, and then has ensured that connecting rod and sill bar can laminate gradually, and then has avoided buffer spring because deformation extrusion can lead to the fact the hindrance to the laminating of connecting rod and sill bar, and then has ensured the stability that connecting rod and sill bar used.
5. Through under buffer spring's elasticity and the sliding action of interior pole, have guaranteed to have good buffering effect when base and desktop contact, such mode has improved when using the corneal pachymeter, because the corneal pachymeter need repeated taking up and having good buffering effect when putting down, and then has ensured that the corneal pachymeter has good guard action, has avoided placing many times because the vibration leads to corneal pachymeter inner structure to damage.
6. The conical shape through the heat dissipation opening further improves that the internal heat can be discharged outwards, and because the hole in the outer side of the protective shell is smaller, the external dust is prevented from entering the protective shell to a certain extent, and further the heat dissipation effect in the protective shell is guaranteed.
Detailed Description
The invention will be further described in detail with reference to the following examples, which are given in the accompanying drawings.
Referring to fig. 1 to 6, the present invention provides a technical solution: a corneal thickness gauge comprises a protective shell 1, a placing groove 2 is arranged on the upper side of the protective shell 1, a heat dissipation port 3 is arranged inside the placing groove 2, the heat dissipation port 3 is in a conical shape, a corneal thickness gauge 4 is arranged inside the placing groove 2, the conical shape of the heat dissipation port 3 is communicated with the inside and the outside, so that the corneal thickness gauge 4 has a certain heat dissipation function when in use, the internal heat can be discharged outwards due to the conical shape of the heat dissipation port 3, the outer opening of the protective shell 1 is small, external dust is prevented from entering the inner part of the protective shell 1 to a certain extent, the heat dissipation effect inside the protective shell 1 is guaranteed, an operating table 5 is arranged on the upper side of the corneal thickness gauge 4, an auxiliary plate 6 is fixedly connected inside the operating table 5, the auxiliary plate 6 is formed by combining a rectangle and a cylinder, a butt joint groove 16 is arranged on the right side of the auxiliary plate 6, the surface of the auxiliary plate 6 is rotatably connected with a display screen 7, the upper side of the display screen 7 is in a concave groove shape, the right side of the display screen 7 is fixedly connected with an auxiliary block 8, the lower side of the auxiliary block 8 is in an inclined shape, the inside of the corneal thickness gauge 4 is provided with a sliding groove 9, the inside of the sliding groove 9 is slidably connected with a dust guard 10, the upper side of the dust guard 10 is in a convex groove shape, the right side of the dust guard 10 is slidably connected with a sliding rod 11, the right end of the sliding rod 11 is fixedly connected with the inside of the sliding groove 9, the surface of the sliding rod 11 is slidably sleeved with a return spring 12, the left end and the right end of the return spring 12 are fixedly connected with the right side of the dust guard 10 and the inside of the sliding groove 9, the right side of the dust guard 10 is rotatably connected with a pulley 13, the inside of the corneal thickness gauge 4 is provided with a limit groove 14 communicated with the sliding groove 9, the surface of the pulley 13 is rotatably connected with the inside of the limit groove 14, the upper side of the dust guard 10 is provided with a moving groove 15, the movable groove 15 is also inclined, a connecting rod 17 is fixedly connected to the lower side of the protective shell 1, an inner rod 18 is slidably connected to the lower side of the connecting rod 17, a bottom rod 19 is fixedly connected to the lower end of the inner rod 18, a base 20 is fixedly connected to the lower end of the bottom rod 19, a groove 21 is formed in the upper side of the bottom rod 19, a buffer spring 22 is fixedly connected to the inner portion of the groove 21, the upper end of the buffer spring 22 is fixedly connected to the connecting rod 17, and the inner portion of the buffer spring 22 is slidably sleeved with the surface of the inner rod 18;
before the corneal thickness gauge 4 is used, the corneal thickness gauge 4 is placed on a workbench, the base 20 is in contact with a table top firstly, due to the gravity in the protective shell 1, when the corneal thickness gauge is placed, the protective shell 1 can extrude the buffer spring 22 to slide downwards on the surface of the inner rod 18, through the elastic force of the buffer spring 22, the direct collision contact between the base 20 and the table top is avoided, and further under the elastic force of the buffer spring 22 and the sliding action of the inner rod 18, the good buffer effect is guaranteed when the base 20 is in contact with the table top, so that when the corneal thickness gauge 4 is used, the good buffer effect is achieved when the corneal thickness gauge 4 needs to be repeatedly taken up and put down, the corneal thickness gauge 4 is guaranteed to have a good protection effect, and the damage to the internal structure of the corneal thickness gauge 4 due to vibration caused by multiple times of placement is avoided;
the groove 21 is formed in the upper side of the bottom rod 19, so that when the buffer spring 22 is buffered and the lower side of the connecting rod 17 is slowly contacted with the upper side of the bottom rod 19, the compressed buffer spring 22 can enter the groove 21, the connecting rod 17 and the bottom rod 19 can be gradually attached, the situation that the buffer spring 22 can obstruct the attachment of the connecting rod 17 and the bottom rod 19 due to deformation extrusion is avoided, and the use stability of the connecting rod 17 and the bottom rod 19 is further guaranteed;
when the corneal pachymeter 4 is used, the display screen 7 needs to be reversed on the surface of the auxiliary plate 6, and then the operation table 5 is controlled to work, when the display screen 7 is turned, the display screen 7 drives the auxiliary block 8 to slide in the moving groove 15, and as the auxiliary block 8 and the moving groove 15 are both inclined, the auxiliary block 8 is ensured to have a good sliding trend when sliding in the moving groove 15, and the auxiliary block 8 is ensured to have sliding fluency when turning along with the display screen 7;
the auxiliary block 8 slides in the moving groove 15, so that under the condition that the auxiliary block 8 extrudes the dustproof plate 10 in the moving groove 15, the dustproof plate 10 slides rightwards in the sliding groove 9, and when the display screen 7 is continuously turned to a use angle, the dustproof plate 10 is extruded into the sliding groove 9 by the surface of the display screen 7, the butt-joint groove 16 has the function of preventing the auxiliary plate 6 from blocking when the auxiliary block 8 is turned, the turning convenience when the display screen 7 is turned is guaranteed, and the flexibility of turning the display screen 7 and pushing the dustproof plate 10 is improved;
when the corneal thickness gauge 4 is not used, the display screen 7 and the operating table 5 only need to be attached and closed, the dustproof plate 10 slides leftwards in the sliding groove 9 under the elastic force of the return spring 12, the convex shape of the dustproof plate 10 enters the concave groove of the display screen 7, a gap between the display screen 7 and the operating table 5 is formed and is sealed by the dustproof plate 10, the pulley 13 and the limiting groove 14 are used for ensuring the smooth effect of the sliding of the dustproof plate 10 in the sliding groove 9, the friction coefficient of the dustproof plate 10 and the sliding groove 9 during sliding is reduced, the sliding rod 11 is used for limiting the dustproof plate 10 during sliding in the sliding groove 9, the deviation of the displacement of the dustproof plate 10 during sliding in the sliding groove 9 is avoided, the dustproof plate 10 cannot slide out in the sliding groove 9, and the mode ensures the sealing effect of the gap between the display screen 7 and the operating table 5 after the corneal thickness gauge 4 is closed, the cornea thickness gauge 4 has good dustproof effect when not in use, so that the problem that most of the cornea thickness gauges 4 prevent dust at the angular edges of the operating table 5 from flying out to cause dust to enter the eyes of a user to cause injury when in use is solved, and the safety protection performance of the cornea detection on the patient is further guaranteed.
A method of corneal pachymetry comprising the steps of:
the first step is as follows: firstly, checking the name and the eye difference of a patient, guiding the patient to lie on an examination bed with the head facing the examiner, assisting the patient to put the head position, and if necessary, putting a pillow on the patient;
the second step is that: opening the lower eyelid of a detected person, ordering the detected person to rotate the eyeball, dropping a drop of local anesthetic in the conjunctival sac, wiping the flowing liquid medicine with a cotton swab, paying attention to the fact that the eye dropping medicine is firstly mixed with the patient to be an anesthetic, and causing slight burning;
the third step: turning on the fixation lamp, adjusting the center of the eye to be inspected to watch, covering the eye to be inspected, instructing the patient to watch the fixation lamp by the other eye, observing the eye position of the eye to be inspected, and adjusting the position of the fixation lamp until the eye to be inspected is the first eye position;
the fourth step: taking off the probe cap, respectively opening the upper eyelid and the lower eyelid of the tested eye by the thumb and the forefinger, holding the measuring probe by the other hand, pressing a START key on the operating table 5 to START measurement when the pressure on the eyeball cannot be applied;
the fifth step: the probe is vertically and lightly placed in the center of the cornea, pressure cannot be applied, the thickness of the cornea is automatically measured by the corneal thickness gauge 4, the position of the probe is slightly moved, and the thinnest thickness in the center of the cornea is measured;
and a sixth step: if the peripheral cornea thickness needs to be measured, stepping on a green pedal, entering a second group of data measurement, measuring the thickness of four positions, namely upper, nasal, lower and temporal positions of the pupillary margin, and keeping a probe perpendicular to the cornea at the measured position during measurement;
the seventh step: the cornea thickness gauge 4 automatically stores five data which are acquired last in each group, the LIST key on the operation table 5 is pressed to display the data, each group of data is selected by moving the key left and right, and the CLEAR key on the operation table 5 is pressed to delete the topmost data in the group, which is also the data which are measured last;
eighth step: after the measurement is finished, the PRIENT key on the operation table 5 is pressed to print a result, the eye to be measured drops a drop of chloramphenicol, the patient is asked to get up, the name of the patient and the name of the examiner are written on the result, the patient is handed over after checking, the probe is sterilized by a 75% alcohol cotton swab, the probe is wiped by a dry cotton swab, the probe cap is covered, the probe is put back to the original position, and the fixation lamp is turned off.
The working principle is as follows: when the cornea thickness gauge and the cornea thickness measuring method are used;
the first step is as follows: before the corneal pachymeter 4 is used, when the corneal pachymeter 4 is placed, the base 20 is firstly contacted with a table top, due to the gravity in the protective shell 1, the protective shell 1 can extrude the buffer spring 22 to slide downwards on the surface of the inner rod 18 when the corneal pachymeter 4 is placed, through the elasticity of the buffer spring 22, the direct collision contact between the base 20 and the table top is avoided, and further under the elastic force of the buffer spring 22 and the sliding action of the inner rod 18, the good buffer effect is ensured when the base 20 is contacted with the table top;
the second step is that: the groove 21 is formed in the upper side of the bottom rod 19, so that when the buffer spring 22 is buffered and the lower side of the connecting rod 17 is slowly contacted with the upper side of the bottom rod 19, the compressed buffer spring 22 can enter the groove 21, the connecting rod 17 and the bottom rod 19 can be gradually attached, and the buffer spring 22 is prevented from blocking the attachment of the connecting rod 17 and the bottom rod 19 due to deformation and extrusion;
the third step: when the corneal pachymeter 4 is used, the display screen 7 needs to be reversed on the surface of the auxiliary plate 6, so that the operation table 5 is controlled to work, when the display screen 7 is turned over, the display screen 7 drives the auxiliary block 8 to slide in the moving groove 15, and as the auxiliary block 8 and the moving groove 15 are both inclined, the auxiliary block 8 is ensured to have a good sliding trend when sliding in the moving groove 15;
the fourth step: the auxiliary block 8 slides in the moving groove 15, and then the auxiliary block 8 pushes the dust-proof plate 10 in the moving groove 15, so that the dust-proof plate 10 slides rightwards in the sliding groove 9, and when the display screen 7 is continuously turned to a use angle, the dust-proof plate 10 is pushed into the sliding groove 9 by the surface of the display screen 7, and the butt-joint groove 16 is used for ensuring that the auxiliary block 8 prevents the auxiliary plate 6 from blocking when turning;
the fifth step: when not using through cornea calibrator 4, only need to laminate display screen 7 and operation panel 5 and close, and then make dust guard 10 slide left in the inside of spout 9 under reset spring 12's elasticity, and then make the type of protruding of dust guard 10 get into the type of recess inslot portion of display screen 7, and then form gap department between display screen 7 and the operation panel 5 and be sealed by dust guard 10, the effect of pulley 13 and spacing groove 14 is the smooth and easy effect of guaranteeing that dust guard 10 is at the inside gliding of spout 9, the coefficient of friction when dust guard 10 slides with spout 9 has been reduced, the effect of slide bar 11 is in order to play spacing effect to dust guard 10 when the inside of spout 9 slides, the deviation that takes place the displacement when dust guard 10 slides in spout 9 inside has been avoided.
The above is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above-mentioned embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention. It should be noted that modifications and embellishments within the scope of the invention may occur to those skilled in the art without departing from the principle of the invention, and are considered to be within the scope of the invention.