DE202022105496U1 - Device for processing ophthalmological measured values - Google Patents

Abstract

Device (12) for processing ophthalmological measured values with at least a first interface to an ophthalmological device (18, 20), wherein the ophthalmological measured values were determined with the ophthalmological device (18, 20), and at least a second interface to a computer device and/or a computer network (26), the device (12) being adapted to transmit the measured values from the first interface to the second interface.

Description

The present invention relates to a device for processing ophthalmological measured values according to the preamble of claim 1.

Ophthalmology or ophthalmology is a branch of medicine that encompasses the study of the detection (diagnosis), treatment (therapy) and prevention (prevention) of diseases of the eye and the surrounding structures.

Typical areas of ophthalmology are diseases of the cornea (ulcers, trauma, degenerative diseases), diseases of the anterior chamber of the eye (glaucoma, iritis), diseases of the posterior chamber of the eye and the lens (cataracts, lens luxations), diseases of the vitreous body and vascular skin (uveitis, vitreous hemorrhage), diseases of the Retina (AMD, visual field defects, degenerative diseases, color blindness), diseases of the optic nerve (neuritis, degenerative diseases, compression syndromes), diseases of the orbit and lacrimal glands (infections, bleeding, sicca syndrome), diseases with impaired refraction (myopia, hyperopia, presbyopia , astigmatism) and diseases of the eyelids (stye, chalazion, entropion, ectropion).

• - Fluoreszenzangiographie zur Gefäßdarstellung, vor allem der Netzhautgefäße, mittels Fluorescein
• - Gonioskopie zur Untersuchung des Kammerwinkels
• - Hornhauttopographie und -tomographie (Videokeratographie, Keratometrie) zur Darstellung der äußeren und inneren Hornhautform und des Schichtaufbaus
• - Ophthalmoskopie zur direkten und indirekten Spiegelung des Augenhintergrundes
• - Optische Kohärenztomographie zur Schichtdarstellung der Netzhaut, des Sehnervs, des Glaskörpers, der Aderhaut und des vorderen Augenabschnitts
• - Orthoptik zur Untersuchung der Stellung und Beweglichkeit der Augen und des beidäugigen Sehens
• - Pachymetrie zur Messung der Hornhautdicke zur Diagnostik des Glaukoms und für die refraktive Chirurgie
• - Perimetrie zur Untersuchung des Gesichtsfeldes
• - Refraktometrie zur Untersuchung auf optische Fehlsichtigkeiten (Ametropie)
• - Retinale Gefäßanalyse zur Untersuchung kleiner Netzhautgefäße, die Rückschlüsse auf Gefäßveränderungen in anderen Organen (z. B. Herz) erlaubt
• - Spaltlampenmikroskopie zur mikroskopischen Untersuchung der vorderen, mittleren und hinteren Augenabschnitte, ggf. unter Zuhilfenahme eines Kontaktglases oder einer Untersuchungslupe
• - Tonometrie zur Messung des Augeninnendrucks
• - Visusprüfung zur Ermittlung der Sehschärfe.

The main ophthalmological examination methods are the following:

• - Fluorescence angiography to visualize vessels, especially the retinal vessels, using fluorescein
• - Gonioscopy to examine the chamber angle
• - Corneal topography and tomography (videokeratography, keratometry) to show the outer and inner corneal shape and the layer structure
• - Ophthalmoscopy for direct and indirect mirroring of the fundus of the eye
• - Optical coherence tomography for layer representation of the retina, the optic nerve, the vitreous body, the choroid and the anterior segment of the eye
• - Orthooptics to examine the position and mobility of the eyes and binocular vision
• - Pachymetry to measure corneal thickness for the diagnosis of glaucoma and for refractive surgery
• - Perimetry to examine the visual field
• - Refractometry to check for optical defects (ametropia)
• - Retinal vascular analysis to examine small retinal vessels, which allows conclusions to be drawn about vascular changes in other organs (e.g. heart).
• - Slit lamp microscopy for the microscopic examination of the front, middle and rear sections of the eye, if necessary with the help of a contact glass or an examination magnifying glass
• - Tonometry to measure intraocular pressure
• - Vision test to determine visual acuity.

For all of these examination methods, different examination devices such as gonioscope, keratometer, lens meter, ophthalmoscope, perimeter, phoropter, pachymeter, refractometer, focimeter, slit lamp microscope and tonometer are usually required, which are operated by a user and the measurement results are measured by the user in relation to the patient have to be processed independently. The ophthalmological examination devices could also be combination measuring devices, for example a refractometer, keratometer, tonometer and pachymeter can be combined in one device.

It is therefore the object of the present invention to provide a solution that brings improvements here. In particular, the use of the ophthalmological examination devices should become simpler and more comfortable.

This object is achieved with the device according to the invention as claimed in claim 1. Advantageous developments are specified in the dependent claims and in the following description together with the figures.

The inventors recognized that this task can be solved in a surprising way in a particularly simple manner if the measurement results obtained by the ophthalmological examination devices are forwarded directly from the device to a processing computer device, because the measurement results then do not have to be further processed independently by the user , but this can be taken over by the computer device in relation to the respective patient. As a result, the use of the ophthalmological examination devices is not only simpler and more convenient, but also safer overall because processing errors can be ruled out. Furthermore, central data processing is also made possible, since the pros direction can be connected not only with one but also with several ophthalmological examination devices.

The device according to the invention for processing ophthalmological measured values has at least a first interface to an ophthalmological device, with the ophthalmological measured values having been determined using the ophthalmological device, and at least a second interface to a computer device and/or a computer network, with the device being adapted to To transmit measured values from the first interface to the second interface.

In an advantageous further development it is provided that the first interface is a standardized interface and/or a device-specific interface to an ophthalmological device, with the ophthalmological device preferably being a device from the group comprising: gonioscope, keratometer, lensmeter, ophthalmoscope, perimeter, phoropter, Pachymeter, refractometer, lensmeter, slit lamp microscope and tonometer. Any ophthalmological devices can then be used and the examination methods based on them can be carried out easily and conveniently and their results can be processed further.

An advantageous development provides that the second interface is a software interface or a hardware interface, with the second interface preferably being adapted, at least some data, in particular the ophthalmological measured values in csv format, GDT format, REST format , tmp format, txt format and/or xml format. As a result, the further processing of the measurement results can take place in a particularly simple manner.

In an advantageous development, it is provided that the device is adapted to convert the ophthalmological measured values transmitted from the ophthalmological device to the device in a standard format, preferably a GDT format, REST format, tmp format, txt format and/or xml convert format. This enables a particularly simple further processing of the measurement results.

An advantageous development provides that the device is adapted to evaluate the determined ophthalmological measured values, to display them numerically and/or graphically, with the device preferably being adapted to evaluate the determined ophthalmological measured values in the standard format, to display them numerically and/or to display them graphically. As a result, targeted or more in-depth further processing can also take place without additional programs, in particular eye information systems or electronic patient files.

In an advantageous development, it is provided that the device is adapted to transfer the determined ophthalmological measurement values to a practice management system, preferably a patient information system, with the practice management system including in particular an eye information system. As a result, the measured values can be easily transferred to standardized patient management systems, which significantly simplifies the work processes in opticians as well as in medical practices and clinics.

In an advantageous development, it is provided that the device is adapted to store the determined ophthalmological measured values in a database. The measured values can then be backed up, resulting in increased security.

In an advantageous development, it is provided that the device is adapted to transmit control commands to the ophthalmological device, the control commands preferably being based on previously determined ophthalmological measured values. The ophthalmological device then does not have to be operated specifically by a user, but can be controlled more or less remotely, which improves the comfort and safety when using the ophthalmological device.

In an advantageous development, it is provided that the device is adapted to create prescriptions based on the determined ophthalmological measured values. As a result, the workflow for opticians and in medical practices and clinics can be further simplified and thus made more convenient and less time-consuming.

In an advantageous development, it is provided that the device has a third interface with which a user can enter data, with the data preferably being from the group comprising: control data for the ophthalmological device, ophthalmological measured values and patient data. A user then does not have to access a patient administration system or the like, but rather enter master data on the patient directly into the device, for example.

Furthermore, the invention may be embodied in the form of a computer program product accessible from a computer usable or computer readable medium and having program code provided for use by or for use in connection with a computer or any instruction execution system. Therefore, independent protection is also claimed for a computer program product, which is stored on a computer-readable medium and comprises computer-readable program means which cause the computer to carry out a method for processing ophthalmological measured values, with a first interface to an ophthalmological device and the ophthalmological measured values with the ophthalmological device were determined, and there is at least a second interface to a computer device and/or a computer network, the measured values being transmitted from the first interface to the second interface when the program means are executed on the computer.

For purposes of this specification, computer-usable or computer-readable media can be any device or device that contains, stores, communicates, distributes, or transports the program for use by or in connection with the instruction execution system, device, or device. Mobile means of communication, for example cell phones, tablet computers and the like, can also be used.

The medium may be an electronic, magnetic, optical, electromagnetic, infrared, or semiconductor system (or apparatus or device), or a propagation medium. Examples of a computer-readable medium include semiconductor or solid-state memory, magnetic tape, a removable computer disk, random access memory (RAM), read-only memory (ROM), fixed magnetic disk, and optical disk. Current examples of optical disks include compact disk Read-only memory (CD-ROM), compact disk read/write (CD-R/W) and DVD.

A data processing system suitable for storing and/or executing the program code comprises at least one processor which is connected directly or indirectly to at least one memory element through a system bus. The storage element may include local memory that operates during actual execution of the program code, mass storage, and buffer memory that provides temporary storage of at least some program code to reduce the number of times the code is retrieved from mass storage during execution.

Input/output or I/O devices, which may include but are not limited to keyboards, displays, pointing devices, etc., may be coupled to the system either directly or through intervening I/O controllers.

Network adapters may also be connected to the system to allow the data processing system to interface with other data processing systems or remote printers or storage devices through intervening private or public networks. In this context, modems, cable modems or Ethernet cards are just a few examples of the currently available types of network adapters.

In an advantageous further development it is provided that the first interface is a standardized interface and/or a device-specific interface to an ophthalmological device, with the ophthalmological device preferably being a device from the group comprising: gonioscope, keratometer, lensmeter, ophthalmoscope, perimeter, phoropter, Pachymeter, refractometer, lensmeter, slit lamp microscope and tonometer. Any ophthalmological devices can then be used and the examination methods based on them can be carried out easily and conveniently and their results can be processed further.

An advantageous development provides that the second interface is a software interface or a hardware interface, the second preferred interface being adapted, at least some data, in particular the ophthalmological measurement values in csv format, GDT format, REST format , tmp format, txt format and/or xml format. As a result, the further processing of the measurement results can take place in a particularly simple manner.

In an advantageous development, it is provided that the ophthalmological measured values transmitted from the ophthalmological device to the device are converted into a standard format, preferably a GDT format, REST format, tmp format, txt format and/or xml format. This enables a particularly simple further processing of the measurement results.

In an advantageous development, it is provided that the determined ophthalmological measured values are evaluated, displayed numerically and/or displayed graphically, the determined ophthalmological measured values being evaluated, displayed numerically and/or displayed graphically in the standard format. As a result, targeted or more in-depth further processing can also take place without additional programs, in particular eye information systems or electronic patient files.

In an advantageous development, it is provided that the determined ophthalmological measurement values are sent to a practice management system before be handed over to a patient information system, the patient information system comprising in particular an eye information system. As a result, the measured values can be easily transferred to standardized practice management systems, which significantly simplifies the work processes in opticians as well as in medical practices and clinics.

In an advantageous development, it is provided that the determined ophthalmological measured values are stored in a database. The measured values can then be backed up, resulting in increased security.

In an advantageous development, it is provided that control commands are transmitted to the ophthalmological device, with the control commands preferably being based on previously determined ophthalmological measured values. The ophthalmological device then does not have to be operated specifically by a user, but can be controlled more or less remotely, which improves the comfort and safety when using the ophthalmological device.

In an advantageous development, it is provided that prescriptions are created based on the determined ophthalmological measured values. As a result, the workflow for opticians and in medical practices and clinics can be further simplified and thus made more convenient and less time-consuming.

An advantageous development provides that a third interface is used, with which a user can enter data, with the data preferably being from the group comprising: control data for the ophthalmological device, ophthalmological measured values and patient data. A user then does not have to access a patient administration system or the like, but rather enter master data on the patient directly into the device, for example.

• 1 die erfindungsgemäße Vorrichtung im Rahmen ihrer Benutzung.

The features and further advantages of the present invention will become clear below on the basis of the description of a preferred exemplary embodiment in connection with the single figure. It shows purely schematically:

• 1 the device according to the invention in the context of its use.

In 1 an ophthalmological system 10 is shown, which has the device 12 according to the invention, which includes a display unit 14 and an input unit in the form of a keyboard 16, as well as two ophthalmological examination devices 18, 20, which are each connected to the device 12 via a data line 22, 24 for communication purposes are, the device 12 itself being connected in terms of communication to a computer network 26 via the data line 28 .

The first ophthalmological examination device 18 is a phoropter, for example, and the second ophthalmological examination device 20 is a tonometer. Other ophthalmological examination devices could also be involved, in which case these can also be present as combination measuring devices, for example with a refractometer, keratometer, tonometer and pachymeter.

The device 12 according to the invention can, for example, be a computer device such as a laptop or the like. Instead of this physical device, there could also be a computer program product that runs on such a computer device, which in particular can also be part of the computer network 26 .

The computer network 26 is in the form of an Ethernet network, for example, in which the practice management system, preferably a patient information system, in particular with an eye information system, both in software form, runs.

The computer device 12 has two first interfaces (not shown) for connecting the data lines 22, 24, these interfaces usually being proprietary interfaces which are matched to the respective device type.

Not just two but a large number of ophthalmological examination devices can be connected to the device 12 and operated and read out via the device 12 . In addition, ophthalmological examination devices can also be connected to the device 12 via the computer network 26 . This is very easy with ophthalmological examination devices that have an RJ45 interface because they can then be connected to modern computer networks 26 that also have such interfaces as standard.

The device 12 is designed - for example by means of a corresponding software application - so that the data transmitted from the individual ophthalmological examination devices 18, 20 to the device 12 are converted device-specifically into xml or txt format if they are not already in be transmitted by the ophthalmological examination devices 18, 20 in this format. This xml or tyt data is stored in device 12 .

This converted data can then be analyzed numerically and/or graphically fish are displayed and evaluated, for which purpose the device 12 provides various display or evaluation modules that can be displayed and operated on the display unit 14 depending on the application. This allows the user to display all measured values determined on a clear and uniform interface without having to resort to the proprietary software of the individual ophthalmological examination devices or other software.

The device 12 itself or also the computer network 26 have an SQL database (not shown). Thanks to this SQL database, data is stored quickly and centrally via the device 12 itself, which also supports a more secure, automatable backup function.

Furthermore, the device 12 converts the transmitted data directly and/or the converted data into a new format, namely either the GDT format (GDT stands for device data carrier) or the REST format and then transmits the data to the patient information system set up in the network 26.

This conversion takes into account the original file format as well as the interface format, the model number and the measured data of the ophthalmological examination device.

The data transmitted to the patient information system create an index card entry for the patient in question, possibly also creating the new patient at the same time if this does not yet exist in the patient information system. Due to the standardized data format (GDT or REST), it doesn't matter which patient information system is used.

The user can also use certain measured values to control the ophthalmological measuring devices 18, 20. For example, the user could use the device 12 to send stored values for the subjective refraction for a patient to the phoropter 18 in order to roughly set the latter in relation to the patient's requirements. The user could have determined these stored values for this patient in advance using an autorefractometer and stored them via the device 12 .

It has become clear from the above description that the present invention provides a solution that brings improvements to the effect that ophthalmological measuring devices do not have to be operated by a user and their measurement results in relation to the patient do not have to be further processed independently by the user. The use of these ophthalmological examination devices is easier and more comfortable. The invention can be implemented both in the form of a device, but also in the form of a computer program product and thus software that operates both on a single computer and in a computer network, whereby ophthalmological measuring devices can be connected to a practice management system or other data-processing software (e.g. for opticians). can be connected. This includes, for example, lensmeters, objective and subjective refraction including accommodation width and keratomy measurements, phoroptors and tonometry with pachymetry measurements. Likewise, visual readings can be processed with specific measurements. The transmission preferably takes place in the standardized GDT format or according to the REST / API method to the practice management system. The analyzed data is converted and entered specifically for the examination. The integration via manufacturer-specific protocols includes not only a large number of new devices (e.g. from the companies Nidek, Topcon and Shin Nippon), but also older devices that support the Ethernet standard, for example. Several ophthalmological measuring devices can be connected to the device or to the software. Thanks to the modular structure of the display of the device or the software, the transmitted values and measurements can be evaluated effectively and quickly and displayed numerically and graphically.

The claims filed now with the application and also the claims filed later are without prejudice for the attainment of further protection.

If a closer examination, in particular of the relevant prior art, reveals that one or the other feature is favorable for the aim of the invention, but is not decisively important, then of course a wording is sought that includes such a feature , in particular in the main claim no longer has. Such a sub-combination is thus also covered by the disclosure of this application.

The references listed in the dependent claims indicate the further development of the subject matter of the main claim through the features of the respective dependent claim. However, these are not to be understood as a waiver of the achievement of independent, objective protection for the features of the subclaims that refer back.

It should also be noted that the configurations and variants of the invention described in the various embodiments and shown in the figures can be combined with one another as desired. One or more features can be arbitrarily interchanged with one another. These combinations of features are also disclosed.

Features that were only disclosed in the description or individual features from claims that include a plurality of features can be included in the independent claim(s) at any time as being of essential importance to the invention for delimitation from the prior art, even if if such features were mentioned in connection with other features or achieve particularly favorable results in connection with other features.

Thus, all features presented in the general description of the invention, the description of the exemplary embodiments, the following claims and in the figures can be essential to the invention both individually and in any combination with one another. These features or combinations of features can each constitute an independent invention, which we expressly reserve the right to claim. Individual features from the description of an exemplary embodiment do not necessarily have to be combined with one or more or all other features specified in the description of this exemplary embodiment; in this regard, each sub-combination is also expressly disclosed. In addition, physical features of a device can also be used as method features and method features can be reformulated and used as physical features of a device. Such a reformulation is thus automatically disclosed.

Reference List

10

ophthalmic system

12

Device according to the invention for processing ophthalmological measured values

14

display unit

16

input unit, keyboard

18

first ophthalmological examination device, phoropter

20

second ophthalmological examination device, tonometer

22, 24

Data lines for connecting the device 12 to the ophthalmological examination devices 18, 20

26

computer network

28

Data line between device 12 and computer network

Claims (14)

Device (12) for processing ophthalmological measured values with at least a first interface to an ophthalmological device (18, 20), wherein the ophthalmological measured values were determined with the ophthalmological device (18, 20), and at least a second interface to a computer device and/or a computer network (26), the device (12) being adapted to transmit the measured values from the first interface to the second interface. Device (12) after claim 1 , characterized in that the first interface is a standardized interface and/or a device-specific interface to an ophthalmological device (18, 20), the ophthalmological device preferably being a device from the group comprising: gonioscope, keratometer, lens meter, ophthalmoscope, perimeter, Phoropter (18), pachymeter, refractometer, lensmeter, slit lamp microscope and tonometer (20). Device (12) after claim 1 or claim 2 , characterized in that the second interface is a software interface or a hardware interface, the second preferred interface being adapted, at least some data, in particular the ophthalmological measured values in csv format, GDT format, REST format, tmp format, txt format and/or xml format. Device (12) according to one of the preceding claims, characterized in that the device (12) is adapted to convert the ophthalmological measured values transmitted from the ophthalmological device (18, 20) to the device (12) into a standard format, preferably a GDT format , REST format, tmp format, txt format and/or xml format. Device (12) according to one of the preceding claims, characterized in that the device (12) is adapted to evaluate the determined ophthalmological measured values, to display them numerically and/or graphically, the device (12) preferably being adapted to display the determined ophthalmological measured values in standard format claim 4 to evaluate to display numerically and/or to display graphically. Device (12) according to one of the preceding claims, characterized in that the device (12) is adapted to transfer the determined ophthalmological measured values to a practice management system, preferably a patient information system, the practice management system comprising in particular an eye information system and/or that the device ( 12) is adapted to store the determined ophthalmological measured values in a database and/or that the device (12) is adapted to transmit control commands to the ophthalmological device, the control commands preferably being based on previously determined ophthalmological measured values and/or that the device (12) is adapted to create prescriptions based on the determined ophthalmological measurement values. Device (12) according to one of the preceding claims, characterized in that the device (12) has a third interface with which a user can enter data, the data preferably being those from the group comprising: control data for the ophthalmological device, ophthalmological Measurements and patient data. Computer program product stored on a computer-readable medium, comprising computer-readable program means which cause the computer to carry out a method for processing ophthalmological measured values, with a first interface to an ophthalmological device (18, 20) and the ophthalmological Measured values were determined with the ophthalmological device (18, 20), and there is at least a second interface to a computer device and/or a computer network (26), the measured values being transmitted from the first interface to the second interface if the program means on the computers are running. computer program product claim 8 , characterized in that the first interface is a standardized interface and/or a device-specific interface to an ophthalmological device (18, 20), the ophthalmological device preferably being a device from the group comprising: gonioscope, keratometer, ophthalmoscope, perimeter, phoropter ( 18), pachymeter, refractometer, lensmeter, slit lamp microscope and tonometer (20). computer program product claim 8 or claim 9 , characterized in that the second interface is a software interface or a hardware interface, the second preferred interface being adapted, at least some data, in particular the ophthalmological measurement values in GDT format, REST format, tmp format, txt- format and/or xml format. Computer program product according to any of Claims 8 until 10 , characterized in that the ophthalmological measured values transmitted from the ophthalmological device (18, 20) to the device (12) are in a standard format, preferably a GDT format, REST format, tmp format, txt format and/or xml format to be converted. Computer program product according to any of Claims 8 until 11 , characterized in that the determined ophthalmological measured values are evaluated, displayed numerically and/or graphically, the determined ophthalmological measured values in the standard format according to claim 11 evaluated, displayed numerically and/or displayed graphically. Computer program product according to any of Claims 8 until 12 , characterized in that the determined ophthalmological measured values are transferred to a practice management system, preferably a patient information system, the practice management system comprising in particular an eye information system and/or that the determined ophthalmological measured values are stored in a database and/or that control commands are sent to the ophthalmological device (18th , 20) are transmitted, the control commands preferably being based on previously determined ophthalmological measured values and/or prescriptions being created based on the determined ophthalmological measured values. Computer program product according to any of Claims 8 until 13 , characterized in that a third interface is used, with which a user can enter data, the data preferably being from the group comprising: control data for the ophthalmological device, ophthalmological measured values and patient data.

Images