HK1237230B - Method and system for measuring light diffusion in the eyeball or in the ocular region - Google Patents
Method and system for measuring light diffusion in the eyeball or in the ocular region Download PDFInfo
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Description
技术领域Technical Field
在第一方面,本发明通常涉及一种用于测量眼球或眼部区域中的光漫射的方法,更具体地,涉及将眼部的像差测量信息与患者的一个或两个眼球的视网膜平面的图像上的信息相组合的方法。In a first aspect, the present invention generally relates to a method for measuring light diffusion in an eye or an eye region, and more particularly to a method for combining aberration measurement information of the eye with information on an image of the retinal plane of one or both eyes of a patient.
本发明的第二方面涉及一种适于实现第一方面的方法的系统。A second aspect of the invention relates to a system suitable for implementing the method of the first aspect.
本发明的第三方面涉及适于实现第一方面的方法的计算机程序。A third aspect of the invention relates to a computer program adapted to implement the method of the first aspect.
背景技术Background Art
眼球中或眼部区域中的光漫射是人眼中视网膜的图像质量劣化的三个原因之一,其他两个原因是光学像差和衍射。Light diffusion in the eyeball or in the ocular region is one of three causes of image degradation of the retina in the human eye, the other two being optical aberrations and diffraction.
光学像差和眼内扩散的组合一起影响视网膜图像质量。双通技术(the double-pass technique)(J.antamaria,P.Artal,J.Bescos,"Determination of the point-spread function of human eyes using a hybrid optical-digital method",J.,Opt.Soc.Am.A,4,1109-1114(1987))基于将平行光束投影到患者的视网膜上,并且在光以双通通过眼部介质之后直接记录在其中反射的光,允许获得像差和眼内扩散对眼睛光学质量的贡献的客观测量(F.Diaz-Douton,A.Benito,J.Pujol,M.Arjona,JL Guell,P.Artal,"Comparison of the retinal image quality obtained with a Hartmann-Shack sensorand a double-pass instrument",Inv.Ophthal.Vis.Ciencia.,47,1710-1716(2006))。The combination of optical aberrations and intraocular diffusion together affects retinal image quality. The double-pass technique (J. Antamaria, P. Artal, J. Bescos, "Determination of the point-spread function of human eyes using a hybrid optical-digital method", J., Opt. Soc. Am. A, 4, 1109-1114 (1987)) is based on projecting a parallel light beam onto the patient's retina and directly recording the light reflected therein after the light has passed through the ocular medium in a double pass, allowing an objective measurement of the contribution of aberrations and intraocular diffusion to the optical quality of the eye to be obtained (F. Diaz-Douton, A. Benito, J. Pujol, M. Arjona, JL Guell, P. Artal, "Comparison of the retinal image quality obtained with a Hartmann-Shack sensor and a double-pass instrument", Inv. Ophthal. Vis. Ciencia., 47, 1710-1716 (2006)).
在标题为“Comparison of the retinal image quality obtained with aHartmann-Shack sensor and a double-pass instrument”(F.Diaz-Douton,A.Benito,J.Pujol,M.Arjona,JL Guell,P.Artal,Inv.Ophthal.Vis.Ciencia.,47,1710-1716(2006))的文章中,描述了通过波前的传感器(特别是通过Hartmann-Shack传感器)单独使用双通技术和眼部像差测量技术,目的是比较通过两种技术获得的结果来确定在评估视网膜的图像的质量时何时一种优于另一个,得出对于具有低眼内扩散的眼睛,两种技术都提供类似的结果,相反,对于具有中等或高眼内扩散值的眼睛,双通技术是更好的,因为它产生与视觉质量最相关的光学质量的更精确描述,而像差测量技术可以产生对视网膜图像质量评估过高的结果。In the article entitled "Comparison of the retinal image quality obtained with a Hartmann-Shack sensor and a double-pass instrument" (F. Diaz-Douton, A. Benito, J. Pujol, M. Arjona, JL Guell, P. Artal, Inv. Ophthal. Vis. Ciencia., 47, 1710-1716 (2006)), the use of a double-pass technique by means of a wavefront sensor (in particular by means of a Hartmann-Shack sensor) and an ocular aberration measurement technique alone is described, with the aim of comparing the results obtained by means of the two techniques to determine when one is superior to the other in assessing the quality of the retinal image. It was concluded that for eyes with low intraocular diffusion, both techniques provide similar results, whereas for eyes with medium or high intraocular diffusion values, the double-pass technique is better because it produces a more accurate description of the optical quality that is most relevant to visual quality, while the aberration measurement technique can produce results that overestimate the quality of the retinal image.
所述文章没有提出结合通过使用所述两种技术中的每一种获得的结果以获得一组合的结果,或测量在眼球或眼部区域中的光漫射,或执行任何其他类型的测量。The article does not suggest combining the results obtained by using each of the two techniques to obtain a combined result, or measuring light diffusion in the eye or ocular region, or performing any other type of measurement.
此外,专利申请EP2147633A1提出了一种用于测量眼球或眼部区域中的光漫射的方法和系统,其包括执行在本发明的权利要求1的前序部分中描述的步骤。Furthermore, patent application EP 2 147 633 A1 proposes a method and a system for measuring light diffusion in an eyeball or an eye region, which comprises performing the steps described in the preamble of claim 1 of the present invention.
发明内容Summary of the Invention
有必要提供覆盖现有技术中的空缺的替代方案,该替代方案在眼球或眼部区域中提供比通过现有技术的提案获得的更精确的光漫射测量。There is a need to provide an alternative solution that covers the gaps in the prior art and that provides more accurate light diffusion measurements in the eyeball or ocular region than is obtained by prior art proposals.
为此目的,本发明在第一方面涉及一种用于测量眼球或眼部区域中的光漫射的方法,其包括执行以下步骤:To this end, the present invention relates in a first aspect to a method for measuring light diffusion in an eyeball or an eye region, comprising performing the following steps:
将点状光束投射到患者的至少一只眼睛的视网膜上;projecting a spot beam of light onto the retina of at least one eye of the patient;
校正所述眼睛的低阶眼部像差;和correcting low-order ocular aberrations of the eye; and
一旦所述低阶像差被校正,捕捉和记录视网膜平面的至少一个图像,该图像在所述点状光束在视网膜上反射和两次穿过(double passage through,或称为双通穿过)所述眼睛的眼部介质之后形成。Once the low-order aberrations are corrected, at least one image of the retinal plane is captured and recorded, the image being formed after the point-shaped light beam reflects off the retina and passes twice (double passage through) the ocular medium of the eye.
与用于进行测量的已知方法不同,在已知方法中使用至多一个眼部像差测量,来验证通过处理视网膜平面的图像和在所述图像上的信息而获得的结果,本发明的第一方面提出的方法特征性地包括在所述捕捉视网膜平面的所述图像的同时,在所述眼睛的瞳孔的平面中进行高阶和低阶眼部像差测量并进行光漫射测量,将通过所述眼部像差测量获得的信息与在视网膜平面的所述图像上的信息结合。Unlike known methods for performing measurements, in which at most one ocular aberration measurement is used to verify the results obtained by processing the image of the retinal plane and the information on said image, the method proposed in the first aspect of the present invention characteristically comprises performing high-order and low-order ocular aberration measurements and light diffusion measurements in the plane of the pupil of the eye while capturing said image of the retinal plane, combining the information obtained by said ocular aberration measurements with the information on said image of the retinal plane.
捕捉视网膜平面的图像并同时进行高阶和低阶眼部像差测量对于获得关于光漫射测量的良好结果是必要的,因为如果它们不同时发生,则其中采取的两种测量(与捕捉视网膜平面的图像和眼部像差测量相关联的测量)的情况将不会相同或足够相似以彼此组合。Capturing an image of the retinal plane and taking both high-order and low-order ocular aberration measurements simultaneously is necessary to obtain good results with respect to light diffusion measurements, because if they do not occur simultaneously, the circumstances in which the two measurements are taken (those associated with capturing an image of the retinal plane and the ocular aberration measurements) will not be the same or similar enough to be combined with one another.
所述低阶像差优选地包括散光和散焦。The low-order aberrations preferably include astigmatism and defocus.
根据一个实施例,由本发明的第一方面提出的方法使用开场技术(open fieldtechniques)和/或以双目方式(binocular manner)在患者的双眼中实现。According to one embodiment, the method proposed by the first aspect of the invention is implemented in both eyes of the patient using open field techniques and/or in a binocular manner.
根据一个实施例,高阶和低阶眼部像差测量是第二测量,其中该方法包括预先进行患者的眼睛的第一眼部像差测量,并且使用所获得的结果用于该眼睛的所述低阶眼部像差校正。According to one embodiment, high-order and low-order ocular aberration measurements are second measurements, wherein the method comprises previously performing a first ocular aberration measurement of the patient's eye and using the obtained results for correction of said low-order ocular aberrations of the eye.
低阶眼部像差可以使用任何已知技术来校正,包括从与标准方法相关联的技术到本专利申请人的专利申请EP2147633A1中公开的技术。Low-order ocular aberrations may be corrected using any known technique, ranging from techniques associated with standard methods to those disclosed in patent application EP2147633A1 of the applicant of the present patent application.
有利地,本发明的第一方面的方法包括使用用于测量像差的同一个系统(通常为像差仪)来进行第一和第二眼部像差测量。对于另一个较不优选的实施例,使用用于测量像差的两个系统,每个用于第一和第二测量中的一个。Advantageously, the method of the first aspect of the invention comprises using the same system for measuring aberrations (typically an aberrometer) to perform the first and second ocular aberration measurements. In another less preferred embodiment, two systems for measuring aberrations are used, one for each of the first and second measurements.
所述方法包括当波前通过瞳孔的平面时,执行在波前(wavefront)上的所提及的高阶和低阶眼部像差测量,所述波前来自所述点状光束穿过瞳孔平面时在视网膜上的反射。The method comprises performing the mentioned high-order and low-order ocular aberration measurements on the wavefront resulting from the reflection of the point-shaped light beam on the retina as it passes through the plane of the pupil.
根据一个实施例,本发明的方法包括在瞳孔的平面分析视网膜平面的图像的光分布和在所述波前的对应所述眼部像差测量的图像的光分布,并且通过比较光的两种分布进行光漫射测量,有利地对应两个图像的每个光斑。According to one embodiment, the method of the invention comprises analyzing, at the plane of the pupil, the light distribution of an image of the retinal plane and of an image corresponding to said ocular aberration measurement at said wavefront, and performing a light diffusion measurement by comparing the two distributions of light, advantageously corresponding to each light spot of the two images.
对于一个实施例,该方法包括使用在视网膜平面的图像的信息计算在专利申请EP2147633A1中描述的客观散射指数(OSI),并且将获得的结果与通过应用任何已知的方法获得的结果组合到眼部像差测量信息,用于获得最终的光漫射测量。For one embodiment, the method comprises calculating the objective scatter index (OSI) described in patent application EP2147633A1 using information of the image at the retinal plane, and combining the result obtained with the result obtained by applying any known method to the ocular aberration measurement information for obtaining the final light diffusion measurement.
对于另一个实施例,该方法包括将相应的光学传递函数(或称为OTF)应用于眼部像差测量信息和在视网膜平面的图像的信息,并进行光漫射测量,结合由所述OTF功能提供的结果。In another embodiment, the method includes applying a corresponding optical transfer function (or OTF) to the ocular aberration measurement information and the image information at the retinal plane, and performing a light diffusion measurement in combination with the results provided by the OTF function.
根据所述实施例的变形,由本发明的第一方面提出的方法包括执行光漫射测量,结合由所述OTF功能提供的结果并且还比较两种所述光分布。According to a variant of said embodiment, the method proposed by the first aspect of the invention comprises performing a light diffusion measurement, combining the results provided by said OTF function and also comparing the two said light distributions.
关于OTF函数,所述函数至少包括相应调制传递函数(modulation transferfunctions)(或称为MTF)中的绝对值,其中所述方法包括执行与用所述绝对值生成的轮廓(profiles)(例如径向轮廓或单向轮廓)相关联的光漫射测量分割值(dividing values),例如计算所述轮廓的曲线下的现有区域,用为所述区域计算的值执行所述分割。Regarding the OTF function, said function comprises at least the absolute values of the corresponding modulation transfer functions (MTF), wherein said method comprises performing a dividing value of light diffusion measurements associated with profiles (e.g. radial profiles or unidirectional profiles) generated using said absolute values, e.g. calculating the existing area under the curve of said profile, performing said dividing using the values calculated for said area.
根据一个实施例,所述OTF函数包括相应的相位传递函数(或称为PTF)中的复数参数值。According to one embodiment, the OTF function includes complex parameter values in a corresponding phase transfer function (or PTF).
本发明的第二方面涉及一种用于测量眼球或眼部区域中的光漫射的系统,包括:A second aspect of the invention relates to a system for measuring light diffusion in an eye or an eye region, comprising:
用于将点状光束投射到患者的至少一只眼睛的视网膜上的装置;means for projecting a spot beam of light onto the retina of at least one eye of the patient;
用于捕捉和记录视网膜平面的图像的装置,所述图像在所述点状光束在视网膜上反射和两次穿过所述眼睛的眼部介质之后形成;和means for capturing and recording an image of the retinal plane, said image being formed after said point-shaped light beam has reflected on the retina and passed twice through the ocular medium of said eye; and
用于在所述捕捉和记录之前校正所述眼睛的低阶眼部像差的装置。Means for correcting low-order ocular aberrations of said eye prior to said capturing and recording.
与已知系统不同,由本发明的第二方面提出的系统包括Different from the known systems, the system proposed by the second aspect of the present invention comprises
用于在所述眼睛的瞳孔的平面中进行高阶和低阶眼部像差测量的装置;means for performing high-order and low-order ocular aberration measurements in the plane of the pupil of said eye;
控制装置,其至少控制用于捕捉和记录视网膜平面的图像的所述装置和用于进行眼部像差测量的所述装置,使得它们同时操作;和control means that control at least said means for capturing and recording images of the retinal plane and said means for performing ocular aberration measurements so that they operate simultaneously; and
处理装置,其以结合的方式将通过所述眼部像差测量获得的信息与在视网膜平面的所述图像的信息一起进行处理,并且作为所述处理的结果,提供所述光漫射测量的一个或多个值。Processing means for processing the information obtained by said eye aberration measurement together with the information of said image at the retinal plane in a combined manner and providing one or more values of said light diffusion measurement as a result of said processing.
提供由本发明的第二方面提出的系统,用于实现根据第一方面的方法。A system proposed by a second aspect of the present invention is provided for implementing the method according to the first aspect.
优选地,用于将点状光束投射到患者眼睛的视网膜上的所述装置以及用于捕捉和记录视网膜平面的图像的装置是双通检眼镜检查系统(ophthalmoscopic system)的一部分。Preferably, the means for projecting a spot-shaped light beam onto the retina of the patient's eye and the means for capturing and recording an image of the retinal plane are part of a double-pass ophthalmoscopic system.
有利地,由本发明的第二方面提出的系统被配置和布置为使用开场技术(openfield techniques)。Advantageously, the system proposed by the second aspect of the invention is configured and arranged to use openfield techniques.
对于优选的实施例,通过本发明的第二方面提出的系统被配置和布置为用于实现应用于患者的两只眼睛的双目系统。For a preferred embodiment, the system proposed by the second aspect of the present invention is configured and arranged for implementing a binocular system applied to both eyes of a patient.
对于另一较不优选的实施例,通过本发明的第二方面提出的系统被配置和布置为用于实现单眼系统。For another less preferred embodiment, the system proposed by the second aspect of the present invention is configured and arranged for implementing a monocular system.
根据优选的实施例,用于校正低阶眼部像差的装置包括或与用于进行眼部像差测量的装置相关联,以根据利用用于进行眼部像差测量的装置进行的测量来校正眼部像差。According to a preferred embodiment, the means for correcting low-order ocular aberrations comprise or are associated with means for performing ocular aberration measurements, so as to correct ocular aberrations based on measurements performed with the means for performing ocular aberration measurements.
对于另一较不优选的实施例,用于校正低阶眼部像差的装置和用于进行眼部像差测量的装置彼此独立。In another less preferred embodiment, the means for correcting low-order ocular aberrations and the means for performing ocular aberration measurements are independent of each other.
本发明的第三方面涉及一种包括代码指令的计算机程序,当所述计算机程序在计算机中运行时,根据第一方面的方法在眼球或眼部区域中进行光漫射测量,以结合的方式,处理通过眼部像差测量获得的信息对应的数据以及视网膜平面的图像上的信息对应的数据。A third aspect of the present invention relates to a computer program comprising code instructions, which, when executed in a computer, performs light diffusion measurement in an eyeball or an eye region according to the method of the first aspect, and processes data corresponding to information obtained by eye aberration measurement and data corresponding to information on an image of the retinal plane in a combined manner.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
基于以下参考附图的几个实施例的详细描述,将更好地理解前述和其他优点以及特征,必须以非限制性说明的方式来理解附图,其中:The aforementioned and other advantages and features will be better understood based on the following detailed description of several embodiments with reference to the accompanying drawings, which must be understood in a non-limiting illustrative manner, in which:
图1是通过本发明的第二方面提出的系统的实施例的示意图的透视图,其中该实施例实现了一开场双目系统。FIG1 is a perspective view of a schematic diagram of an embodiment of a system proposed by the second aspect of the present invention, wherein the embodiment implements an open-field binocular system.
具体实施方式DETAILED DESCRIPTION
根据图1所示的实施例,用于测量由本发明的第二方面提出的眼球或眼部区域中的光漫射的系统是开场双目系统,该系统包括用于将点状(punctiform)光束投射到患者的两只眼睛O1、O2的视网膜上的装置,该装置包括点状光源SLD,点状光源SLD生成通过掩模或光瞳P1分布为两个相应发射子光束中的平行光束(collimated beam)(通常为激光),所述两个相应发射子光束通过一系列常规光学元件被引导朝向两只眼睛O1、O2中的每一个,特别是用作反射镜的分束器BS1和BS2以及透镜L1和L2,并且在每个发射子光束被反射镜M1重定向到相应的眼睛O1、O2之后,两个发射子光束中的每一个通过各自的光学元件组中的一个单独地引导,光学元件组中的每个都特别地由一对柱形透镜C1-2和C3-4形成,之后布置另一透镜LL1和LL2、另一光瞳P2和P3、相应的反射镜M2和M4、另一透镜L3和L5、分色镜DM1和DM2以及最后的热镜HM1和HM2,之后发射子光束照射击中眼睛O1、O2的视网膜。According to the embodiment shown in FIG1 , the system for measuring light diffusion in the eyeball or eye region according to the second aspect of the present invention is an open-field binocular system, which includes a device for projecting a punctiform light beam onto the retinas of the patient's two eyes O1 and O2, the device including a punctiform light source SLD, which generates a collimated light beam distributed through a mask or pupil P1 into two corresponding emission sub-beams. beam) (typically a laser), the two respective emission sub-beams are directed towards each of the two eyes O1, O2 through a series of conventional optical elements, in particular beam splitters BS1 and BS2 acting as mirrors and lenses L1 and L2, and after each emission sub-beam has been redirected to the respective eye O1, O2 by the mirror M1, each of the two emission sub-beams is directed individually through one of the respective optical element groups, each of which is in particular formed by a pair of cylindrical lenses C1-2 and C3-4, followed by another lens LL1 and LL2, another pupil P2 and P3, a respective mirror M2 and M4, another lens L3 and L5, a dichroic mirror DM1 and DM2 and finally a hot mirror HM1 and HM2, after which the emission sub-beams impinge on the retinas of the eyes O1, O2.
图1还示出了系统如何包括由两个相机CCD-DP1y、CCD-DP2组成的装置,提供每个相机用于捕捉和记录视网膜之一的平面的图像,该图像在两个点状光发射子光束在视网膜内的反射和以两次穿过两只眼睛O1、O2的眼部介质之后形成,沿着与发射子光束路径相反的路径产生相应的反射子光束,穿过光学元件到达分束器BS2,分束器BS2反射反射子光束的每个的一部分,穿过透镜L1和分束器BS1,之后每个反射子光束由反射镜M3引导向相机CCD-DP1和CCD-DP2中的一个。FIG1 also shows how the system comprises an arrangement consisting of two cameras CCD-DP1y, CCD-DP2, each camera being provided for capturing and recording an image of a plane of one of the retinas, the image being formed after two point-shaped emission sub-beams of light are reflected within the retina and pass twice through the ocular medium of the two eyes O1, O2, generating corresponding reflected sub-beams along paths opposite to the paths of the emission sub-beams, passing through optical elements to reach the beam splitter BS2, which reflects a portion of each of the reflected sub-beams, passes through the lens L1 and the beam splitter BS1, after which each reflected sub-beam is directed by a mirror M3 towards one of the cameras CCD-DP1 and CCD-DP2.
成对的柱形透镜C1-2和C3-4是在捕捉和记录视网膜平面的图像之前校正眼睛O1、O2的低阶眼部像差的装置或装置一部分。The pair of cylindrical lenses C1-2 and C3-4 is a device or part of a device that corrects low-order ocular aberrations of the eyes O1, O2 before capturing and recording the image of the retinal plane.
此外,图1还示出了系统还如何包括用于在两只眼睛O1、O2的瞳孔的平面中执行高阶和低阶眼部像差测量的装置,该装置特别地由Hartmann-Shack传感器HS组成,HS被穿过分束器BS2和透镜L4的两个反射子光束中的部分照射。Furthermore, FIG1 shows how the system also comprises means for performing high-order and low-order ocular aberration measurements in the plane of the pupils of the two eyes O1, O2, which means in particular consist of a Hartmann-Shack sensor HS which is illuminated by part of the two reflected sub-beams passing through the beam splitter BS2 and the lens L4.
图1同样通过箭头示出了第一和第二通道中的光的方向,即,朝向视网膜的发射子光束以及相反方向的反射子光束。FIG1 also shows the direction of the light in the first and second channels by means of arrows, ie the emitted sub-beam towards the retina and the reflected sub-beam in the opposite direction.
图1还示出了与摄像机CCD-DP1、CCD-DP2和Hartmann-Shack传感器HS以双向方式通信的电子系统SE,并且包括至少控制CCD-DP1、CCD-DP2和HS的控制装置MC,使得它们同时操作,并且处理装置MP以结合的方式处理通过CCD-DP1、CCD-DP2和HS获得的信息,并且提供光漫射测量的一个或多个值,作为所述处理的结果。FIG1 also shows an electronic system SE communicating in a bidirectional manner with the cameras CCD-DP1, CCD-DP2 and the Hartmann-Shack sensor HS, and comprising control means MC for controlling at least the CCD-DP1, CCD-DP2 and HS so that they operate simultaneously, and processing means MP for processing the information obtained by means of the CCD-DP1, CCD-DP2 and HS in a combined manner and providing one or more values of light diffusion measurement as a result of said processing.
对于未示出的一实施例,控制装置MC与成对的柱形透镜C1-2和C3-4(和/或与适于校正低阶眼部像差的任何其他类型的替代机构)连接以控制它们,为的是所提及的校正眼部像差的目的,这取决于用Hartmann-Shack传感器HS进行的眼部像差测量。For an embodiment not shown, the control means MC are connected to the pair of cylindrical lenses C1-2 and C3-4 (and/or to any other type of alternative mechanism suitable for correcting low-order ocular aberrations) to control them for the purpose of correcting ocular aberrations as mentioned, depending on the ocular aberration measurement performed with the Hartmann-Shack sensor HS.
本领域技术人员可以在所描述的实施例中引入改变和修改而不脱离如所附权利要求中限定的本发明的范围。Those skilled in the art may introduce changes and modifications in the described embodiments without departing from the scope of the invention as defined in the appended claims.
Claims (14)
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ESP201431163 | 2014-07-31 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| HK1237230A1 HK1237230A1 (en) | 2018-04-13 |
| HK1237230B true HK1237230B (en) | 2019-12-06 |
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