JP2009112665A - Fundus camera - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To perform photographing work appropriately by easily understanding how much eyelids of a subject's eye need to be apart in photographing an ocular fundus. <P>SOLUTION: The fundus camera for photographing the ocular fundus of the subject's eye includes an anterior ocular segment photographing means for photographing an anterior ocular segment of the subject's eye, a display means for displaying images of the anterior ocular segment photographed by the anterior ocular segment photographing means, and a display control means for displaying an index which is an indication for determining the separated state of the eyelids of the subject's eye in the form of indexes imitating the eyelids and eyelashes in a prescribed position of a screen of the display means with the image of the anterior ocular segment. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a fundus camera that photographs the fundus of a subject's eye.

Conventionally, a fundus camera for photographing the fundus of a subject's eye is known. When such a fundus camera is used to photograph the fundus of the eye to be examined, a good fundus photograph cannot be obtained unless the eye to be examined is in an open state. For this reason, there is known a fundus camera that detects the state of eyelids or eyelashes of the eye to be inspected and informs the examiner whether or not there is a problem with the examination (see Patent Document 1).
JP-A-10-85188

  However, the fundus camera disclosed in Patent Document 1 informs whether or not there is a problem with the examination depending on the state of eyelashes or eyelids, and allows the examiner to know how much the eyelid needs to be opened. Can not.

  The present invention provides a fundus camera that can easily grasp how much the eye to be inspected needs to be opened during fundus imaging, and that can suitably perform imaging work, in view of the above-described problems of the prior art. This is a technical issue. Furthermore, it is an object of the present invention to provide a fundus camera capable of easily grasping whether the cause of influence on photographing is eyelids or eyelashes.

(1) In a fundus camera for photographing the fundus of a subject's eye,
An anterior segment imaging unit that images the anterior segment of the eye to be examined, a display unit that displays the anterior segment image captured by the anterior segment imaging unit, and a guide for determining the open state of the subject A fundus camera comprising: a display control unit configured to display the index as an index simulating eyelids and eyelashes together with the anterior segment image at a predetermined position on the screen of the display unit.
(2) The fundus camera of (1)
A fundus photographing unit that illuminates the fundus of the subject's eye with infrared light to photograph the fundus and obtains a fundus observation image; a display switching unit that switches between the anterior ocular segment image and the fundus observation image and displays the image on the display unit; And the display control means hides the indicator in response to switching from the display of the anterior ocular segment image to the display of the fundus oculi observation image by the display switching means.
(3) The fundus camera of either (1) or (2)
A display means for projecting a corneal reflection image of the eye to be inspected by a light beam from a light source onto a light receiving element, and detecting a state of eyelashes and eyelids of the eye to be inspected based on a light reception result by the light receiving element; The eyelash part or eyelid part of the indicator is individually highlighted based on the detection result of the detecting means, or a new indicator showing the position of the eyelash or eyelash is displayed on the screen of the display means.
(4) The fundus camera of (2) projects a corneal reflection image of the eye to be inspected by the light flux from the light source onto the light receiving element, and detects the state of eyelashes and eyelids of the eye to be inspected based on the light reception result by the light receiving element. It has a detection means, and the display control means switches from the display of the fundus observation image to the display of the anterior segment image based on the detection result of the detection means.
(5) The fundus camera of any one of (1) to (4)
The display control means includes an imaging mode selection means for selecting an automatic imaging mode for automatically determining imaging timing and performing automatic imaging, and a manual imaging mode for determining imaging timing according to the examiner's intention and performing imaging. When the automatic photographing mode is selected by the photographing mode means, the indicator is displayed on the screen of the display means, and when the manual photographing mode is selected, display control is performed so that the indicator is not displayed. It is characterized by that.

  According to the present invention, it is possible to easily grasp how much the eye to be examined needs to be opened during fundus photographing, and photographing work can be performed suitably.

  Embodiments according to the present invention will be described below with reference to the drawings. FIG. 1 is an external configuration diagram of a fundus camera according to the present embodiment.

  The fundus camera includes a base 1, a movable base 2 that can move in the left and right direction (X direction) and the front and rear (working distance) direction (Z direction) with respect to the base 1, and a three-dimensional direction with respect to the movable base 2. And a face support unit 5 fixed to the base 1 in order to support the face of the subject. The imaging unit 3 is moved in the left-right direction, the up-down direction (Y direction), and the front-rear direction with respect to the eye E by an XYZ drive unit 6 provided on the movable table 2. The movable table 2 is moved in the XZ direction on the base 1 by operating the joystick 4. Further, by rotating the rotary knob 4a, the XYZ drive unit 6 is driven in the Y direction and the photographing unit 3 is moved in the Y direction. Note that a monitor 8 that displays a fundus observation image, a fundus image, an anterior eye observation image, and the like is provided on the examiner side of the imaging unit 3.

  FIG. 2 is a schematic configuration diagram of an optical system and a control system housed in the photographing unit 3. The optical system is roughly divided into an illumination optical system 10, a fundus observation / imaging optical system 30 that captures a fundus image of the eye to be examined, an alignment index projection optical system 50, an anterior ocular segment observation optical system 60, and a fixation target presenting optical system 70. It is configured.

  <Illumination Optical System> The illumination optical system 10 includes an observation illumination optical system and a photographing illumination optical system. The photographing illumination optical system includes a photographing light source 14 such as a flash lamp, a condenser lens 15, a first light shielding plate 17a (for example, a ring slit) having a circular light shielding part, a ring having a circular light shielding part and a ring-shaped opening. A slit 17b, a second light shielding plate 17c having a circular light shielding portion (for example, a ring slit), a relay lens 18, a mirror 19, a black spot plate 20 having a black spot at the center, a relay lens 21, a perforated mirror 22, and an objective lens 25 are provided. Have.

  The observation illumination optical system includes a light source 11 such as a halogen lamp, an infrared filter 12 that transmits near-infrared light having a wavelength of 750 nm or more, a condenser lens 13, and a dichroic disposed between the condenser lens 13 and the ring slit 17b. The optical system from the mirror 16 and the first light shielding plate 17a to the objective lens 25 is provided. The dichroic mirror 16 has a characteristic of reflecting light from the infrared light source 11 and transmitting light from the imaging light source 14.

  In the above optical system, when the positional relationship between the eye to be examined and the apparatus main body 3 in the working distance direction is placed at a predetermined alignment reference position (reference center), the pupil (iris) of the eye to be examined and the ring slit 17b are conjugate. It arrange | positions so that it may become a position. The optical design is such that the first light-shielding plate 17a is conjugated with the cornea of the eye to be examined and the second light-shielding plate 17c is conjugated with the posterior surface of the crystalline lens of the eye with the ring slit 17b being conjugated with the pupil. The first light shielding plate 17a, the ring slit 17b, and the second light shielding plate 17c arranged in the illumination optical system 10 form a light shielding member 17 arranged so as to be conjugated with a predetermined portion of the anterior eye portion to be examined. The corneal reflection and the crystalline lens reflection caused by the fundus illumination light for fundus photographing are included in the photographing light flux from the fundus and function as harmful reflected light removing means for preventing the photographing imaging element 35 (described later) from receiving the light. To do.

  <Fundus observation / fundus imaging optical system> The fundus observation / imaging optical system 30 includes an objective lens 25, a photographing diaphragm 31 located near the aperture of the perforated mirror 22, a focusing lens 32 movable in the optical axis direction, and an imaging lens. 33. At the time of fundus photography, a flip-up mirror 34 that can be inserted and removed from the optical path by the insertion / removal mechanism 39 is provided, and the photographing optical system and the fundus observation optical system share the objective lens 25 and the optical system from the photographing aperture 31 to the imaging lens 33. To do. The photographing aperture 31 is disposed at a position substantially conjugate with the pupil of the eye E with respect to the objective lens 25. The focusing lens 32 is moved in the optical axis direction by a moving mechanism 49 including a motor. Reference numeral 35 denotes a photographing two-dimensional image sensor having sensitivity in the visible range. In the optical path in the reflection direction of the flip-up mirror 34, a dichroic mirror 37 having infrared light reflection and visible light transmission characteristics, a relay lens 36, and an observation two-dimensional imaging device 38 having sensitivity in the infrared region are arranged. .

  A dichroic mirror (wavelength selective mirror) 24 that can be inserted and removed as an optical path branching member is provided obliquely between the objective lens 25 and the perforated mirror 22. The dichroic mirror 24 reflects the wavelength light (center wavelength 940 nm) of the alignment index projection optical system 50 and the anterior ocular segment illumination light source 58, and includes a light source wavelength (center wavelength 880 nm) of the wavelength light of the fundus observation illumination. It has a characteristic of transmitting through. At the time of shooting, the dichroic mirror 24 is flipped up by the insertion / removal mechanism 66 and retracts out of the optical path. The insertion / removal mechanism 66 can be composed of a solenoid and a cam.

  The light beam emitted from the observation light source 11 is converted into an infrared light beam by the infrared filter 12 and reflected by the condenser lens 13 and the dichroic mirror 16 to illuminate the first light shielding plate 17a. The light transmitted through the first light shielding plate 17a reaches the perforated mirror 22 through the ring slit 17b, the second light shielding plate 17c, the relay lens 18, the mirror 19, the black spot plate 20, and the relay lens 21. The light reflected by the perforated mirror 22 is transmitted through the dichroic mirror 24, and once converged in the vicinity of the pupil of the eye E by the objective lens 25, then diffuses to illuminate the fundus of the eye to be examined.

  Reflected light from the fundus is obtained by the objective lens 25, the dichroic mirror 24, the aperture of the perforated mirror 22, the photographing aperture 31, the focusing lens 32, the imaging lens 33, the flip-up mirror 34, the dichroic mirror 37, and the relay lens 36. Then, an image is formed on the image sensor 38. The output of the image sensor 38 is input to the control unit 80, and the fundus observation image of the eye to be inspected captured by the image sensor 38 is displayed on the monitor 8 as shown in FIG.

  The luminous flux emitted from the imaging light source 14 passes through the dichroic mirror 16 via the condenser lens 15 and then passes through the same optical path as the illumination light for fundus observation, and the fundus is illuminated with visible light. Then, the reflected light from the fundus is imaged on the two-dimensional image sensor 35 through the objective lens 25, the aperture of the perforated mirror 22, the photographing aperture 31, the focusing lens 32, and the imaging lens 33.

  <Focus Index Projection Optical System> The focus index projection optical system 40 includes an infrared light source 41, a slit index plate 42, two declination prisms 43 attached to the slit index plate 42, a projection lens 47, and an illumination optical system 10. A spot mirror 44 is provided obliquely in the optical path. The spot mirror 44 is fixed to the tip of the lever 45 and is normally inclined at the optical axis, but is retracted out of the optical path by rotation of the rotary solenoid 46 at a predetermined timing before photographing. The spot mirror 44 is arranged at a position conjugate with the fundus of the eye to be examined. The light source 41, the slit indicator plate 42, the deflection prism 43, the projection lens 47, the spot mirror 44 and the lever 45 are moved in the optical axis direction by the moving mechanism 49 in conjunction with the focusing lens 32. Further, the light flux of the slit index plate 42 of the focus index projection optical system 40 is reflected by the spot mirror 44 via the deflection prism 43 and the projection lens 47, and then the relay lens 21, the perforated mirror 22, the dichroic mirror 24, The light is projected onto the fundus of the eye E through the objective lens 25. As shown in FIG. 5, when the focus on the fundus is not in focus, the index images S1 and S2 of the slit index plate 42 are separated and projected in agreement when in focus. Then, the focus index images S1 and S2 projected on the fundus of the eye E are imaged together with the fundus image by the image sensor 38 for fundus observation.

  <Alignment Index Projection Optical System> The alignment index projection optical system 50 that projects the alignment index beam is 45 degrees concentrically about the photographic optical axis L1 as shown in the diagram within the dotted line A in the upper left of FIG. A plurality of infrared light sources are arranged at intervals, and a first index projection optical system (0) having an infrared light source 51 and a collimating lens 52 arranged symmetrically with respect to a vertical plane passing through the photographing optical axis L1. And a second index projection optical system having six infrared light sources 53 arranged at positions different from the first index projection optical system. In this case, the first index projection optical system projects an infinite index on the cornea of the eye E from the left and right directions, and the second index projection optical system projects a finite index on the cornea of the eye E in the vertical direction or the diagonal direction. It is configured to project from. In FIG. 2, for convenience, the first index projection optical system (0 degrees and 180 degrees) and only a part of the second index projection optical system (45 degrees and 135 degrees) are shown. .

  <Anterior Eye Observation Optical System> The anterior eye observation (imaging) optical system 60 that images the anterior eye part of the eye to be examined is provided with a field lens 61, a mirror 62, a diaphragm 63, and a relay lens 64 on the reflection side of the dichroic mirror 24. And a two-dimensional imaging device (light receiving device) 65 having sensitivity in the infrared region. The two-dimensional imaging element 65 also serves as an imaging means for detecting an alignment index, and the anterior segment illuminated by the anterior segment illumination light source 58 that emits infrared light having a center wavelength of 940 nm and the alignment index are imaged. The anterior segment illuminated by the anterior segment illumination light source 58 is received by the two-dimensional imaging element 65 from the objective lens 25, the dichroic mirror 24, and the field lens 61 via the relay lens 64 optical system. The alignment light beam emitted from the light source of the alignment index projection optical system 50 is projected onto the subject's eye cornea, and the cornea reflection image is received (projected) by the two-dimensional image sensor 65 via the objective lens 25 to the relay lens 64. Is done. The output of the two-dimensional image sensor 65 is input to the control unit 80, and the anterior segment image captured by the two-dimensional image sensor 65 is displayed on the monitor 8 as shown in FIGS. The anterior ocular segment observation optical system 60 also serves to detect the alignment state of the apparatus main body with respect to the eye to be examined. The light reception result by the image sensor 65 is used to detect eyelids and eyelid states of the eye to be examined (details will be described later).

  <Fixation Target Presenting Optical System> A fixation target presenting optical system 70 for presenting a fixation target for fixing the eye to be examined includes a red light source 74, a light shielding plate 71 having an opening hole, and a relay lens 75. And the optical path of the observation optical system 30 from the flip-up mirror 34 to the objective lens 25 via the dichroic mirror 37 is shared.

  In this case, the light shielding plate 71 is illuminated from behind by the light source 74 to become a fixation target (fixation lamp). The light beam from the fixation target passes through the relay lens 75, the dichroic mirror 37, the flip-up mirror 34, the imaging lens 33, the focusing lens 32, the perforated mirror 22, the dichroic mirror 24, and the objective lens 25, and the eye to be examined. The light is condensed on the fundus and the subject visually recognizes the light beam from the opening hole 71 as a fixation target.

  <Control System> The two-dimensional imaging elements 65, 38, and 35 are connected to the control unit 80. The control unit 80 detects an alignment index from the anterior segment image captured by the two-dimensional image sensor 65. The control unit 80 is connected to the monitor 8 and controls the display image. In addition, the control unit 80 includes an XYZ driving unit 6, a moving mechanism 49, an insertion / removal mechanism 39, an insertion / removal mechanism 66, a rotary knob 4a, a photographing switch 4b, a switch unit 84 having various switches, and a memory as a storage unit. 85. Each light source is connected. Here, the control unit 80 has a role of detecting the amount of alignment deviation of the apparatus main body 3 with respect to the eye to be examined based on the imaging signal of the imaging element 65.

  Note that the switch unit 84 includes an automatic alignment mode in which alignment adjustment for automatically setting the position of the apparatus main body 3 (imaging optical system 30) with respect to the eye to be examined is in a predetermined positional relationship, and manual alignment in which manual adjustment is performed manually. A switch 84a for selecting a mode, a switch 84b for selecting an autofocus mode for automatically adjusting the focus state of the fundus and a manual focus mode for manually performing a photographing operation. A switch 84c for selecting an automatic photographing mode to be executed and a manual photographing mode in which the examiner presses the photographing switch 4b to perform photographing, a focus switch 84d for manually performing focus adjustment, and the like are provided.

  Further, as shown in the anterior ocular segment image observation screen of FIG. 3 and FIG. 4 (may be displayed on the fundus observation screen of FIG. 5), the control unit 80 displays the reticle LT serving as an alignment reference on the screen of the display monitor 8. The alignment index A1 is displayed on the screen of the display monitor 8 so as to change the relative distance from the reticle LT based on the amount of alignment deviation detected by the control unit 80. It is formed electronically and displayed.

  The operation of the fundus camera having the above configuration will be described. Here, the case where the automatic alignment mode, the autofocus mode, and the automatic photographing mode are selected by the switches 84a to 84c will be described with reference to the flowcharts of FIGS.

  First, the face of the subject is supported by the face support unit 5. At the initial stage, the dichroic mirror 24 is inserted in the optical path of the photographing optical system 30, and the anterior segment image captured by the two-dimensional image sensor 65 is displayed on the monitor 8. The examiner moves the imaging unit 3 left and right and up and down by operating the joystick 4 so that the anterior segment image appears on the monitor 8. When the anterior segment image appears on the monitor 8, as shown in FIG. 3, eight index images Ma to Mh appear.

  As described above, when the alignment index image projected onto the eye cornea to be examined is detected by the two-dimensional image sensor 65, the control unit 80 starts automatic alignment control. The control unit 80 detects the alignment deviation amount Δd of the apparatus main body 3 with respect to the eye to be examined based on the imaging signal from the two-dimensional imaging element 65. More specifically, the XY coordinates of the center of the ring shape formed by the index images Ma to Mh projected in a ring shape are detected as the approximate corneal center, and the alignment reference in the XY directions set in advance on the image sensor 65 is used. A deviation amount Δd between the position O1 (for example, the intersection of the imaging surface of the imaging element 65 and the imaging optical axis L1) and the corneal center coordinates is obtained (see FIG. 8).

  Then, the control unit 80 operates automatic alignment by drive control of the XYZ drive unit 6 so that the deviation amount Δd falls within the allowable range A for completion of alignment. Depending on whether the deviation amount Δd is within the allowable range A for completion of alignment and the time continues for a certain time (for example, 10 frames for image processing or 0.3 seconds) (whether the alignment condition A is satisfied). , Whether the alignment in the XY directions is appropriate or not is determined.

  Further, the control unit 80 obtains the alignment deviation amount in the Z direction by comparing the interval between the index images Ma and Me at infinity detected as described above and the interval between the index images Mh and Mf at finite distance. . In this case, when the apparatus main body 3 is displaced in the working distance direction, the control unit 80 changes the image interval between the index images Mh and Mf while the interval between the infinity indexes Ma and Me hardly changes. The amount of alignment deviation in the working distance direction with respect to the eye to be examined is obtained using the characteristic of performing (see Japanese Patent Laid-Open No. 6-46999 for details).

  In addition, the control unit 80 also obtains a deviation amount with respect to the alignment reference position in the Z direction in the Z direction, and the XYZ driving unit 6 determines that the deviation amount falls within the alignment allowable range in which the alignment is completed. Activate automatic alignment by drive control. Whether or not the alignment in the Z direction is appropriate is determined based on whether or not the amount of deviation in the Z direction is within an allowable range for completion of alignment for a certain period of time (whether the alignment condition is satisfied). In the present embodiment, a fundus image with as little flare as possible is obtained while shortening the alignment time by making the allowable width of alignment in the Z direction asymmetric with respect to the reference position. Details regarding the alignment allowable width will be described later.

  When the alignment operation in the XYZ directions satisfies the alignment completion condition by the alignment operation described above, the control unit 80 determines that the alignment in the XYZ directions is matched, and proceeds to the next step. However, after the start of the automatic alignment operation, the control unit 80 moves the apparatus main body 3 again so as to fall within the allowable range when the amount of alignment deviation in each direction is out of the allowable range due to the movement of the eye to be examined. That is, the automatic alignment control is continued until photographing is executed.

  Next, the control unit 80 starts determining whether or not the pupil state of the eye to be examined is appropriate. In this case, whether or not the pupil diameter is appropriate is determined based on whether or not the pupil edge detected from the anterior segment image by the image sensor 65 is out of a predetermined pupil determination area. The size of the pupil determination area is set as a diameter (for example, a diameter of 4 mm) through which the fundus illumination light beam can pass with the image center (imaging optical axis center) as a reference. For simplicity, four pupil edges detected in the horizontal direction and the vertical direction with respect to the center of the image are used. If the pupil edge point is outside the pupil determination area, the illumination light quantity at the time of photographing is sufficiently secured (for details, refer to Japanese Patent Application Laid-Open No. 2005-160549 by the present applicant). The determination as to whether or not the pupil diameter is appropriate is continued until imaging is performed, and the determination result is displayed on the monitor 8 (see icon display Pz in FIGS. 3 to 5, FIGS. 3 and 4A). FIG. 5 shows a pupil diameter OK state, and FIG. 4B shows an error state. If it is determined that the pupil diameter of the eye to be examined is insufficient, a diaphragm for small pupil diameter may be automatically inserted in the optical path instead of the normal diaphragm. Here, if it is determined that the pupil diameter is OK, the control unit 80 proceeds to the next step.

  Next, the control unit 80 avoids the occurrence of flare in the photographed image when the illumination light beam emitted from the photographing light source 14 to the fundus is reflected by the eyelid or the eyelid and received by the image sensor 35. The eyelid and eyelid state (open state) of the eye to be examined is detected based on the image signal from the image sensor 65, and the suitability of the eyelid and eyelid state of the eye to be examined is determined based on the detection result.

  In the following description, the case where the determination process is performed separately for the suitability of the heel state and the suitability of the heel state is shown.

  When detecting the eyelid state, the control unit 80 detects at least one of the alignment index images (for example, the index image Mc) formed on the upper side of the eye cornea to be detected on the image sensor 65 in the aligned state. Whether or not the wrinkle state is appropriate is determined. If the alignment index image is not detected (see FIG. 9B), it is determined that the open state is insufficient. In this case, it is determined that the eyelid and eyelid state of the eye to be examined are not in an appropriate state (error).

  In addition, the control unit 80 further analyzes the detection state in detail even if an alignment index image (for example, the index image Mc) formed on the upper side of the eye cornea to be examined is detected in a predetermined area on the image sensor 65. Is detected and the suitability is determined.

For example, when a haze is applied to the light beam that projects the index image Mc, a part of the light beam is shielded by the haze, and the index image Mc is broken in the vertical direction (including the oblique direction) (a black vertical line appears in the index image Mc). The image sensor 65 receives the light in the state of entering.
Therefore, the control unit 80 detects whether or not the eyelid state in the fundus imaging is appropriate by determining, for example, by image processing whether the index image Mc on the image sensor 65 is divided substantially in the left-right direction. To do. Here, if the index image Mc is detected in a state where some defects such as vertical cracks have not occurred (see FIG. 9A), the control unit 80 determines that both the state of the ridge and the ridge are appropriate. judge. When there is a vertical crack in the index image Mc (see FIG. 9C), the control unit 80 determines that the wrinkle state is an error and the wrinkle state is appropriate. Note that the above determination may be simply made based on whether a plurality of bright spots smaller than the original bright spot size of the index image Mc are captured in a predetermined area on the image sensor 35, or the index image Mc. The state of the eyelid may be determined by the presence or absence of the upper black vertical line. It should be noted that the determination of whether or not the bag is appropriate is continued until shooting is performed, and the determination result is displayed on the monitor 8 (see the icon display Ms in FIGS. 3 to 5, FIGS. 3 and 4 ( a), FIG. 5 shows a state where the opening is OK, and FIG. 4B shows a state where the opening error occurs)). In the above description, as shown in FIG. 9D, it may be determined that a wrinkle error occurs when a defect occurs in the upper part of the index image Mc. If it is determined that the open state is OK, the control unit 80 proceeds to the next step.

  Next, the control unit 80 performs autofocus on the fundus of the eye to be examined. FIG. 5 is an example of a fundus image captured by the image sensor 38, and focus index images S1 and S2 by the focus target projection optical system 40 are projected at the center of the fundus image. Here, the focus index images S1 and S2 are separated when they are not in focus, and are projected in agreement when they are in focus. The focus index images S <b> 1 and S <b> 2 are detected and processed by the image processing unit 80, and the separation information is sent to the control unit 80. Based on the separation information of the focus index images S1 and S2, the control unit 81 controls the movement of the moving mechanism 39 so that the two coincide with each other, thereby focusing the fundus. If the focus indexes S1 and S2 do not match by automatic adjustment, the control unit 80 may stop autofocus and switch to manual focus adjustment by the examiner. Here, when it is determined that the focus state is OK, the control unit 80 proceeds to the next step.

  FIG. 4 is a diagram illustrating an anterior ocular segment observation screen displayed on the monitor 8 when automatic alignment, pupil diameter determination, eyelid determination, and automatic focus adjustment are performed as described above.

  At a predetermined position in the center of the screen of the monitor 8, a circular reticle LT and a circular mark P indicating the minimum pupil diameter that can be photographed are electronically formed and superimposed on the anterior segment image (superimpose). .

  In addition, the control unit 80 displays a confirmation index 120 serving as a guide for determining the open state of the subject as an index imitating eyelids and eyelashes along with the anterior eye image at a predetermined position on the screen of the monitor 8. . The confirmation index 120 includes an eyelid confirmation index 100 for causing the examiner to confirm the eyelid state of the eye to be examined and an eyelid confirmation index 110 for causing the examiner to confirm the state of the eyelid of the subject eye. The Such a confirmation index 120 is electronically displayed at a predetermined position above the screen of the monitor 8. The composite display position of the confirmation index 120 on the screen is the eyelid of the eye to be examined displayed on the screen of the monitor 8 in a state where the positional relationship between the eye to be examined and the apparatus is within the alignment allowable range. This is a position (allowable lower limit position) for confirming that the heel is not lowered any more. The index 100 and the index 110 are graphics that schematically show the eyelids and wrinkles of the human eye. The index 100 is an upwardly convex curve extending in the horizontal direction, and the index 110 is relative to the index 100. It is displayed as a line that intersects approximately vertically.

  When automatic alignment is performed on the eye to be examined as described above, the corneal apex (or pupil center) of the eye to be examined is positioned near the alignment reference position on the monitor 8 (center of the reticle LT). Here, if an opening error occurs, the control unit 80 temporarily stops the subsequent automatic control, and displays the anterior segment image and error information on the monitor 8. At this time, the examiner can determine the open state of the eye to be examined with reference to the indices 100 and 110 displayed on the monitor 8. In this case, if the eyelid of the eye to be examined is above the index 100 (see FIG. 4A), the examiner can confirm that the eyelid of the eye to be examined is properly raised, and the eyelid of the eye to be examined is the index 100. If it is lower (see FIG. 4B), the examiner can confirm that the eyelid of the eye to be examined is lowered from the appropriate position.

  As described above, the predetermined position at which the index 100 is displayed is determined from the positional relationship in the vertical direction between the lower limit position of the wrinkle in the alignment completed state and the display position of the index 100 as described above. It is conceivable to display at a position that can be determined by the person. More specifically, as shown in FIG. 10, the eyelids extending downward from the eyelid of the eye to be inspected are less likely to enter the common optical path of the illumination light flux to the fundus and the imaging light flux from the fundus. In consideration of the above, an allowable lower limit position of the eyelid is set above the lower limit position where the eyelid itself reaches the common optical path. And the control part 80 displays the parameter | index 100 in the display position corresponding to the allowable lower limit position of the eyelid set as mentioned above on the anterior ocular segment observation screen displayed on the monitor 8. When the eyelid is placed on the common optical path, the illumination light beam irradiated to the eyelid is received as reflected light by the image sensor 35 together with the imaging light beam, and flare occurs in the fundus image.

  In addition, by displaying the index 110 imitating the heel together with the index 100 imitating the eyelid, it is determined that the judgment of the open state requires confirmation of the state of the eyelid as well as the state of the eyelid. Can be recalled directly. Further, as shown in FIG. 3 and FIG. 4, the graphic display in which the index 110 indicating the heel is displayed on the lower side of the index 100 indicating the heel, even if the state of the heel is appropriate, The examiner can directly recall that an error can occur depending on the condition.

  In this way, the examiner visually determines whether or not the eyelid and eyelid state of the eye to be examined are appropriate in fundus imaging, as compared to the display of only the icon that notifies the error displayed on the screen edge. I can judge.

  In the anterior ocular segment observation screen, the control unit 80, as described above, based on the detection result when detecting the state of eyelids and eyelids of the eye to be examined, the eyelash part or eyelids of the index displayed on the monitor 8 The portions may be individually highlighted.

  More specifically, when it is determined that both the eyelid and eyelid states of the eye to be inspected are errors, the control unit 80 blinks and displays the eyelid index 100 (flashing including the eyelid index may also be performed). Informs the examiner that is insufficient.

  Further, when it is determined that the eyelid state is an error and the eyelid state is appropriate, the control unit 80 blinks the eyelid index 110 to inform the examiner that the eyelid state of the eye to be examined is insufficient. Inform. In this case, based on the notification result, the examiner instructs the subject to widen his eyes, or lifts the eyelid of the eye to perform an operation for appropriately photographing the fundus of the eye. The control unit 80 determines that the state of the heel and the heel is appropriate.

  In the case of performing highlighting as described above, the control unit 80 may be anything that can highlight that the eyelid state of the eye to be examined is insufficient. For example, even if the color of the index 110 is changed. It is good also as a graphic which makes the line | wire of the parameter | index 110 good. Further, the present invention is not limited to the above, and the control unit 80 specifies the positions of wrinkles and wrinkles that cause errors based on the light reception result of the image sensor, and creates a new index (preferably an index imitating the shape of the wrinkles or wrinkles) ) May be displayed at the above-mentioned specific position on the screen. For example, it may be possible to display a straight line or a curve imitating a ridge between the reticle LT and the index 100. In this case, the lower limit position of the wrinkle may be detected by image processing, and the color of the straight line or curve imitating the wrinkle may be changed according to the detection result.

  Next, switching control from the anterior ocular segment observation screen to the fundus oculi observation screen and the operation during automatic imaging will be described (see the flowchart in FIG. 7). Here, when the predetermined alignment condition is satisfied, the predetermined focus condition is satisfied, and further, when the eye open state and the pupil state are determined to be appropriate, the control unit 80 displays the display image on the monitor 8. Switch from the anterior segment image to the fundus observation image. Note that the control unit 80 deletes the index 120 (the index 100 and the index 110) from the screen of the monitor 8 so as to hide the index 100 and the index 110 in accordance with switching to display of the fundus observation image. The control unit 80 turns off the light source 41 and drives the rotary solenoid 46 to retract the spot mirror 44 and the lever 45 from the illumination optical path. Thus, by stopping the projection of the focus index before the trigger signal for starting imaging is issued, the subject can fixate the fixation lamp without being confused by the visible focus index. It is possible to prevent the fixation state of the optometry from being disturbed.

  In addition, when the predetermined condition as described above is satisfied, the control unit 80 enters a state in which automatic photographing is possible, and the control unit 80 starts detecting blinks and triggers the detection of blinks of the eye to be examined. The timing for automatically shooting is set, and automatic shooting is performed using the set shooting timing. In other words, control for prohibiting imaging is performed at least while the eye is not blinking.

  Here, as a method for detecting blink of the eye to be examined, for example, after the index image Mc is switched from a state where it is detected in a predetermined area on the image sensor 35 to a state where it is not detected, a predetermined time (for example, 0.5 After the elapse of a second), by detecting whether or not the index image Mc has been detected, it may be determined whether or not there is a closing / opening operation (movement to close and open the eyelid) from the state where the eyelid is open. Conceivable. In the above detection, the condition that the index image is not detected for a predetermined time (for example, 0.5 seconds) (the state where the eyelids are closed) is that the eye is opened and closed at a relatively slow speed for a long time. This is to make the distribution of tears collected on the cornea in a proper state for fundus photography. At the time of blink detection, when the photographing switch 4b is pressed by the examiner, the control unit 80 forcibly performs the photographing process by skipping the process until the fixation determination described later (skip blink process). You may make it transfer.

  Next, when it is detected that the subject's eye has blinked by the blink detection as described above, the control unit 80 prohibits the photographing operation for a predetermined time (for example, 0.5 seconds) from the time of the blink detection ( Together with the block section in FIG. 11, the timing when the prohibition of shooting is released after a predetermined time has elapsed is set as the shooting timing. When the determined shooting timing is reached, automatic shooting is performed based on the alignment detection result, the fixation state detection result described later, and the like. Note that the predetermined shooting prohibition time is provided after blink detection because the fixation of the subject's eye is not stable immediately after blinking, and flare is generated in the captured image due to movement of the subject's eye during shooting. It is to do.

  Here, when the photographing prohibition time ends, the control unit 80 detects the stability of the fixation state of the eye to be inspected after blink detection (detection of the fine movement state of the eye to be inspected). More specifically, after the detection of blinking, at a predetermined time ΔT1 (for example, 2 seconds), the alignment deviation amount of the apparatus main body with respect to the eye to be examined is within a fixed fixation allowable range K larger than the alignment allowable range A for a predetermined time ΔT2 ( For example, it is determined whether or not the fixation state is stabilized after blink detection depending on whether or not it is continuously entered. In addition, it is possible to avoid the occurrence of flare in the captured image due to the movement of the eye when performing imaging by starting the imaging operation after detecting the fixation of the eye to be inspected after detecting blinking. At the same time, the shooting operation can be started smoothly from blink detection.

  When it is detected that the alignment deviation amount is within the fixation allowable range K for a predetermined time ΔT2 after the blink is detected, the control unit 80 determines that the fixation state is stabilized. Determination is made, alignment conditions, eyelids and eyelids, and pupil diameter are finally determined. If it is determined that these are appropriate, a trigger signal for starting imaging is issued. That is, the control unit 80 performs automatic imaging based on the alignment detection result, the pupil state detection result, and the open state detection result when the set imaging timing is reached.

  Note that the control unit 80 ends (skips) the stability detection of the fixation state when the above condition is not satisfied and the fixation state is determined to be unstable for a predetermined time ΔT1 after the blink is detected, and the alignment is performed. The process proceeds to determination (see FIG. 11). Then, the alignment conditions, eyelids and eyelids, and the pupil diameter are determined again. If it is determined that these are appropriate, a trigger signal for starting imaging is generated.

  Here, when a trigger signal for starting imaging is generated, the control unit 80 drives the insertion / removal mechanism 39 to disengage the flip-up mirror 34 from the optical path, and drives the insertion / removal mechanism 66 to move the dichroic mirror 24. While being separated from the optical path, the photographing light source 14 emits light. At this time, a fundus image is captured by the two-dimensional image sensor 35 and the captured image data is stored in the memory 85. Then, the control unit 80 switches the display screen of the monitor 8 to a color fundus image captured by the two-dimensional image sensor 35.

  As described above, after shifting to the automatic photographing state in the open state, the fundus photographing is prohibited until the eyelid closing / opening operation is detected, and the detection signal of the closing / opening operation is used as a trigger for starting the photographing. Thus, the fundus can be photographed in a state in which the distribution of tears on the cornea is appropriate for fundus photographing, so that an appropriate fundus image with little flare can be acquired.

In other words, the fundus image is disturbed when the fundus is imaged with tears accumulating on the cornea due to the long opening until the automatic photographing state is reached (for example, resolution reduction due to tears, Generation of flare, etc.) can be avoided. Further, by performing fundus photography after blinking, the possibility of blinking during photography can be reduced.
Note that when the detection of blinking of the subject's eye is used as a trigger for starting imaging as described above, the control unit 80 may notify a message for prompting blinking of the subject's eye. For example, a message for blinking the subject's eye (for example, blink slowly and wide open the eyes) may be displayed on the monitor 8 so that the examiner can read the message. Moreover, it is good also as a structure which provides the audio | voice generation | occurrence | production part in an apparatus and produces | generates the message to the effect of making the eye to be examined blink. Further, the control unit 80 may display an anterior ocular segment observation image from the start of blink detection until the blink is detected.

  In the above description, automatic imaging is performed when a predetermined alignment condition is satisfied, a predetermined focus condition is satisfied, and the eyelid and eyelid states and the pupil state of the subject eye are determined to be appropriate. Although the control is performed so as to enable the automatic photographing, any control can be used as long as the automatic photographing can be performed by inputting a predetermined signal. For example, the control unit 80 inputs the detection signal of the alignment state with respect to the eye to be detected detected as described above and the detection signal of the focus state of the fundus adjusted by the movement of the focusing lens 32 detected as described above. On the basis of this, an automatic photographing enabled state may be set.

  Further, in the above description, the input of the predetermined signal is performed by the control unit 80 so that the state is shifted to the automatic shooting enabled state and the timing for automatically shooting is set. However, the present invention can be applied even when the manual operation is performed by the examiner. For example, the control unit 80 is in a state in which automatic shooting is enabled by input of an operation signal from the shooting switch 4b, automatic shooting is set, and automatic shooting is performed using the set shooting timing. May be.

  Further, in the above description, for the automatic alignment after shifting to the automatic photographing enabled state, the control unit 80 enters the apparatus main body so as to enter the alignment allowable range set narrower than the allowable range before shifting to the automatic photographing enabled state. 3 may be moved automatically. Then, when the alignment deviation amount in each direction deviates from the narrower allowable range, the apparatus main body 3 is moved so that the apparatus main body 3 enters the preset allowable range again. Thereby, before the fundus photographing, the positional relationship between the eye to be examined and the photographing optical axis L1 can be adjusted more precisely, and an appropriate fundus image with little flare can be photographed.

  In addition, regarding the display of the index 100 and the index 110, as described above, an automatic shooting mode in which shooting timing is automatically determined and automatic shooting is performed, and shooting timing is determined by the examiner's intention and shooting is performed. In the case of an apparatus capable of selecting manual shooting (manual shot) mode, the control unit 80 displays the index 100 and the index 110 on the screen of the monitor 8 when the automatic shooting mode is selected. When it is selected, the display control without displaying the index 100 and the index 110 may be performed.

  In the above description, the fundus observation screen and the anterior ocular segment observation screen may be displayed on the same screen. For example, in the above operation, the control unit 80 displays the anterior ocular segment screen (see FIGS. 3 and 4) as a sub-screen display at the timing of displaying the fundus screen (see FIG. 5). In addition, at the timing of displaying the anterior ocular segment screen (see FIGS. 3 and 4), the fundus screen (see FIG. 5) is displayed as a sub-screen display. Further, photographing may be performed with the anterior ocular segment observation screen as shown in FIGS. 3 and 4. In this case, the projection of the focus index is stopped at the timing shown above, and the fundus is slightly visible. The observation illumination can be turned off, and the fixation state can be further stabilized.

  In the fundus oculi observation screen, the control unit 80 may detect an open state and switch to the anterior ocular segment display screen when an open error occurs (the fundus image and the anterior segment image are displayed). Including control for enlarging and displaying the anterior segment image from the state of simultaneous display).

  Below, the alignment adjustment method of the working distance direction of the apparatus which concerns on this embodiment is demonstrated. In the following description, it is assumed that the imaging optical axis is arranged at a predetermined reference position (for example, the corneal vertex position, the pupil center position, etc.) of the eye to be examined, and the XY alignment adjustment in the apparatus main body 3 with respect to the eye to be examined has been completed. It is assumed.

  FIG. 12 is a diagram illustrating the relationship between the light shielding member 17 provided in the illumination optical system 10 and the anterior eye portion of the eye to be examined. FIG. 12A is a view when the ring slit 17b and the pupil of the eye to be examined are placed at conjugate positions. In this case, each of the light shielding members of the light shielding member 17 causes the eye cornea and the front and rear surfaces of the lens to be out of the common optical path of the optical path of the illumination light beam to the fundus and the optical path of the imaging light beam from the fundus. In addition, it is possible to avoid the reflection of the crystalline lens from reaching the imaging device 35, and it is possible to avoid the flare caused by the corneal reflection and the crystalline lens reflection on the fundus image to be captured.

  FIG. 12B is a diagram when the eye to be examined and the apparatus main body 3 are brought close to each other from the alignment reference position. In this case, since the cornea of the eye to be examined is placed in the common optical path of the optical path of the illumination light beam to the fundus and the optical path of the imaging light beam from the fundus, the corneal reflection due to the fundus illumination light is received by the imaging element 35, The photographed fundus image includes corneal reflection flare. And a corneal reflection flare increases, so that a to-be-tested eye and the apparatus main body 3 approach.

  FIG. 12C is a diagram when the eye to be examined and the apparatus main body 3 are separated from the alignment reference position. In this case, since the rear surface of the crystalline lens of the eye to be examined is placed in the common optical path of the optical path of the illumination light beam to the fundus and the optical path of the photographing light beam from the fundus, the rear surface of the crystalline lens due to the fundus illumination light is received by the image sensor 35. Then, the lens back surface reflection flare is included in the photographed fundus image. Then, the closer the eye to be examined and the apparatus main body 3 are, the more the lens rear surface reflection flare increases.

  Here, as shown in FIG. 12A, the control unit 80 performs a reference operation on the working distance of the apparatus main body 3 with respect to the eye to be examined in a state where the ring slit 17b and the pupil of the eye to be examined are placed in a conjugate position. An alignment deviation amount in the Z direction is detected as a distance. That is, the amount of alignment deviation in the Z direction is detected using the state in which the ring slit 17b and the eye pupil to be examined are substantially conjugate as the alignment reference position in the Z direction.

  Then, the control unit 80 determines that the alignment in the Z direction is appropriate when the amount of alignment deviation in the Z direction detected as described above satisfies the predetermined alignment allowable range Za, and the alignment deviation in the Z direction is determined. When the positional amount is out of the allowable range Za, the apparatus main body 3 is moved so that the alignment deviation amount in the Z direction falls within the allowable range Za.

  FIG. 13 is a diagram illustrating the alignment allowable range Za in the Z direction according to the present embodiment. The alignment allowable range Za is narrow in a direction in which the eye to be examined and the apparatus main body 3 approach each other on the basis of the alignment reference position Zk (including those in which no allowable range is provided), and wide in a direction in which the eye to be examined and the apparatus main body 3 move away from each other. Is set to In other words, with respect to the alignment reference position Zk, the alignment allowable width dN in the direction in which the subject eye and the apparatus main body 3 approach each other and the alignment allowable width dF in the direction in which the subject eye and the apparatus main body 3 move away from each other are asymmetric. The allowable alignment range is set so that

  Here, if the predetermined alignment allowable range Za is set wide, the alignment completion condition in the Z direction is relaxed and the alignment time in the Z direction can be shortened, but flare occurs in the fundus image due to the anterior segment reflection. The possibility increases. On the contrary, if the predetermined alignment allowable range Za is set narrow, the alignment completion condition in the Z direction is severe, and flare in the fundus image due to anterior ocular segment reflection can be reduced, but the alignment time in the Z direction becomes longer. .

  Therefore, in the present embodiment, the alignment allowable width dF is widened to allow the lens rear surface reflection flare to be generated relatively loosely, and the alignment allowable width dN is narrowed to limit the generation of the corneal reflection flare relatively severely. As a result, it is possible to ensure a relatively wide alignment tolerance range and to perform alignment smoothly, and to avoid the occurrence of a corneal reflection flare that is more harmful to the fundus image than the lens rear surface flare. A fundus image can be obtained.

  In the above description, the alignment tolerance in the Z direction is set to be asymmetric with respect to the reference position. However, the alignment tolerance is not limited to this, and the alignment tolerance in the vertical and horizontal directions is not limited thereto. The allowable width of alignment may be asymmetric with respect to the reference position. For example, in the case of photographing the upper fundus with the eye to be examined facing upward using a predetermined fixation guidance optical system, the state where the corneal apex of the eye to be examined coincides with the photographing optical axis L1 is the vertical alignment reference. In the case of the position, with respect to the alignment reference position, the allowable alignment width in the direction in which the photographing optical axis L1 moves upward is widened, and the allowable alignment width in the direction in which the photographing optical axis L1 moves downward is narrowed. Such a thing can be considered. The corneal apex in the above represents a point where a straight line parallel to the photographing optical axis L1 and passing through the center of the corneal curvature of the subject's eye intersects the subject's eye cornea.

It is an external appearance block diagram of the fundus camera which concerns on this embodiment. It is a schematic block diagram of the optical system and control system accommodated in an imaging | photography part. It is an example which shows the anterior ocular segment observation screen when the alignment of XY direction has shifted | deviated. It is an anterior ocular segment observation screen when alignment of XY direction is in agreement. It is an example which shows a fundus observation screen. It is a flowchart shown about operation | movement of an apparatus. It is a flowchart shown about operation | movement of an apparatus. It is a figure shown about the detection method of the amount of alignment deviation of a XY direction. It is a figure explaining the change of the index image by the eyelid and eyelid of a to-be-tested eye. It is an anterior ocular segment image explaining the relationship between eyelids and flare of the eye to be examined. It is a timing chart explaining operation after blink detection. It is a figure explaining the relationship between the alignment state of a Z direction, and a flare. It is a figure explaining the alignment tolerance range Za of the Z direction which concerns on this embodiment.

Explanation of symbols

DESCRIPTION OF SYMBOLS 3 Imaging | photography part 8 Display monitor 10 Illumination optical system 17 Light-shielding member 30 Fundus observation / imaging | photography optical system 60 Anterior ocular segment observation optical system 80 Control part 100 Eyelid confirmation index 110 Eyelid confirmation index 120 Confirmation index

Claims (5)

In the fundus camera for photographing the fundus of the eye to be examined,
An anterior segment imaging unit that images the anterior segment of the eye to be examined, a display unit that displays the anterior segment image captured by the anterior segment imaging unit, and a guide for determining the open state of the subject A fundus camera comprising: a display control unit configured to display the index as an index simulating eyelids and eyelashes together with the anterior segment image at a predetermined position on the screen of the display unit. The fundus camera of claim 1 comprises:
A fundus photographing unit that illuminates the fundus of the subject's eye with infrared light to photograph the fundus and obtains a fundus observation image; a display switching unit that switches between the anterior ocular segment image and the fundus observation image and displays the image on the display unit; The fundus camera is characterized in that the display control means hides the index in response to switching from displaying the anterior ocular segment image to displaying the fundus observation image by the display switching means. The fundus camera according to claim 1 or 2,
A display means for projecting a corneal reflection image of the eye to be inspected by a light beam from a light source onto a light receiving element, and detecting a state of eyelashes and eyelids of the eye to be inspected based on a light reception result by the light receiving element; Based on the detection result of the detection means, the eyelash part or eyelid part of the index is individually highlighted, or a new index indicating the position of the eyelash or eyelid is displayed on the screen of the display means camera. According to another aspect of the present invention, the fundus camera projects a corneal reflection image of the eye to be inspected by the light flux from the light source on a light receiving element, and detects a state of eyelashes and eyelids of the eye to be inspected based on a light reception result by the light receiving element. And the display control means switches from the display of the fundus observation image to the display of the anterior ocular segment image based on the detection result of the detection means. The fundus camera according to any one of claims 1 to 4,
The display control means includes an imaging mode selection means for selecting an automatic imaging mode for automatically determining imaging timing and performing automatic imaging, and a manual imaging mode for determining imaging timing according to the examiner's intention and performing imaging. When the automatic photographing mode is selected by the photographing mode means, the indicator is displayed on the screen of the display means, and when the manual photographing mode is selected, display control is performed so that the indicator is not displayed. Fundus camera characterized by that.

Images