JP2018158057A - Ophthalmologic system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an ophthalmologic system that guarantees and improves quality of an examination by evaluating an examiner's ability and habit.SOLUTION: An ophthalmologic system includes a first device used by an evaluated person and a second device used by an evaluating person. The ophthalmologic system includes storage means, first control means, second control means, and input information transmission means. The storage means stores examination data used for an examination to evaluate the evaluated person beforehand. The first control means controls the first device based on the examination data. The second control means controls the second device based on the examination data. The input information transmission means transmits input information to the second device, which is input to the first device by the evaluated person in response to provision information provided to the evaluated person by the first device based on the examination data. The second control means controls the second device based on the input information.SELECTED DRAWING: Figure 1A

Description

  The present invention relates to an ophthalmic system used in the ophthalmic field.

The ophthalmic examination apparatus is used for eye examination (measurement of characteristics, photographing, etc.) in medical institutions, eyeglass stores, venues for health examinations and examinations, patient homes, and the like. The following is a typical example of an ophthalmic examination apparatus.
・ A visual acuity test device that measures visual acuity based on the response to the presented target ・ An eye refraction test device that measures the refractive characteristics of the eyeball (refractometer, keratometer)
-Tonometer for measuring intraocular pressure-Specular microscope for obtaining corneal characteristics (corneal thickness, cell distribution, etc.)-Wavefront analyzer that obtains aberration information of the eyeball using a Hartmann-Shack sensor Perimeter and microperimeter for detection ・ Optical coherence tomography (OCT) to obtain cross-sectional images, three-dimensional data, and analysis data of the fundus and anterior segment using optical interference
-Fundus camera for photographing the fundus-Scanning laser opthalmoscope (SLO) for obtaining images of the fundus by laser scanning using a confocal optical system
・ Multifunction machines that combine two or more functions

  In many ophthalmic examinations, the examiner gives instructions to the subject or operates the ophthalmic examination apparatus. In recent years, remote inspection has been widespread in which an examiner in a place different from the place where the ophthalmic examination apparatus is installed performs an examination while giving instructions to the subject or the ophthalmic examination apparatus (see, for example, Patent Documents 1-6). In the remote examination, a visual instruction and an audio instruction are given from the examiner to the subject.

JP 2001-286442 A JP 2002-10978 A JP 2002-78679 A JP 2002-78681 A JP-A-2005-342042 International Publication No. 2003/041572

  There are various types of ophthalmic examinations. For example, there are many examinations that require skill, such as subjective measurement using a visual target.

  On the other hand, in remote examination, one of a plurality of examiners (or examiner terminals) is assigned to each of a plurality of ophthalmic examination apparatuses that are distributed in various places. In order to guarantee and improve the quality of such remote inspection, it is necessary to grasp the ability and habit of each examiner.

  If all the examiner terminals are installed in specialized facilities, it is not difficult to evaluate the ability of each examiner or to improve the ability. However, in remote inspection, generally, a plurality of examiner terminals are distributed in various places, so it is difficult to secure and improve the ability of the examiner.

  An object of the present invention is to provide an ophthalmic system capable of evaluating the ability and habit of an examiner to ensure and improve the inspection quality.

  A first aspect of the embodiment is an ophthalmic system including a first device used by the evaluator and a second device used by the evaluator, and is a test used for the test for evaluating the evaluator. Storage means for storing data in advance, first control means for controlling the first device based on the test data, second control means for controlling the second device based on the test data, and based on the test data Input information transmitting means for transmitting the input information input to the first device by the evaluated user to the second device as a response to the provided information provided to the evaluated person by the first device, 2 control means controls the second device based on the input information.

  A second aspect of the embodiment is characterized in that the ophthalmic system includes evaluation data generation means for generating evaluation data based on the test data and the input information.

  According to a third aspect of the embodiment, the second device includes a display unit, a display control unit that displays at least one of the test data and the provided information, and the input information on the display unit, an operation unit, and the above And an evaluation data recording unit for recording the evaluation data input by the evaluator using the operation unit.

  According to a fourth aspect of the embodiment, the ophthalmic system includes a storage device and storage control means for associating the evaluation data with the identification information of the evaluator set in advance and storing the evaluation data in the storage device. Features.

  A fifth aspect of the embodiment is characterized in that the storage control means stores the input information in association with the identification information in the storage device.

  According to a sixth aspect of the embodiment, the ophthalmic system is acquired by a receiving unit that receives an evaluation data browsing request, a searching unit that searches the storage device based on the browsing request, and the searching unit. Evaluation data transmission means for transmitting the evaluation data thus transmitted to the transmission source of the browsing request.

  A seventh aspect of the embodiment is characterized in that the first apparatus includes a first ophthalmic examination apparatus, and the first control means controls the first ophthalmic examination apparatus based on the test data.

  An eighth aspect of the embodiment is characterized in that the second apparatus includes a second ophthalmic examination apparatus, and the second control means controls the second ophthalmic examination apparatus based on the test data.

  According to a ninth aspect of the embodiment, the first apparatus includes a first ophthalmic examination apparatus, the first control means controls the first ophthalmic examination apparatus based on the test data, and the second apparatus comprises A second ophthalmic examination apparatus, wherein the second control means controls the second ophthalmic examination apparatus based on the test data, and the ophthalmic system controls the first ophthalmic examination apparatus by the first control means. And synchronization control means for synchronizing the control of the second ophthalmic examination apparatus by the second control means.

  A tenth aspect of the embodiment is characterized in that the ophthalmic system includes test data creating means for creating the test data based on examination data acquired by an ophthalmic examination.

  According to the embodiment, the ability and habit of the examiner can be evaluated to ensure and improve the inspection quality.

Schematic showing an example of a structure of the ophthalmic system which concerns on embodiment. Schematic showing an example of a structure of the ophthalmic system which concerns on embodiment. Schematic showing an example of a structure of the ophthalmic system which concerns on embodiment. Schematic showing an example of a structure of the ophthalmic system which concerns on embodiment. Schematic showing an example of a structure of the ophthalmic system which concerns on embodiment. Schematic showing an example of a structure of the ophthalmic system which concerns on embodiment. Schematic showing an example of a structure of the ophthalmic system which concerns on embodiment. The sequence diagram showing an example of the usage pattern of the ophthalmic system which concerns on embodiment. Schematic for demonstrating an example of the usage pattern of the ophthalmic system which concerns on embodiment. Schematic for demonstrating an example of the usage pattern of the ophthalmic system which concerns on embodiment. Schematic for demonstrating an example of the usage pattern of the ophthalmic system which concerns on embodiment. Schematic for demonstrating an example of the usage pattern of the ophthalmic system which concerns on embodiment. Schematic for demonstrating an example of the usage pattern of the ophthalmic system which concerns on embodiment. Schematic for demonstrating an example of the usage pattern of the ophthalmic system which concerns on embodiment. Schematic for demonstrating an example of the usage pattern of the ophthalmic system which concerns on embodiment. Schematic for demonstrating an example of the usage pattern of the ophthalmic system which concerns on embodiment. Schematic for demonstrating an example of the usage pattern of the ophthalmic system which concerns on embodiment. Schematic for demonstrating an example of the usage pattern of the ophthalmic system which concerns on embodiment. The sequence diagram showing an example of the usage pattern of the ophthalmic system which concerns on embodiment.

  Several examples of exemplary embodiments of the present invention are described. In addition, the content of the literature referred in this specification and arbitrary well-known techniques can be used for embodiment.

  The ophthalmologic system of the embodiment is used for remote inspection using an ophthalmic examination apparatus installed in various facilities or a portable ophthalmic examination apparatus. In the remote inspection in the embodiment, various examiners assist the inspection. There are internal examiners and external examiners as types of examiners.

  The internal examiner is an examiner who assists the examination inside the facility where the ophthalmic examination apparatus is installed. Typically, an internal examiner uses a tablet terminal or wearable device (for example, a wireless earphone) to grasp and give instructions on the status of all or some of the subjects who are being examined in the facility. Send. The subject can proceed with the examination based on instructions from the internal examiner. An information processing device used by an internal examiner is called an internal examiner terminal.

  The external examiner is an examiner who assists the examination from outside the facility where the ophthalmic examination apparatus is installed. Typically, an external examiner can be configured to assist from a facility (management center) for managing the examination or from outside the management center. An example outside the management center is the home of an external examiner. The external examiner uses an information processing apparatus installed in the management center, home, or the like to grasp the status of all or a part of the subjects who are currently undergoing the examination and send instructions. The subject can proceed with the examination based on instructions from the external examiner. An information processing device used by an external examiner is called an external examiner terminal.

  Note that the internal examiner terminal and / or the external examiner terminal may include an information processing device used by a person who performs the evaluation and guidance of the examiner. Such a person is called an evaluation person. The person in charge of evaluation may be a person who plays a role as an examiner, or may be a person who does not. An evaluator who does not play a role as an examiner plays a role as an evaluator / instructor of the examiner, or as an evaluator / verifier of a test carried out in the past or a current test. . The examiner's evaluation is performed through a predetermined test for grasping the ability and habit of the examiner (evaluator). This test is typically performed using test data (test questions, questions, etc.) created in advance.

  Examples of facilities where an ophthalmic examination apparatus is installed include medical institutions, eyeglass stores, health examination venues, examination venues, patient homes, welfare facilities, public facilities, and examination cars. That is, the facility where the ophthalmic examination apparatus is installed may include at least one of a fixed facility such as a medical institution and a mobile facility such as a medical examination car. In addition, the instruction sent from the examiner to the subject may include support regarding how to proceed with the examination, operation of the ophthalmic examination apparatus, advice to the subject, and the like. In addition, the examiner can send an instruction or the like to another examiner, or the evaluation person can send an instruction or the like to the examiner. Typically, an internal examiner who is an unskilled person can assist an external examiner who is a skilled person (evaluator).

  The ophthalmic examination apparatus may be any apparatus used for examining the eye to be examined, and may have at least one of a function as an ophthalmologic measurement apparatus and a function as an ophthalmologic imaging apparatus. The ophthalmologic measurement device is a device for measuring the characteristics of the eye to be examined. Examples of ophthalmic measurement devices include eyesight testing devices (target presentation devices, phoropters, etc.), eye refraction testing devices (refractometers, keratometers, etc.), tonometers, specular microscopes, wavefront analyzers, perimeters, microperimeters, etc. There is. The ophthalmologic photographing apparatus is an apparatus for imaging the eye to be examined. Examples of the ophthalmologic photographing apparatus include OCT, fundus camera, SLO, and the like. Furthermore, the ophthalmic examination apparatus may include an application for processing and / or analyzing measurement data and captured images.

<Configuration of ophthalmic system>
An example of the configuration of the ophthalmic system according to the embodiment will be described. The ophthalmic system 1 illustrated in FIG. 1A includes N facilities (first facility to N-th facility) where an examination is performed, a management device 4, and an external examiner terminal 5m (m = 1 to M: M is 1 or more). It is constructed using a network (communication line 100) that connects (integer).

  In this example, the external examiner terminal 5m is installed in a predetermined facility, and an ophthalmic examination apparatus 9k (k = 1 to K: K is an integer of 1 or more) is installed in this facility. Although the ophthalmic system 1 of this embodiment also includes an ophthalmic examination apparatus 9k that can be used with the external examiner terminal 5m, the ophthalmic system in another example is an ophthalmic examination that can be used with the external examiner terminal 5m. The device may not be included.

Each facility check is made (the n Property: n = 1 to N, N is an integer of 1 or more), the one or more ophthalmologic examination apparatus _{2-i n (i n =} 1~K n, K n is 1 The above integer) is installed. Ophthalmologic examination apparatus _{2-i n} are included in the ophthalmic system 1. The ophthalmologic system 1 may include an inspection apparatus capable of performing an inspection other than ophthalmology.

Ophthalmologic examination apparatus 2-i _n in this example, functions as a "computer" as a function of a "check device" carrying out the inspection of the subject (the subject's eye), the communication with the various data processing and an external apparatus It has both. In another example, the inspection apparatus and the computer may be provided separately. In this case, the inspection apparatus and the computer are configured to be able to communicate with each other. The number of inspection devices and the number of computers are arbitrary. For example, a single computer and a plurality of inspection devices may be provided.

  An information processing device (internal examiner terminal) used by an internal examiner is installed in at least a part of N facilities (first facility to N-th facility). In the example illustrated in FIG. 1A, the internal examiner terminal is not installed in the first facility and the Nth facility, and the internal examiner terminal 3-n is installed in the nth facility.

  The internal examiner terminal 3-n is a computer used in the n-th facility. The internal examiner terminal 3-n is, for example, at least one of a mobile terminal such as a tablet terminal or a smartphone, a wearable device such as a wireless earphone, and a server (such as an in-facility server) installed at the nth facility. May be included. The internal examiner terminal 3-n may be a computer that can realize the function in the n-th facility, and includes, for example, a computer (a cloud server or the like) installed outside the n-th facility. Also good.

The ophthalmologic examination apparatus 2-i _n and internal examiner terminal 3-n, and a network (Institutional LAN, etc.) that are built into the n site, a wide area network (such as the Internet) or via a short-range communication technology You may be comprised so that communication can be performed.

Ophthalmologic examination apparatus 2-i _n may have a function as a server. If this configuration is applied, it is possible and ophthalmologic examination apparatus 2-i _n and internal examiner terminal 3-n is configured to communicate directly. In this case, it is not necessary to provide a function for performing communication between the internal examiner terminal 3-n and the management device 4. In other words, it is possible to configure to perform via the ophthalmologic examination apparatus 2-i _n the communication between the management device 4 and the internal examiner terminal 3-n.

The ophthalmic system 1 may include a management device 4. Typically, the management device 4 is installed in a management center. The management apparatus 4 can communicate with the external examiner terminal 5m and the ophthalmic examination apparatus 9k via the communication line 100 (LAN, wide area network, etc.). Further, the management apparatus 4, the first to N ophthalmologic examination apparatus installed in the facility 2-i _n, can communicate via the communication line 100 (wide area network, etc.).

Management device 4, at least one of the plurality of ophthalmologic examination apparatus 2-i _n, the communication between at least one of the plurality of examiner terminals (including internal examiner terminal 3-n and the external examiner terminal 5m) Control. In a first example, the management apparatus 4, one of a plurality of ophthalmologic examination apparatus 2-i _n, controls communication between the internal examiner terminal 3-n. In a second example, the management apparatus 4, one of a plurality of ophthalmologic examination apparatus 2-i _n, that controls communication with an external examiner terminal 5 m (and ophthalmologic examination apparatus 9k). In a third example, the management apparatus 4, one of a plurality of ophthalmologic examination apparatus 2-i _n, including an internal examiner terminal 3-n, and an external examiner terminal 5 m (and ophthalmologic examination apparatus 9k) Controls communication between three devices (or four devices). In a fourth example, the management device 4 controls the communication between the three devices including a one, two internal examiner terminal 3-n of the plurality of ophthalmologic examination apparatus 2-i _n. In the fifth embodiment, the management apparatus 4, one of a plurality of ophthalmologic examination apparatus 2-i _n, 3 single device (or four including two external examiner terminal 5 m (and ophthalmologic examination apparatus 9k) The communication between the above devices is controlled.

In addition to such a communication mode, the management apparatus 4 controls communication between one or more internal examiner terminals 3-n and one or more external examiner terminals 5m (and an ophthalmic examination apparatus 9k). one or more internal examiner terminal 3-n between the control of the communication between two or more external examiner terminal 5 m, control of the communication between two or more ophthalmologic examination apparatus 2-i _n, and, 2 At least one of the control of communication between the two or more ophthalmic examination apparatuses 9k can be executed. Further, the management device 4 can control communication between any combination of the various devices described above.

Management device 4 has a function of relaying communication between the ophthalmologic examination apparatus 2-i _n and examiner terminals, and a function of relaying communications between the two examiner terminal, two ophthalmologic examination apparatus 2-i and a function of relaying communication between _n .

Management device 4 may include a function of recording at least part of the information exchanged between the ophthalmologic examination apparatus 2-i _n the examiner terminal. The recorded information is called inspection information. Examination information may include at least part of the information sent to the examiner terminal from ophthalmologic examination apparatus 2-i _n. The inspection information may include at least part of the information sent to the ophthalmologic examination apparatus 2-i _n the examiner terminal.

Examination information may include any information about the interaction between the ophthalmologic examination apparatus 2-i _n the examiner terminal. Examples of such information, processed in the interior of the inner or examiner terminal of the ophthalmic examination apparatus 2-i _n when the communication between the ophthalmologic examination apparatus 2-i _n the examiner terminal is established There is arbitrary information. As typical examples, information (control information) for controlling internal elements or external devices of the device, information input to the device (input information), and information obtained by processing the input information (Processing result).

  The control information includes, for example, control information for controlling the device in the examination of the eye to be examined, control information for causing the output device (display device, printing device, etc.) provided in the device to output information, It includes control information for causing the connected output device to output information.

  The input information includes, for example, information input by the user to the device, information indicating an instruction input by the user to operate the device, information input by the external device to the device, and the like.

  The processing result includes, for example, the processing result of the result obtained in the past examination of the eye to be examined, the processing result of the past image of the eye to be examined, the determination result of the suitability of the instruction input by the user to the apparatus.

Management device 4 has a function of associating an ophthalmologic examination apparatus 2-i _n and examiner terminals, that is, may have a function to assign examiner to each of the ophthalmic examination apparatus 2-i _n. Correspondence between the ophthalmologic examination apparatus 2-i _n and examiner terminals, one-to-one correspondence, many-to-one correspondence, and may be any of one-to-many correspondence. The management device 4 has a function of detecting that the default miss the contents of the communication between the ophthalmologic examination apparatus 2-i _n the examiner terminal occurs, a function of recording this, the examiner terminal And / or a function of notifying another examiner's terminal of a warning.

  The management device 4 includes one or more computers. An example in which the management apparatus 4 includes a plurality of computers is shown in FIG. 1B. The management apparatus 4 shown in FIG. 1B includes a master management apparatus 6 and R local management apparatuses 7-r (R is an integer of 2 or more). The master management device 6 and each local management device 7-r can communicate with each other via the communication line 100. Two or more local management devices 6 may be communicable via the communication line 100.

Master management apparatus 6, the first to N devices installed in each facility (at least include ophthalmologic examination apparatus 2-i _n. Internal examiner terminal 3-n may be further included.) Communication is possible via the communication line 100. The master management device 6 is installed inside or outside the management center. The master management device 6 may include two or more information processing devices.

  In one example, two or more management centers may be provided. The local management device 7-r is installed in any management center, for example. When one or more external examiner terminals 5m are installed in the management center, the local management device 7-r can manage each of the external examiner terminals 5m. When one or more ophthalmic examination apparatuses 9k are installed in the management center, the local management apparatus 7-r can manage each of the ophthalmic examination apparatuses 9k. The master management device 6 manages each of the local management devices 7-r.

  The configuration of the management device 4 will be described later. When the management apparatus 4 includes a plurality of computers, components of the management apparatus 4 described later are distributed and arranged on the plurality of computers. Moreover, arbitrary components can be provided redundantly in two or more computers. Thereby, for example, distributed processing and redundancy are realized.

As described above, in this embodiment, the ophthalmic examination apparatus 9k is installed in a facility where the external examiner terminal 5m is installed. The ophthalmic examination apparatus 9k of this example may be used for actual examination or may be used for purposes other than examination. As an application other than inspection, there is evaluation and guidance of the examiner. In a typical example, the ophthalmic examination apparatus 9k is used for both examination and evaluation, or is used only for evaluation and the like. Ophthalmologic examination apparatus 9k may be the same device as one of the ophthalmologic examination apparatus 2-i _n.

  The external examiner terminal 5m may include at least one of a desktop computer, a laptop computer, a mobile terminal, a wearable device, and a server (an in-facility server, a cloud server, etc.), for example.

  The external examiner terminal 5m and the ophthalmic examination apparatus 9k can communicate with each other via, for example, a network (institution LAN, etc.) built in the facility, a wide area network (Internet, etc.), or a short-range communication technology. May be configured.

  The ophthalmic examination apparatus 9k may have a function as a server. When this configuration is applied, the ophthalmic examination apparatus 9k and the external examiner terminal 5m can be configured to directly communicate with each other. In this case, communication between the management apparatus 4 and the external examiner terminal 5m can be performed via the ophthalmic examination apparatus 9k.

<Configuration of ophthalmic examination apparatus>
Description will be given of a configuration of an ophthalmologic examination apparatus _{2-i n.} Ophthalmologic examination apparatus illustrated in Figure 2. 2 corresponds to each of the plurality of ophthalmologic examination apparatus 2-i _n shown in FIG. 1A. Similarly, each of the internal examiner terminals 3-n is described as the internal examiner terminal 3, each of the external examiner terminals 5 m is described as the external examiner terminal 5, and each of the ophthalmic examination apparatuses 9 k is represented by the ophthalmic examination apparatus 9. May be described.

  The ophthalmic examination apparatus 2 includes a control unit 20, an examination unit 21, an examination status information generation unit 22 a, a communication request generation unit 22 b, a user interface (UI) unit 23, and a communication unit 24. These components may be provided integrally (that is, in a single housing), or may be distributed in two or more housings. Examples of the former include a refractometer, a keratometer, a tonometer, a specular microscope, a wavefront analyzer, a perimeter, a microperimeter, an OCT, a fundus camera, and an SLO. As an example of the latter, there is a visual acuity inspection device including a visual target presenting device and a phoropter. Moreover, a part or all of the control unit 20 can be provided in a personal computer or a mobile terminal. Further, part or all of the user interface unit 23 can be provided in a personal computer, a mobile terminal, a television receiver, a smart television, or the like.

<Control unit 20>
The control unit 20 executes various controls and calculations. The control unit 20 includes a processor. In this specification, the “processor” is, for example, a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), an ASIC (Application Specific Integrated Circuit), or a programmable logic device (eg, SPLD (Simple LD). It means a circuit such as (Complex Programmable Logic Device) or FPGA (Field Programmable Gate Array). For example, the control unit 20 reads and executes a program stored in a storage circuit or a storage device, thereby realizing the function according to the embodiment. The control unit 20 may further include a RAM, a ROM, a hard disk drive, a solid state drive, and the like.

<Output control unit 201>
The control unit 20 includes an output control unit 201. The output control unit 201 performs control for outputting information transmitted from the internal examiner terminal 3 or the external examiner terminal 5 to the ophthalmic examination apparatus 2. Examples of output information include visual information and audio information. Visual information is information recognized by the visual system, and includes character string information and image information. The character string information includes, for example, a character message representing the examiner's instruction. The image information includes, for example, a moving image of the examiner's face and hand, and a mark representing the examiner's instruction. The output control unit 201 outputs visual information by controlling a liquid crystal display (LCD) 214 and a display device 231 described later. The voice information is information recognized by the auditory system and includes a warning sound and a voice message. The output control unit 201 outputs auditory information by controlling an audio output device 233 described later. A specific example of processing executed by the output control unit 201 will be described later.

<Inspection unit 21>
The examination unit 21 performs examination of the eye to be examined under the control of the control unit 20. The inspection unit 21 has a configuration corresponding to the type of the ophthalmic examination apparatus 2. The configuration of the inspection unit 21 may be at least a part of a known configuration, or may include a known configuration. The inspection unit 21 includes the following optical system and mechanisms (not shown) (actuators, power transmission mechanisms, etc.).

  When the inspection unit 21 has a function of measuring the characteristics of the eye E, the inspection unit 21 includes, for example, at least an optical system for projecting light to the eye to be examined, and returns light returned to the eye to be examined. An optical system for detection is further provided. Furthermore, the examination unit 21 may include an optical system having various functions such as an optical system for projecting a fixation target onto the eye to be examined, an optical system for performing alignment, and an optical system for performing focusing. . Further, the inspection unit 21 may include a processor for processing the return light detection result (image signal, video signal, etc.).

  When the inspection unit 21 has a function of photographing the eye E, the inspection unit 21 detects, for example, an optical system for projecting light to the eye to be examined and return light of the light projected on the eye to be examined. And an optical system. Further, the inspection unit 21 may include various optical systems as in the case of the measurement function. Further, the inspection unit 21 may include a processor for processing the return light detection result (image signal, video signal, etc.).

  The above optical system corresponds to the inspection optical system 211. The inspection optical system 211 includes an optical element 212 and a projection system 213. The optical element 212 is applied to the eye E to guide the light beam output from the projection system 213 to the eye E. The optical element 212 may include any of various optical elements such as a lens (objective lens, etc.), a prism (objective prism, etc.), a concave mirror (parabolic mirror, etc.), and a glass plate.

  The projection system 213 projects a light beam (inspection light beam) for inspecting the eye E onto the eye E through the optical element 212. The projection system 213 is provided with an LCD 214. The LCD 214 operates under the control of the control unit 20. The LCD 214 has a function of displaying information (examination information: visual target, fixation target, etc.) used for the inspection and a function of displaying information transmitted from the internal examiner terminal 3 or the external examiner terminal 5. The latter is a function of the information presentation optical system, and the LCD 214 corresponds to a display unit of the information presentation optical system. Further, the projection system 213 is a light guide system that guides a light beam (display light beam) from the LCD 214 corresponding to information transmitted from the internal examiner terminal 3 or the external examiner terminal 5 to the eye E through the optical element 212. Play a function. That is, in the inspection unit 21 of the present embodiment, the inspection optical system and the information presentation optical system have a common configuration. On the other hand, the inspection optical system and the information presentation optical system can be configured separately, and an example thereof will be described later.

<Inspection status information generation unit 22a>
The examination status information generation unit 22a generates examination status information indicating the examination status of the eye E. The inspection status information includes the progress of the inspection (inspection phase), the intermediate result of the inspection (for example, the presentation history of the target in the visual acuity test), the inspection time (for example, the inspection start time, elapsed time), and the like. When the ophthalmic examination apparatus 2 has a function of photographing the eye E or the subject, the examination status information may include a photographed image (still image, moving image) of the eye E or the like. Further, the examination status information may include voice information of the subject input via the voice input device 234. The generated examination status information is transmitted to the internal examiner terminal 3 and / or the external examiner terminal 5, for example, and is referred to by the examiner. In the present embodiment, the generated inspection status information is sent to the communication request generation unit 22b. The inspection status information generation unit 22a includes, for example, a processor and a computer program for performing an inspection or a computer program for monitoring the computer program.

  Note that not all information transmitted from the ophthalmic examination apparatus 2 toward the internal examiner terminal 3 and / or the external examiner terminal 5 needs to be processed by the examination status information generation unit 22a. For example, the moving image of the eye E and the voice information of the subject can be transmitted to the internal examiner terminal 3 and / or the external examiner terminal 5 as they are. Thereby, the state of the eye E, the state of the subject, and the request of the subject can be provided to the examiner substantially without time lag.

<Communication request generator 22b>
The communication request generation unit 22b generates a request (communication request) for reading out an internal examiner and / or an external examiner. The communication request generation unit 22b includes at least a process for generating a communication request in response to an instruction from the subject and a process for generating a communication request based on the examination status information generated by the examination status information generation unit 22a. One is configured to be executable.

  An instruction from the subject is input using the user interface unit 23. The instruction is input via, for example, an operation device 232 and / or a voice input device 234 described later. As a specific example, the subject uses the operation device 232 to perform a predetermined operation (such as pressing a button or tilting a lever) for calling an internal examiner and / or an external examiner. Further, the subject operates a software key displayed on the display device 231 described later using the operation device 242 or operates a software key displayed on the touch panel display with a finger. A call request can be entered. In addition, when the subject utters a message that the examination content is not grasped or a message that the instruction of the internal examiner and / or the external examiner is necessary, the voice information is detected by the voice input device 234. can do. According to this example, it is possible to provide assistance according to the request of the subject.

  An example in which a communication request is generated based on inspection status information will be described. The inspection status information generation unit 22a sequentially generates inspection status information while monitoring the inspection status. The communication request generation unit 22b determines whether the generated inspection status information meets a predetermined condition. The predetermined conditions include, for example, that the examination is not progressing, that the result of the examination is in progress (for example, the target presentation history in the visual acuity test), that the elapsed time from the start of the examination is long, May be closed for a long time, and fixation of the eye E may not be applied. The fact that the examination is not progressing is recognized, for example, by detecting that the examination phase has not shifted for a predetermined time or longer (for example, that the same target is presented). Inappropriate results during the examination are recognized, for example, by detecting that the target presentation order is inappropriate (for example, the response content does not converge). Whether the eyelid is closed or the fixation state of the eye E is recognized by analyzing a captured image of the eye E. This image analysis includes, for example, pupil detection. According to this example, it is possible to automatically detect a situation requiring assistance.

  The communication request generated by the communication request generation unit 22b is transmitted by the communication unit 24 to other devices (the management device 4, the internal examiner terminal 3, the external examiner terminal 5, etc.).

<User interface unit 23>
The user interface unit 23 has a function of outputting information for the examinee (and the internal examiner) and a function for inputting information and operating instructions. The user interface unit 23 includes a display device 231 and a voice output device 233 for the former function, and an operation device 232 and a voice input device 234 for the latter function.

  The display device 231 includes a display device such as a flat panel display. The operation device 232 includes operation devices such as buttons, keys, joysticks, knobs, operation panels, and the like provided on the housing of the ophthalmic examination apparatus 2 and outside. The operation device 232 may include an operation device such as a personal computer connected to the ophthalmic examination apparatus 2 (a mouse, a keyboard, a trackpad, a button, a touch panel, etc.). The user interface unit 23 may include a device such as a touch panel in which the display device 231 and the operation device 232 are integrated, or a graphical user interface (GUI). The user interface unit 23 may include a processor and a computer program for performing operations and inputs based on the subject's voice input from the voice input device 234.

  The audio output device 233 includes, for example, a circuit that processes output audio information (audio signal) and a speaker that outputs the processed audio information. The voice input device 234 includes a microphone that converts voice information into an electric signal and a circuit that processes the electric signal.

<Communication unit 24>
The communication unit 24 performs data communication with other devices (the management device 4, the internal examiner terminal 3, the external examiner terminal 5, the ophthalmic examination device 9, and the like). The method of data communication is arbitrary. For example, the communication unit 24 includes a communication interface compliant with the Internet, a communication interface compliant with LAN, a communication interface compliant with near field communication, and the like. Data communication may be wired communication or wireless communication. Data transmitted and received by the communication unit 24 may be encrypted. In this case, for example, the control unit 20 includes an encryption processing unit that encrypts transmission data and a decryption processing unit that decrypts reception data.

  The ophthalmic examination apparatus 2 may be configured to at least temporarily record information included in examination information recorded in the management apparatus 4 or candidates thereof. For example, various types of information can be recorded when the eye E is being examined. Examples of information to be recorded include information input to the ophthalmic examination apparatus 2, information inside the ophthalmic examination apparatus 2, and information output from the ophthalmic examination apparatus 2.

  For example, the ophthalmic examination apparatus 2 is configured to sequentially record various types of information during examination and transmit the accumulated information to the management apparatus 4 at a predetermined timing. At this time, the ophthalmic examination apparatus 2 can select information to be recorded according to a preset rule.

  The information transmission timing is, for example, the timing at which the examination of the eye E is completed, the timing at which the predetermined period is completed, the timing at which the predetermined number of examinations are completed, or a user, another examiner, an evaluation person, It may be the timing when a transmission instruction is received from the management device 4 or the like.

  When the ophthalmic examination apparatus 2 does not execute such a recording process, the ophthalmic examination apparatus 2 transmits various types of information to the management apparatus 4 in real time while the examination of the eye E is being performed. In this case, the ophthalmic examination apparatus 2 may be configured to select information to be transmitted to the management apparatus 4 according to a preset rule. For example, the ophthalmic examination apparatus 2 is configured to select information input by the examiner and information input by the subject and transmit the selected information to the management apparatus 4.

<Configuration of internal examiner terminal>
The configuration of the internal examiner terminal 3 will be described. The internal examiner terminal 3 illustrated in FIG. 3 includes a control unit 30, a user interface (UI) unit 31, a transmission information generation unit 32, and a communication unit 33.

<Control unit 30>
The control part 30 performs control of each part of the internal examiner terminal 3, and various arithmetic processes. The control unit 30 includes a processor. The control unit 30 may further include a RAM, a ROM, a hard disk drive, a solid state drive, and the like.

<Output control unit 301>
The control unit 30 includes an output control unit 301. The output control unit 301 controls the user interface unit 31 based on the inspection information recorded in the management device 4. In particular, the output control unit 301 causes the display device 311 and / or the audio output device 313 to output information based on the inspection information. Further, the output control unit 301 operates in conjunction with the management device 4, and causes the display device 311 and / or the voice output device 313 to output information for evaluating the examiner using the internal examiner terminal 3. . Details of processing executed by the output control unit 301 will be described later.

<User interface unit 31>
The user interface unit 31 includes a function for outputting information directed to the user and a function for allowing the user to input information and give an operation instruction. Similar to the user interface 23 of the ophthalmic examination apparatus 2, the user interface unit 31 includes a display device 311, an operation device 312, an audio output device 313, and an audio input device 314.

  For example, the output control unit 301 displays examination status information sequentially transmitted from the ophthalmic examination apparatus 2 and causes the display device 311 to display a screen (GUI or the like) for inputting an instruction to the subject. . Further, the output control unit 301 causes the voice output device 313 to output the voice information of the subject. The examiner determines the content of the instruction with reference to the display information and audio information, and inputs it using the operation device 312. In addition, a voice instruction is input via the voice input device 314.

  Further, the output control unit 301 displays information transmitted from other examiner terminals (other internal examiner terminal 3, external examiner terminal 5, etc.) and is transmitted to other examiner terminals, for example. A screen (GUI or the like) for inputting information to be displayed is displayed on the display device 311. Further, the output control unit 301 causes the audio output device 313 to output the audio information input to another examiner terminal. The examiner refers to display information and audio information transmitted from another examiner terminal, determines a message to the examinee and another examiner, and inputs the message using the operation device 312. A voice message is input via the voice input device 314.

  Further, the output control unit 301 causes the display device 311 to display a screen (such as a GUI) for evaluating an examiner who is a user of the internal examiner terminal 3. Further, the output control unit 301 causes the audio output device 313 to output audio information for evaluating the examiner. The examiner inputs a response to display information for evaluation and voice information using the operation device 312. The response by voice is input via the voice input device 314.

<Transmission information generation unit 32>
Based on the information input by the examiner using the user interface 31, the transmission information generating unit 32 uses the user of another device (the subject using the ophthalmic examination apparatus 2, the other examiner's terminal). Information (transmission information) is generated. The transmission information generation unit 32 includes, for example, a processor and a transmission information generation program that is executed in association with the screen (GUI).

  Note that it is not necessary for the transmission information generation unit 32 to process all of the information transmitted from the internal examiner terminal 3 toward another device. For example, the examiner's moving image and audio information can be transmitted to another apparatus as they are. Thus, the examiner's message can be provided to the examinee and other examiners with substantially no time lag.

<Communication unit 33>
The communication unit 33 performs data communication with other devices (the ophthalmic examination apparatus 2, the management apparatus 4, the external examiner terminal 5, the ophthalmic examination apparatus 9, etc.). The data communication method and encryption may be the same as those of the communication unit 24 of the ophthalmic examination apparatus 2.

  The internal examiner terminal 3 may be configured to at least temporarily record information included in the examination information recorded in the management device 4 or information candidates included in the examination information. For example, when the internal examiner terminal 3 is used to inspect the eye E or to give instructions to other examiners, various information can be recorded. Examples of information to be recorded include information input to the internal examiner terminal 3, information inside the internal examiner terminal 3, and information output from the internal examiner terminal 3.

  For example, the internal examiner terminal 3 is configured to sequentially record various types of information during the examination and transmit the accumulated information to the management device 4 at a predetermined timing. At this time, the internal examiner terminal 3 can select the information to be recorded according to a preset rule.

  The information transmission timing is, for example, the timing at which the examination of the eye E is completed, the timing at which an instruction to another examination is completed, the timing at which a predetermined period ends, the timing at which a predetermined number of examinations are completed, or the user, It may be a timing when a transmission instruction is received from another examiner, an evaluation person, or an external device (such as the management device 4).

  When the internal examiner terminal 3 does not execute such a recording process, the internal examiner terminal 3 transmits various types of information to the management device 4 in real time when the eye E is being examined. In this case, the internal examiner terminal 3 may be configured to select information to be transmitted to the management apparatus 4 according to a preset rule. For example, the internal examiner terminal 3 is configured to select information input by the examiner and transmit it to the management device 4.

  Although details will be described later, the communication unit 33 transmits and receives information for evaluating an examiner who is a user of the internal examiner terminal 3.

<Configuration of external examiner terminal>
The configuration of the external examiner terminal 5 will be described. The external examiner terminal 5 illustrated in FIG. 4 includes a control unit 50, a photographing unit 51, a user interface (UI) unit 52, a transmission information generation unit 53, and a communication unit 54.

<Control unit 50>
The control part 50 performs control of each part of the external examiner terminal 5, and various arithmetic processes. The control unit 50 includes a processor. The control unit 50 may further include a RAM, a ROM, a hard disk drive, a solid state drive, and the like.

<Output control unit 501>
The control unit 50 includes an output control unit 501. The output control unit 501 controls the user interface unit 52 based on the inspection information recorded in the management device 4. In particular, the output control unit 501 causes the display device 521 and / or the audio output device 523 to output information based on the inspection information. Further, the output control unit 501 operates in conjunction with the management device 4 to display information for evaluating an examiner who is a user of the internal examiner terminal 3 using the external examiner terminal 5 and the display device 521. / Or output to the audio output device 523. Details of processing executed by the output control unit 501 will be described later.

<Evaluation data recording unit 502>
The control unit 50 includes an evaluation data recording unit 502. The evaluation data recording unit 502 records evaluation data (evaluation results, evaluation contents, etc.) input by the user (evaluator) of the external examiner terminal 5 for the examiner who is the user of the internal examiner terminal 3. The evaluation data recording unit 502 includes a storage device such as a RAM, a hard disk drive, and a solid state drive. Details of input and recording of evaluation data will be described later.

<Shooting unit 51>
The imaging unit 51 is used to shoot a video of the examiner and includes, for example, a video camera. The imaging target includes a body part (for example, face, upper body, hand, etc.) used for expressing an instruction to the subject.

<User interface unit 52>
The user interface unit 52 has a function of outputting information directed to the examiner and a function for the examiner to input information and give an operation instruction. Similar to the user interface 23 of the ophthalmic examination apparatus 2, the user interface unit 52 includes a display device 521, an operation device 522, an audio output device 523, and an audio input device 524.

  For example, the control unit 50 displays examination status information sequentially transmitted from the ophthalmic examination apparatus 2 and causes the display device 521 to display a screen (such as a GUI) for inputting an instruction to the subject. Further, the control unit 50 causes the voice output device 523 to output the voice information of the subject. The examiner determines the content of the instruction with reference to the display information and audio information, and inputs it using the operation device 522. In addition, a voice instruction is input via the voice input device 524.

  Moreover, the control part 50 displays the information transmitted from other examiner terminals (internal examiner terminal 3, other external examiner terminals 5 etc.), for example, and is transmitted to another examiner terminal. A screen (GUI etc.) for inputting information is displayed on the display device 521. Moreover, the control part 50 makes the audio | voice output apparatus 523 output the audio | voice information input into the other examiner terminal. The examiner refers to display information and audio information transmitted from another examiner terminal, determines a message to the examinee and another examiner, and inputs the message using the operation device 522. A voice message is input via the voice input device 524.

  Further, the output control unit 501 causes the display device 521 to display a screen (GUI or the like) for evaluating an examiner who is a user of the internal examiner terminal 3 using the external examiner terminal 5. Further, the output control unit 501 causes the audio output device 523 to output audio information for evaluating the examiner. A user (evaluator in charge) of the external examiner terminal 5 inputs information for evaluating the examiner using the operation device 312. Further, voice information for evaluating the examiner can be input via the voice input device 314.

<Transmission information generation unit 53>
Based on the information input by the examiner using the user interface 52, the transmission information generating unit 53 uses the user of another device (the subject using the ophthalmic examination apparatus 2, the other examiner terminal). Information (transmission information) is generated. The transmission information generation unit 53 includes, for example, a processor and a transmission information generation program that is executed in association with the screen (GUI).

  Note that it is not necessary for the transmission information generation unit 53 to process all of the information transmitted from the external examiner terminal 5 toward the other apparatus. For example, the examiner's moving image and audio information can be transmitted to another apparatus as they are. Thus, the examiner's message can be provided to the subject with substantially no time lag.

<Communication unit 54>
The communication unit 54 performs data communication with other devices (the ophthalmic examination apparatus 2, the internal examiner terminal 3, the management apparatus 4, etc.). The data communication method and encryption may be the same as those of the communication unit 24 of the ophthalmic examination apparatus 2.

  The external examiner terminal 5 may be configured to record at least temporarily information included in the examination information recorded in the management device 4 or information candidates included in the examination information. For example, various types of information can be recorded when an examination of the eye E is performed using the external examiner terminal 5 or an instruction is given to another examiner. Examples of information to be recorded include information input to the external examiner terminal 5, information inside the external examiner terminal 5, information output by the external examiner terminal 5, and the like.

  For example, the external examiner terminal 5 is configured to sequentially record various information during the examination and transmit the accumulated information to the management device 4 at a predetermined timing. At this time, the external examiner terminal 5 can select the information to be recorded according to a preset rule.

  The information transmission timing is, for example, the timing at which the examination of the eye E is completed, the timing at which an instruction to another examination is completed, the timing at which a predetermined period ends, the timing at which a predetermined number of examinations are completed, or the user, It may be a timing when a transmission instruction is received from another examiner, an evaluation person, or an external device (such as the management device 4).

  When the external examiner terminal 5 does not execute such a recording process, the external examiner terminal 5 transmits various types of information to the management device 4 in real time while the eye E is being examined. In this case, the external examiner terminal 5 may be configured to select information to be transmitted to the management device 4 according to a preset rule. For example, the external examiner terminal 5 is configured to select information input by the examiner and transmit it to the management device 4.

  Although details will be described later, the communication unit 54 transmits and receives information for evaluating an examiner who is a user of the internal examiner terminal 3 using the external examiner terminal 5.

<Configuration of Management Device 4>
The configuration of the management device 4 will be described. The management apparatus 4 illustrated in FIG. 5 includes a control unit 40, a communication establishment unit 41, a communication unit 42, an evaluation processing unit 43, a test data storage unit 44, and an evaluation data storage unit 45. At least one of these components is realized by, for example, cooperation of hardware resources and software included in the master management device 6 and / or the local management device 7-r illustrated in FIG. 1B.

<Control unit 40>
The control unit 40 controls each unit of the management device 4. For example, a part of the control unit 40 (master control unit) is provided in the master management device 6, and this master control unit controls each local management device 7-r. The control unit 40 may be capable of executing other arithmetic processes. The control unit 40 includes a processor. The control unit 40 may further include a RAM, a ROM, a hard disk drive, a solid state drive, and the like.

  The control unit 40 includes a communication control unit 401, a transfer control unit 402, and an output control unit 403.

  The communication control unit 401 is connected between the ophthalmic examination apparatus 2 and the internal examiner terminal 3, between the ophthalmic examination apparatus 2 and the external examiner terminal 5, and between the internal examiner terminal 3 and the external examiner terminal 5. Control relating to establishment of communication between the ophthalmic examination apparatus 2, between the two or more internal examiner terminals 3, and between the two or more external examiner terminals 5 is executed. For example, the communication control unit 401 is selected by a selection unit 412 described later from a plurality of devices including a plurality of ophthalmic examination apparatuses 2, one or more internal examiner terminals 3, and one or more external examiner terminals 5. A control signal for establishing communication can be transmitted to each of the devices.

  The transfer control unit 402 performs control related to the exchange of information between devices established by the communication establishment unit 41 (and the communication control unit 401). For example, the transfer control unit 402 transmits information transmitted from one device out of at least two devices whose communication has been established by the communication establishment unit 41 (and the communication control unit 401) to at least one of the other one or more devices. Forward to some.

  A specific example of processing executed by the transfer control unit 402 will be described. When communication between the ophthalmic examination apparatus 2 and the external examiner terminal 5 is established, the transfer control unit 402 uses the information transmitted from the ophthalmic examination apparatus 2 (or the external examiner terminal 5) as the external examiner terminal 5. (Or ophthalmic examination apparatus 2). At this time, the transfer control unit 402 may transmit information obtained by processing the information transmitted from the ophthalmic examination apparatus 2 or the like to the external examiner terminal 5 or the like. For example, the transfer control unit 402 can extract a part of the information transmitted from the ophthalmic examination apparatus 2 or the like and transmit it to the external examiner terminal 5 or the like. Further, information transmitted from the ophthalmic examination apparatus 2 or the like (for example, image data of the eye E to be examined) is analyzed by the management apparatus 4 or another apparatus, and the analysis result (and original information) is transmitted to the external examiner terminal 5 or the like. You may make it do. Information processing is not limited to such extraction or analysis, and may include arbitrary data processing.

  Another specific example of the process executed by the transfer control unit 402 will be described. When communication between the two examiner terminals is established, the transfer control unit 402 transfers information transmitted from one examiner terminal to another examiner terminal. At this time, the transfer control unit 402 may transmit information obtained by processing information transmitted from one examiner terminal to another examiner terminal. For example, the transfer control unit 402 can extract a part of the information transmitted from one examiner terminal and transmit it to another examiner terminal. Further, information transmitted from one examiner terminal (for example, image data obtained by the imaging unit 51) is analyzed by the management device 4 or another device, and the analysis result (and original information) is analyzed by another examiner terminal. You may make it transmit to. Information processing may include arbitrary data processing.

<Output control unit 403>
The output control unit 403 performs a process for controlling the internal examiner terminal 3 based on the examination information recorded in the management device 4 and a process for controlling the external examiner terminal 5 based on the examination information. Configured.

  For example, the output control unit 403 cooperates with the output control unit 301 of the internal examiner terminal 3 to cause the display device 311 and / or the audio output device 313 to output information based on the examination information.

  Similarly, the output control unit 403 causes the display device 521 and / or the audio output device 523 to output information based on the examination information, for example, in cooperation with the output control unit 501 of the external examiner terminal 5. Details of processing executed by the output control unit 501 will be described later.

  In the present embodiment, elements (output control means) that execute output control of information based on examination information are provided in each of the internal examiner terminal 3, the external examiner terminal 5, and the management device 4. However, the embodiment is not limited to such a configuration. For example, a configuration in which output control means is provided in any one or any two of the internal examiner terminal 3, the external examiner terminal 5, and the management apparatus 4 can be applied. When two or more devices are provided with output control means, the two or more output control means may be configured to cooperate, or each output control means may be configured to operate independently. Good.

<Communication establishment unit 41>
The communication establishment unit 41 can execute processing for establishing communication between at least two apparatuses including at least one ophthalmic examination apparatus 2 and at least one examiner terminal. In this embodiment, “establishing communication” means, for example, (1) establishing one-way communication from a disconnected state, (2) establishing two-way communication from a disconnected state, This is a concept including at least one of (3) switching from a state where only reception is possible to a state where transmission is possible, and (4) switching from a state where only transmission is possible to a state where reception is possible.

  As a specific example, the “establishment of communication” includes a state where the examiner is monitoring an examination performed using the ophthalmic examination apparatus 2 using the internal examiner terminal 3 or the external examiner terminal 5 (reception Switching to a state in which an instruction can be transmitted to the subject. As another specific example, in the “establishment of communication”, a message is sent to one examiner terminal from the state in which the examination assistant status using one examiner terminal is monitored using another examiner terminal. Switching to a state in which transmission is possible.

  Furthermore, the communication establishment unit 41 can execute processing for disconnecting established communication. In this embodiment, “disconnection of communication” means, for example, (1) disconnecting communication from a state where unidirectional communication is established, (2) disconnecting communication from a state where bidirectional communication is established, (3) Switching from a state where bidirectional communication is established to one-way communication, (4) Switching from a state where transmission and reception are possible to a state where only reception is possible, and (5) a state where transmission and reception are possible This is a concept including at least one of switching to a state in which only transmission is possible.

  As a specific example, “disconnection of communication” includes only monitoring of an examination from a state in which an external examiner can transmit an instruction to the subject using the external examiner terminal 5 (a state in which transmission and reception are possible). Switching to a possible state (a state in which only reception is possible) may be included. As another specific example, “disconnection of communication” may include switching the communication state between two examiner terminals from bidirectional communication to one-way communication or no communication.

  Each of the ophthalmic examination apparatus 2 and the examiner terminal (internal examiner terminal 3, external examiner terminal 5) can transmit a communication request (call request) for calling another apparatus (the user) to the other apparatus. . Each of the ophthalmic examination apparatus 2 and the examiner terminals (internal examiner terminal 3, external examiner terminal 5) sends a communication request (interrupt request) to interrupt communication between the other two apparatuses. Can be sent. Each of the ophthalmic examination apparatus 2 and the examiner terminal (the internal examiner terminal 3 and the external examiner terminal 5) may be capable of transmitting other types of communication requests. The communication request is transmitted manually or automatically.

  In this example, each of the ophthalmic examination apparatus 2 and the examiner terminals (the internal examiner terminal 3 and the external examiner terminal 5) can transmit a communication request to the management apparatus 4. The management device 4 (communication unit 42) receives the communication request transmitted from the ophthalmic examination apparatus 2 or the examiner terminal, and executes processing according to the communication request.

  In the embodiment, the communication establishment unit 41 may include a selection unit 412. Based on the received communication request, the selection unit 412 selects one or more devices other than the device that transmitted the communication request among the ophthalmic examination apparatus 2, the internal examiner terminal 3, and the external examiner terminal 5.

  For example, when receiving a communication request from the ophthalmic examination apparatus 2, the selection unit 412 selects, for example, either the internal examiner terminal 3 of the facility where the ophthalmic examination apparatus 2 is installed or the external examiner terminal 5. Including two or more examiner terminals are selected. The communication establishment unit 41 establishes communication between the selected two or more examiner terminals and the ophthalmic examination apparatus 2 that has transmitted the communication request. In addition, when bidirectional communication or the like between the ophthalmic examination apparatus 2 and the internal examiner terminal 3 has already been established, the communication establishment unit 41, for example, an examiner terminal other than the internal examiner terminal 3 (the facility concerned) Alternatively, only establishment of communication between the ophthalmic examination apparatus 2 and the internal examiner terminal 3 and the external examiner terminal 5 installed in another facility may be executed. By such communication establishment processing, an examination support can be provided by automatically selecting an examiner in response to a request from the subject of the ophthalmic examination apparatus 2.

  Another example will be described. When receiving a communication request from the examiner terminal (internal examiner terminal 3 or external examiner terminal 5), the selection unit 412 is connected to, for example, the ophthalmic examination apparatus 2 in the facility where the internal examiner terminal 3 is installed. Two or more examiner terminals including any of the external examiner terminals 5 are selected. The communication establishment unit 41 establishes communication between the selected one or more ophthalmologic examination apparatuses 2, one or more examiner terminals, and the examiner terminal that has transmitted the communication request. For example, when bidirectional communication or the like between the examiner terminal that has transmitted the communication request and the ophthalmic examination apparatus 2 has already been established, the communication establishment unit 41 uses the examiner terminal and the ophthalmic examination apparatus other than the examiner terminal. Only the establishment of communication with 2 may be executed. With such communication establishment processing, it is possible to automatically select another examiner or a subject according to the request of the examiner and provide support.

  The selection of the device according to the communication request is executed based on, for example, a preset attribute. Examples of this attribute include the type of examination, the degree of specialization / skilledness required for examination assistance, the type of language, the type of user (eg, whether or not the person is an evaluation person), and the like. In order to realize this example, the communication establishment unit 41 may include a storage unit 411 in which attribute information created in advance is stored.

  In the present embodiment, the attribute information represents information representing the attributes of the internal examiner terminal 3 and / or its user (internal examiner) and the attributes of the external examiner terminal 5 and / or its user (external examiner). Information and information indicating whether or not the user is a person in charge of evaluation (and / or information indicating whether or not an examiner terminal used by the user is used for evaluation) may be included. Here, the examiner is identified by, for example, an examiner ID assigned in advance. The examiner terminal is identified by, for example, a device ID or network address assigned in advance. In a typical example, the attribute information is the attributes of each examiner (each user), the type of examination that can be supported by the examiner, the degree of expertise and skill of the examiner, and the examiner can use Language types. Further, typical attribute information includes information indicating that the user is an evaluation person (and information indicating that the user is not an evaluation person).

  In another example, the attribute information represents information indicating the attributes of the internal examiner terminal 3 and / or its user (internal examiner) and the attributes of the external examiner terminal 5 and / or its user (external examiner). One of the information may be included. Alternatively, the attribute information may include information indicating attributes of a predetermined examiner terminal or a user (examiner) regardless of the type of the examiner terminal. Information (examiner terminal, examiner, attribute, etc.) included in the attribute information can be edited.

  When the selection unit 412 refers to the attribute information, the communication request transmitted from the ophthalmologic examination apparatus 2, the internal examiner terminal 3, or the external examiner terminal 5 may include information regarding the attribute. For example, a communication request (for example, a call request) transmitted from the ophthalmic examination apparatus 2 may include any of the following: (1) Information indicating the type of examination performed by the ophthalmic examination apparatus 2; (2 ) Information indicating the level of difficulty in supporting the test (information indicating that the test is difficult for the eye or the subject, information indicating the progress of the test, etc.); (3) The subject's disease name, age, etc. (4) Information indicating the language used by the subject. The selection unit 412 selects at least one of any of the internal examiner terminals 3 and any of the external examiner terminals 5 based on the received communication request and attribute information. At this time, the selection unit 412 collates the information related to the attribute included in the communication request with the information included in the attribute information. Thereby, the selection unit 412 selects, for example, the internal examiner terminal 3 and / or the external examiner terminal 5 corresponding to any of the following examiners: (1) an examiner capable of supporting the examination type; (2) An examiner who can support the examination of the difficulty level; (3) An examiner who can support the subject of the disease or the age; (4) An examiner who can use the language. Here, the correspondence between the internal examiner and the internal examiner terminal 3 and the correspondence between the external examiner and the external examiner terminal 5 are, for example, an examiner terminal (apparatus ID is given when logging into the system). ).

  In the present embodiment, a group including two or more examiners can be set. The group is set by, for example, an examiner or another person (for example, an evaluation person). The group is set, for example, by prior registration or by registration each time.

  When a plurality of groups can be set, an ID is assigned to each group. Such a group ID is associated with the ID of an examiner included in the group. The selection unit 412 can identify the group by the group ID. The selection unit 412 can recognize a combination of a group and an examiner based on the group ID and the examiner ID. More specifically, the selection unit 412 can recognize the examiner included in the specific group by the group ID and the examiner ID, and can recognize the group to which the specific examiner belongs. . A single user may belong to two or more groups.

<Communication unit 42>
The communication unit 42 performs data communication with other devices (such as the ophthalmic examination apparatus 2, the internal examiner terminal 3, the external examiner terminal 5). The data communication method and encryption may be the same as those of the communication unit 24 of the ophthalmic examination apparatus 2.

<Test data storage unit 44>
The test data storage unit 44 stores in advance test data used for a test for evaluating the examiner. The test data is created by, for example, an inspection expert and / or a computer. This computer may be the management device 4 (test data creation unit 431) or another computer. The test data storage unit 44 includes, for example, a hard disk drive and a solid state drive.

<Evaluation data storage unit 45>
The evaluation data storage unit 45 stores the evaluation data of the examiner obtained through the test. The evaluation data is generated by, for example, an evaluation person and / or a computer. The computer may be the management device 4 (evaluation data generation unit 434) or another computer (for example, the external examiner terminal 5). The evaluation data storage unit 45 includes, for example, a hard disk drive and a solid state drive.

<Evaluation processing unit 43>
The evaluation processing unit 43 operates in conjunction with the test data storage unit 44 and the evaluation data storage unit 45. The evaluation processing unit 43 executes various processes for evaluating an examiner who is a user of the internal examiner terminal 3 using the external examiner terminal 5. The evaluation processing unit 43 includes a test data creation unit 431, a device control unit 432, a communication control unit 433, an evaluation data generation unit 434, a storage control unit 435, and a search unit 436.

<Test data creation unit 431>
The test data creation unit 431 creates test data based on examination data acquired by an ophthalmic examination performed in the past. For example, the test data is created manually, semi-automatically, or automatically.

  When manually creating test data, the test data creation unit 431 transmits, for example, inspection data acquired in the past to another device (for example, the external examiner terminal 5). Further, the test data creation unit 431 can perform control for displaying a screen (GUI) for creating test data on another device. On this screen, for example, test data and software keys are displayed. A user of another device can create test data using this screen. The created test data is sent to the management device 4 and stored in the test data storage unit 44.

  When creating test data semi-automatically, the test data creation unit 431 sends a screen for creating test data and transmitting test data acquired in the past to other devices, for example, as in manual operation. Control to display on other devices. The user of the other device inputs desired information using this screen. The input information is sent to the management device 4.

  The test data creation unit 431 creates test data based on information input by the user and reference information provided in advance. For example, the reference information includes a plurality of items representing examination procedures (or test procedures), options for each item, determination criteria for each item, and the like. As a specific example, the reference information may include at least a part of an examination procedure described in any of the following patent documents by the applicant of the present invention: JP 2004-166903 A; JP 2004-180955 A JP-A-2004-275589; JP-A-2004-275590; JP-A-2004-275591; JP-A-2004-283271.

  For example, the test data creation unit 431 processes at least a part of such reference information based on information input by the user. For example, the reference information is processed by replacing a part of the reference information with the input information, adding the input information to the reference information, or deleting a part of the reference information based on the input information. , Etc. The test data created by the test data creation unit 431 is stored in the test data storage unit 44.

  When test data is automatically created, the test data creation unit 431 creates test data based on, for example, inspection data acquired in the past and the above-described reference information. More specifically, the test data creation unit 431 can process at least a part of the reference information based on at least a part of the procedure of the inspection performed in the past. For example, the reference information is processed by replacing a part of the reference information with a part of the inspection data, adding a part of the inspection data to the reference information, or deleting a part of the reference information based on the inspection data. , Etc. The test data created by the test data creation unit 431 is stored in the test data storage unit 44.

  The test data created in this way may include test questions (questions, options, etc.) presented to the person being evaluated. Further, the test data may include an answer to the test question.

  When the test data does not include the answer to the test question, the person in charge of the evaluation judges the correctness or the score of the answer of the person being evaluated for the test question. Alternatively, if the test data does not include the answers to the test questions, by using a large database of past test data and an artificial intelligence engine, the correctness or score of the testee's answers to the test questions can be assigned to the test questions. It can also be configured to make a determination (an example of an evaluation data generation unit 434 described later).

  On the other hand, when the test data includes an answer to the test question, the evaluation data generation unit 434 determines the correctness or calculates the score by comparing the content of the response of the evaluated person to the test question with the answer of the test question. You can do it. The process executed by the evaluation data generation unit 434 will be described later.

  Test data may not include test questions. In this case, the test data includes, for example, past inspection data, a test format (format, protocol, etc.) and the like. During or before the test, the evaluator can create a test question with reference to such test data. In one example, the person in charge of evaluation can create a test question with reference to the data of the inspection in which trouble or the like has occurred among the inspections performed by the evaluated person in the past. In another example, a test question can be created by referring to data of examinations that are relatively likely to cause troubles among a number of examinations that have been performed in the past.

<Device control unit 432>
The apparatus control unit 432 can perform control of the internal examiner terminal 3 based on the test data and control of the external examiner terminal 5 based on the test data. In this example, the control of the internal examiner terminal 3 used by the person to be evaluated is executed by the device control unit 432 and the control unit 30. Similarly, control of the external examiner terminal 5 used by the person in charge of evaluation is executed by the device control unit 432 and the control unit 50.

  The configuration for controlling these terminals is not limited to this. For example, a configuration in which only the apparatus control unit 432 controls the internal examiner terminal 3 and / or the external examiner terminal 5, a configuration in which only the control unit 30 controls the internal examiner terminal 3, or a control unit 50 alone. A configuration for controlling the external examiner terminal 5 can be employed.

  The device control unit 432 can perform one or both of the control of the ophthalmic examination apparatus 2 based on the test data and the control of the ophthalmic examination apparatus 9 based on the test data. When controlling both the ophthalmic examination apparatus 2 and the ophthalmic examination apparatus 9, the apparatus control unit 432 can synchronize the control of the ophthalmic examination apparatus 2 and the control of the ophthalmic examination apparatus 9.

  Examples of control executed by the apparatus control unit 432 such as an example of control of the internal examiner terminal 3, an example of control of the external examiner terminal 5, and an example of synchronous control of the ophthalmic examination apparatus 2 and the ophthalmic examination apparatus 9 It will be described later.

<Communication control unit 433>
The communication control unit 433 performs control for transmitting information (input information) input to the internal examiner terminal 3 by the evaluated person to the external examiner terminal 5 used by the evaluator. This control includes, for example, a process of accepting input information transmitted from the internal examiner terminal 3, a process of identifying the transmission destination (external examiner terminal 5) of the accepted input information, and the identified external examiner And a process of sending an instruction to the communication unit 42 so as to transmit the input information to the terminal 5.

  Here, the identification of the external examiner terminal 5 is performed by, for example, an evaluator side terminal (internal examiner terminal 3, ophthalmic examination apparatus 2 or the like) whose communication has already been established in the evaluation process, and an evaluator side terminal ( This is executed with reference to the combination with the external examiner terminal 5, the ophthalmic examination apparatus 9 and the like. An example of processing executed by the communication control unit 433 will be described later.

<Evaluation data generation unit 434>
Based on any test data stored in the test data storage unit 44 and the input information received from the internal examiner terminal 3 by the communication control unit 433, the evaluation data generation unit 434 Is used to generate evaluation data (evaluation results, evaluation contents, etc.) relating to the person to be evaluated.

  An example of processing executed by the evaluation data generation unit 434 will be described.

  When the test data includes an answer to the test question, the evaluation data generation unit 434 compares the answer to the test question with the content of the response of the person to be evaluated included in the input information, for example. Correctness judgment and score calculation can be performed.

  When the test data does not include the answer to the test question, the evaluation data generation unit 434 uses the database created by collecting the results of many tests performed in the past, for example, to evaluate the test question. The correctness / incorrectness of a person's response and score calculation can be performed. In this case, the evaluation data generation unit 434 may include an artificial intelligence engine.

  The evaluation data generation unit 434 can create evaluation data for storage based on the evaluation data input by an evaluation person using the external examiner terminal 5 and recorded in the evaluation data recording unit 502. This evaluation data creation processing includes, for example, processing for converting the evaluation data received from the external examiner terminal 5 into a storage format, processing for combining two or more separately created evaluation data, and data for predetermined items And a process for excluding data of a predetermined item.

<Storage control unit 435>
The storage control unit 435 associates the evaluation data generated by the evaluation data generation unit 434 with the identification information of the evaluated person set in advance, and stores the evaluation data in the evaluation data storage unit 45. The identification information of the evaluated person (examiner) is, for example, an examiner ID assigned in advance to the examiner. The association between the identification information of the person to be evaluated and the evaluation data is performed with reference to, for example, a communication establishment result or identification information included in the communication protocol.

<Search unit 436>
When the communication unit 42 of the management device 4 receives a request for browsing any evaluation data stored in the evaluation data storage unit 45, the control unit 40 sends this browsing request to the search unit 436. The search unit 436 searches for evaluation data from the evaluation data storage unit 45 based on this browsing request.

  The browsing request includes, for example, an examiner ID of an evaluated person who is a browsing target. The search unit 436 searches the evaluation data storage unit 45 using the examiner ID included in the browsing request as a search query, and acquires evaluation data associated with the examiner ID. The control unit 40 controls the communication unit 42 to transmit the evaluation data acquired by the search unit 436 to the transmission source of the browsing request.

  When the search unit 436 cannot acquire the evaluation data corresponding to the browsing request, the control unit 40 controls the communication unit 42 so as to transmit information indicating the search error to the transmission source of the browsing request.

  When the examiner ID included in the browsing request is associated with a certain group ID, the search unit 436 searches for one or more examiner IDs (typically, the verification ID included in the browsing request) associated with the group ID. Evaluation data associated with the examiner ID can be searched from the evaluation data storage unit 45.

  When the group ID is included in the browsing request, the search unit 436 uses the evaluation data storage unit 45 for the evaluation data associated with the examiner ID for each of the one or more examiner IDs associated with the group ID. You can search from.

  When a plurality of evaluation data associated with the searcher's ID is stored in the evaluation data storage unit 45, the search unit 436 may acquire all of these evaluation data, and among these evaluation data Any of these may be acquired selectively. As an example of the latter, the search unit 436 can select the latest evaluation data or can select evaluation data obtained during a predetermined period.

  The search unit 436 can search for evaluation data based on various attributes. The attributes include, for example, the type of examination (type of evaluation data), the degree of expertise / skilledness of the person being evaluated, the type of language used by the person being evaluated, the age / sex of the person being evaluated, and the type of person being evaluated (example) : Whether or not the person in charge of evaluation).

<Configuration of ophthalmic examination apparatus 9>
The ophthalmic examination apparatus 9 that can be used with the external examiner terminal 5 will be described. The ophthalmic examination apparatus 9 may be any type of ophthalmic examination apparatus. For example, various types of ophthalmic examination apparatuses are prepared, and an ophthalmic examination apparatus 9 is selected according to the type of the ophthalmic examination apparatus 3 used for the test of the person to be evaluated.

  The ophthalmic examination apparatus 9 may have the same configuration as the ophthalmic examination apparatus 2 shown in FIG. Note that the ophthalmic examination apparatus 9 may not include any one or both of the examination status information generation unit 22a and the communication request generation unit 22b.

  The ophthalmic examination apparatus 9 illustrated in FIG. 6 includes a control unit 90, an examination unit 91, a user interface (UI) unit 92, and a communication unit 93. The control unit 90 includes an output control unit 901. The user interface unit 92 includes a display device 921, an operation device 922, an audio output device 923, and an audio input device 924. The display device 921 and the audio output device 923 are controlled by the output control unit 901.

  The inspection unit 91 may have a configuration similar to that of the inspection unit 21 illustrated in FIG. In another example, the ophthalmic examination apparatus 9 may not include the examination unit 91. In this case, when performing the test of the person to be evaluated, the ophthalmic examination apparatus 9 can perform a dummy operation imitating an actual examination operation, for example.

<Usage pattern>
A typical example of the usage pattern of the ophthalmic system 1 of the present embodiment will be described.

  First, as an example of a usage pattern of the ophthalmic system 1, a process for a subject to request an assist from the examiner will be described. In this example, reference is made to FIG.

(S1: Start of inspection)
Examination of the eye E using the ophthalmologic examination apparatus 2 is one of a plurality of ophthalmologic examination apparatus 2-i _n starts. Note that communication (one-way communication or two-way communication) between the ophthalmic examination apparatus 2 and one or more examiner terminals (internal examiner terminal 3 and / or external examiner terminal 5) is started from this stage. May be. In response to the start of the examination, the control unit 20 of the ophthalmic examination apparatus 2 causes the examination status information generation unit 22a to start generating examination status information.

(S2: Examiner call request)
The examinee calls the examiner using the user interface unit 23 when the examiner needs assistance. Examples of when the examiner's assistance is necessary include when he / she does not understand how to perform the examination, when he / she does not understand the language used, when he / she is tired, or when he / she wants to return to the examination step. In addition, examples of a method of using the user interface unit 23 for inputting a call request include performing a predetermined operation using the operation device 232 and inputting a voice using the voice input device 234.

(S3: Request / information transmission)
The control unit 20 controls the communication unit 24 to transmit the examiner call request (communication request) input in step S2 to the management apparatus 4 together with predetermined information. Examples of information transmitted together with the examiner call request include identification information (device ID) pre-assigned to the ophthalmic examination apparatus 2, identification information pre-assigned to the subject (subject ID), and the ophthalmic examination apparatus 2. Identification information (facility ID) preliminarily assigned to the facility where is installed, at least a part of the examination status information generated up to the present time, the content of the examiner call request, and the like.

(S4: Selection of examiner terminal)
The management apparatus 4 receives the examiner call request and information transmitted from the ophthalmic examination apparatus 2 in step S3 by the communication unit 42. The selection unit 412 selects an examiner who assists the subject. That is, the selection unit 412 includes an internal examiner terminal 3 installed in a facility where the subject is inspecting, an internal examiner terminal 3 installed in another facility, and an external examiner terminal 5. , Select at least one.

  In a typical example, communication is started between the internal examiner terminal 3 and the ophthalmic examination apparatus 2 installed in the facility where the subject is inspecting at the stage of step S1, and at the stage of step S4. One or more examiner terminals (internal examiner terminal 3 and / or external examiner terminal 5 installed in the same facility or another facility) different from the internal examiner terminal 3 are selected.

  An example of processing for selecting an examiner terminal will be described. The selection unit 412 may have a function of monitoring the operating state (communication establishment information) of each examiner terminal (internal examiner terminal 3, each external examiner terminal 5), for example. With this monitoring function, the selection unit 412 uses an inspector terminal that is not currently in operation (an inspector who is not currently assisting, an inspector who is assisting but has a margin, an inspector who has no reservation for assistance, etc. ) Can be selected. Thereby, an examiner who is not currently assisting another subject can be assigned to the assist of the subject who sent the call request.

  The monitoring function is, for example, a flag indicating the operating state of each examiner terminal based on, for example, information input from the examiner terminal periodically or irregularly, or a response to information transmitted to the examiner terminal. It can be realized by managing with.

  In another example, the selection unit 412 determines whether communication is actually established for an examiner terminal corresponding to a communication request among a plurality of examiner terminals including the internal examiner terminal 3 and the external examiner terminal 5. Can be determined. When communication of the examiner terminal is not established, the selection unit 412 can establish communication between the examiner terminal and the ophthalmic examination apparatus 2. On the other hand, when communication of the examiner terminal has already been established, the selection unit 412 can establish communication between the other examiner terminal and the ophthalmic examination apparatus 2.

  A specific example will be described. When all the internal examiner terminals 3 in the facility are in operation, that is, between each of the internal examiner terminals 3 in the facility and other ophthalmic examination apparatuses 2 and / or external examiner terminals 5 When the communication is established, the selection unit 412 selects, for example, one of the inspector terminals that are not in operation from the internal inspector terminal 3 and / or the external inspector terminal 5 installed in another facility. can do.

  On the other hand, when any one of the internal examiner terminals 3 in the facility is not in operation, the selection unit 412 can select any of the internal examiner terminals 3 that are not in operation.

  According to this example, it is possible to quickly provide assistance to the subject by comprehensively considering the operating states of the plurality of examiner terminals. Note that this example is also realized, for example, by managing the operating state of each examiner terminal using a flag or the like.

(S5: Transmission of control signal for establishing communication)
The communication control unit 401 transmits a control signal for establishing communication between the examiner terminal and the ophthalmic examination apparatus 2 to each examiner terminal selected in step S4. In the example of FIG. 7, the examiner terminal may be the internal examiner terminal 3 or the external examiner terminal 5.

(S6: Start of bidirectional communication)
Bidirectional communication between the examiner terminal and the ophthalmic examination apparatus 2 is established by the control signal transmitted in step S5. At this time, it is also possible to establish communication between two or more examiner terminals. Note that, as described above, communication may be established at an earlier stage.

(S7: Start shooting)
When communication between the ophthalmic examination apparatus 2 and the external examiner terminal 5 is established in step S5, the transfer control unit 402 of the management apparatus 4 uses the information transmitted from the ophthalmic examination apparatus 2 in step S3. To the user terminal 5. The control unit 50 of the external examiner terminal 5 controls the photographing unit 51 to start photographing of the examiner's video. At this time, voice input from the examiner is also started. Frames sequentially acquired by the imaging unit 51 are transferred to the ophthalmic examination apparatus 2 via the management apparatus 4 in real time. This process is executed by the transfer control unit 402.

  Even when communication between the ophthalmic examination apparatus 2 and the internal examiner terminal 3 is established in step S5, the same imaging can be performed. For example, when communication between the ophthalmic examination apparatus 2 and the internal examiner terminal 3 installed in another facility is established, the internal examiner terminal 3 is connected to the imaging unit (the imaging unit 51 shown in FIG. 4). The same processing can be executed when the computer has the same configuration. In a specific example, the transfer control unit 402 of the management apparatus 4 sends the information transmitted from the ophthalmic examination apparatus 2 to the internal examiner terminal 3 in step S3. The control unit 30 of the internal examiner terminal 3 controls an imaging unit (not shown) to start video imaging of the examiner. At this time, voice input from the examiner is also started. Frames sequentially acquired by the imaging unit are transferred to the ophthalmic examination apparatus 2 via the management apparatus 4 in real time. This process is executed by the transfer control unit 402.

  Similar imaging can be performed even when communication between two or more examiner terminals selected in step S4 is established. For example, when communication between the internal examiner terminal 3 installed in the same facility as the ophthalmic examination apparatus 2 and the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility) is established, Similar processing can be performed. In a specific example, the control unit 50 of the external examiner terminal 5 controls the photographing unit 51 to start photographing of the examiner's moving image. At this time, voice input from the examiner is also started. The frames sequentially acquired by the imaging unit 51 are transferred to the internal examiner terminal 3 via the management device 4 in real time. This process is executed by the transfer control unit 402.

(S8: Start of video display / audio output)
The ophthalmic examination apparatus 2 receives frames and audio information that are sequentially transmitted from the external examiner terminal 5 (and / or the internal examiner terminal 3). The output control unit 201 displays the sequentially received frames on the LCD 214 in real time. Thereby, the moving image of the examiner is displayed in real time. Further, the output control unit 201 causes the audio output device 233 to output the sequentially received audio information in real time. Thereby, the examiner's voice is output in real time.

  By such a linkage operation, the subject can grasp the examiner's face, gesture gesture and voice in real time. Conversely, the examiner can also grasp the voice and operation of the subject in real time. Such bidirectional information exchange is mainly realized by the transfer control unit 402 of the management apparatus 4.

  Similarly, when communication between two or more examiner terminals selected in step S4 is established, one of the two or more examiner terminals sequentially transmits from another examiner terminal. Received frame and audio information. In a typical example, the internal examiner terminal 3 installed in the same facility as the ophthalmic examination apparatus 2 is “one examiner terminal”, and the internal examiner terminal 3 installed in the external examiner terminal 5 or another facility is “ Other examiner's terminal ". In this case, the control unit 30 of the internal examiner terminal 3 installed in the same facility as the ophthalmic examination apparatus 2 is sequentially received from the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility). The frame is displayed on the display device 311 in real time. Thereby, the moving image of the examiner who uses the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility) is displayed in real time. In addition, the control unit 30 causes the audio output device 313 to output the audio information sequentially received from the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility) in real time. Thereby, the voice of the examiner who uses the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility) is output in real time.

  By such a linkage operation, it is possible to provide support in real time to an examiner who wants to receive support from another examiner. Such bidirectional information exchange is mainly realized by the transfer control unit 402 of the management apparatus 4.

(S9: Information display start)
In order to facilitate the assisting work by the examiner, the control unit (control unit 30, 50, etc.) of the examiner terminal (internal examiner terminal 3, external examiner terminal 5, etc.) uses the above-described screen (GUI etc.). It is displayed on a display device (display devices 311, 521, etc.). Further, the control unit (control unit 30, 50, etc.) of the examiner terminal (internal examiner terminal 3, external examiner terminal 5, etc.) transfers information (particularly examination) from the ophthalmic examination apparatus 2 via the management apparatus 4. Status information) can be displayed on this screen. Upon receiving new examination status information, the control unit (control unit 30, 50, etc.) updates the display content. Thereby, the examiner can grasp the status of the examination performed using the ophthalmic examination apparatus 2 substantially in real time, and uses visual information and audio information to provide appropriate assistance at an appropriate timing. Can be provided.

(S10: Start inputting instructions)
The examiner inputs a desired instruction using an operation device (operation devices 312, 522, etc.) and a GUI. Examples of the contents of the instruction include change of examination, presentation of character string information, presentation of image information, and the like. In addition, as instructions using means other than the GUI, there are instructions by gestures and instructions by voice.

(S11: Information generation start)
The transmission information generation unit 53 of the external examiner terminal 5 generates transmission information for the subject based on the contents (instruction) input in step S10. The generation of the transmission information is executed each time the examiner inputs an instruction, for example.

  Further, the transmission information generating unit 32 of the internal examiner terminal 3 generates transmission information for the subject based on the contents (instruction) input in step S10. The generation of the transmission information is executed each time the examiner inputs an instruction, for example.

  When communication between two or more examiner terminals selected in step S4 is established, the transmission information generation unit 53 of the external examiner terminal 5 may generate transmission information for other examiner terminals. it can. Similarly, the transmission information generating unit 32 of the internal examiner terminal 3 can generate transmission information for other examiner terminals.

(S12: Information transmission start)
The examiner terminal (external examiner terminal 5, internal examiner terminal 3) transmits the transmission information generated in step S11 to the ophthalmic examination apparatus 2 via the management apparatus 4. This process is realized by the transfer control unit 402.

  Similarly, when communication between two or more examiner terminals selected in step S4 is established, one examiner terminal transmits the transmission information generated in step S11 to another tester via the management device 4. To the user terminal. This process is realized by the transfer control unit 402.

(S13: Start assist)
The ophthalmic examination apparatus 2 receives the transmission information transmitted from the examiner terminal in step S12. The output control unit 201 displays the examiner's moving image and instruction on the LCD 214 based on the transmission information.

  Similarly, when transmission information is transmitted from one examiner terminal to another examiner terminal in step S12, the other examiner terminal receives the transmission information transmitted from the one examiner terminal, and transmits this transmission. Display messages based on information.

  As described above, the ophthalmic system 1 can perform an ophthalmic examination while receiving the assistance of the examiner. Data (examination data) acquired by ophthalmic examination is stored in a predetermined database (electronic medical chart system, image archiving system, etc.). The ophthalmic system 1 can access this database. Alternatively, the ophthalmic system 1 may include this database.

  Next, various operations for evaluation by the examiner will be described as examples of usage patterns of the ophthalmic system 1. Hereinafter, an example of a usage pattern related to subjective measurement including a pinhole test and an example of a usage pattern related to a red-green test will be described.

<Usage for awareness measurement>
Subjective measurement (subjective refraction test) is based on the subject's response to the target that is presented sequentially starting from the refractive power value (objective measurement value) obtained in the objective measurement performed in advance. This is an ophthalmic examination for finding a correction value. The pinhole test is performed in judgment of whether refraction correction is correctly performed in subjective measurement or in correction of visual acuity after mydriasis.

  First, creation of test data will be described. The test data is created by, for example, a person skilled in ophthalmic examination (doctor, optometry, etc.). In this example, test data can be created using the external examiner terminal 5. As described above, the test data can be generated automatically or semi-automatically.

  The test data creation unit 431 of the management device 4 transmits the examination data acquired in the past to the external examiner terminal 5. Furthermore, the test data creation unit 431 performs control for causing the external examiner terminal 5 to display a test data creation screen for creating test data. The output control unit 501 of the external examiner terminal 5 displays the test data creation screen on the display device 521 and displays the test data on the test data creation screen. The user of the external examiner terminal 5 creates test data using the operation device 522 while referring to the inspection data. The created test data is sent to the management device 4 and stored in the test data storage unit 44.

  The test data created in this way includes, for example, the following information: test data ID, test data creation date, test data creator information, subject information (age, gender, etc.), external Presence / absence of mechanical correction devices (glasses, contact lenses, etc.), presence / absence of intraocular lenses, presence / absence of examination history, findings data, presence / absence of sickness, examination data. Examples of test data included in test data include pattern images (ring images, Hartmann images, etc.) detected by objective measurement, spherical power, astigmatism power, astigmatic axis angle, final prescription value, etc. obtained by subjective measurement. is there.

  The inspection data included in the test data may be the same as the inspection data referenced in the creation of the test data, or may be data obtained by processing the inspection data referenced in the creation of the test data.

  In addition, detailed settings of items included in the test data can be performed. For example, in the test data for a one-eye visual acuity test, the visual acuity value of the subject's eye when the correction lens for objective measurement is applied is 0.7 or more, or less than 0.7 (0.63 or less ) Can be set. This visual acuity value is used in determining whether to perform a pinhole test.

  An example of such test data is shown in FIG. 8A. In the test data 10A shown in FIG. 8A, the visual acuity value of the right eye when the correction lens for objective measurement values is applied is set to 0.63 or less. The test data 10A may include the items of the subjective examination, the order of the items, the correct answer procedure, etc. in addition to the information shown in FIG. 8A. An example of the correct answer procedure of the subjective test is shown in FIG.

  Another example of test data is shown in FIG. 8B. The test data 10B shown in FIG. 8B includes the same information as the test data 10A shown in FIG. 8A. Further, the test data 10B includes, in the detailed setting item, the content of the question presented to the person to be evaluated in the process after it is determined that the visual acuity is 0.63 or less in the visual acuity test for the right eye. Is set?

  FIG. 10 shows an example of a screen used by the evaluator in a test using such test data 10A or 10B. The screen 1000 includes presentation information display areas 1010L and 1010R, a subject input information display area 1021, an examiner input information display area 1022, an examiner input information display area 1023, an examiner operation information display area 1024, An examination information display area 1040 and a presentation information operation area 1050 are provided.

  In the presentation information display areas 1010L and 1010R, information presented by the ophthalmic examination apparatus 2 to the left eye and the right eye of the (virtual or actual) subject is displayed. In this example, the alphabet target group corresponding to the visual acuity value 0.5, the alphabet target group corresponding to the visual acuity value 0.6, and the alphabet target group corresponding to the visual acuity value 0.7 are the subject. Presented in the right eye. When the pinhole inspection is performed, a pinhole image PH indicating the form of the pinhole plate is displayed together with the alphabet target group. The information displayed in the presentation information display areas 1010L and 1010R is selected based on, for example, test data or an instruction from an evaluation person.

  The ophthalmic examination apparatus 2 may be configured to be able to present information to both the left and right eyes of the subject at the same time. In this case, the ophthalmic examination apparatus 2 is provided with, for example, an examination optical system and an information presentation optical system for the left eye, and an examination optical system and an information presentation optical system for the right eye that are independent of each other (for example, A left-eye optical head and a right-eye optical head are provided).

  As another example, the ophthalmic examination apparatus 2 may be configured to divide a light beam from a single examination optical system into two parts and guide one to the left eye and the other to the right eye.

  As yet another example, the ophthalmic examination apparatus 2 may be configured to divide a light beam from a single information presentation optical system into two parts and guide one to the left eye and the other to the right eye. The configuration capable of simultaneously presenting information to both the left and right eyes is not limited to these, and may be any configuration.

  Information input by the subject is displayed in the subject input information display area 1021. In the example shown in FIG. 10, the alphabet target group “G, P, Y, A, W” corresponding to the visual acuity value 0.5 is visually recognized, and the visual target group corresponding to the visual acuity value 0.6 cannot be visually recognized. And that the target group corresponding to the visual acuity value 0.7 could not be visually recognized. In the subject input information display area 1021, for example, information is displayed based on test data or based on an instruction from an evaluation person. In addition to the information visually presented in the subject input information display area 1021, the voice output device 523 can output similar information.

  In the examiner input information display area 1022, information input by the examiner (evaluator) is displayed. In the example illustrated in FIG. 10, a message (question) for causing the examiner (evaluator) to think about what operation or instruction should be performed next in the situation presented in the subject input information display area 1021. Is presented. In the examiner input information display area 1022, for example, information is displayed based on test data or based on an instruction from an evaluator. For example, when the test data 10A shown in FIG. 8A is used, a message is displayed based on an instruction input from the evaluator. On the other hand, when the test data 10B shown in FIG. 8B is used, any one or any of the ophthalmic system 1 (for example, the internal examiner terminal 3, the external examiner terminal 5, and the management device 4) Or a combination of two or more) automatically displays a message based on the test data 10B. In addition to the information visually presented in the examiner input information display area 1022, the voice output device 523 can output the same information.

  In the examiner input information display area 1023, information input by the examiner (evaluated person) is displayed. In the example shown in FIG. 10, the content of the examiner's response to the message presented in the examiner input information display area 1022 (answer to the question) is presented. In addition to the information visually presented in the examiner input information display area 1023, the voice output device 523 can output the same information.

  In the examiner operation information display area 1024, the contents of the operation performed by the examiner (evaluated person) on the ophthalmic examination apparatus 2 are presented. In the example shown in FIG. 10, it is presented that the pinhole inspection has been started (for example, an operation for inserting the pinhole plate into the optical path has been performed).

  In the examination information display area 1040, information related to the examination performed by the examiner (evaluated person) is presented. In the example illustrated in FIG. 10, the measurement data display unit 1041, the face image display unit 1042, and the eye image display units 1043 </ b> L and 1043 </ b> R are provided in the examination information display area 1040.

  The measurement data display unit 1041 displays various measurement data such as measurement values (refraction, astigmatism, astigmatism axis angle, addition, etc.) of each eye of the subject. This measurement data corresponds to, for example, inspection data included in the test data 10A shown in FIG. 8A or the test data 10B shown in FIG. 8B.

  The eye image display unit 1042 displays the face image of the examiner (evaluator) or the face image of the examinee. The face image of the examiner is acquired by the internal examiner terminal 3, for example. In this case, the internal examiner terminal 3 includes the same elements as the imaging unit 51 of the external examiner terminal 5. The face image of the subject may be, for example, an image obtained by photographing the actual subject with the ophthalmic examination apparatus 2 or may be included in the test data.

  The anterior eye image of the left eye is displayed on the eye image display unit 1043L, and the anterior eye image of the right eye is displayed on the eye image display unit 1043R. These anterior segment images may be, for example, images obtained by photographing an actual eye to be examined by the ophthalmic examination apparatus 2 or may be included in test data.

  Furthermore, arbitrary information regarding the examiner (evaluated person) and the subject such as name, age, sex, disease name, language used, examination difficulty level, affiliation group, etc. can be presented in the examination information display area 1040. It is.

  The presentation information operation area 1050 is provided with a GUI (software key or the like) for operating an examiner (evaluated person) or information presented to the examinee. In the example illustrated in FIG. 10, a target selection operation unit 1051, a selected target presentation unit 1052, and an operation dial 1053 are provided.

  The target selection operation unit 1051 is a GUI for selecting a target. The target selection operation unit 1051 of this example presents target options (eg, list, thumbnail, etc.). In the selected target presentation unit 1052, the currently selected target is presented. The operation dial 1053 is used for selecting a target, setting parameters such as frequency, and the like. An evaluation person who uses the external examiner terminal 5 operates a software key or the like provided in the presentation information operation area 1050 by using the operation device 522. Further, the person in charge of evaluation can input a message or the like provided to the examiner (evaluated person) using an input device such as a keyboard. The person in charge of evaluation can input a voice message provided to the examiner (evaluated person) via the voice input device 524.

<Usage for red-green inspection>
The red-green test is an ophthalmic test performed to check whether the power of the correction lens is appropriate using chromatic aberration. The test data for the red-green test is created, for example, in the same manner as the test data for the subjective test.

  An example of this test data is shown in FIG. 11A. In the test data 11A shown in FIG. 11A, the adjustment is set to intervene in the red-green examination of the right eye. The test data 11A may include a correct procedure for red-green inspection in addition to the information shown in FIG. 11A. Examples of the correct answer procedure for the red-green inspection are shown in FIGS. This correct answer procedure is a procedure of red-green inspection disclosed in Japanese Patent Application Laid-Open No. 2004-275590.

  Another example of test data is shown in FIG. 11B. The test data 11B shown in FIG. 11B includes the same information as the test data 11A shown in FIG. 11A. Furthermore, the test data 11B indicates that the details of the question presented to the person to be evaluated in the process after it has been determined that the intervention in the red-green examination of the right eye is included in the detailed setting item “What do you do next? "Is set.

  An example of a screen used by the person in charge of evaluation in a test using such test data 11A or 11B is shown in FIG. The format of the screen 1000 shown in FIG. 13 is the same as that of the screen 1000 shown in FIG. In this example, a visual target (red green visual target) used in the red-green examination is presented to the subject's right eye.

  In the subject input information display area 1021 of this example, the character string “green is clearly visible” is presented as information input by the subject in the red-green examination. This character string information is displayed, for example, based on test data or based on an instruction from an evaluation person. In addition to such character string information, the voice output device 523 can output similar information.

  In this example, the examiner input information display area 1022 allows the examiner (evaluator) to consider what operation or instruction should be performed next in the situation presented in the subject input information display area 1021. A message (question) is presented. This message is displayed based on, for example, test data or an instruction from an evaluation person. For example, when the test data 11A shown in FIG. 11A is used, a message is displayed based on the instruction input from the evaluator. On the other hand, when the test data 11B shown in FIG. 11B is used, any one or any of the ophthalmic system 1 (for example, the internal examiner terminal 3, the external examiner terminal 5, and the management device 4) Or a combination of two or more) automatically displays a message based on the test data 11B. In addition to such a message, the voice output device 523 can output similar information.

  In the examiner input information display area 1023 of this example, the content of the examiner's response (answer to the question) to the message presented in the examiner input information display area 1022 is presented. In addition to such information, the audio output device 523 can output similar information.

  In the examiner operation information display area 1024 of this example, it is presented that an operation of adding +0.50 diopter has been performed.

<Usage for testing and evaluation>
A usage pattern related to tests and evaluations performed using the internal examiner terminal 3 and the external examiner terminal 5 will be described. In this example, the examiner (evaluated person) uses the internal examiner terminal 3, and the person in charge of the evaluation uses the external examiner terminal 5. However, the present invention is not limited to this.

  The examiner may use the ophthalmic examination apparatus 2 together with the internal examiner terminal 3. When the test is performed, the ophthalmic examination apparatus 2 may perform an actual examination of the subject or may perform a dummy operation.

  The person in charge of evaluation may use the ophthalmic examination apparatus 9 together with the external examiner terminal 5. When the test is performed, the ophthalmic examination apparatus 9 may perform an actual examination of the subject or may perform a dummy operation.

  Although details will be described later, when both the ophthalmic examination apparatus 2 and the ophthalmic examination apparatus 9 are used in the test, the ophthalmic system 1 may synchronize the operation of the ophthalmic examination apparatus 2 and the operation of the ophthalmic examination apparatus 9. it can.

  In this example, it is assumed that the test data is created in advance and stored in the test data storage unit 44 of the management device 4.

(S20a, S20b: test start requested)
First, a test start request is input to the internal examiner terminal 3 or the external examiner terminal 5. The input of the test start request to the internal examiner terminal 3 is performed by the examiner (evaluated person) using the user interface unit 31. The input of the test start request to the external examiner terminal 5 is performed by the person in charge of evaluation using the user interface unit 52.

(S21: Establish bidirectional communication)
The test start request input to the internal examiner terminal 3 or the external examiner terminal 5 in step S20a or step S20b is sent to the management apparatus 4. The communication establishment unit 41 of the management device 4 establishes bidirectional communication between the internal examiner terminal 3 and the external examiner terminal 5 as described above. A combination of the internal examiner terminal 3 and the external examiner terminal 5 is set in advance, for example. Alternatively, the examiner can designate the person in charge of evaluation, and the person in charge of evaluation can designate the examiner. When the ophthalmic examination apparatus 2 and / or the ophthalmic examination apparatus 9 are used, the communication establishment unit 41, for example, the internal examiner terminal 3, the external examiner terminal 5, and the ophthalmic examination apparatus 2 and / or the ophthalmic examination apparatus 9 is used. Establish two-way communication between the two. If there is a person monitoring the test, communication to the computer used by this person is also established.

(S22: Send test data)
The test start request includes, for example, information (inspection type information and test type information) indicating the type of inspection to be performed in the test. The evaluation processing unit 43 (for example, the communication control unit 433) of the management apparatus 4 acquires test data corresponding to the examination type information or the test type information from the test data storage unit 44. Furthermore, the evaluation processing unit 43 transmits the acquired test data to the internal examiner terminal 3 and the external examiner terminal 5 for which two-way communication has been established in step S21. When the ophthalmic examination apparatus 2 and / or the ophthalmic examination apparatus 9 are used, the evaluation processing unit 43 also transmits test data to the ophthalmic examination apparatus 2 and / or the ophthalmic examination apparatus 9.

(S23: Display test screen)
The communication unit 54 of the external examiner terminal 5 receives the test data transmitted from the management device 4 in step S22. The output control unit 501 displays a screen for testing (test screen) on the display device 521 based on the received test data. This test screen is, for example, the screen 1000 shown in FIG. 10 or FIG. A similar test screen may be displayed on the internal examiner terminal 3.

  The internal examiner terminal 3 (and the ophthalmic examination apparatus 2) starts a test based on the test data and the like. The control of the internal examiner terminal 3 is executed by, for example, the control unit 30 of the internal examiner terminal 3 or by the cooperation of the control unit 30 of the internal examiner terminal 3 and the device control unit 432 of the management device 4. The The control of the ophthalmic examination apparatus 2 is executed by, for example, the control unit 20 of the ophthalmic examination apparatus 2 or by the cooperation of the control unit 20 of the ophthalmic examination apparatus 2 and the device control unit 432 of the management apparatus 4. .

  The external examiner terminal 5 (and the ophthalmic examination apparatus 9) starts a test based on the test data and the like. The control of the external examiner terminal 5 is executed, for example, by the control unit 50 of the external examiner terminal 5 or by the cooperation of the control unit 50 of the external examiner terminal 5 and the device control unit 432 of the management device 4. The The control of the ophthalmic examination apparatus 9 is executed by, for example, the control unit 90 of the ophthalmic examination apparatus 9 or by the cooperation of the control unit 90 of the ophthalmic examination apparatus 9 and the device control unit 432 of the management apparatus 4. .

  The apparatus control unit 432 controls the terminal to be evaluated (internal examiner terminal 3 or internal examiner terminal 3 and ophthalmic examination apparatus 2), and the evaluator side terminal (external examiner terminal 5 or external The control of the examiner terminal 5 and the ophthalmic examination apparatus 9) can be synchronized. This synchronization control is realized by, for example, the apparatus control unit 432 monitoring the evaluated-side terminal and the evaluator-side terminal in real time and transmitting substantially the same instruction to these at substantially the same timing. Is done.

  When information is input from the internal examiner terminal 3 (and / or the ophthalmic examination apparatus 2) to the management apparatus 4, the management apparatus 4 (communication control unit 433, etc.) transfers at least part of this information to the external examiner terminal 5. (And / or ophthalmic examination apparatus 9). The external examiner terminal 5 (and / or the ophthalmic examination apparatus 9) operates based on information transmitted from the management apparatus 4. For example, the external examiner terminal 5 can display the information transmitted from the management device 4 on the test screen. The external examiner terminal 5 can output voice information based on information transmitted from the management device 4. Such a series of processing is executed in real time.

  When information is input from the external examiner terminal 5 (and / or the ophthalmic examination apparatus 9) to the management apparatus 4, the management apparatus 4 (communication control unit 433 or the like) transfers at least part of this information to the internal examiner terminal 3 (And / or ophthalmic examination apparatus 2). The internal examiner terminal 3 (and / or the ophthalmic examination apparatus 2) operates based on the information transmitted from the management apparatus 4. Such a series of processing is executed in real time.

(S24: Accept questions)
The person in charge of evaluation grasps the progress of the test of the person to be evaluated by referring to the test screen or the like, and inputs a desired question or the like at a desired timing. Questions and the like are input using the user interface unit 52 (such as the operation device 522). The control unit 50 controls the communication unit 54 to transmit the input question or the like to the management device 4. The communication control unit 433 of the management device 4 transfers the question transmitted from the external examiner terminal 5 to the internal examiner terminal 3.

(S25: Output questions, etc.)
The internal examiner terminal 3 outputs a question or the like transferred by the management device 4. For example, the internal examiner terminal 3 can display character string information representing a question or the like on the display device 311. Further, the internal examiner terminal 3 can also output voice information representing a question or the like from the voice output device 313.

  Here, when the test data 10A shown in FIG. 8A is used, the question “What do you do next?” Presented in the examiner input information display area 1022 of the screen 1000 shown in FIG. Displayed in response to an instruction input. Similarly, when the test data 11A shown in FIG. 11A is used, the question “What will you do next” presented in the examiner input information display area 1022 of the screen 1000 shown in FIG. Displayed in response to an instruction input.

  On the other hand, when the test data 10B shown in FIG. 8B is used, the question “What do you do next?” Presented in the examiner input information display area 1022 of the screen 1000 shown in FIG. Will be displayed automatically. Similarly, when the test data 11B shown in FIG. 11B is used, the question “What will you do next” presented in the examiner input information display area 1022 of the screen 1000 shown in FIG. Therefore, it is displayed automatically.

(S26: Accept answer / operation)
The evaluator confirms the question or the like output in step S25, and inputs an answer to the question. The answer is input using the user interface unit 31 (the operation device 312 or the like). Further, the person to be evaluated operates the ophthalmic examination apparatus 2 in response to this question or the like. The control unit 30 controls the communication unit 33 to transmit the input answer to the management device 4. When the operation of the ophthalmic examination apparatus 2 is performed, the control unit 20 controls the communication unit 24 to transmit information (operation content information) indicating the content of the operation to the management device 4. The communication control unit 433 of the management device 4 transfers the response transmitted from the internal examiner terminal 3 and the operation content information transmitted from the ophthalmic examination device 2 to the external examiner terminal 5.

(S27: Output answers / operations)
The external examiner terminal 5 outputs the reply and operation content information transferred by the management device 4. For example, the output control unit 501 of the external examiner terminal 5 can display character string information representing an answer in the examiner input information display area 1023 of the screen 1000 (test screen) shown in FIG. Further, the output control unit 501 can display character string information based on the operation content information in the examiner operation information display area 1024. Furthermore, the output control unit 501 can cause the audio output device 523 to output audio information based on the answer and audio information based on the operation content information.

(S28: Accept evaluation contents)
The person in charge of evaluation refers to the answer and the operation content information output in step S27 and inputs the evaluation content. The input of the evaluation contents is performed using the user interface unit 52 (the operation device 522 or the like).

(S29: record evaluation data)
The evaluation data recording unit 502 records evaluation data based on the evaluation content input in step S28.

  Note that the evaluation data generation unit 434 of the management device 4 may generate evaluation data. In this case, the evaluation data generation unit 434 receives the answer input from the internal examiner terminal 3 in step S26, such as the test data selected in step S22, the question input from the external examiner terminal 5 in step S24, and the step S26. Evaluation data can be generated based on the operation content information input from the ophthalmic examination apparatus 2.

(S30: End of test?)
Until the test is completed, the processing from step S24 to step S29 is repeated (S30: No). When the test ends (S30: Yes), the process proceeds to step S31.

(S31: Send evaluation data)
When the test is finished (S30: Yes), the external examiner terminal 5 transmits the evaluation data stored in the evaluation data recording unit 502 to the management device 4 via the communication unit 54.

(S32: Store evaluation data)
The management device 4 receives the evaluation data transmitted from the external examiner terminal 5 in step S31 via the communication unit 42. For example, the evaluation data generation unit 434 converts the format of the received evaluation data. The storage control unit 435 stores the evaluation data in the evaluation data storage unit 45 in association with the identification information of the person to be evaluated. The test / evaluation is now complete.

  Thus, the evaluation data stored in the evaluation data storage unit 45 can be browsed. When the management device 4 receives the evaluation data browsing request, the search unit 436 searches the evaluation data storage unit 45 for evaluation data based on the browsing request. The management device 4 returns the searched evaluation data to the transmission source of the browsing request.

  The information stored in the evaluation data storage unit 45 is not limited to the evaluation data. For example, the storage control unit 435 can store any of the following information in the evaluation data storage unit 45 in association with the identification information of the evaluated person: test data selected in step S22; external in step S24 Questions input to the management device 4 from the examiner terminal 5; Answers input from the internal examiner terminal 3 to the management device 4 in step S26; Operation contents input from the ophthalmic examination device 2 to the management device 4 in step S26 information.

  As described above, when both the ophthalmic examination apparatus 2 and the ophthalmic examination apparatus 9 are used in the test, the apparatus control unit 432 can control the ophthalmic examination apparatus 2 and the ophthalmic examination apparatus 9 synchronously. For example, when the person to be evaluated operates the ophthalmic examination apparatus 2, the corresponding operation content information is transmitted from the ophthalmic examination apparatus 2 to the management apparatus 4 in real time. The apparatus control unit 432 controls the ophthalmic examination apparatus 9 in real time based on this operation content information. This control causes the ophthalmic examination apparatus 9 to execute the same operation (or similar action) as that of the ophthalmic examination apparatus 2. This control includes, for example, a process of transferring operation content information to the ophthalmic examination apparatus 9 and a process of generating a control signal based on the operation content information.

<Action and effect>
The operation and effect of the ophthalmic system according to the embodiment will be described.

  The ophthalmic system according to the embodiment includes a first device used by the person to be evaluated and a second device used by the evaluator. In the exemplary ophthalmic system 1, the first apparatus includes, for example, one or both of the internal examiner terminal 3 and the ophthalmic examination apparatus 2. Further, the second device includes, for example, one or both of the external examiner terminal 5 and the ophthalmic examination device 9.

  The first device may include one or both of the external examiner terminal 5 and the ophthalmic examination device 9. The second device may include either one or both of the internal examiner terminal 3 and the ophthalmic examination device 2.

  The ophthalmic system according to the embodiment includes a storage unit, a first control unit, a second control unit, and an input information transmission unit.

  The storage means stores in advance test data used in a test for evaluating the evaluated person. In the exemplary ophthalmic system 1, the test data storage unit 44 provided in the management device 4 corresponds to a storage unit.

  The first control means controls the first device used by the person to be evaluated based on the test data stored in the storage means. In the exemplary ophthalmic system 1, any one of a device control unit 432 provided in the management device 4, a control unit 30 provided in the internal examiner terminal 3, and a combination of the device control unit 432 and the control unit 30. Corresponds to the first control means. Further, the control unit 20 of the ophthalmic examination apparatus 2 may be included in the first control means.

  The second control means controls the second device used by the evaluator based on the test data stored in the storage means. In the exemplary ophthalmic system 1, any one of a device control unit 432 provided in the management device 4, a control unit 50 provided in the external examiner terminal 5, and a combination of the device control unit 432 and the control unit 50. Corresponds to the second control means. Further, the control unit 90 of the ophthalmic examination apparatus 9 may be included in the second control means.

  The input information transmitting means transmits, to the second device used by the evaluator, the input information input to the first device by the evaluator as a response to the provided information provided by the first device to the evaluator based on the test data. To do. In the exemplary ophthalmic system 1, the communication control unit 433 (and the communication unit 42) provided in the management device 4 corresponds to input information transmission means. The communication control unit 433 can transmit the input information input to the internal examiner terminal 3 by the evaluator to the external examiner terminal 5 as a response to the information output from the internal examiner terminal 3 based on the test data. . In addition, the communication control unit 433 receives input information (operation content information) representing an operation performed by the evaluator on the ophthalmic examination apparatus 2 as a response to the information output from the internal examiner terminal 3 based on the test data. To the user terminal 5. Further, the communication control unit 433 receives input information (operation content information) representing an operation performed by the evaluator on the ophthalmic examination apparatus 2 as a response to the information output from the internal examiner terminal 3 based on the test data. It can be transmitted to the device 9. Further, the input information input to the internal examiner terminal 3 by the evaluator as a response to the information output from the internal examiner terminal 3 based on the test data can be transmitted to the ophthalmic examination apparatus 9.

  Furthermore, the second control unit can control the second device based on the input information transmitted to the second device by the input information transmission unit. In the exemplary ophthalmic system 1, the device control unit 432 and / or the control unit 50 can cause the display device 521 and / or the audio output device 523 to output information based on the input information. Moreover, the apparatus control part 432 and / or the control part 90 can operate the ophthalmic examination apparatus 9 based on input information.

  According to such an embodiment, in an ophthalmologic system capable of performing a remote examination, even if a plurality of examiner terminals are distributed in various places, The quality of inspection can be secured and improved by evaluating defects.

  The ophthalmic system according to the embodiment may include evaluation data generation means for generating evaluation data based on test data stored in the storage means and input information input to the first device by the person to be evaluated. In the exemplary ophthalmic system 1, the evaluation data generation unit 434 provided in the management device 4 corresponds to an evaluation data generation unit.

  According to such an embodiment, the ability of the examiner and evaluation of wrinkles can be automatically performed.

  In the ophthalmologic system according to the embodiment, the second device may include a display unit, a display control unit, an operation unit, and an evaluation data recording unit. The display control unit includes at least one of the test data stored in the storage means and the provided information provided to the evaluated person by the first device based on the test data, and the input information input to the first device by the evaluated person. And display on the display. The evaluation data recording unit records evaluation data input by the evaluator using the operation unit. In the exemplary ophthalmic system 1, the display device 521 provided in the external examiner terminal 5 corresponds to a display unit, the output control unit 501 corresponds to a display control unit, the operation device 522 corresponds to an operation unit, The evaluation data recording unit 502 corresponds to an evaluation data recording unit.

  According to such an embodiment, the evaluator can evaluate the ability and habit of the examiner.

  The ophthalmic system according to the embodiment may include a storage device and a storage control unit. The storage control unit associates the evaluation data with the identification information of the evaluated person set in advance and stores the evaluation data in the storage device. In the exemplary ophthalmic system 1, the evaluation data storage unit 45 provided in the management device 4 corresponds to a storage device, and the storage control unit 435 corresponds to a storage control unit.

  According to such embodiment, evaluation data can be managed for every to-be-evaluated person.

  When a group of examiners is set, evaluation data can be managed for each group. For example, grouping according to years of experience and skill level, or grouping according to examination type, to improve the efficiency of testing and evaluation, and facilitate comparison of evaluation results Is possible.

  In the ophthalmic system according to the embodiment, the storage control means may be configured to store the input information input by the evaluator into the first device in the storage device in association with the identification information of the evaluator.

  In the exemplary ophthalmic system 1, the storage control unit 435 can store any of the following information in the evaluation data storage unit 45 in association with the identification information of the evaluated person: selected in step S22 Test data; questions input from the external examiner terminal 5 to the management apparatus 4 in step S24; answers (input information) input from the internal examiner terminal 3 to the management apparatus 4 in step S26; ophthalmic examination apparatus in step S26 Operation content information (input information) input from 2 to the management apparatus 4.

  According to such an embodiment, it is possible to manage not only the evaluation data but also the information referred to for obtaining this evaluation data.

  The ophthalmic system according to the embodiment may include receiving means, searching means, and evaluation data transmitting means. The receiving means receives an evaluation data browsing request. The retrieval unit retrieves evaluation data from the storage device based on the browsing request received by the receiving unit. The evaluation data transmission unit transmits the evaluation data searched from the storage device by the search unit to the browsing request transmission source. In the exemplary ophthalmic system 1, the communication unit 42 provided in the management device 4 corresponds to a reception unit, and the search unit 436 corresponds to a search unit. Further, a combination of the communication control unit 433 and the communication unit 42 or a combination of the control unit 40 and the communication unit 42 corresponds to an evaluation data transmission unit.

  According to such an embodiment, the evaluation data stored in the storage device can be browsed. Therefore, it is possible to examine test results and evaluation results, or to perform evaluations by an evaluator. When the information referred to for obtaining the evaluation data is also stored in the storage device, such incidental information can be browsed.

  In the ophthalmic system according to the embodiment, the first device may include a first ophthalmic examination device. In this case, the first control means can control the first ophthalmic examination apparatus based on the test data stored in the storage means. In the exemplary ophthalmic system 1, the ophthalmic examination apparatus 2 corresponds to a first ophthalmic examination apparatus.

  According to such an embodiment, testing and evaluation can be performed while actually operating the first ophthalmic examination apparatus used in the examination. As a result, tests and evaluations can be performed as if they were actually inspected, and the accuracy and accuracy of evaluation can be improved.

  In the ophthalmic system according to the embodiment, the second device may include a second ophthalmic examination device. In this case, the second control means can control the second ophthalmic examination apparatus based on the test data stored in the storage means. In the exemplary ophthalmic system 1, the ophthalmic examination apparatus 9 corresponds to a second ophthalmic examination apparatus.

  According to such an embodiment, the evaluator can easily grasp how the evaluator operates the ophthalmic examination apparatus and how the evaluator performs the examination. Can do.

  In the ophthalmic system according to the embodiment, the first device may include a first ophthalmic examination device, and the second device may include a second ophthalmic examination device. In this case, the first control means controls the first ophthalmic examination apparatus based on the test data stored in the storage means, and the second control means controls the second ophthalmic examination apparatus based on the test data. can do. Furthermore, the ophthalmic system may include a synchronization control unit that synchronizes the control of the first ophthalmic examination apparatus by the first control unit and the control of the second ophthalmic examination apparatus by the second control unit.

  In the exemplary ophthalmic system 1, the device control unit 432 corresponds to a synchronization control unit. The apparatus control unit 432 can cause the ophthalmic examination apparatus 9 to perform the same operation (or similar action) when the evaluated person operates the ophthalmic examination apparatus 2. For example, when the evaluator performs an operation for inserting a pinhole plate into the optical path, the pinhole plate is also inserted into the optical path in the ophthalmic examination apparatus 9 on the evaluator side.

  According to such an embodiment, the evaluator can confirm the operation performed by the person to be evaluated on the first ophthalmic examination apparatus with the second ophthalmic examination apparatus at hand.

  The ophthalmic system according to the embodiment may include a test data creation unit that creates test data based on examination data acquired by an ophthalmic examination. In the exemplary ophthalmic system 1, the test data creation unit 431 corresponds to test data creation means. As described above, the test data creation by the test data creation means may be automatic or semi-automatic.

  According to such an embodiment, it is possible to create test data automatically (or semi-automatically).

  The embodiment described above is merely a typical example of the present invention. Therefore, arbitrary modifications (omitted, replacement, addition, etc.) within the scope of the present invention can be made as appropriate.

DESCRIPTION OF SYMBOLS 1 Ophthalmology system 2 Ophthalmic examination apparatus 21 Inspection part 20 Control part 24 Communication part 3 Internal examiner terminal 30 Control part 301 Output control part 31 User interface part 33 Communication part 4 Management apparatus 40 Control part 41 Communication establishment part 42 Communication part 43 Evaluation Processing unit 431 Test data creation unit 432 Device control unit 433 Communication control unit 434 Evaluation data generation unit 435 Storage control unit 436 Search unit 44 Test data storage unit 45 Evaluation data storage unit 5 External examiner terminal 50 Control unit 501 Output control unit 502 Evaluation data recording unit 52 User interface unit 54 Communication unit 9 Ophthalmic examination apparatus 90 Control unit 93 Communication unit 1000 Screen

Claims (10)

An ophthalmic system including a first device used by an evaluator and a second device used by an evaluator,
Storage means for preliminarily storing test data used in a test for evaluating the person to be evaluated;
First control means for controlling the first device based on the test data;
Second control means for controlling the second device based on the test data;
Input information transmitting means for transmitting, to the second device, input information input to the first device by the evaluated user as a response to the provided information provided to the evaluated subject by the first device based on the test data; Including
The second control means controls the second device based on the input information. The ophthalmologic system according to claim 1, further comprising evaluation data generation means for generating evaluation data based on the test data and the input information. The second device includes:
A display unit;
A display control unit for displaying at least one of the test data and the provided information and the input information on the display unit;
The ophthalmologic system according to claim 1, further comprising: an operation unit; and an evaluation data recording unit that records evaluation data input by the evaluator using the operation unit. A storage device;
The ophthalmic system according to claim 2, further comprising: a storage control unit that associates the evaluation data with the identification information of the evaluation subject set in advance and stores the evaluation data in the storage device. The ophthalmic system according to claim 4, wherein the storage control unit stores the input information in association with the identification information in the storage device. Receiving means for receiving an evaluation data browsing request;
Search means for searching for evaluation data from the storage device based on the browsing request;
The ophthalmologic system according to claim 5, further comprising: an evaluation data transmission unit that transmits the evaluation data acquired by the search unit to a transmission source of the browsing request. The first device includes a first ophthalmic examination device;
The ophthalmic system according to claim 1, wherein the first control unit controls the first ophthalmic examination apparatus based on the test data. The second device includes a second ophthalmic examination device;
The ophthalmic system according to any one of claims 1 to 7, wherein the second control unit controls the second ophthalmic examination apparatus based on the test data. The first device includes a first ophthalmic examination device;
The first control means controls the first ophthalmic examination apparatus based on the test data,
The second device includes a second ophthalmic examination device;
The second control means controls the second ophthalmic examination apparatus based on the test data,
The synchronization control means for synchronizing the control of the first ophthalmic examination apparatus by the first control means and the control of the second ophthalmic examination apparatus by the second control means is included. The ophthalmic system described in Crab. The ophthalmic system according to any one of claims 1 to 9, further comprising test data creating means for creating the test data based on examination data acquired by an ophthalmic examination.

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