JP2022517312A - 正視域予測を使用した眼内レンズ選択のためのシステム及び方法 - Google Patents
正視域予測を使用した眼内レンズ選択のためのシステム及び方法 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/0016—Operational features thereof
- A61B3/0025—Operational features thereof characterised by electronic signal processing, e.g. eye models
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/117—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for examining the anterior chamber or the anterior chamber angle, e.g. gonioscopes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2240/001—Designing or manufacturing processes
- A61F2240/002—Designing or making customized prostheses
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- G—PHYSICS
- G02—OPTICS
- G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
- G02C7/00—Optical parts
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- G02C7/024—Methods of designing ophthalmic lenses
- G02C7/027—Methods of designing ophthalmic lenses considering wearer's parameters
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- G—PHYSICS
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Abstract
Description
a=f(Wx+b) 式3
Claims (15)
- 方法であって、
予測エンジンを実装する1つ以上のコンピューティングデバイスによって、眼の1つ以上の術前測定値を判定することと、
前記予測エンジンによって、前記眼の前記1つ以上の術前測定値に基づいて、眼内レンズ(IOL)の術後前房深度(ACD)を推定することと、
前記予測エンジンによって、前記眼の前記1つ以上の術前測定値、及び前記推定された術後ACDに基づいて、前記IOLが移植された前記眼の術後の顕性屈折等価球面度数(MRSE)を推定することと、
前記予測エンジンによって、前記推定された術後MRSEに基づいて、前記IOLが移植された前記眼が正視域にありそうかどうかを判定することと、
前記予測エンジンによって、前記判定されている正視域に基づいて、正視域予測モデル又は非正視域予測モデルを使用して、前記IOLが移植された前記眼の前記術後MRSEを再推定することと、
前記予測エンジンによって、前記再推定された術後MRSEをユーザに提供して、前記眼の移植用のIOLの選択を支援することと、を含む、方法。 - 前記術後ACDを推定することが、
前記眼の幾何学的モデルを使用して、第1の推定値を生成することと、
ニューラルネットワークベースの予測モデルを使用して、前記第1の推定値を更新することと、を含む、請求項1に記載の方法。 - 前記術後MRSEを推定することが、前記眼のモデルを使用する光線追跡アルゴリズムを使用して、前記術後MRSEの第1の推定を生成することを含む、請求項1に記載の方法。
- 前記術後MRSEを推定することが、ニューラルネットワークベースの補正モデルを使用して、前記術後MRSEの前記第1の推定値を補正することを更に含む、請求項3に記載の方法。
- 前記IOLが移植された前記眼が前記正視域にあるかどうかを判定することが、分類器及び受信者動作特性曲線を使用することを含む、請求項1に記載の方法。
- 前記正視域予測モデルが、ニューラルネットワークを含み、
前記非正視域予測モデルが、ニューラルネットワークを含む、請求項1に記載の方法。 - 前記眼の前記術前測定値が、
前記眼の角膜の白から白までの直径、
前記角膜の平均角膜曲率測定値、
及び前記眼の軸長、からなる群のうちの1つ以上を含む、請求項1に記載の方法。 - 第2のIOLの術後MRSEを推定及び再推定することと、
前記IOLの前記再推定された術後MRSE、及び前記第2のIOLの前記再推定された術後MRSEを前記ユーザに提示して、前記眼の移植用の前記IOLの前記選択時に前記ユーザを支援することと、を更に含み、
前記IOL及び前記第2のIOLが、異なるIOL度数を有する、請求項1に記載の方法。 - 前記IOLが移植された前記眼の1つ以上の術後測定値を判定することと、
前記眼の前記1つ以上の術後測定値に基づいて、前記予測エンジンによって使用される1つ以上のモデルを更新することと、を更に含む、請求項1に記載の方法。 - 前記予測エンジンによって、前記眼の前記1つ以上の術前測定値に基づいて、前記眼の水晶体の術前ACDを推定することと、
前記推定された術前ACDに基づいて、前記術後ACDを更に推定することと、を更に含む、請求項1に記載の方法。 - 予測エンジンであって、
1つ以上のプロセッサを備え、
前記予測エンジンが、
眼の1つ以上の術前測定値を判定し、
前記眼の前記1つ以上の術前測定値に基づいて、眼内レンズ(IOL)の術後前房深度(ACD)を推定し、
前記眼の前記1つ以上の術前測定値、及び前記推定された術後ACDに基づいて、前記IOLが移植された前記眼の術後の顕性屈折等価球面度数(MRSE)を推定し、
前記推定された術後MRSEに基づいて、前記IOLが移植された前記眼が正視域にありそうかどうかを判定し、
前記判定されている正視域に基づいて、正視域予測モデル又は非正視域予測モデルを使用して、前記IOLが移植された前記眼の前記術後MRSEを再推定し、
前記再推定された術後MRSEをユーザに提供して、前記眼の移植用のIOLの選択を支援する、ように構成されている、予測エンジン。 - 前記術後ACDを推定するために、前記予測エンジンが、
前記眼の幾何学的モデルを使用して、第1の推定値を生成し、
ニューラルネットワークベースの予測モデルを使用して、前記第1の推定値を更新する、ように構成されている、請求項11に記載の予測エンジン。 - 前記IOLが移植された前記眼が前記正視域にあるかどうかを判定するために、前記予測エンジンが、分類器及び受信者動作特性曲線を使用するように構成されている、請求項11に記載の予測エンジン。
- 前記正視域予測モデルが、ニューラルネットワークを含み、
前記非正視域予測モデルが、ニューラルネットワークを含む、請求項11に記載の予測エンジン。 - 前記予測エンジンが、
第2のIOLの術後MRSEを推定及び再推定し、
前記IOLの前記再推定された術後MRSE、及び前記第2のIOLの前記再推定された術後MRSEを前記ユーザに提示して、前記眼の移植用の前記IOLの前記選択時に前記ユーザを支援する、ように更に構成されており、
前記IOL及び前記第2のIOLが、異なるIOL度数を有する、請求項11に記載の予測エンジン。
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US201962795297P | 2019-01-22 | 2019-01-22 | |
US62/795,297 | 2019-01-22 | ||
PCT/IB2020/050387 WO2020152555A1 (en) | 2019-01-22 | 2020-01-17 | Systems and methods for intraocular lens selection using emmetropia zone prediction |
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US (1) | US20200229870A1 (ja) |
EP (1) | EP3877991A1 (ja) |
JP (1) | JP2022517312A (ja) |
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AU2021399229A1 (en) * | 2020-12-19 | 2023-06-15 | Alcon Inc. | Augmentation of optical coherence tomography image of eye based on learning modules |
JP2024514199A (ja) * | 2021-04-19 | 2024-03-28 | アルコン インコーポレイティド | 白内障手術用眼内レンズ(iol)のパラメータを特定する方法及びシステム |
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US7111938B2 (en) * | 2001-04-27 | 2006-09-26 | Novartis Ag | Automatic lens design and manufacturing system |
US6634751B2 (en) * | 2001-09-10 | 2003-10-21 | Bausch & Lomb Incorporated | Intraocular lens derivation system |
US7130835B2 (en) * | 2002-03-28 | 2006-10-31 | Bausch & Lomb Incorporated | System and method for predictive ophthalmic correction |
US6663240B2 (en) * | 2002-05-15 | 2003-12-16 | Alcon, Inc. | Method of manufacturing customized intraocular lenses |
EP2334223A1 (en) * | 2008-09-11 | 2011-06-22 | IOL Innovations APS | System and method for determining and predicting iol power in situ |
WO2013059663A2 (en) * | 2011-10-20 | 2013-04-25 | Elenza, Inc. | Patient screening factors for accommodative implantable ophthalmic devices |
US10244936B2 (en) * | 2012-07-25 | 2019-04-02 | Johnson & Johnson Vision Care, Inc. | Method and apparatus for engaging and providing vision correction options to patients from a remote location |
DE102014010405A1 (de) * | 2014-07-15 | 2016-01-21 | OphthaSWISS GmbH | Verfahren und Vorrichtung zur Auswahl von Intraokularlinsen und Computerprogrammprodukt |
EP4029425A1 (en) * | 2014-08-20 | 2022-07-20 | California Baptist University | Systems and methods for monitoring eye health |
DE102015225759A1 (de) * | 2015-12-17 | 2017-06-22 | Carl Zeiss Meditec Ag | Verfahren zur Vorhersage der anatomischen, postoperativen Position und Lage einer Intraokularlinse |
US11123178B2 (en) * | 2016-03-23 | 2021-09-21 | Johnson & Johnson Surgical Vision, Inc. | Power calculator for an ophthalmic apparatus with corrective meridians having extended tolerance or operation band |
AU2017248672B2 (en) * | 2016-04-13 | 2021-10-14 | Amo Development, Llc | Apparatus, system, and method for intraocular lens power calculation using a regression formula incorporating corneal spherical aberration |
EP3448230A1 (en) * | 2016-04-29 | 2019-03-06 | Consejo Superior de Investigaciones Cientificas (CSIC) | Method of estimating a full shape of the crystalline lens from measurements taken by optic imaging techniques and method of estimating an intraocular lens position in a cataract surgery |
JP6794700B2 (ja) * | 2016-07-29 | 2020-12-02 | 株式会社ニデック | 前眼部撮影装置、および前眼部解析プログラム |
WO2018021561A1 (ja) * | 2016-07-29 | 2018-02-01 | 株式会社ニデック | 眼科装置、およびiol度数決定プログラム |
US20180235809A1 (en) * | 2017-02-22 | 2018-08-23 | Amo Development Llc | Transition zone systems and methods |
US20180296320A1 (en) * | 2017-04-14 | 2018-10-18 | Microsoft Technology Licensing, Llc | Forecasting cataract surgery effectiveness |
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