JP5083758B2 - Ophthalmic remote diagnosis system - Google Patents

Description

  The present invention relates to an ophthalmologic remote diagnosis system for remotely performing ophthalmologic diagnosis of a patient at a remote place.

  Currently, there is a shortage of specialists in mountainous areas, especially in ophthalmology, where there are fewer specialists than in internal medicine and surgery. For this reason, there is an increasing demand for telemedicine that allows diagnosis by a specialist over a geographical distance.

  In ophthalmologic telemedicine currently being performed, a method is used in which diagnosis is performed by transmitting a still image or a moving image of a patient's eye to a place where a specialized ophthalmologist is located. However, since the amount of information for diagnosis is small, it is difficult to obtain a specialized diagnosis, and there is a delay in finding serious diseases that lead to blindness such as glaucoma and retinal detachment.

  A telemedicine system as shown in Non-Patent Document 1 is an example of improving the transmission accuracy of diagnostic images in the ophthalmology. This telemedicine system uses a plurality of high-speed Internet lines as a transmission medium and realizes transmission of a complete full moving image. The transmitted video is a slit lamp microscope which is one of ophthalmic examination equipment. From the camera.

As an ophthalmic medical care system using the slit lamp microscope as a component, as disclosed in Patent Document 1, a CCD camera is attached to each of a plurality of ophthalmic examination devices such as a slit lamp microscope, and wireless diagnosis is performed from each CCD camera. Some are configured to display images on a plurality of monitors. In this case, when there are a plurality of CCD cameras and monitors, an object is to display the images from the respective ophthalmic examination devices by appropriately switching them without causing crosstalk. Patent Document 2 discloses a telemedicine system for visual inspection through Internet connection. In this system, an examination site equipped with ophthalmic examination equipment and a diagnosis center where an ophthalmologist is located are connected via an Internet transmission center. The purpose of the diagnostic center is to allow a specialized ophthalmologist to collect images and diagnostic data from a plurality of ophthalmic examination devices at an examination site to diagnose a patient.
JP 2005-1444086 A JP 2005-518856 A "Asahikawa Medical University Eye Telemedicine System", Matsushita Technical Journal, OCTOBER-1999, Vol.45-No.5

  By the way, the examination using the slit lamp microscope is a general ophthalmologic diagnosis technique, and is performed based on clinical and histological structures. This slit lamp microscope uses a slit light (slit light) as an illumination system and a microscope as an observation system to make an optical section of the cornea and the lens by the slit light, and to make a diagnosis by magnifying it. Do. Here, the ophthalmologist operates the optical section reflected on the eyeball by operating the slit light at hand, and examines the tissue state on the eyeball or inside the eyeball. Examination using such a slit lamp microscope requires extensive experience in the operation of slit light in addition to advanced clinical and histological findings.

  However, in Non-Patent Document 1, Patent Document 1, and Patent Document 2, an ophthalmologist to diagnose only examines a video image of a patient's eye at a remote location, and cannot operate an ophthalmic examination apparatus. In particular, in an ophthalmic examination apparatus such as the slit lamp microscope, even if the transmitted diagnostic image is clear, an accurate diagnosis cannot be made unless the ophthalmologist directly operates the ophthalmic examination apparatus. There is a case. For this reason, even if the remote diagnosis based only on the currently performed diagnostic video as described above is introduced, as long as it is not possible to operate an ophthalmic examination apparatus such as a slit lamp microscope that requires experience. There is a problem that it is difficult to obtain a professional diagnosis.

  Therefore, the object of the present invention was to have an operability so that a highly accurate diagnosis can be performed by operating an ophthalmic specialist remotely from an ophthalmic specialist even when a patient or an ophthalmic examination device is in a remote location. It is to provide an ophthalmic remote diagnosis system.

In order to solve the above problems, an ophthalmologic remote diagnosis system according to the present invention includes an inspection site having an ophthalmic examination apparatus, and a diagnosis site having user interface means for performing an examination while remotely operating the ophthalmic examination apparatus via a communication line. The ophthalmic examination apparatus is a slit lamp microscope comprising a microscope body having a slit illumination unit and a microscope camera, a drive unit for driving the microscope body, an observation unit for monitoring an observation image by the microscope camera, A hardware interface unit that drives and controls the drive unit and the observation unit , wherein the user interface unit includes, based on positional information of the microscope camera itself that is moved by the drive unit, The affected part that measures and records the size, area, or volume of the predetermined affected part of the observed image Characterized in that it comprises a chromatography data measurement recording unit.

The ophthalmologic remote diagnosis system of the present invention comprises an examination site having an ophthalmic examination apparatus and a diagnosis site having user interface means for performing diagnosis while remotely operating the ophthalmic examination apparatus via a communication line, and the ophthalmic examination A slit lamp microscope comprising a microscope body having a slit illumination unit and a microscope camera, a driving unit that drives the microscope body, an observation unit that monitors an observation image by the microscope camera, and the driving unit and the observation unit The ophthalmologic remote diagnosis system includes hardware interface means for driving and controlling the user interface means, the user interface means is a diagnosis monitor for displaying an observation image transmitted from the observation unit, and drive settings in the drive unit and the observation unit A control monitor for performing the operation, and a pointing device for operating the drive unit The diagnosis monitor, the control monitor, and a control program for controlling the pointing device, the control monitor is a slit light operation screen for setting the driving of the slit illumination unit, and a microscope camera setting for setting the driving of the microscope body Provided on both the inspection site and the diagnostic site, and an inspection site video screen for displaying video from a communication device including a monitor camera and an audio device for transmitting video and audio in each site. It is characterized by being.

  According to the ophthalmologic remote diagnosis system according to the present invention, even if the ophthalmologist is away from the patient, the eye of the patient is operated while directly operating the ophthalmic examination apparatus on the patient side via the user interface means on the ophthalmologist side. Therefore, it is possible to quickly and reliably diagnose a serious eye disease even from a place where an ophthalmologist cannot directly see a patient.

  In addition, the user interface means includes a pointing device capable of operating an ophthalmic examination apparatus such as a diagnosis monitor, a control monitor, and a slit lamp microscope that requires high operability for diagnosis in the same manner as an actual operation feeling. Therefore, an accurate diagnosis according to the symptoms of the patient's eyes can be performed.

  Further, the control monitor is provided with a slit light operation screen and a microscope camera setting screen necessary for operation of the slit lamp microscope, and an examination site video screen for observing the state of the patient under examination. Therefore, it is possible to create an environment in which the operability is excellent and the patient can be directly examined and examined.

  Hereinafter, an embodiment of an ophthalmologic remote diagnosis system according to the present invention will be described in detail with reference to the accompanying drawings. As shown in FIG. 1, the ophthalmologic remote diagnosis system 10 according to the present embodiment is an ophthalmic ophthalmic system in which a subject (patient) A and a doctor B or an assistant B such as a nurse who is not specialized in ophthalmology supporting this patient A are on standby. An inspection site 11 and a diagnostic site 12 on which an ophthalmologist (ophthalmologist) C waits are provided, and the inspection site 11 and the diagnostic site 12 are connected by a high-speed communication line 13.

  The inspection site 11 is assumed to be a hospital or clinic in a depopulated area where an ophthalmologist is not resident. The inspection site 11 is provided with an ophthalmic examination apparatus 20 centering on a slit lamp microscope which is one of ophthalmic examination instruments. On the other hand, the diagnostic site 12 is assumed to be a general hospital such as a central area where an ophthalmologist is resident or an ophthalmologist, and a general-purpose for remotely operating the ophthalmic examination apparatus 20. User interface means 14 comprising a computer and a control program is provided. The examination site 11 includes the ophthalmic examination apparatus 20, and the diagnosis site 12 may be any place where the ophthalmologist C can make a diagnosis, and is not limited to a specific place such as a hospital.

  As shown in FIG. 2, the ophthalmic examination apparatus 20 includes a microscope main body 21 having a basic function as a general slit lamp microscope, and a slit illumination unit 22 and a microscope camera 23 provided in the microscope main body 21. A driving unit 24 including a plurality of driving shafts to be operated and an observation unit 25 including a microscope camera 23 that captures an image of a patient's eye captured by the microscope main body 21 are provided. The microscope main body 21 has a general structure that is directly operated by an ophthalmologist. In addition to the slit illumination unit 22 and the observation unit 25, the microscope main body 21 has a chin rest 26 and a chin support unit 26 for determining the examination position. A movable support base 27 for raising and lowering the base 26 is provided. The drive unit 24 is provided to automatically operate the slit light emitted from the slit illumination unit 22 according to the eyes of the patient by remote control or to move the microscope camera 23 to a predetermined position. . The drive unit 24 is a slit illumination that can move the slit illumination unit 22 in the horizontal direction (X axis and Y axis) and the vertical direction (Z axis) in order to aim the slit light at the examination position of the patient's eye. A moving mechanism 28, a tilt axis 32 that changes the irradiation angle of the slit light, a horizontal axis 33 that scans the slit light, a rotation axis 34 that rotates the slit light, and a slit adjustment that changes the width and length of the slit light. It comprises shafts 35 and 36, a filter replacement mechanism 37, and the like. The observation unit 25 is attached with a microscope camera 23 having an automatic focus mechanism and a magnification adjustment mechanism, and is driven and controlled by the drive unit 24 together with an observation frame 38 that can be rotated in the horizontal direction with respect to the slit illumination unit 22. Is done.

  The slit illumination moving mechanism unit 28 includes an X-axis drive unit 29 that reciprocates the pedestal 22a of the slit illumination unit 22 in the left-right direction when viewed from an ophthalmologist or a patient, and a Y-axis drive unit 30 that reciprocates in the front-rear direction. And a Z-axis drive unit 31 that reciprocates in the vertical direction, and a rotation drive unit 39 that rotates at positions moved on the X-axis, Y-axis, and Z-axis. Is possible. The other tilt shaft 32, horizontal swing shaft 33, rotation shaft 34, slit adjustment shafts 35 and 36, and filter replacement mechanism portion 37 each incorporate a small motor (not shown). The rotation movement around the slit light of the observation frame 38 provided in the observation unit 25 is driven by the rotation drive unit 39.

  The drive unit 24 uses a DC motor or a stepping motor that can be numerically controlled and moves precisely, which is arranged on each drive shaft, and is real time so as not to cause an operation delay even when the communication unit 13 is used. It is driven and controlled. FIG. 3 is a block diagram showing a system configuration in the examination site 11 including the ophthalmic examination apparatus 20. As shown in FIG. 3, the drive unit 24 performs drive control via hardware interface means 40 including a real-time control unit 41 for driving each drive shaft in real time based on a command from the diagnostic site 12. Is done. In addition to the real-time control unit 41, the hardware interface means 40 transmits a video switcher 42 for capturing an observation image of a patient's eye imaged by the microscope camera 23, and an image selected by the video switcher 42. And a network for taking in the drive control signal from the diagnostic site 12 and sending the observation image of the microscope camera 23 transmitted from the video / audio transmission unit 43 to the diagnostic site 12. And a switch 44.

  Both the inspection site 11 and the diagnostic site 12 are provided with communication devices 15 and 16 for transmitting video and audio in each site, as shown in FIGS. The communication devices 15 and 16 are provided mainly for monitoring the state of the patient A heading to the ophthalmic examination apparatus 20 and giving explanations and instructions on examination from the ophthalmologist C. The communication device 15 in the inspection site 11 includes a personal computer (personal computer) (not shown) provided with two monitor cameras 46a and 46b, a speaker 47, a microphone 48, and a monitor 49. As the monitor cameras 46a and 46b, for example, a small CCD camera that can be mounted on the ophthalmic examination apparatus 20 or on the wall or ceiling in the examination site 11 is used. Arranged appropriately. On the other hand, the communication device 16 in the diagnostic site 12 is a personal computer to which a small monitor camera 66 attached to a diagnostic monitor 60 and a speaker and a microphone are connected. With the communication devices 15 and 16, the diagnosis site 12 can confirm the state of the patient A during the examination in the examination site 11, and the examination site 11 displays the state of the ophthalmologist C being diagnosed in the diagnosis site 12. Inspection notes and instructions can be received from the doctor C. As a result, the state where the patient A and the ophthalmologist C are directly inspected is reproduced, and the assistant B and the ophthalmologist C can communicate with each other. It can be performed more smoothly.

  As shown in FIGS. 4 and 5, the diagnostic site 12 includes a user for remotely operating and monitoring the drive unit 24 and the observation unit 25 of the ophthalmic examination apparatus 20 provided in the examination site 11 via the communication line 13. Interface means 50 are provided. The user interface means 50 includes a general-purpose personal computer 51 including peripheral devices such as a monitor 60, a keyboard 63, a pointing device (joystick) 64, a microphone 68, and the like, and is installed in the personal computer 51, and is connected via the hardware interface means 40. And a control program 52 including a function as a controller on the diagnostic side for driving each drive shaft of the ophthalmic examination apparatus 20 and displaying the observation image 17 from the microscope camera 23 sent from the observation unit 25. It is configured. The joystick 64 is provided in a general microscope main body 21 and moves substantially the same as an operation lever that manually drives the slit illumination unit 22.

  As shown in FIG. 5, the control program 52 is a network switch 53 for exchanging control signals and video signals via the communication line 13, a router 54, and observation of a patient's eye from the ophthalmic examination apparatus 20. A video switcher 55 that switches between the image 17 and the patient image in the examination site 11, a real-time control unit 56 that drives and controls the drive unit 24 and the observation unit 25 of the ophthalmic examination apparatus 20, and a movement position of the microscope camera 23 are detected. And a video / audio transmission unit 57 for transmitting a video signal and an audio signal of the communication device 16 provided in the diagnosis site 12. The real-time control unit 56 has a function of converting the three-dimensional movement of the joystick 64 as shown in FIG. 4 into numerical data at high speed and transmitting it to the drive unit 24 of the ophthalmic examination apparatus 20 via the communication line 13. is doing. The communication line 13 uses a general Internet network, but displays the observation image 17 from the microscope camera 23 in real time, or quickly switches the movement of each drive shaft provided in the ophthalmic examination apparatus 20. A high-speed communication line of several tens of Mbps or more by ADSL or light can be used, but in particular, a difference in upstream and downstream speeds is required in order to smoothly perform bidirectional communication between the inspection site 11 and the diagnostic site 12 without delay. It is preferable to use optical communication using an optical fiber having no optical fiber.

  As shown in FIG. 4, the monitor 60 provided in the diagnostic site 12 is a diagnosis monitor 61 that displays a microscope image of a patient's eye on the right side, and a control monitor 62 that performs operation settings of the ophthalmic examination apparatus 20 on the left side. ing. Since the examination monitor 61 is the center of the diagnosis, it is necessary to clearly display even a fine portion that is easy to see. For this reason, a thing of 15 inches or more and a full color and high resolution is preferable. The examination monitor 61 displays a microscope image of a patient's eye that is actually viewed by an ophthalmologist, similar to an eyepiece provided in a conventional general microscope body 21. As shown in FIG. 6, one of the control monitors 62 is a touch screen panel, which is a touch-type panel for performing various settings associated with driving of the slit illumination unit 22 and the microscope camera 23 in the ophthalmic examination apparatus 20. A panel switch 86 and a switch display part 87 indicating the state of the panel switch 86 are provided. The setting items of the slit illumination unit 22 include lens filter selection, slit light on / off operation, slit light incident angle setting, slit light adjustment for setting the slit light width, length, and amount, and the front There are rotation settings that rotate the lens from the right or left direction. Setting items of the microscope camera 23 include a moving speed and an observation magnification.

  When actually operating the ophthalmic examination apparatus 20, the initial setting of the slit illumination unit 22 and the microscope camera 23 is performed in advance by the control monitor 62, and then the operation lever 65 a of the joystick 64 is gripped and the slit light is transmitted to the patient's eye. Perform an operation to aim at. The operation with the joystick 64 is made to follow the movement of the eye and the examination position by tilting back and forth and right and left while looking at the examination monitor 61. The operation lever 65a is a rotary switch, and the slit illumination unit 22 can be moved up and down by rotating in the right and left directions. In addition to the operation lever 65a, the joystick 64 is provided with several switch buttons 65b, and the operation functions of the slit illumination unit 22 and the microscope camera 23 set by the control monitor 62 are added to the switch button 65b. You can also. Since the examination monitor 61 and the control monitor 62 are configured independently, the arrangement is arbitrary, but when the examination monitor 61 is centered, the control monitor 62 is arranged on the left side, so that the slit illumination unit 22 and microscope camera 23 are set with the left hand, and fine operations such as aiming of the slit light can be performed with the joystick 64 with the right hand. In the case of left-handed, the control monitor 62 can be arranged on the right side and the joystick 64 can be operated with the left hand.

  The screen configuration of the control monitor 62 shown in FIG. 6 shows one example in consideration of the operability of the ophthalmic examination apparatus 20, and the left half is a slit light operation related to the setting and operation of the slit illumination unit 22. It is a screen 71. Further, the upper part on the right side is an examination site video screen 72 showing the state in the examination site 11 photographed by the communication devices 15 and 16, and the lower part is a microscope for setting the microscope camera 23 that monitors the patient's eyes. The camera setting screen 73 is displayed. The slit light operation screen 71 includes a lens setting unit 74 for selecting a lens filter, an on / off unit 75 for performing on / off operation of slit light, an angle setting unit 76 for setting an incident angle of slit light, and slit light. A slit light adjusting unit 77 for setting the width, length, and amount of the lens, and a rotation setting unit 78 for rotating the front lens from the right direction or the left direction. The microscope camera setting screen 73 is provided with a moving speed setting unit 81 for changing the moving speed and an observation magnification setting unit 82 for enlarging the observation image 17.

  Information set by the control monitor 62 is transmitted to the hardware interface means 40 of the examination site 11 via the control program 52 and the communication line 13, and drives a predetermined drive shaft of the ophthalmic examination apparatus 20 in real time. In addition to the panel switches for setting the moving speed and observation magnification of the microscope camera 23, the microscope camera setting screen 73 has a focus of the microscope camera 23 on the patient's eye as shown in FIG. There is provided an information display unit 80 including a monitor coordinate axis 83 for grasping the position on the XY axis and a scale display unit 84 for displaying the moving speed or observation magnification of the microscope camera 23 on the scale. The pair of direction switches 83a and 83b arranged on the left and right of the monitor coordinate axis 83 are for quickly moving the focus of the microscope camera 23 to the right eye and left eye of the patient. By touching the direction switches 83a and 83b, the focus of the microscope camera 23 can be automatically positioned at the center position of the left or right eye of the patient.

  A measurement recording switch 85 is provided at the lower end of the microscope camera setting screen 73. This measurement recording switch 85 is for recording the position information of observation by the microscope camera 23 that is operated and displayed on the microscope camera setting screen 73, and is a point moved to a predetermined position to be observed by the patient's eye. By touching, it can be taken into the affected area data measurement recording means 59 described later. The panel switches displayed on the slit light operation screen 71 and the microscope camera setting screen 73, which are displayed as right and left, correspond to the right eye and the left eye viewed from the patient being examined.

  The position information of the microscope camera 23 in the information display section 80 is taken into the affected area data measurement recording means 59 as shown in FIG. In the affected area data measurement recording means 59, the position data of the actual affected area displayed on the examination monitor 61 is calculated from the monitor coordinate axis 83 of the information display section 80, and the size and area of the affected area are calculated based on the position data. , Volume etc. are measured. Each parameter measured here is stored in the personal computer 51 or printed out, so that the ophthalmologist can accurately determine the state of improvement or deterioration of the lesion in the affected area. .

  The inspection site video screen 72 is provided with two monitor screens 72 a and 72 b, and can simultaneously display images from the two monitor cameras 46 a and 46 b installed in the inspection site 11. For example, one monitor screen 72a is attached to the ophthalmic examination apparatus 20 and shows a front image of the patient viewed from the viewpoint of the ophthalmologist C, and the other monitor screen 72b is a site centered on the side and back of the patient. By projecting the inner video, the settings on the slit light operation screen 71 and the microscope camera setting screen 73 can be performed in accordance with the image of the ophthalmologist. In addition, since the patient's condition can be seen at the same time, it is possible to accurately give instructions such as taking a posture according to the examination.

  Each screen of the control monitor 62 shown in FIG. 6 is configured to include a minimum function necessary for an ophthalmologist to actually operate the ophthalmic examination apparatus 20 including a slit lamp microscope. In addition, the operation functions provided in the ophthalmic examination apparatus 20 are arranged in order so as to be easily selected and set, and the panel switch 86 to be touched and the switch display unit 87 are also set large, so that the ophthalmologist can monitor the examination. While looking at 61, the left panel can be operated by the blind touch method without paying particular attention to the predetermined panel switch 86.

  If there are two examination monitors 61 and a control monitor 62 as the monitor 60, the examination and various settings of the ophthalmic examination apparatus 20 in this examination can be performed simultaneously, but the examination site video screen 72 is displayed. It is also possible to provide a separate monitor, or to display the examination window and the control window in a single screen in parallel or while switching them as in a personal computer. If there are a plurality of the monitors, it is possible to simultaneously diagnose the eye while checking the environment around the patient. On the other hand, if it is possible to display with multiple window configurations, it can be used by incorporating dedicated software into a portable laptop computer, so diagnosis is usually performed at a place other than the diagnostic site set in the hospital. Is possible.

  In this embodiment, the system configuration in which the inspection site and the diagnostic site are connected one-to-one is illustrated. However, since a general Internet line is used as a communication line, a plurality of inspection sites and diagnostic sites are connected to each other. Can be tied. In this way, if connected to a plurality of examination sites and the ophthalmic examination apparatus has the same configuration, a plurality of patients waiting at a plurality of examination sites can be sequentially diagnosed by switching the examination site at one diagnosis site. Is possible. Furthermore, in the present embodiment, a slit lamp microscope has been described as an example of an ophthalmic examination apparatus. However, the configuration of the user interface means at the diagnosis site and the hardware interface means at the examination site and a part of the control program are changed or improved. Thus, the present invention can be applied to a remote diagnosis system using an inspection device or treatment device for ophthalmologic diagnosis such as fundus inspection or corneal shape inspection other than the slit lamp microscope.

  As described above, in the ophthalmologic remote diagnosis system of the present invention, a diagnosis similar to that of a hospital where specialists are resident can be received at any time even in a depopulated hospital or clinic where no ophthalmologist is present. In particular, the diagnosing ophthalmologist can not only simply examine the diagnostic image but also operate the ophthalmic examination apparatus at a remote location according to the examination position of the patient as if it were operated at hand. . Thereby, it is possible to operate an inspection apparatus such as a slit lamp microscope having expertise as desired by the ophthalmologist, and information such as the position of the affected part can also be obtained as data by the operation, A more accurate diagnosis can be performed. In addition, the ophthalmologist performing the diagnosis does not need a special device, and a control program for performing the operation is installed, and includes a personal computer connected via a normal Internet line, and a pointing device such as a monitor and a joystick. Therefore, an accurate diagnosis can be performed regardless of the location.

  Furthermore, in addition to diagnosis in a depopulated area as described above, for example, an examination room in which an ophthalmic examination apparatus is installed and an examination room in which a plurality of ophthalmologists and other specialists are located via a local LAN in a hospital It is also possible to adopt a configuration in which a single patient is diagnosed by a plurality of doctors at the same time by connecting to a conference room.

It is a conceptual diagram which shows the structure of the ophthalmologic remote diagnosis system which concerns on this invention. It is a perspective view which shows the structure of an ophthalmic examination apparatus. It is a system block diagram which shows the structure of an inspection site. It is a conceptual diagram which shows the structure in a diagnostic site. It is a system block diagram which shows the structure of a diagnostic site. It is explanatory drawing which shows the example of a screen structure of a control monitor.

Explanation of symbols

A patient B assistant C ophthalmologist 10 ophthalmology remote diagnosis system 11 inspection site 12 diagnosis site 13 communication line 14 user interface means 15, 16 communication device 17 observation image 20 ophthalmic inspection device 21 microscope main body (slit lamp microscope)
22 slit illumination unit 22a pedestal unit 23 microscope camera 24 drive unit 25 observation unit 26 chin rest unit 27 support base unit 28 slit illumination moving mechanism unit 29 X axis drive unit 30 Y axis drive unit 31 Z axis drive unit 32 tilt axis 33 horizontal Swing shaft 34 Rotating shaft 35, 36 Slit adjusting shaft 37 Filter exchange mechanism section 38 Observation stand 39 Rotation drive section 40 Hardware interface means 41, 56 Real time control section 42, 55 Video switcher 43, 57 Video / audio transmission section 44, 53 Network Switch 46a, 46b, 66 Monitor camera 47 Speaker 48, 68 Microphone 49 Monitor 50 User interface means 51 Personal computer 52 Control program 54 Router 58 Microscope camera position detection part 59 Diseased part data measurement recording means 60 Monitor 61 Examination monitor 62 control monitor 63 keyboard 64 Joystick (pointing device)
65a Operation lever 65b Switch button 71 Slit light operation screen 72 Inspection site video screen 72a, 72b Monitor screen 73 Microscope camera setting screen 74 Lens setting part 75 On / off part 76 Angle setting part 77 Slit light adjustment part 78 Rotation setting part 80 Information Display unit 81 Movement speed setting unit 82 Observation magnification setting unit 83 Monitor coordinate axes 83a, 83b Direction switch 84 Scale display unit 85 Measurement recording switch 86 Panel switch 87 Switch display unit

Claims (8)

An examination site having an ophthalmic examination apparatus, and a diagnostic site having user interface means for performing an examination while remotely operating the ophthalmic examination apparatus via a communication line,
The ophthalmic examination apparatus comprises a slit lamp microscope having a slit illumination unit and a microscope camera, a drive unit for driving the microscope body, an observation unit for monitoring an observation image by the microscope camera, and the drive unit. And an ophthalmologic remote diagnosis system comprising hardware interface means for driving and controlling the observation unit ,
The user interface means includes affected part data measurement and recording means for measuring and recording the size, area, or volume of a predetermined affected part of the observation image based on position information of the microscope camera itself that is moved by the drive unit. ophthalmic remote diagnosis system, characterized by that. An examination site having an ophthalmic examination apparatus, and a diagnostic site having user interface means for performing an examination while remotely operating the ophthalmic examination apparatus via a communication line,
The ophthalmic examination apparatus comprises a slit lamp microscope having a slit illumination unit and a microscope camera, a drive unit for driving the microscope body, an observation unit for monitoring an observation image by the microscope camera, and the drive unit. And an ophthalmologic remote diagnosis system comprising hardware interface means for driving and controlling the observation unit,
The user interface means includes a diagnosis monitor that displays an observation image transmitted from the observation unit, a control monitor that performs drive settings in the drive unit and the observation unit, a pointing device that operates the drive unit, and the diagnosis monitor And a control program for controlling the control monitor and pointing device,
The control monitor is provided in both the slit light operation screen for performing the drive setting of the slit illumination unit, the microscope camera setting screen for performing the drive setting of the microscope main body, and the inspection site and the diagnostic site. An ophthalmologic remote diagnosis system comprising: a monitor camera for transmitting video and audio; and an inspection site video screen for displaying video from a communication device including an audio device . The drive unit includes a plurality of drive shafts that move the slit illumination unit and the microscope camera in the X-axis, Y-axis, and Z-axis directions and adjust slit light emitted from the slit illumination unit. The ophthalmologic remote diagnosis system according to claim 1, wherein the ophthalmologic remote diagnosis system is driven and controlled by the user interface means via the hardware interface means. The ophthalmologic remote according to claim 2, wherein the slit light operation screen includes a panel switch including slit light on / off, incident angle, light amount, width, length, rotation of a lens through which the slit light passes, and filter selection. Diagnostic system. The ophthalmologic remote diagnosis system according to claim 2, wherein the microscope camera setting screen includes a panel switch including a moving direction, a moving speed, and an observation magnification of the microscope camera, and an information display unit that displays position information of the microscope camera itself. . The ophthalmologic remote diagnosis system according to claim 2, wherein the examination site image screen simultaneously displays a front image of a patient heading to the ophthalmic examination apparatus and an in-site image showing a state in the examination site. The ophthalmologic remote diagnosis system according to claim 2, wherein the control monitor is configured by a touch screen panel. The ophthalmic remote diagnosis system according to claim 2, wherein the pointing device is configured by a joystick including an operation lever that performs a three-dimensional direction change and rotation operation of the slit illumination unit.

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