JP6537241B2 - Function recovery system, program of function recovery system, operating method and method of function recovery system - Google Patents

Description

  The present invention relates to an examination system suitable for ophthalmologic examination performed in ophthalmology, a functional restoration system suitable for functional recovery performed in ophthalmology, and methods and programs thereof.

  The ophthalmologic examination performed in ophthalmology includes eye position examination and multiple image examination (see, for example, Non-Patent Document 1).

  The eye position test is a test to check whether the positions of the left and right eyes are normal. In the eye position test, a doctor places a point light source such as a penlight in front of the patient (subject) and fixes it, and the doctor visually measures the deviation of the corneal reflex of the strabismus eye and expresses it by an arc I do.

  The compound test is a test to check whether the movement of the eyeball by the extraocular muscles of the eye is normal. In a multiple-image examination, the patient's head is fixed to the jaw base and, for example, as shown in FIG. 1, a red radial grid is projected on the patient's front white screen, in front of each patient's eyes Put a red glass 11 and a green glass 12. The patient sees the eye through the red glass 11 and the green glass 12. The grid is at a scale of 5 degrees, and the center of the front and the crossing points of grids of 15 to 30 degrees from the center of the front are indicated by circles (targets). The patient has an indicator capable of projecting a green arrow with the right hand, and moves the indicator in such a way that the point of the arrow (pointer) coincides with the circle of the crossover point. The doctor writes the position indicated by the patient with an arrow on the printed paper on which the grid is printed, and connects each measurement point with a line to generate the Hess chart 1 as shown in FIG. Red and green are in a complementary color relationship, and through the red lens 11, only the red squares do not show a green arrow, and the green lens 12 is reversed. When the eye is seen with the eye placed in front of the red lens 11, the eye will fixate.

  In the Hess chart 1 of FIG. 1, the place where the left eye is looking at is shown by the black circle when the white eye of the eye is fixed with the right eye, and the black circle corresponding to each white circle is connected by a line It is done. In the Hess chart 1, the line of sight of the left eye when looking at the right direction 15 degrees with the right eye protrudes from the chart, and the doctor determines that the left eye is abnormal. Thus, based on Hess chart 1, the doctor gives the result of the examination.

  In these ophthalmologic examinations, when the examination results are put together, the doctor has to put together by handwriting, which is very time-consuming, and in order to solve this, a computer such as described in Patent Document 1 is used. There is an inspection device. The invention described in Patent Document 1 is an eye inspection apparatus, which is a generation unit that generates inspection data, and a target for specifying a position by a pointer that moves by an operation of a subject based on the inspection data. A first display means for displaying an image including the target and the pointer, an operation input receiving means for receiving an operation input specifying the position of the pointer from the subject, and a relationship between the position of the target and the position of the pointer It is characterized in that it comprises a second display means for displaying a character or an image, and there is no need to combine examination data in handwriting, and quantitative inspection can be performed.

“Ophthalmologic examination method handbook second edition (p. 188 to p. 192 and p. 207 p. 209)”, edited by Toshio Maruo, Tatsuo Matsui, Yoshihisa Oguchi, Katsushi Kozaki, School of Medicine, published on July 1, 1997.

Unexamined-Japanese-Patent No. 2005-278662

  However, in the inspection apparatus described in Patent Document 1, each time a doctor (examiner) sets parameters according to the patient and generates inspection data, then the inspection must be performed, and it takes time for the inspection. In addition to this, there was a problem that the doctor had to conduct an examination with the patient. In addition, the above-described device is capable of only examining the eye, and has a problem that it can not be used for functional recovery (rehabilitation) of the optic nerve and the cranial nervous system that controls the visual function.

The present invention has been made in view of such circumstances, have rows functional recovery smoothly on the basis of a preset functional recovery data, and by repeating the level of rehabilitation operations preset A function recovery system capable of stimulating the optic nerve system responsible for visual function through vision of the patient and promoting recovery of the visual function of the patient and the cranial nerve responsible for visual function , program of the function recovery system and operation of the function recovery system It aims at providing a method and a method .

The present invention comprises a patient chart database recording patient information, a function recovery data table recording a plurality of function recovery items in which a plurality of parameters according to the function recovery level of the compound image and eye position are recorded , a compound image and an eye An inspection data table recording a plurality of inspection items in which a plurality of parameters according to the inspection level of the rank are set, and a logical contradiction determination table recording a determination condition for determining a logical contradiction of the function recovery result Execute an inspection / function recovery database , an input unit for inputting data, an inspection unit that generates an inspection program in which parameters are set with reference to the inspection / function recovery database, and the function recovery item and function recovery program A display unit for displaying the image in the image, and a function recovery program in which parameters are set with reference to the inspection / function recovery database A function recovery unit for generating a function recovery unit, and a control unit for controlling the display unit and the function recovery unit with reference to the patient medical record database and the examination / function recovery database, the plurality of function recovery systems at least a portion of the functional recovery items, which parameters can be caused to be based on the muscle action direction identified functional recovery target muscle any change of the rotational angle of the eyeball is set, the control unit, A first step of searching for an examination item for each patient from the patient chart database using the patient information inputted from the input unit as a key, and the examination item searched in the first step is displayed on the display unit A second step of receiving the input of the inspection item using the control unit, and a plurality of parameters retrieved in the first step, accepted in the second step A third step of causing the inspection unit to generate an inspection program according to the inspection item for which the data has been set, and a fourth step of causing the display unit to display an inspection display according to the inspection program generated in the third step The display unit displays, on the display unit, an eleventh step of searching for the functional recovery item for each patient from the patient medical record database using the patient information inputted from the input unit as a key, and the functional recovery item retrieved in the eleventh step And a function recovery item in which a plurality of parameters retrieved by the twelfth step are received by the twelfth step, and a twelfth step of accepting an input of a function recovery item using the input unit; and the fourth step Function recovery program according to function recovery items in which multiple parameters are set based on the result of inspection in A training display for repeatedly giving an appropriate load causing the change in angle to the movement of the eye according to a thirteenth step of generating a ram in the functional recovery unit and the functional recovery program generated in the thirteenth step A fourteenth step of displaying on the display unit, a 70th step of acquiring position information of an instruction display which is displayed on the display unit and is moved corresponding to the training display by the operation of the patient, and a position of the instruction display 71th step of performing an operation for obtaining a function recovery result based on information, 72th step of determining whether or not there is a logical contradiction in the functional recovery result by referring to the logical contradiction determination table, and When it is determined in step 72 that there is a logical contradiction, the change of the function recovery item is accepted, and the function recovery program corresponding to the changed function recovery item is received. Performing a second step 73 to produce a gram on the functional recovery unit, a functional recovery system, characterized in that.

The present invention also includes a patient medical record database in which patient information is recorded, a function recovery data table in which a plurality of function recovery items in which a plurality of parameters are set according to the function recovery level of compound image and eye position, compound image and Stores an inspection data table recording a plurality of inspection items in which a plurality of parameters are set according to the inspection level of the eye position, and a logical contradiction determination table recording a determination condition for determining logical contradiction of function recovery results The inspection / function recovery database, the input unit for inputting data, the inspection unit which generates the inspection program in which the parameters are set with reference to the inspection / function recovery database, the function recovery item and the function recovery program A display unit for displaying an image being executed, and a function recovery program in which parameters are set with reference to the inspection / function recovery database. A program for a function recovery system, comprising: a function recovery unit that generates a ram; and a control unit that controls the display unit and the function recovery unit with reference to the patient medical record database and the examination / function recovery database. At least a part of the plurality of functional recovery items is set a parameter capable of causing a change in the rotation angle of the eyeball based on the muscle action direction in which the functional recovery target muscle is identified, and the input unit Step 21 of retrieving examination items for each patient from the patient chart database using the patient information inputted from the key, displaying the examination items retrieved in the step 21 on the display unit, and using the input unit Step 22 for receiving the input of the inspection item which has been received, and step 22 for receiving the step 22 and step 21 for searching the step 21 The inspection section generates an inspection program corresponding to the inspection item for which the number of parameters has been set, and the inspection section displays the inspection display according to the inspection program generated in the step 23 on the display section. 24 steps, 31st step which searches functional recovery items for each patient from the patient chart database using the patient information inputted from the input unit as a key, and the display unit retrieves the functional recovery items searched in the 31st step displayed on a 32 step for accepting input of functional recovery items using the input unit, the first 32 received by step, the first 31 more parameters set functional recovery items retrieved by step, and the first Functional recovery items with multiple parameters set based on the results of the examination in 24 steps Step 33 of generating a function recovery program according to the function recovery unit, and repeating an appropriate load causing an angle change in eye movement according to the function recovery program generated in the step 33 34th step of displaying a training display to be given on the display unit, 80th step of acquiring position information of an instruction display which is displayed on the display unit and is moved corresponding to the training display by the operation of the patient, Eighty-first step 81 for performing calculation for obtaining the function recovery result based on the position information of the indication display and 82th step for determining whether or not there is logical contradiction in the function recovery result with reference to the logical contradiction determination table When it is determined that there is a logical contradiction in the step and the step 82, the change of the function recovery item is accepted, and the changed function recovery Functional recovery program corresponding to the eye to execute processing including the first 83 steps of generating the functional recovery unit to the computer, a program, characterized in that.

The present invention also includes a patient medical record database in which patient information is recorded, a function recovery data table in which a plurality of function recovery items in which a plurality of parameters are set according to the function recovery level of compound image and eye position, compound image and Stores an inspection data table recording a plurality of inspection items in which a plurality of parameters are set according to the inspection level of the eye position, and a logical contradiction determination table recording a determination condition for determining logical contradiction of function recovery results The inspection / function recovery database, the input unit for inputting data, the inspection unit which generates the inspection program in which the parameters are set with reference to the inspection / function recovery database, the function recovery item and the function recovery program The function recovery program sets the parameters with reference to the display unit that displays the image being executed and the inspection / function recovery database. An operation method of a function recovery system comprising: a function recovery unit generating a ram; and a control unit controlling the display unit and the function recovery unit with reference to the patient medical record database and the examination / function recovery database. At least a part of the plurality of functional recovery items is set a parameter capable of causing a change in the rotation angle of the eyeball based on the muscle action direction in which the functional recovery target muscle is identified, and the control The display unit displays on the display unit an examination item searched in the step 41, and the examination item searched in the step 41. The examination item is searched by the patient chart database using the patient information input from the input unit as a key. A forty-second step of accepting an input of an examination item using the input unit; and allowing the forty-second step to accept the input of the examination item; Step 43: causing the inspection unit to generate an inspection program corresponding to an inspection item in which a plurality of parameters retrieved by the step is set, and displaying an inspection display corresponding to the inspection program generated in the step 43 Step 44 for displaying on the screen, step 51 for searching for the functional recovery item for each patient from the patient chart database using the patient information input from the input unit as a key, and the functional recovery retrieved in the step 51 An item is displayed on the display unit, and a plurality of parameters retrieved in the 51st step are set in the 52nd step of accepting the input of the function recovery item using the input unit and the 52nd step. Multiple functional recovery items based on the results of the inspection in the 44th step Step 53 of causing the function recovery unit to generate a function recovery program according to the function recovery item for which the parameter is set , and change of the angle to the movement of the eyeball according to the function recovery program generated in the step 53 Step 54 of displaying on the display unit a display for training to cause a display, and acquiring position information of an instruction display which is displayed on the display unit and is moved corresponding to the display for training by the operation of the patient 90. A step 91 for performing an operation for obtaining a function recovery result based on position information of the indication display, and the logical inconsistency determination table whether or not there is a logical contradiction in the function recovery result When it is determined that there is a logical contradiction in the 92nd step and the 92nd step, the change of the function recovery item is accepted and changed. And to execute a first step 93 to produce functional recovery program corresponding to the functional recovery item on the functional recovery unit, it is an operation method of functional recovery system according to claim.
The present invention also provides a plurality of parameters including parameters based on a patient chart database in which patient information is recorded, and a muscle action direction in which a muscle for functional recovery is identified according to compound recovery and eye position functional recovery levels. A functional recovery data table that records functional recovery items, an inspection data table that records multiple inspection items that set multiple parameters according to the compound image and inspection level of eye position, and logical contradiction of functional recovery results are determined Method for causing a computer having a database storing a logical contradiction determination table recording the determination conditions to be performed and a display unit to perform a display for examination and a display for training, the plurality of functional recovery At least a part of the items is a parameter that can cause the change in the rotational angle of the eye based on the muscle action direction that identifies the functional recovery target muscle. A first step of retrieving an examination item for each patient from the patient chart database using the input patient information as a key, and displaying the examination item retrieved in the first step; A second step of receiving an input, a third step of generating an inspection program according to an inspection item in which the plurality of parameters retrieved in the first step are received in the second step, and which are generated in the third step A fourth step of performing examination display according to the selected examination program, an eleventh step of retrieving a functional recovery item for each patient from the patient chart database using the input patient information as a key, and the eleventh step The twelfth step of displaying the retrieved function recovery item and receiving input of the function recovery item If, accepted by the twelfth step, according to the eleventh functional recovery items plurality of parameters search has been set by step, and a plurality of parameters set functional recovery items based on test results in the fourth step A thirteenth step of generating a function recovery program, and a fourteenth step of displaying the training for causing an angle change in eye movement according to the function recovery program generated in the thirteenth step; The 70th step of acquiring the position information of the instruction display which is displayed by the operation of the patient and moved corresponding to the display for training, and the calculation for obtaining the function recovery result based on the position information of the instruction display Step 71 and referring to the logical inconsistency determination table as to whether or not there is a logical inconsistency in the function recovery result Step 72, and when it is determined in step 72 that there is a logical contradiction, a change in the function recovery item is accepted, and a function recovery program corresponding to the changed function recovery item is generated 73 and the step is a method which is characterized in that.

According to the function recovery system, the program of the function recovery system, and the operation method and method of the function recovery system according to the present invention, the function recovery is smoothly performed based on the preset function recovery data, and the preset level of functions By repeating the recovery training operation, it is possible to stimulate the optic nerve system responsible for the visual function through the vision of the patient to promote recovery of the visual function of the patient and the cranial nerve responsible for the visual function.

It is a figure explaining the conventional compound image inspection. It is a figure explaining the composition of the inspection system to which the present invention is applied. It is a flowchart explaining the test | inspection / function recovery process in a doctor's test | inspection apparatus and the test | inspection apparatus for patients. It is a block diagram which shows the functional structural example of the test | inspection apparatus for doctors of FIG. It is a block diagram which shows the functional structural example of the test | inspection apparatus for patients of FIG. It is a flowchart explaining the test | inspection / function recovery process in a doctor's test | inspection apparatus and the test | inspection apparatus for patients. It is a figure explaining the example of an initial screen. It is a figure explaining the example of a screen of double image inspection. It is a figure explaining the example of the operation result of compound image inspection. It is a figure explaining the example of a screen of double image inspection. It is a figure explaining the example of a screen of eye position examination. It is a figure explaining the example of a screen of eye position examination. It is a figure explaining a patient chart database. It is a figure explaining inspection / functional recovery database. It is a flowchart explaining a function recovery process.

  The embodiments of the present invention will be described below. The correspondence between the invention described in the present specification and the embodiments of the invention is as follows. This description is to confirm that the embodiments supporting the invention described herein are described herein. Therefore, although described in the embodiments of the invention, even if there is an embodiment which is not described here as corresponding to the invention, it means that the embodiment is It does not mean that it does not correspond to the invention. Conversely, even if the embodiments are described herein as corresponding to an invention, that means that the embodiments do not correspond to inventions other than the invention. Absent.

  Further, this description does not mean all of the inventions described herein. In other words, this description is the existence of the invention described herein and not claimed in the present application, that is, in the future, division applications, appearances and additions of corrections will be made. It does not deny the existence.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.
[overall structure]
FIG. 2 is a view showing the configuration of the appearance of an inspection system to which the present invention is applied. The examination system 20 mainly includes a doctor's examination device 31 operated by a doctor (examiner) for examination, a patient examination device 32 used by a patient (subject) for examination, and the doctor It consists of a patient chart database 37 connected to the medical examination apparatus 31 and the patient examination apparatus 32 and in which patient information such as medical records is recorded, and an examination / function recovery database 38 in which examination contents and function restoration contents are recorded. .
In the present embodiment, although two apparatuses of the doctor inspection apparatus 31 and the patient inspection apparatus 32 are used, the present invention is not limited thereto, and the inspection system may be configured by one inspection apparatus and database. Good.

  The doctor's examination apparatus 31 and the patient examination apparatus 32 are connected via the LAN cable 33 and exchange data with each other. The doctor inspection apparatus 31 and the patient inspection apparatus 32 are connected to the printer 34 via the LAN cable 33. The printer 34 is an image or document based on data from the doctor inspection apparatus 31 or the patient inspection apparatus 32. Print on paper. In the present embodiment, the doctor inspection apparatus 31, the patient inspection apparatus 32, and the printer 34 are connected by a LAN cable, but wireless communication may be performed.

  The doctor's examination device 31 and the patient's examination device 32 are, for example, general personal computers, and a central processing unit (CPU), a read only memory (ROM), and a random access memory (RAM) are connected via an internal bus. The internal bus is also connected to an input / output interface.

  The CPU also executes various processes in accordance with a program stored in the ROM or a program loaded from the storage unit into the RAM. The RAM also stores data necessary for the CPU to execute various processes.

  The input / output interface includes an input unit including a keyboard, a mouse, a microphone, and a touch panel, an output unit including a CRT, an LCD (Liquid Crystal Display), a speaker and the like, a storage unit including a hard disk and the like, a modem and a terminal adapter A communication unit configured is connected. The communication unit performs communication processing via various networks including a telephone line and CATV.

  A drive is also connected to the input / output interface as necessary, and removable media such as a magnetic disk, an optical disk, a magneto-optical disk, or a semiconductor memory are appropriately installed, and a computer program read therefrom is installed as necessary. Is installed in the storage unit.

[Configuration of medical examination apparatus]
FIG. 4 is a block diagram showing an example of a functional configuration of the doctor inspection apparatus 31 shown in FIG.
The medical examination apparatus 31 includes an input unit 151, a main control unit 152, a compound image inspection unit 153, an eye position inspection unit 154, a function recovery unit 600, an intervention processing unit 500, a display unit 156, a data transmission and reception unit 159, and a display unit 156. , An input unit 151, and a print data transmission unit 161.

  The input unit 151 receives an operation input from a doctor. The main control unit 152 controls the respective components of the compound image inspection unit 153, the eye position inspection unit 154, the function recovery unit 600, the intervention processing unit 500, the data transmission / reception unit 159, and the print data transmission unit 161.

  The compound inspection unit 153 is a processing unit for performing a compound inspection to check whether the movement of the eyeball by the extraocular muscle of the eye is normal. The compound image inspection unit 153 is provided with a parameter setting unit 171 and a compound image inspection execution unit 172, and the compound image inspection unit 153 can exchange data with each other. The parameter setting unit 171 sets various parameters for double image inspection, and the double image inspection execution unit 172 uses a parameter set by the parameter setting unit 171 to perform a double image inspection program. Generate

  The eye position inspection unit 154 performs an eye position inspection to check whether the positions of the left and right eyes are normal. The eye position inspection unit 154 is provided with a parameter setting unit 181 and an eye position inspection execution unit 182, and in the eye position inspection unit 154, it is possible to exchange data. The parameter setting unit 181 sets various parameters for eye position inspection, and the eye position inspection execution unit 182 performs an eye position inspection program for performing an eye position inspection using the parameters set by the parameter setting unit 181 Generate

  The function recovery unit 600 performs function recovery of the optic nerve and the cranial nervous system that controls the visual function. The function recovery unit 600 is provided with a parameter setting unit 601 and a function recovery execution unit 602, and data transfer can be performed in the function recovery unit 600, respectively. The parameter setting unit 601 sets various parameters for function recovery, and the function recovery execution unit 602 generates a function recovery program for supporting function recovery using the parameters set by the parameter setting unit 601. . The function recovery program includes, but is not limited to, a program for performing an image recovery training process and an eye position recovery training process.

  The intervention processing unit 500 performs an intervention process including a change of the items and parameters when the examination items set by the patient, the functional recovery items, and the parameters of these items are not optimal. That is, in this intervention process, a logical contradiction occurs in the examination result or the functional recovery result calculated based on the examination contents when the doctor determines that the examination item or functional recovery item selected by the patient to be described later is inappropriate. If it is determined that there is a certain condition, the doctor selects the examination item or functional recovery item and intervenes to create a new examination / functional recovery program so that appropriate and reasonable results can be obtained.

  The display unit 156 displays an image based on predetermined image data. The data transmission / reception unit 159 transmits each program or data for performing inspection, function recovery, or intervention, data of a diagnosis result based on the control from the main control unit 152, and each input data from the patient examination apparatus 32. And receives operation result data on inspection and function recovery.

  The print data transmission unit 161 transmits print data to the printer 34 under the control of the main control unit 152. The printer 34 prints an image or a document on paper based on the print data.

[Configuration of patient examination apparatus]
FIG. 5 is a block diagram showing an example of a functional configuration of the patient examination apparatus 32 shown in FIG.
The patient examination apparatus 32 includes an input unit 201, a main control unit 202, a display unit 204, a storage unit 205, a data reception unit 206, and a print data transmission unit 207.

  The input unit 201 receives an operation input from a patient. The input unit 201 is, for example, the mouse 51 of FIG. The main control unit 202 controls each unit of the input unit 201, the storage unit 205, and the data transmission / reception unit 206.

  The display unit 204 displays a predetermined image (for example, an image in execution of a program such as a target and a pointer) under the control of the main control unit 202. The storage unit 205 stores an examination program and a function recovery program generated by the doctor examination apparatus 31, and calculation results of examination and function recovery. The data transmission / reception unit 206 receives each program or data transmitted from the doctor's examination device 31 and data of a diagnosis result based on control from the main control unit 202, and performs calculation for each input data and examination / function recovery. Send the result.

  Here, for example, a liquid crystal display can be used as the display unit 204 on the patient side, and the input unit 201 is a mouse 51. However, the present invention is not limited to this, and a microphone or a touch panel may be used. It is also good. In addition, the screen size of the display unit 204 is 45 inches or more, and 50 inches is most suitable. When performing inspection or function recovery, a chin rest for fixing the patient's head, a display unit with a forehead Install within 204 to 60 cm and set inspection distance to 50 cm.

[Description of the database]
As shown in FIG. 13, the patient chart table 611 in which patient chart information is recorded is stored in the patient chart database 37, and the patient chart table 611 uses, for example, the patient ID and the patient name as keys and corresponds to the target eye. Test items, test results, functional recovery items, and functional recovery results are searchable.

  As shown in FIG. 14, the inspection / function recovery database 38 includes an inspection data table 612 in which inspection data is recorded, a function recovery data table 613 in which function recovery data is recorded, and logic in which logical contradiction determination data is recorded. The dynamic contradiction determination table 614 is stored. The examination data table 612 is searchable for examination item names, target eyes, target sizes, display patterns, and luminances using the ID as a key. The function recovery data table 613 can search for a function recovery item name, a target eye, a target size, a display pattern, and luminance using the ID as a key. Note that the target size here is TG01> TG02>... And the display pattern is, for example, a pattern of target display position or target display order, and a muscle for recovering function (function recovery The target muscle is preset based on the action muscle (the action direction of the muscle) (the muscle action direction), and the brightness is high, medium, and low.

  The function recovery item name, target eye, target size, display pattern, and luminance parameters stored in the function recovery data table 613 according to the present embodiment are set in advance to perform a plurality of function recovery exercises according to the expected symptoms. Although the present invention is not limited to this, for example, the doctor may set parameters to train dysfunctional muscles for each patient, or, for example, the examination of the examination item IDA02. In the case of a patient who is considered appropriate, the patient is set out by setting to select a functional recovery program similar to the examination that set the E01 level parameter which is the level that this patient can easily cope with in one step. The eye muscles may be repeatedly applied with a suitable load.

  The data to be recorded in the inspection data table 612 and the function recovery data table 613 is not limited to the one described above, and is not shown, but it is necessary for generation of inspection or function recovery program, such as target color and pointer color and size. The parameters may be set as appropriate, and may be set individually by the doctor according to the patient's symptoms.

  The logical contradiction determination table 614 stores a determination condition for determining whether or not the inspection result logically contradicts, and for example, when a compound image is seen, the normal appearance is the same. Whether the results are logically contradictory or not, since there are no cases where the target position deviates in the left end direction and the one deviates in the right end direction. To determine the For this reason, the logical contradiction determination table 614 in the illustrated example determines that there is a logical contradiction when the shift directions of the right end and the left end are different when the square end of the Hess chart is a target, and similarly, upper and lower both ends, diagonal directions In the case where the shift directions of the upper left end and the lower right end, and the upper end and the lower end in the vertical direction are different from each other, it is a condition for determining as logically contradictory.

[Operation]
Next, the operation of the inspection system, the function recovery system, these methods, and the program according to the present embodiment will be described with reference to the flowchart of FIG.
This flowchart is executed by the following steps, the left side in the figure represents the operation of the patient examination apparatus 32, and the right side represents the operation of the doctor examination apparatus 31.
Step S601: A step in which the patient examination apparatus 32 receives an input of a patient ID and a patient name by the operation of the patient.
The patient examination apparatus 32 transmits the information input in step S601 to the doctor examination apparatus 31.
Step S602: A step in which the doctor inspection apparatus 31 searches for an inspection / function recovery item for each patient from the patient chart database 37 using the patient ID and the patient name received from the patient inspection apparatus 32 as keys.
In this step S602, the doctor's examination device 31 searches the patient medical record database 37 stored in the doctor's examination device 31 using the patient ID and the patient's name as keys, and searches examination items and functional recovery items. By this search, for example, with the patient ID 001 of the patient medical record database 37 shown in FIG. 13 and the patient name Ichiro Yamada as keys, as a test item, compound examination for right eye and left eye, eye examination for both eyes As a functional recovery item, compound image recovery training for right and left eyes and eye position recovery training for both eyes are searched. Then, the examination item and the function recovery item retrieved are transmitted to the patient examination apparatus 32, and the program selection screen shown in FIG. 7 is displayed on the display unit 204.

Step S603: a step in which the patient examination apparatus 32 receives the selection of the examination item or the function recovery item by the operation of the patient.
In step S603, one of the image examination 301, the eye position examination 302, the image restoration training program 310, and the eye position restoration training program 311 shown in FIG. 7 is selected, and the patient examination apparatus 32 uses the selection result for the doctor. Transmit to inspection device 31.
Step S604: a step in which the doctor inspection apparatus 31 prompts the doctor's judgment as to whether the selection result in step S603 requires an intervention and accepts the input of the judgment result.
In step S604, the doctor inspection apparatus 31 receives, through the input unit 151, the result of the doctor determining whether the selection in step S603 is appropriate for the patient.
Step S605: A step of performing an intervention process when the doctor's examination device 31 receives a doctor's intervention in step S604.
In step S605, the doctor inspection device 31 performs intervention to correct the inspection item or the functional recovery item.
Step S606: A step in which the compound image inspection unit 153, the eye position inspection unit 154 or the function recovery unit 600 of the doctor inspection apparatus 31 generates an inspection or function recovery program.
In step S606, the compound image inspection unit 153, the eye position inspection unit 154 or the function recovery unit 600 of the doctor inspection apparatus 32 refers to the patient chart database 31 and the inspection / function recovery database 38, and the examination program or the function recovery program. Generate Each program is a program for presenting a target (square frame described later) and a pointer (cursor (round frame described later)), and the inspection program is an inspection data table 612 stored in the inspection / function recovery database 38. Is a program for executing the examination of the patient with reference to the target size, display pattern, and luminance parameters corresponding to the corresponding ID of the subject, and the function recovery program is also The function recovery data table 613 is a program for executing function recovery with reference to the parameter corresponding to the corresponding ID.

Step S607: A step in which the doctor inspection apparatus 31 stores an inspection or function recovery program in a storage unit (not shown).
Step S608: The patient examination apparatus 32 stores the examination or function recovery program transmitted from the doctor examination apparatus 31 in the storage unit 205.
Step S609: The patient examination apparatus 32 executes an examination or function recovery program.
Step S610: The patient examination apparatus 32 calculates the result of examination or function recovery.
The operation of step S610 is an operation for displaying information input from the patient on the display in the examination or function recovery.
Step S611: a step in which the doctor inspection apparatus 31 determines whether there is a logical contradiction in the calculation result.
In this step S61, it is determined with reference to the logical contradiction determination table 614 of the inspection / function recovery database 38 whether or not there is a logical contradiction in the result calculated by the medical doctor examination device 31.
Step S612: When the doctor's examination device 31 determines that there is a logical contradiction in the calculation result in step S611, the doctor accepts the intervention, performs the intervention process, and returns to step S606.
In step S612, when the doctor's examination device 31 determines that there is a logical contradiction in the calculation result, the doctor determines whether intervention is necessary, and accepts input such as change / correction of parameters according to the determination result. , To intervene. In addition, when the intervention is performed to change or correct the parameter, the change in the parameter is recorded in the patient chart database 37 and / or the examination / function recovery database 38.
Step S613: When the doctor inspection device 31 determines in the step S611 that there is no logical contradiction in the calculation result, the step of accepting the input of the diagnosis result of the doctor (examiner) on the result.
Step S614: storing the diagnosis result in the storage unit of the doctor examination device 31 and the patient chart database 37.
Step S615: A step in which the patient examination apparatus 32 stores the diagnosis result transmitted from the doctor examination apparatus 31 in the storage unit 205.
Step S616: a step in which the patient examination apparatus 32 displays the diagnosis result on the display unit 204, and transmits and prints it to the printer 34 via the print data transmission unit 207.
Step S617: A step in which the doctor inspection device 31 displays the diagnosis result on the display unit 156, and transmits and prints it to the printer 34 via the print data transmission unit 161.
The determination of the logical contradiction in step S611 can also be performed by the patient examination device 32 by downloading the logical contradiction determination data table 614 to the patient examination device 32, and the doctor can It may be determined individually and intervention processing may be performed.
Also, the input of the diagnosis result in step 13 is not essential, and after determining whether there is a logical contradiction, the inspection or function recovery result is stored in the storage unit of each inspection device, and displayed or printed. Also good.

  Further, in the present embodiment, the patient inspection device 32 displays and inspects the target (square frame described later) and the pointer (cursor) based on the inspection or function recovery program supplied from the doctor inspection device 31. Although the recovery training is performed and the calculation result is transmitted to the doctor's examination device 31, the invention is not limited thereto. From the patient input to the input unit 201 when the examination or the functional recovery training is being performed The position of the pointer may be transmitted as operation input data in real time on the basis of the operation input, and at this time, the doctor may appropriately intervene.

  In the present embodiment, the examination data table 612 and the function recovery data table 613 create a plurality of patterns in advance, select a pattern suitable for the patient, and record the selected ID in the patient chart table 611. However, the present invention is not limited thereto. For example, a doctor (examiner) prepares inspection data and function recovery data in advance so as to be suitable for the patient, and records them in the inspection data table 612 and the function recovery data table 613. The ID attached thereto may be recorded in the patient chart table 611.

[Inspection / function recovery processing]
Next, the entire operation of the inspection process and the function recovery process by the inspection system according to the present embodiment will be described with reference to the flowchart of FIG. This process is started when the patient ID and the patient name are input to the input unit 201 by the patient, and the program selection screen showing the examination items and the function recovery items transmitted from the doctor examination apparatus 31 is displayed. To be started.

  FIG. 7 is an example of a program selection screen. The patient examination apparatus 32 displays on the display unit 204 a button 301 displayed as a compound examination, a button 302 displayed as an eye examination, and a function recovery training together with an explanatory note "Please select a task to be executed". The button 310 displayed with compound image restoration training, the button 311 displayed with eye position restoration training, and the button 304 displayed with end are displayed under the display of. Buttons 310 and 311 indicate that it is possible to perform the image restoration training and the eye position restoration training in the function restoration training. The patient selects each button 301, 302, 304, 310, 311 by inputting a predetermined operation to the input unit 201. When the button 301 is selected, the patient examination apparatus 32 performs a double image examination to be described later, and when the button 302 is selected, the patient examination apparatus 32 performs an eye position examination to be described later. If is selected, the function recovery training described later is performed, and if the button 304 is selected, the processing is terminated.

Returning to FIG. 6, each step of the operation of performing the inspection / function recovery process performed by the main control unit 202 will be described.
Step S12: A step of judging whether or not the compound image inspection button 301 is selected from the program selection screen shown in FIG.
Step S13: A step of generating a compound inspection program and executing compound inspection processing when it is determined that the compound inspection button 301 has been selected.
The details of this double image inspection process will be described later.
Step S14: When it is determined in step S12 that the compound examination button 301 is not selected, it is determined whether the eye examination button 302 is selected from the program selection screen.
Step S15: If it is determined in step S14 that the eye position examination button 302 is selected, an eye position examination program is generated to execute eye position examination processing.
The details of the eye position examination process will be described later.
Step S16: When it is determined that the eye position examination button 302 is not selected in step S14, it is determined whether the compound image restoration training button 310 is selected from the program selection screen.
Step S17: A step of generating a compound restoration training program and executing a compound restoration training process when it is determined in step S16 that the compound restoration training button 310 is selected.
The details of this compound image restoration training will be described later.
Step S18: When it is determined in step S16 that the button of the image restoration training 310 is not selected, it is determined whether the eye position restoration training button 302 is selected from the program selection screen.
Step S19: If it is determined in step S18 that the eye position recovery training button 311 is selected, a step of generating an eye position recovery training program and executing an eye position recovery training process.
The details of the eye position recovery training will be described later.

Step S20: If it is determined in step S18 that the eye position recovery training button 311 is not selected, it is determined whether to end the process, and if it is determined to end, the process is ended and it is determined not to end Returning to step S12.
In this step, the main control unit 202 determines whether or not the end button 304 has been selected by the patient (via the input unit 201) on the program selection screen of FIG. If it is determined in step S20 that the process is not ended, the process returns to step S12 and the subsequent processes are repeated. That is, the program selection screen of FIG. 7 is displayed, and the process for the selected button is performed again.

[Composite inspection]
Next, the compound image inspection process of step S13 of FIG. 6 will be described. Multiplex testing fixes the position of the patient's head, one of red glass (lens) or green glass is assigned in front of the patient's left eye, the other in front of the right eye Assign glasses (for example, glasses in which the left eye is assigned green glass and the right eye is assigned red glass) or cap-type glasses, and the patient's A red square frame (hereinafter also referred to as a target) is sequentially displayed at a predetermined position (for example, nine places) on the display unit 204 (of the patient examination apparatus 32) in front (a position of the patient examination apparatus 32). Is selected by overlapping with a green circular frame pointer (by operating the mouse 51).

The display unit 204 of the patient examination apparatus 32 displays a first examination image examination screen as shown in FIG. 10 based on the compound examination program and the image data received from the doctor examination apparatus 32.
In the case of multiple image inspection, for example, nine positions are sequentially indicated by red square frames (targets), and an examination is performed by clicking on a point at which a patient overlaps a square frame with a green circular frame (pointer). At this time, the patient looks at the display unit 204 through the green lens with the left eye, and looks at the display unit 204 through the red lens with the right eye. Then, the patient sees a red target 661 (square frame), which is the first display displayed on the display unit 204, a pointer (round frame) 651 moving along with the movement of the input unit 201. Click (specify the position of the pointer). When the pointer (round frame) overlaps the target (square frame) as the patient's appearance, the pointer figure (in this case, a circle-shaped figure) surrounds the target (square frame). Thereby, the position of the pointer (round frame) relative to the target can be precisely determined.

Then, the patient examination apparatus 32 clicks all pointers to the targets sequentially displayed by the patient, and when it is determined that the examination is completed, the process is ended, the examination result is calculated, and the doctor examination apparatus 31 is calculated. Send the result.
The calculation results are stored in the storage units of the patient examination apparatus 32 and the doctor examination apparatus 31 and in the patient chart database 37.

Thereafter, the compound image inspection unit 153 of the doctor inspection device 31 determines whether there is a logical contradiction in the calculated result with reference to the logical contradiction determination table of the inspection / function recovery database 38, If there is a contradiction, the doctor's intervention is accepted, the intervention process is performed, and a new examination program is generated and executed. If there is no logical contradiction in the inspection result, the operation result as shown in FIG. 9 is displayed on the display unit 156.
When the doctor's examination device 31 receives an input of the diagnosis result diagnosed by the doctor (examiner) about the result, the doctor's examination device 31 stores it in the storage unit of the doctor's examination device 31 and the patient chart database 37. It transmits to the examination device 32 and the examination device 31 for patient stores it in the storage unit 205. At this time, the patient ID and the patient name are added to the file and stored so that they can be referred to as search parameters. This file contains patient ID, patient name, examination date, data of right eye / left eye, examination condition (all parameters) corresponding to examination / function recovery database, data of examination result.

In each of the frames 551 in FIG. 9, axes representing R (right), L (left), U (upper), D (lower), and numerical values indicating angles are displayed, and each of the nine left and right sides A connecting line connecting the positions of the targets corresponding to the inspection data and a connecting line connecting the position of the pointer designated for each target are displayed, and the inside of the connecting line connecting the positions of the pointers is shaded. doing. As described above, the doctor easily displays the result of the examination by displaying an image showing the relationship between the connecting line connecting the position of the target and the connecting line connecting the position of the pointer designated by the operation input from the patient. I can see it. In addition, inspection results can be easily determined.

  Thereafter, when printing is selected, print data (for example, image data of the print result or text data of the print result) which is data to be printed based on the data of the inspection result is printed. Specifically, the print data is transmitted to the printer 34 via the print data transmission unit 161 or 207 (and the LAN cable 35). The printer 34 prints an image (or a document) based on the print data on paper and outputs it.

In the present embodiment, after the examination is completed by the patient examination apparatus 32 and the calculation is performed, it is transmitted to the doctor examination apparatus 31. However, the present invention is not limited thereto. It is good also as composition transmitted to examination apparatus 31 for doctors whenever it clicks, and in that case, a screen as shown in Drawing 8 will be displayed on display 156 of examination apparatus 31 for doctors, for example.

  A frame 350 for indicating the inspection result is displayed at the center of the display unit 156 of FIG. 8. In this case, in the frame 350, R (right), L (left), U (upper), D An axis indicating (bottom) and a numerical value indicating an angle are displayed. In the frame 350, cross-marked points 401 to 405 represent the position of the pointer designated by the patient, that is, the point indicating the center of the circular pointer 380 at the time of clicking, and a square frame Reference numerals 416 to 419 indicate points corresponding to locations not selected by the patient, that is, locations to be displayed on the patient examination apparatus 32 from now on. In the case of FIG. 8, since five places 401 to 405 are already selected by the patient, it is shown that the display of the target and the input of the pointer have been repeated five times.

  In the present embodiment, the coordinates of the chart are displayed on an angle scale (the unit of the vertical axis and the horizontal axis is an angle). In the conventional Hess chart, the coordinate of the chart is a length scale, and the grit indicating the angle is a non-equidistant curve, but in the present embodiment, the length scale is converted to an angle scale, and the chart grit is It has a straight line of intervals. This is due to the fact that the movement of the eyeball is a rotational movement, not a length, but an angle. Note that display may be performed on a length scale in the same manner as a conventional HESS chart without scale conversion.

  Further, in the present embodiment, the viewable visual field range is, for example, -35 degrees to +35 degrees in the upper, lower, left, and right directions. Since this is a value that changes according to the size of the display unit (display unit 204) of the medical examination apparatus for the doctor 32 and the distance from the display unit to the patient, it may be changed as appropriate.

  Note that the compound image inspection program is a program for displaying a target (square frame) and a pointer on the display unit 204 of the doctor inspection apparatus 32 in order to perform compound image inspection. The examination data generated by reference and recorded in the examination data table 612 is pre-generated and recorded as data for compound examination, but based on patient-specific information. It may be data newly generated and recorded.

  According to the above-described process, a multiple image examination can be performed by reading the position of the pointer operated by the patient directly as data, instead of looking at the doctor and plotting it by hand.

  Also, for example, when the patient has attached a green lens to the left eye and a red lens to the right eye, the display unit 204 is displayed without changing the color of the lens by the eye to be examined Since it is only necessary to reverse the color of the target (square frame) and the pointer (round frame), it is possible to save the trouble of the inspection and perform the inspection quickly and quantitatively.

  Furthermore, since the program can be generated simply by inputting the patient ID and the patient name, the examination can be performed with less trouble. In addition, inspection result data can be easily printed or saved as a file. Furthermore, inspection settings can be changed simply by manipulating parameters and display options. In other words, the examination can be performed quickly and quantitatively. Moreover, more appropriate results can be derived by appropriately performing intervention processing.

  Although nine inspection targets are used as inspection targets, in fact, inspection may be performed at 25 positions depending on the inspection. These can be suitably changed by the setting of a parameter etc.

  In addition, the examiner (doctor) can change the method of presenting the target from manual or automatic as appropriate, as a background (for example, the background of the display unit 204 in FIG. 10), so as to lead an appropriate test result. Change the brightness of the cursor (eg, the pointer 651 in FIG. 10), change the brightness of the cursor (eg, the pointer 651 in FIG. 10) Change the high, medium or low, or change the effective display area, maximum display resolution, eye-screen distance, or target cursor size (for example, the size of the square frame 661 in FIG. 10) as the display method of the display. Intervention processing can be done to change large, medium or small.

  By these intervention processes, the doctor can freely change the conditions, reflect these conditions immediately, and continue the examination. These conditions are recorded as parameters in the inspection / function recovery database. The parameter setting unit 171 also stores these parameters as parameters for the next inspection.

Eye position inspection
Next, the eye position inspection process of step S15 of FIG. 6 will be described. The eye position test is a test for checking whether or not the positions of the left and right eyes are normal, and the red position on the display unit 204 of the patient inspection apparatus 32 (for example, the center of the display unit 204) This is done by displaying a square frame (target) and operating the patient to overlap the frame with a green round frame pointer (using the mouse 51).

  The doctor's examination device 31 transmits the eye examination program to the patient examination device 32, and the patient examination device 32 displays an image based on the eye examination program. That is, the display unit 204 of the patient examination apparatus 32 displays a gray background and a red square frame as a target at the center.

Then, the patient examination apparatus 32 displays an image of the pointer on the display unit 204. For example, since the display unit 204 has already displayed a gray background and a red square frame as a target at the center, the display unit 204 further displays a pointer on this. The patient operates the input unit 201 so that the round frame (pointer (cursor)) overlaps the square frame (target), and clicks the pointer by the operation input 201 at the overlapping position.
Thereafter, the patient examination apparatus 32 determines whether the number of examinations (operation input of the pointer to the target) has reached a set number (for example, four examinations for the left eye and the right eye). The number of times of setting may be set by a doctor or may be set in advance. If it is determined that the number of inspections has not yet reached the set number, the process is repeated.

Then, when the patient examination apparatus 32 determines that the examination has been performed a set number of times and is completed, the process is ended, the examination result is calculated, and the calculation result as shown in FIG. 12 is transmitted to the doctor examination apparatus 31. Do. At this time, the patient examination apparatus 32 and the doctor examination apparatus 31 each store the calculation result in the storage unit.
In the frame 850 of FIG. 12, the position clicked by the patient, that is, the X mark indicating the test result is displayed. For example, the test result of the right eye is displayed in red, and the test result of the left eye is displayed. Display in green. The examination results are: number of examinations from the left, eye-screen distance, L (left) or R (right) indicating the side of the eye to be examined, horizontal direction (horizontal axis position), vertical direction (vertical axis position ) Are shown respectively. The position in the horizontal direction and the position in the vertical direction are values indicating eye shift, and the larger the absolute value of this value, the larger the eye shift is, and the sign indicates the direction of “shift”. In the example of FIG. 12, the first row of the examination result 880 is the first examination, the eye-screen distance is 25 cm, the horizontal position is 0.0, and the vertical position is It shows that it is 0.6 (that is, 0.6 degree on the upper side). As described above, by displaying on the display unit 156 an image and characters indicating the relationship between the operation input from the patient and the image based on the examination program, the eye examination can be performed quantitatively. In addition, the patient needs to change or move the color of the lens of the glasses by generating examination data that changes the target and the pointer displayed on the display unit 204 based on the parameters of the eye-to-screen distance. Since it disappears, it can inspect more easily.

  After that, the eye position inspection unit 154 of the doctor inspection device 31 determines whether there is a logical contradiction in the calculation result with reference to the logical contradiction determination table of the inspection / function recovery database 38, If there is, the intervention by the doctor is accepted, the intervention process is performed, a new examination program is generated, and it is transmitted to the examination apparatus for patient 32, and the examination apparatus for patient 32 executes. When there is no logical contradiction in the inspection result, the operation result as shown in FIG. 12 is displayed on the display unit 156.

  The doctor's examination device 31 receives the input of the diagnosis result obtained by the doctor (examiner) diagnosing the operation result via the input unit 151, stores it in the storage unit and the patient chart database 37, and transmits it to the patient examination device 32 Then, the patient examination apparatus 32 stores it in the storage unit 205. At this time, the patient ID and the patient name are added to the file and stored so that they can be referred to as search parameters. This file contains patient ID, patient name, examination date, data of right eye / left eye, examination condition (all parameters) corresponding to examination / function recovery database, data of examination result.

Thereafter, when printing is selected, print data (for example, image data of the print result or text data of the print result) which is data to be printed based on the data of the inspection result is printed. Specifically, the print data is transmitted to the printer 34 via the print data transmission unit 161 or 207 (and the LAN cable 35). The printer 34 prints an image (or a document) based on the print data on paper and outputs it.

  In the present embodiment, the patient inspection device 32 ends the inspection and performs the calculation, and then transmits to the doctor inspection device 31. However, the present invention is not limited thereto. The coordinates for the operation input data may be transmitted to the doctor inspection apparatus 31 at each click or operation including the movement of the pointer, in which case, for example, the display 156 of the doctor inspection apparatus 31 Display the examination screen as shown in 11.

  An image of a pointer (cursor, round frame) 891 operated by a patient using the input unit 201 of the patient examination apparatus 32 at the center of the display unit 156 of FIG. A frame (field) 850 in which an image of a target (square frame) 890 is displayed is displayed, and when operation input data is received for each operation including the movement of the pointer, the movement of the patient pointer 891 relative to the target is observed. be able to.

In addition, the doctor (examiner) changes the brightness, middle, or darkness as a background (for example, the background of the display unit 204) as appropriate so as to lead an appropriate test result, or the target cursor size (for example, FIG. The cursor size in the case of the eye position examination corresponding to the square frame 661 is changed to large, medium, or small, or the brightness of the cursor (for example, the cursor in the eye position examination corresponding to the pointer 651 in FIG. 10) As an intervention process to change high, medium, or low, or change the high, medium, or low as the brightness of the target (for example, the target in the case of eye position inspection corresponding to square frame 661 in FIG. 10) It can be carried out.
By these intervention processes, the doctor can freely change the conditions, reflect these conditions immediately, and continue the examination. These conditions are stored as parameters in the inspection / function recovery database. The parameter setting unit 181 also stores these parameters as parameters for the next inspection.

  According to the above, the doctor can know the test result quickly and can perform the quantitative test. That is, quick and quantitative test results can be obtained. In addition, appropriate examination results can be derived by appropriately performing intervention processing.

  Also, the doctor can perform the examination quickly and easily without having to write down the points indicated by the patient by hand. Furthermore, with regard to the summary display of examination results, for example, since it is not necessary to draw a connecting line of a point operated by a patient by handwriting, the examination time can be shortened.

[Function Recovery]
Next, with reference to the flowchart of FIG. 15, the function recovery processing in the doctor inspection device 31 and the patient inspection device 32 will be described. This flowchart is executed by the following steps, the left side in the figure represents the operation of the patient examination apparatus 32, and the right side represents the operation of the doctor examination apparatus 31. In addition, with the functional recovery training described in the present embodiment, for example, a plurality of extraocular muscles (upper linear muscle, lower linear muscle, inner linear muscle, lateral linear muscle, upper oblique muscle, lower oblique muscle) responsible for movement of the eye If any of these is dysfunctional, this dysfunctional extraocular muscle is identified by inspection, and training is performed by repeatedly applying a suitable load based on the identified action direction of this extraocular muscle.
Step S121: The patient examination apparatus 32 receives an input of the selection result of the compound image restoration training or the eye position restoration training by the operation of the patient.
In step S121, the patient examination apparatus 32 receives an input of the double-image examination action button 310 or the eye position examination operation button 311 in FIG. 7, and transmits the accepted information to the doctor examination apparatus 31.
Step S122: A step in which the doctor inspection apparatus 31 extracts parameters (target eye, target size, display pattern, brightness) corresponding to the medical chart data table 611 from the function recovery table 613.
In step S122, the multi-function recovery unit 600 of the doctor inspection apparatus 31 searches for the function recovery item ID from the patient chart database 37 stored in the doctor inspection apparatus 31 using the patient ID and the patient name as keys. The corresponding parameters (target eye, target size, display pattern, brightness) are extracted from the function recovery data table 613 using the retrieved function recovery item ID as a key.
In this process, for example, in the case of compound eye recovery training, using the patient ID 001 and patient name Yamada Ichiro of the patient medical record database 37 shown in FIG. 13 as keys, extract the ID "E01" of the functional recovery item registered in the patient ID 001 medical chart. The corresponding parameter (target eye “right”, target size “TG01”, display pattern “pattern A”, luminance “high”) is extracted from the function recovery data table 613 using the function recovery item ID “E01” as a key. It is a thing.

Step S123: A step in which the doctor inspection apparatus 31 urges the doctor to judge whether or not the intervention is necessary, and receives the judgment result.
Step S124: A step of performing an intervention process when the doctor's examination device 31 receives the determination result that the intervention process is necessary in step S604.
In this step, if the doctor determines that the function recovery program selected by the patient is not appropriate (for example, when it is determined that the function is recovered and finer rehab is better), the parameter is changed (ID Change).
Step S125: The function recovery unit 600 of the doctor inspection apparatus 31 generates a function recovery program.
In this step, the function recovery unit 600 of the doctor inspection apparatus 31 generates a function recovery program according to the parameters extracted in step S122. Function recovery programs include the compound image recovery training program and the eye position recovery training program.
In this function recovery program, a muscle targeted for functional recovery is identified in advance, parameters based on the direction of action of the muscle are recorded in the functional recovery data table 613, and are recorded in the patient chart database 37 according to the examination result. The program is generated by searching for the identified ID, and the program is executed to give an appropriate load to the patient and promote functional recovery. In addition, each parameter (for example, inspection) equivalent to each parameter of the inspection program of one step weaker level than the level of the inspection program in which the patient is diagnosed as abnormal (for example, target size other than ID of inspection data table 612). The function recovery program according to the ID of the data table 612 and the parameters of the function recovery data table 613 having the same ID as each parameter of A01 and the target size of E01 of the function recovery data table 613) may be repeatedly performed on the patient.

Step S126: The doctor inspection apparatus 31 stores the function recovery program in the storage unit (not shown).
Step S127: The patient examination apparatus 32 stores the function recovery program received from the doctor examination apparatus 31 in the storage unit 205.
Step S128: The patient examination apparatus 32 executes the function recovery program.
Step S129: a step in which the patient inspection apparatus 32 determines whether or not the function recovery training has been performed a predetermined number of times.
In this step, the patient examination apparatus 32 determines whether or not the function recovery training has been performed a predetermined number of times required for the function recovery (for example, two image recovery programs are executed for one function recovery training).
Step S130: The patient examination apparatus 32 calculates the function restoration result (the compound image restoration training result or the eye position restoration training result).
The operation of this step is an operation for displaying the information input from the patient on the display in the function recovery training (image restoration training or position restoration training), for example, on the screen pointed by the patient. This is processing for converting data for image display as shown in FIG. 9 based on position information.
Step S131: A step in which the doctor inspection apparatus 31 determines whether or not there is a logical contradiction in the calculation result.
In this step, the doctor inspection device 31 determines whether or not there is a logical contradiction in the calculation result with reference to the logical contradiction determination table 614 of the inspection / function recovery database 38.
Step S132: If the doctor's examination device 31 determines that there is a logical contradiction in step S611, the doctor accepts the intervention, performs an intervention process, and returns to step S125.
In this step, when the doctor's examination device 31 determines that there is a logical contradiction in the calculation result, the doctor determines whether intervention is necessary, accepts the input such as correction of the parameter according to the judgment result, and intervenes It is a thing.
Step S133: If the doctor inspection apparatus 31 determines that there is no logical contradiction in step S611, the doctor inspection apparatus 31 receives an input of the diagnosis result of the doctor (examiner) with respect to the function restoration training result.
Step S134: A step in which the doctor inspection apparatus 31 stores the diagnosis result in the storage unit of the doctor inspection apparatus 31, the patient chart database 37.
Step S135: a step in which the patient examination apparatus 32 stores the diagnosis result received from the doctor examination apparatus 31 in the storage unit 205.
Step S136: a step in which the patient examination apparatus 32 displays the diagnosis result on the display unit 204, and transmits and prints it to the printer 34 via the print data transmission unit 207.
Step S137: a step in which the doctor inspection device 31 displays the diagnosis result on the display unit 156, and transmits and prints it to the printer 34 via the print data transmission unit 161.
It should be noted that the determination of the logical contradiction in step S131 can be performed by the patient examination device 32 by downloading the logical contradiction determination data table 614 to the patient examination device 32, and the doctor can It may be determined individually and intervention processing may be performed.
Further, the input of the diagnosis result in step 133 is not essential, and the inspection or function recovery result may be stored in the storage unit of each inspection device after determining whether or not there is a logical contradiction.
In addition, it is not essential to determine whether or not there is a logical contradiction, and it may be determined individually by a doctor.

  According to the above, by repeating the level of functional recovery training set in advance, through the patient's vision, to stimulate the optic nervous system that controls the visual function to promote the recovery of the visual function of the patient and the cranial nerve that controls the visual function. Can. Also, by setting the next function recovery level in accordance with the result of the function recovery, it is possible to always perform the function recovery operation with an appropriate load.

  Further, not only the double inspection and the eye position inspection but also the function recovery can be performed by one inspection system, so that the inspection apparatus can be miniaturized.

  Further, since the item of the ophthalmologic examination can be realized by installing the program for executing the above-mentioned process, the program corresponding to the examination in the case where the number of examinations is further increased in addition to the compound examination and eye position examination. Can be easily realized by installing.

  Furthermore, since data (data of examination result) indicating the relationship between the position of the target and the position of the designated pointer is stored as a file, it can be easily retrieved based on the patient's ID etc. The results can be used to examine changes in the same patient over time, to obtain comparisons between multiple patients, and to obtain statistical data.

  Furthermore, by inverting the color of the target 650 and the pointer 651 displayed on the display unit 204 of the subject inspection apparatus 32, the patient can perform the inspection without inverting the color of the lens of the glasses being worn. So you can do the inspection more quickly.

  In the above example, although the present invention is applied to the inspection system 20 of FIG. 2, the present invention is not limited to this, and a display and pointing device for the patient to look at the screen and input the result The present invention can also be applied to one device including a display or the like provided with an input device for a doctor to set an examination item or a functional recovery item. That is, the present invention can be applied not only to a plurality of devices constituting the inspection system 20 of FIG. 2 but also to an inspection device in which the plurality of devices are mounted in one device.

  Furthermore, in the above example, the lenses for eye examination are red lenses and green lenses, but this may be changed as appropriate. In this case, the colors of the target and the pointer displayed on the display unit 204 are also changed in accordance with the color of the lens. Also, the lens may be powered for people with poor eyesight.

  Further, in the above example, it has been described that the examination is performed by attaching a colored lens (glasses of a color filter) to the patient for examination of the eye, but the invention is not limited thereto. It may be configured to be visible to one of the eyes and to make the pointer visible to the other eye.

  As a specific example, by making the patient wear glasses with polarization filters with different right and left deflection directions, one of the target and the pointer is shown by the left eye and the other is shown by the right eye. The left eye can show either the target or the pointer by synchronizing the display by alternately opening and closing the shutters (for example, liquid crystal shutters) applied to the left and right eyes. It may be a method of making the other show the eye. In addition, a display unit (for example, three-dimensional liquid crystal) in which a parallax barrier is provided in the display unit and one of two lights emitted from two adjacent points of the display unit is incident on the left eye and the other is incident on the right eye By using the display, one of the target and the pointer may be shown by the left eye and the other may be shown by the right eye. By using any of these methods, the patient can be made to show either the target or the pointer with the left eye and the other with the right eye. The target and the pointer are displayed on the display unit 204 of the examination device 32, and the examination and the function are recovered by acquiring the operation data based on the movement of the pointer with respect to the operation on the input unit 201 by the patient (an operation such that the pointer overlaps the target). It can be performed.

  Further, in the above example, the doctor examination apparatus 31 and the doctor examination apparatus 32 are respectively general personal computers, but in practice, they may be embedded computers, for example.

  The shape of the target and the pointer is not limited to a square or a circle, and may be any shape.

  The series of processes described above can be performed by hardware or software. When the series of processes are performed by software, a program that configures the software is installed from a network or a recording medium.

  This recording medium is not only constituted by a package medium consisting of a removable medium having a program recorded thereon, which is distributed to provide the program to the user separately from the computer, but is also incorporated in the main body of the apparatus. And a hard disk or the like including a storage unit and a ROM in which a program is recorded.

  In the present specification, in the step of writing a computer program, processing performed chronologically according to the described order is, of course, processing performed parallelly or individually, even if not necessarily chronologically processing. Is also included.

20 inspection system,
31 medical examination equipment,
32 patient examination equipment,
34 printers,
151 input unit,
153 compound inspection department,
154 eye position inspection department,
156 display unit,
171 parameter setting unit, 172 compound image inspection execution unit,
181 parameter setting unit, 182 eye position examination execution unit,
201 input unit,
204 Display,
600 functional recovery department,
601 parameter setting unit, 602 function recovery execution unit,
500 intervention processing department,
37 patient chart database,
38 Inspection / Function Recovery Database

Claims (16)

A patient chart database that records patient information,
Multiple function recovery data table recording multiple functional recovery items in which multiple parameters are set according to multiple layers and multiple functional recovery levels according to eye position, and multiple in which multiple parameters according to multiple images and eye level inspection level are set An inspection / function recovery database storing an inspection data table in which inspection items of the above are recorded and a logical inconsistency determination table in which determination conditions for determining logical inconsistencies of function recovery results are recorded ;
An input unit for inputting data,
An inspection unit that generates an inspection program in which parameters are set with reference to the inspection / function recovery database;
A display unit for displaying an image under execution of the function recovery item and the function recovery program;
A functional recovery unit that generates a functional recovery program in which parameters are set with reference to the inspection / functional recovery database;
A function recovery system comprising: a control unit that controls the display unit and the function recovery unit with reference to the patient chart database and the examination / function recovery database.
Wherein at least a portion of the plurality of functional recovery items, which parameters can be generated to change the rotation angle of the functional recovery target muscle and based on the identified muscle action direction eyeball is set,
The control unit
A first step of searching for an examination item for each patient from the patient chart database using the patient information input from the input unit as a key;
A second step of displaying the inspection item retrieved in the first step on the display unit and receiving an input of the inspection item using the input unit;
A third step of causing the inspection unit to generate an inspection program corresponding to the inspection item for which the plurality of parameters retrieved in the first step are received in the second step and set in the first step;
A fourth step of causing the display unit to display an examination display according to the examination program generated in the third step;
An eleventh step of searching for a functional recovery item for each patient from the patient chart database using the patient information input from the input unit as a key;
A twelfth step of displaying the function recovery item retrieved in the eleventh step on the display unit and receiving an input of the function recovery item using the input unit;
A function according to a function recovery item accepted in the twelfth step and a function recovery item in which the plurality of parameters retrieved in the eleventh step are set, and a plurality of parameters based on a result of the inspection in the fourth step A thirteenth step of causing the function recovery unit to generate a recovery program;
A fourteenth step of displaying, on the display unit, a training display for repeatedly giving an appropriate load causing an angle change to the movement of an eye according to the function recovery program generated in the thirteenth step;
70th step of acquiring position information of an instruction display which is displayed on the display unit and is moved corresponding to the training display by the operation of the patient;
71th step of performing calculation for obtaining a function recovery result based on the position information of the indication display;
72th step of determining whether or not there is a logical contradiction in the function recovery result with reference to the logical contradiction determination table;
When it is determined in step 72 that there is a logical contradiction, a change in the function recovery item is accepted, and a function recovery unit generates the function recovery program according to the changed function recovery item in step 73. Run,
A functional recovery system characterized by And the fourth step in the measurement part,
The fourteenth step in the function recovery unit is a different step,
The function recovery system according to claim 1, The function recovery system has an intervention processing unit that performs an intervention process including change of data input to the input unit and change of parameters of the function recovery data table,
The control unit
Controlling the intervention processing unit, and executing a fifteenth step of accepting the change of the parameter of the function recovery data table between any of the steps and performing the intervention processing;
Functional recovery system according to claim 1 or claim 2 you wherein a. The function recovery system includes an intervention processing unit that changes data input to the input unit and changes parameters of the function recovery data table.
The control unit
A sixteenth step of performing intervention processing for controlling the intervention processing unit and prompting determination of whether or not the selection item received in the twelfth step is suitable;
A seventeenth step of causing the function recovery unit to generate a function recovery program according to the function recovery item for which the plurality of parameters retrieved in the eleventh step are set, when it is determined that the intervention is unnecessary in the sixteenth step;
When it is determined that the intervention is necessary in the sixteenth step, a change of the function recovery item is accepted, and an eighteenth step of causing the function recovery unit to generate a function recovery program according to the changed function recovery item ,
The function recovery system according to claim 1 or 2 , wherein Wherein the control unit is
When the intervention process is performed, a twentieth step of recording parameter changes in the patient chart database and / or the examination / function recovery database is performed.
The function recovery system according to claim 3 or 4, characterized in that: A patient chart database that records patient information,
Multiple function recovery data table recording multiple functional recovery items in which multiple parameters are set according to multiple layers and multiple functional recovery levels according to eye position, and multiple in which multiple parameters according to multiple images and eye level inspection level are set An inspection / function recovery database storing an inspection data table in which inspection items of the above are recorded and a logical inconsistency determination table in which determination conditions for determining logical inconsistencies of function recovery results are recorded;
An input unit for inputting data,
An inspection unit that generates an inspection program in which parameters are set with reference to the inspection / function recovery database;
A display unit for displaying an image under execution of the function recovery item and the function recovery program;
A functional recovery unit that generates a functional recovery program in which parameters are set with reference to the inspection / functional recovery database;
A program for a function recovery system, comprising: a control unit that controls the display unit and the function recovery unit with reference to the patient chart database and the examination / function recovery database.
At least a part of the plurality of functional recovery items is set a parameter capable of causing a change in the rotation angle of the eyeball based on the muscle action direction in which the functional recovery target muscle is identified,
A twenty-first step of retrieving an examination item for each patient from the patient chart database using the patient information input from the input unit as a key;
And displaying an examination item searched in the twenty-first step on the display unit, and accepting an input of the examination item using the input unit in a twenty-second step;
And a twenty-third step of generating an inspection program according to an inspection item in which the plurality of parameters received at the twenty-second step and retrieved at the twenty-first step are set by the inspection unit;
24. A 24th step of displaying an inspection display according to the inspection program generated in the 23rd step on the display unit.
A 31st step of retrieving functional recovery items for each patient from the patient chart database using the patient information input from the input unit as a key;
Displaying the function recovery item retrieved in the step 31 on the display unit; and 32) receiving an input of the function recovery item using the input unit;
A function according to a function recovery item accepted by the 32nd step, and a function recovery item to which a plurality of parameters retrieved in the 31st step are set, and a plurality of parameters based on a result of inspection in the 24th step Generating a recovery program by the function recovery unit;
Displaying on the display unit a training display for repeatedly giving an appropriate load causing the change of the angle to the movement of the eye according to the function recovery program generated in the thirty-third step;
80th step of acquiring position information of an instruction display which is displayed on the display unit and is moved corresponding to the training display by the operation of the patient;
An operation 81 for performing an operation for obtaining a function recovery result based on position information of the indication display;
82, determining with reference to the logical inconsistency determination table whether or not there is a logical inconsistency in the function recovery result;
When it is determined in the 82nd step that there is a logical contradiction, a change of the function recovery item is accepted, and a function recovery unit generates the function recovery program according to the changed function recovery item in the 83rd step. Have the computer execute the processing it contains,
A program characterized by The twenty-fourth step in the inspection unit;
The 34th step in the function recovery unit is a different step,
The program according to claim 6, characterized in that. The function recovery system includes an intervention processing unit that performs an intervention process including change of data input to the input unit and change of parameters of the function recovery data table,
Allowing the computer to execute the process of the thirty-fifth step of accepting the change of the parameter of the function recovery data table between any of the steps and performing the intervention process.
The program according to claim 6 or 7, characterized in that: The function recovery system includes an intervention processing unit that changes data input to the input unit and changes parameters of the function recovery data table.
Performing an intervention process for prompting determination as to whether or not the selection item accepted in the thirty-second step is suitable;
And 37th step of generating a function recovery program according to the function recovery item in which the plurality of parameters retrieved in the 31st step are set, when it is judged that the intervention is unnecessary in the 36th step;
When the 36th step determines that the intervention is necessary , the computer is made to execute the process of the 38th step of accepting the change of the function recovery item and generating the function recovery program according to the changed function recovery item .
The program according to claim 6 or 7, characterized in that: When the intervention process is performed , the computer is caused to execute a process of a 40th step of recording the change of the parameter in the patient chart database and / or the examination / function recovery database .
The program according to claim 8 or 9, characterized in that: A patient chart database that records patient information,
Multiple function recovery data table recording multiple functional recovery items in which multiple parameters are set according to multiple layers and multiple functional recovery levels according to eye position, and multiple in which multiple parameters according to multiple images and eye level inspection level are set An inspection / function recovery database storing an inspection data table in which inspection items of the above are recorded and a logical inconsistency determination table in which determination conditions for determining logical inconsistencies of function recovery results are recorded;
An input unit for inputting data,
An inspection unit that generates an inspection program in which parameters are set with reference to the inspection / function recovery database;
A display unit for displaying an image under execution of the function recovery item and the function recovery program;
A functional recovery unit that sets parameters with reference to the inspection / functional recovery database and generates a functional recovery program;
A method of operating a function recovery system, comprising: a control unit that controls the display unit and the function recovery unit with reference to the patient chart database and the examination / function recovery database.
At least a part of the plurality of functional recovery items is set a parameter capable of causing a change in the rotation angle of the eyeball based on the muscle action direction in which the functional recovery target muscle is identified,
In the control unit,
41) searching for an examination item for each patient from the patient chart database using the patient information input from the input unit as a key;
And displaying an examination item searched in the forty-first step on the display unit, and accepting the input of the examination item using the input unit;
A forty-third step of causing the inspection unit to generate an inspection program according to an inspection item in which the plurality of parameters retrieved at the step 41 are accepted and accepted at the step 42;
A 44th step of causing the display unit to display an inspection display according to the inspection program generated in the 43rd step;
A 51st step of searching for a functional recovery item for each patient from the patient chart database using the patient information input from the input unit as a key;
Displaying the function recovery item retrieved in the step 51 on the display unit, and 52) accepting input of the function recovery item using the input unit;
According to the function recovery item in which the plurality of parameters retrieved in the 51st step are accepted and the plurality of parameters based on the result of the inspection in the 44th step are accepted in the 52nd step A fifth step of causing the function recovery unit to generate
Displaying on the display unit a display for training that causes the eye movement to change in angle according to the function recovery program generated in the fifty-third step;
90th step of acquiring position information of an instruction display displayed on the display unit and moved corresponding to the display for training by the operation of the patient;
91. performing an operation for obtaining a function recovery result based on the position information of the indication display;
A step 92 of determining whether there is a logical contradiction in the function recovery result with reference to the logical contradiction determination table;
When it is determined in the step 92 that there is a logical contradiction, the change of the function recovery item is accepted, and the function recovery unit generates a function recovery program according to the changed function recovery item. Let it run,
Method of operating a functional recovery system characterized in that. The 44th step in the inspection unit;
The step 54 in the function recovery unit is a different step,
The method according to claim 11 , characterized in that : The function recovery system has an intervention processing unit that performs an intervention process including change of data input to the input unit and change of parameters of the function recovery data table,
In the control unit,
The control unit controls the intervention processing unit to execute a fifty-fifty-fifth step of causing the intervention processing to be performed by accepting a change of the parameter of the function recovery data table between any of the steps .
A method of operating a function recovery system according to claim 11 or 12, characterized in that : The function recovery system includes an intervention processing unit that changes data input to the input unit and changes parameters of the function recovery data table.
In the control unit,
56th step: performing intervention processing to control the intervention processing unit and prompt determination as to whether or not the selection item received in the 52nd step is suitable;
A fifth step of causing the function recovery unit to generate a function recovery program according to the function recovery item in which the plurality of parameters retrieved in the step 51 are set, when it is determined that the intervention is unnecessary in the step 56;
When it is determined that the intervention is necessary in the 56th step, the 58th step of causing the function recovery unit to generate a function recovery program according to the changed function recovery item is accepted to accept the change of the function recovery item Let
A method of operating a function recovery system according to claim 11 or 12, characterized in that : In the control unit,
When the intervention process is performed, a 60th step of recording parameter changes in the patient chart database and / or the examination / function recovery database is performed.
A method of operating a function recovery system according to claim 13 or 14, characterized in that: A patient chart database that records patient information,
A function recovery data table recording a plurality of function recovery items in which a plurality of parameters including parameters based on the muscle action direction for which the function recovery target muscle is identified according to the function recovery level of the compound image and eye position are recorded Stores an inspection data table recording a plurality of inspection items in which a plurality of parameters are set according to the inspection level of the eye position, and a logical contradiction determination table recording a determination condition for determining logical contradiction of function recovery results And the database
A display unit,
A method of causing a computer having a display to display an examination and a display for training,
At least a part of the plurality of functional recovery items is set a parameter capable of causing a change in the rotation angle of the eyeball based on the muscle action direction in which the functional recovery target muscle is identified,
A first step of retrieving an examination item for each patient from the patient chart database using the input patient information as a key;
A second step of displaying the inspection item searched in the first step and receiving an input of the inspection item;
A third step of generating an inspection program corresponding to an inspection item for which the plurality of parameters retrieved in the first step are accepted in the second step and set;
A fourth step of performing inspection display according to the inspection program generated in the third step;
An eleventh step of retrieving functional recovery items for each patient from the patient chart database using the input patient information as a key;
A twelfth step of displaying the function recovery item searched in the eleventh step and receiving an input of the function recovery item;
A function according to a function recovery item accepted in the twelfth step and a function recovery item in which the plurality of parameters retrieved in the eleventh step are set, and a plurality of parameters based on a result of the inspection in the fourth step A thirteenth step of generating a recovery program;
A fourteenth step of causing the display for training to cause an angle change in eye movement in accordance with the function recovery program generated in the thirteenth step;
70th step of acquiring position information of an instruction display which is displayed by the operation of the patient and moved corresponding to the display for training;
71th step of performing calculation for obtaining a function recovery result based on the position information of the indication display;
72th step of determining whether or not there is a logical contradiction in the function recovery result with reference to the logical contradiction determination table;
Receiving a change of the function recovery item when it is determined in the 72nd step that there is a logical contradiction, and 73th step of generating a function recovery program according to the changed function recovery item.
A method characterized by

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