TW201042311A - Design of myopia control ophthalmic lenses - Google Patents

Design of myopia control ophthalmic lenses Download PDF

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TW201042311A
TW201042311A TW99102878A TW99102878A TW201042311A TW 201042311 A TW201042311 A TW 201042311A TW 99102878 A TW99102878 A TW 99102878A TW 99102878 A TW99102878 A TW 99102878A TW 201042311 A TW201042311 A TW 201042311A
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Taiwan
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power
lens
zone
central optical
wavefront
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TW99102878A
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Chinese (zh)
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TWI519843B (en
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Michael J Collins
Brett A Davis
Khaled A Chehab
Xu Cheng
D Robert Iskander
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Johnson & Johnson Vision Care
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Abstract

Lenses are designed using wavefront measurements amenable to correction factors for near and far vision as well as pupil size to slow or stop myopia progression.

Description

201042311 六、發明說明: 【先前技術】 本發明為關於預防、制止或減緩近視發展之設計 及方法。 近視(Myopia 亦稱 short-sightedness),其係一種指 折光情境’當眼睛總焦度太高或太強時,會導致從遠 端物體傳來之光線聚焦於視網膜之前。觀察者因此感 受到遠端物體呈模糊影像,而模糊量與近視嚴重度相 ❹ 關。此等情形常首見於孩童時期,且於學齡時察覺。 直到青少年時期為止,近視嚴重度之發展或增加,係 屬常見。 美國專利第6,045,578號,揭露於隱形眼鏡設計 中,使用同軸縱向球面像差(LSA)方法,試圖停止近視 發展。該設計不著重於處理個案中眼睛之特定波前/折 射力特徵’或該特徵之群組平均資料,或近距離工作 時瞳孔大小之變化。 美國專利第7,025,46〇號,揭露改變像場彎曲(離 軸焦點變化)方法,嘗試停止近視發展。此方法背後所 使用之數學係「擴張圓錐曲線」,其中該簡單圓錐方程 式並加入奇數階多項式。處理這些圓錐曲線及多項式 之各項,使預先設計之隱形眼鏡表面形狀,能產生所 需之像場彎曲量。此方法係著重於離轴設計。同輛之 透鏡光學設計尚未被提出。關於近距離作業時,曈孔 大小及波前的變化尚未被提出。 - 美國專利申請案第2003/0058404號及第 2008/0309882號揭露一種方法,其係測量眼睛之波 3 201042311 前’並針對個案加以修正,以滅緩近視發展。其不包 含測量近刺激距離之波前,也並未建議考量遠端刺激 及近端刺激所測得波前間之差異。近距離作業時之晴 孔大小’也非設計過程中所考量層面。 歐洲專利第1853961號揭露^距離工作前及工 作後’測量波前。波前像差之改變,隨即以客製化隱 形眼鏡修正。其僅著重工作前及工作後之波前,不涉 及對於遠端及近端刺激所測得波前間之差異。於設計 過程中,不考慮有關近距離工作時之瞳孔變化。不涉 及利用群組或族群資料於進行控制眼睛生長設計。 能更完整達成制止或減緩近視發展之方法,仍有 其需求。本說明書即著重於此。 【發明内容】 本發明之一層面為一種方法及所產生之設計利 用來自眼睛之波前數據,製造有利於控制或減緩近視 發展眼用鏡片。眼用鏡片包含:例如隱形眼鏡、眼内 鏡片、角膜植入鏡片以及角膜冠蓋鏡片。此外,包含 以角膜折射手術例如:雷射原位角膜移植術(LASIK) 形成之圖形。 本發明之另一層面為一種製造鏡片以減緩近視的 方法及設計’供患者使用,且具有效調節能力。 本發明之又一層面為一種設計,依據本發明之方 法產生眼用鏡片設計’包含具有中央光學區之凸面, 該中央光學區被周圍區環繞,該周圍區再被邊緣區環 繞,以及支撐在佩戴者眼睛上之凹面;位於光學區任 201042311 一位置之鏡片焦度(lens p0wer)係以軸向頂點之遠端平 均波前導出之焦度(wavefront derived power)總和加上 修正量加以描述,其中該修正量係由單一、部份複數 或複數位於各個位置X)的遠端及近端之平均波前導出 之焦度差異,以及位於頂點的近端及遠端之波前導出 之焦度差異所導出;使用此等設計所製造之鏡片,可 用於控制或減緩近視發展。 本發明之另一層面為一種產生眼用鏡片設計之方 法,步驟包含:取得波前數據,轉換波前數據為徑向 焦度圖(radial P〇wer map) ’以及產生鏡片焦度輪廓 (lens power profile) ° 本發明之又一層面為考慮整體族群之波前數據。 本發明之又一層面為考慮次族群之波前數據。 本發明之又一層面為考慮個案之波前數據。 本發明之又一層面中,該波前數據係多個波前檔 案之平均。 本發明之又一層面中,該設計之鏡片焦度輪廓係 對所有旋轉對稱形式(rotationally symmetric form)之子 午線(meridians)進行平均計算。 本發明之又一層面中,該設計之鏡片焦度輪廓係 根據近端焦度輪廓之倒置加以計算。 本發明之又一層面中,該設計之鏡片焦度輪廓係 以抵銷近端焦度輪廓之負像差加以計算。 本發明之又一層面中,該設計之鏡片焦度輪廓係 以對於近知焦度輪廊加入一距離加以計算。 5 201042311 本發明之又 層面,該設計之鏡片焦度輪廓係以 對於近^ ,、、、度輪廟加 本發明之又-思苦數加以計鼻。 ㈢面,該設計之鏡片焦度輪廓係以 對近:發=力二該距離之一部分加以計算。 ^ 方面,該用以減緩近視發展之鏡片 :又"糸扁碼為指令,例如:機器指令,並且設計 為電腦程式。 、關於本發明之又—層面,物件為包含用以減緩近 視毛展之鏡片叹找行指令;該方法包含轉換表示一 眼目月特徵之波⑨j數據為—徑向焦度圖,產生—鏡片焦 度輪廊卩及使用該焦度輪廓產生一鏡片設計,該鏡 片^含具有中央光學區之凸面,該中央光學區被周圍 區環繞’該周圍區再被邊緣區環繞,以及支樓在佩戴 者眼睛上之凹面;位於光學區任一位置之鏡片焦度 (lens power)係以軸向頂點之平均遠端波前導出之焦度 (wavefront derived power)之總和加上一修正量加以描 述,其中該修正係由單一、部份複數或複數之位於各 個位置(X)的遠端及近端之平均波前導出之焦度差 異’以及位於頂點的近端及遠端之波前導出之焦度差 異導出。 【實施方式】 本發明之方法包括使用波前數據以設計和製造用 於治療、減緩以及某些情況下制止近視發展之隱形眼 鏡。眼部波前數據,包括遠端及近端刺激兩層級,為 藉由波前感測器,例如COAS (Wavefront Sciences Inc, 201042311201042311 VI. Description of the Invention: [Prior Art] The present invention relates to a design and method for preventing, suppressing or slowing the development of myopia. Myopia (also known as short-sightedness) is a type of refractive situation. When the total power of the eye is too high or too strong, it causes the light from the far-end object to focus on the retina. The observer therefore feels a blurred image of the distal object, and the amount of blur is related to the severity of myopia. These situations are often seen in childhood and are perceived at school age. Until the adolescence, the development or increase of the severity of myopia is common. U.S. Patent No. 6,045,578, which is incorporated herein by reference, discloses the use of a coaxial longitudinal spherical aberration (LSA) method in an attempt to stop the development of myopia. The design does not focus on the specific wavefront/refractive force characteristics of the eye in the case or the group average of the feature, or the change in pupil size at close range. U.S. Patent No. 7,025,46, the disclosure of which is incorporated herein by reference to the entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire portion The mathematics used behind this method is the "expansion conic", which combines the simple conic equation with the odd-order polynomial. The processing of these conic curves and polynomials allows the shape of the pre-designed contact lens to produce the desired amount of field curvature. This method focuses on off-axis design. The optical design of the same lens has not been proposed. Regarding the close-up work, changes in pupil size and wavefront have not been proposed. - U.S. Patent Application Serial Nos. 2003/0058404 and 2008/0309882 disclose a method for measuring the wave of the eye 3 201042311 and correcting the case to slow the progression of myopia. It does not include the wavefront for measuring the near-stimulus distance, nor is it recommended to consider the difference between the wavefront measured by the distal stimulus and the proximal stimulus. The hole size at the close range is not the level considered in the design process. European Patent No. 1853936 discloses the measurement of wavefronts before and after work. The change in wavefront aberrations is then corrected with custom contact lenses. It focuses only on the wavefront before and after work and does not involve the difference between the wavefronts measured for the distal and proximal stimuli. The pupil change during close-range work is not considered during the design process. It does not involve the use of group or ethnic data to control eye growth design. There is still a need for a more complete approach to halting or slowing the development of myopia. This manual focuses on this. SUMMARY OF THE INVENTION One aspect of the present invention is a method and resulting design that utilizes wavefront data from the eye to create an ophthalmic lens that facilitates the control or slowing down of myopia. Ophthalmic lenses include, for example, contact lenses, intraocular lenses, corneal implant lenses, and corneal cap lenses. In addition, a pattern formed by a corneal refraction surgery such as laser in situ keratoplasty (LASIK) is included. Another aspect of the present invention is a method and design for making lenses to slow myopia, for patient use, and to have an ability to adjust. A further aspect of the invention is a design for producing an ophthalmic lens design according to the method of the invention comprising a convex surface having a central optical zone surrounded by a surrounding zone, the peripheral zone being surrounded by the edge zone, and supported by The concave surface of the wearer's eye; the lens power (lens p0wer) at the position of the optical zone at 201042311 is described by the sum of the wavefront derived power derived from the distal apex of the axial apex plus the correction amount. The correction amount is the power difference derived from the average wavefront derived from the distal end and the proximal end of the single, partial complex or complex position X), and the power derived from the wavefront of the proximal and distal ends of the vertex. Differences are derived; lenses made with these designs can be used to control or slow the progression of myopia. Another aspect of the present invention is a method of producing an ophthalmic lens design, the steps comprising: acquiring wavefront data, converting the wavefront data to a radial P〇wer map and generating a lens power profile (lens) Power profile) Another aspect of the invention is to consider the wavefront data of the overall population. Yet another aspect of the present invention is to consider the wavefront data of the subgroup. Yet another aspect of the present invention is to consider the wavefront data of a case. In yet another aspect of the invention, the wavefront data is an average of a plurality of wavefront profiles. In yet another aspect of the invention, the lens power profile of the design is averaged for all meridians of the rotationally symmetric form. In yet another aspect of the invention, the lens power profile of the design is calculated based on the inversion of the near-end power profile. In yet another aspect of the invention, the lens power profile of the design is calculated to offset the negative aberration of the near-end power profile. In yet another aspect of the invention, the lens power profile of the design is calculated by adding a distance to the near-focus crown. 5 201042311 In another aspect of the invention, the lens power profile of the design is calculated by adding the same number of thoughts to the near-,,,, and twirling temples. (C) Face, the lens power profile of the design is calculated as a part of the distance: hair = force two. ^ In terms of the lens used to slow the development of myopia: "And" is a command, such as a machine instruction, and is designed as a computer program. With respect to the further aspect of the present invention, the object includes a lens squeaking line instruction for slowing the myopia hair styling; the method comprises converting the wave 9j data representing the eye feature of the eye to a radial power map, generating a lens focus The lens arrangement and the use of the power profile create a lens design comprising a convex surface having a central optical zone surrounded by the surrounding area and surrounded by the edge zone, and the branch is worn by the wearer The concave surface of the eye; the lens power at any position in the optical zone is described by the sum of the average wavefront derived power derived from the axial apex plus a correction amount, wherein The correction is derived from a single, partial complex or complex focal length difference derived from the average wavefront at the distal and proximal ends of each position (X) and the power derived from the wavefront at the proximal and distal ends of the apex. Difference export. [Embodiment] The method of the present invention involves the use of wavefront data to design and manufacture a contact lens for treating, slowing, and in some cases, preventing the development of myopia. Eye wavefront data, including two levels of distal and proximal stimulation, by wavefront sensors such as COAS (Wavefront Sciences Inc, 201042311)

Albuquerque N.M.),從病患處收集。該波前 以Zermke多項式係數表示,但其亦可以指定康般 標或極座標中的一組波前高度表示。用以標示^氏座 係數之較佳系統,已描述於美國國家授' lke (ANSI)Z80.28之〇SA方法中。 爪準協會 該設計鏡片之方法,可為針對個別對象,設叶客 製化鏡片,或為針對族群或次族群之一般設計。方 法係可用於產生旋轉對稱設計,其中所有光學區=午 線均相同,或非旋轉對稱設計,其中任一子午線均為 依波前分析結果之獨特子午線。於在部份實施例中了 已知屬於因調節作用或亮度造成之瞳孔大小改變,有 列入考慮。 一種產生眼用鏡片設計之較佳方法,部份是基於 眼部波前數據,並包括下列步驟: 1. 關於遠端及近端刺激層級之眼部波前數據,係使用波 前感測器,從病患處收集; 2. 藉由估异z軸方向徑向斜率,將每個波前轉換為折射 焦度圖,該z軸定義為前方至後方間之輕,例如沿透 過瞳孔中心之視轴。 3. 計算軸向焦距長度(即徑向「法線」與z軸交點)以及 轉換焦距長度為光學焦度數值(如圖1)。 於該方法之另一具體實施例中’折射焦度圖係藉 由使用下述Zernike折射焦度多項式,所得到之波前 Zernike係數估計集合加以計算乃(A0)(請參見附檔之 Iskander et al.,2007)。 7 201042311Albuquerque N.M.), collected from the patient. The wavefront is represented by a Zermke polynomial coefficient, but it can also specify a set of wavefront height representations in the Kang or standard coordinates. A preferred system for indicating the coefficient of the ^ seat has been described in the 〇SA method of the US National Institute of ' lke (ANSI) Z80.28. Claw Association The method of designing lenses can be tailored to individual subjects, custom-designed lenses, or general designs for ethnic or sub-populations. The method can be used to create a rotationally symmetric design where all optical zones = noon are the same, or non-rotationally symmetrical, where any meridian is a unique meridian based on the results of the wavefront analysis. It is known in some embodiments that changes in pupil size due to conditioning or brightness are considered. A preferred method of producing an ophthalmic lens design, based in part on eye wavefront data, and includes the following steps: 1. Using wavefront sensors for eye wavefront data at the distal and proximal stimulation levels Collecting from the patient; 2. Converting each wavefront to a refractive power map by estimating the radial slope in the z-axis direction, which is defined as the lightness from front to back, for example along the center of the pupil Visual axis. 3. Calculate the axial focal length (ie, the radial “normal” to the z-axis intersection) and the conversion focal length to the optical power value (Figure 1). In another embodiment of the method, the 'refractive power map' is calculated by using the Zernike refractive power polynomial described below, and the resulting set of wavefront Zernike coefficients is calculated (A0) (see the attached Iskander et Al., 2007). 7 201042311

, 103 g ρ(γ,θ)=—ς^/^χ,θ) ^max 7=3 其&係為對應瞳孔半徑之波前Zernike多項式係數, 103 g ρ(γ,θ)=—ς^/^χ,θ) ^max 7=3 The & is the wavefront Zernike polynomial coefficient corresponding to the pupil radius

m > 0 m <0 m = 0 ⑺ ^2{n + \)Q^ {p)cos{m9), Ψ;〇,0 = -j2(n + l)Q^(p)sm(me), ^T\Q:{p) 以 (n~\m\)/2-q Q:(p)= Σm > 0 m <0 m = 0 (7) ^2{n + \)Q^ {p)cos{m9), Ψ;〇,0 = -j2(n + l)Q^(p)sm(me ), ^T\Q:{p) to (n~\m\)/2-q Q:(p)= Σ

P -25-2 (3) 且 q =P -25-2 (3) and q =

\m\<\ otherwise 對於眼部瞳孔大小,也可直接從波前測量,或透 過獨立之瞳孔測量(例如使用瞳孔計)加以估計。若瞳 孔之測量不涉及波前,則應於相似光照條件下,讓病 患凝視遠方目標及近方目標,於與測量波前時相同之 調節刺激層級下(例如〇 D和3 D調節刺激層級),進行 測量。為獲得具足夠直徑之波前圖,偏好於中亮度至 201042311 低亮度條件下測量波前。遠端和近端波前應於相同真 度條件下測量,例如少於或等於每平方公尺''冗 八^ DU濁光。 依據本發明製造之眼用鏡片有下列部件及特徵: a) 有中央光學區之一凸面,該中央光學區被—周^#區環 繞,該周圍區再被一邊緣區環繞,以及支撐於患者= 睛上之凹面; 〜 乂 b) 位於光學區任一位置之鏡片焦度(lens p〇wer)係以轴 向頂點之平均遠端波前導出之焦度~狀吐〇加 derived power)總和加上修正量加以描述,其中該修正 量係由單一、部份複數或複數,位於各個位置(幻的 遠端及近端之平均波前導出之焦度差異,以及位於頂 點的近端及遠端之波前導出之焦度差異導出;使用此 專δ又计製造之鏡片為用於控制或減緩近視發展。 數據檔會進行篩選程序,其係針對波前Zernike 係數、瞳孔大小和折射焦度圖作分析,以確認其在波 别動力學上之趨勢,並去除離群值或無效數據(例如使 用波前檔案管理軟體)。 若已收集複數波前數據(於較佳狀況下),折射焦 度圖可予以平均化,以減少因例如調節微動等因子, 所產生的隨機誤差及變異性。 该方法之下一步驟係產生平均折射焦度輪廓。其 係對所有經考量之折射焦度數據之半子午線加以平均 後得到(換言之,為以徑向極座標計算平均,不考量方 位角/子午線角座標)。該輪廓係可為針對個案’或基於 群組平均數據產生。假設於較佳情況下,該方位角頻 9 201042311 超過第四階之顯著重要性時,則最少應 =子午線。較佳情況下至少為32條子午線。 Θ 2中所示為闕於徑向座標(距中 射焦度數據輪_ y之距離)之折 於左侧。其可用於非的數據均顯示 平麻田丄F疋轉對稱叹叶。折射焦度輪廓之 何習知的^及最小值顯示於右侧。該平均值可由任 均、令位平均方法計算,包括但不限於算數平 於族群其係可用於個案客製化或基 圖3中為針對個案以及平均群組,於6公尺距雛 :調所得之平均右眼折射心= =刺激為〇.i7D)。其係近似遠端視力。 圖4中為針對個案以及平組 條件’所得之平均左眼折射焦二 。=作㈣激為3.00D)。其係代表近端視力。 廊-近端刺激程度之群组平均折射焦度輪 鏡片所需之折射焦度輪廓。 尼㈣ 以焦度輪料出之眼用鏡片設計方法: 不同數據來源可用於導 計。例子包括: 出控制近視之隱形眼鏡設 ,或 之群組設計(例 或 以個案數據為基礎之客製化設計 基於數據中之特定次族群所為 如,年齡10-16歲之年輕亞洲兒童), 201042311 基於所有可得數據(例如所有近視)所為之一般族 群設計。 此外’旋轉對稱設計或非旋轉對稱設計兩者均可 以本發明方法產生。對所有被考慮之半子午線(參見圖 5)數據加以平均,可用於產生旋轉對稱設計,或 右數據以半子午線形式保留(圖2左側),則可用 於產生非旋轉對稱設計。非旋轉對稱設計之修正形 式,包括但不限於複曲面、球柱面、經高階像差修正 之球柱面。複曲面包括對規則和不規則像散之修正。 可依對象(或對像族群)之瞳孔大小,進一步對本 發明產生之設計作微調。自然狀態下,近端調節層級 之瞳孔大小,通常小於遠距/遠端調節層級之瞳孔大 小。因此,對於依眼窩視覺(同軸)之光學設計,當測 量近端波前時,基於近端波前,用以控制眼睛生長的 光焦度改變,可限制在對應於呈現較小瞳孔時之光學 區直徑。於此内中心區域外,光學設計可回復至適於 遠端視覺狀態。 下列為設計方法例示,為使用由所有經考慮之半 子午線取得之平均數據。藉此等方式,會得到旋轉對 稱設計(此類設計不需以穩定化來減少鏡片旋轉)。 方法一: 於第一項方法中,以平均子午線、近端波前折射 焦度,作為進行該設計之起始點。該設計需要增加鏡 片折射焦度(增加正焦度),並伴隨從鏡片中心增加弦 直徑。該焦度增加量係設計用以抵銷自然負焦度偏 2010423li 據令焦度偏移在近端波前焦度之群組平均數 化 ^貝祭知(圖6)。黑、色箭頭代表所需之正焦度變 口此,近端波前係修正至零焦度變化。 方法二: 声2第二項方法中,平均子午線、近端波前折射焦 作為本設計之起始點。—,本方法中焦度變 要二的為平均子午線、遠端波前折射焦度。該設計需 心^加鏡片折射焦度(增加正焦度),並伴隨從鏡片中 U加弦直徑。該焦度增加量係用以改變自然負焦度 ,^該自然負焦度在近端波前焦度之群組平均輪廓 里可,顯察覺,大於在遠端波前焦度輪廓中者(圖7)。 ‘、、、^則頭代表所需之正焦度變化。若患者需要-3.00 Ε) 之遠端,正,其鏡片焦度輪廓為:鏡片中心是-3.00D, 於光束南度為〇·6亳米時,所需增加焦度為〇 25 D (淨 焦度_2.75),於光束高度為i毫米時,所需增加焦度為 〇.5 D(淨焦度_25〇 D)。圖7表示由波前導出之焦度輪 ,,圖8顯示—鏡片設計之焦度輪廓,可依照上述邏 輯,修正鏡片中心誤差及延及周圍之輪廓。此例顯示 實際上設計可擴大至光束高度為1.6毫米(直徑3.2毫 ,)之情形,但可瞭解者為,若波前測量擴至更大直 徑,該設計亦可擴大。藉由適當數學方法計算,該設 计可以外插法適用於光束高度達4毫米之情形。 圖8顯示基於以上述方法所得之最終鏡片焦度輪 廓0 12 201042311 方法三: 於本發㈣—實施方式巾,平均子午線、 刖二射焦度再-次地作為該設計之起始點。然而於此 Ο :’其目標焦度變化係將可達到平均子午線、遠端 /則斤射:!、度之差異加倍。較佳方式係加倍該, 但該差異範目可朗遠料前折難度之四倍。^ 計增加鏡片折射焦度(增加正焦度),並伴隨從鏡= '日加弦直徑。該焦度增加量係用以改變自然負焦 偏移,忒自然負焦度在近端波前焦度之群組平 中可明顯察知’且大於在遠端波前焦度輪廓中者= 十)。黑色箭頭代表所需之正焦度變化。可明瞭少於工 單位之乘數有幫助,例如為0.5的差異。這可能較接 近患者之自然視力,但仍涵蓋在本發明之原則内。 於方法一至三中,設計焦度輪廓係依下列算式計 算:光學焦度輪廓係以方程式描述: \PowVtof = RPD(0) +kU)((RPDU) + (^(〇) -RpD(〇)))-ju>N{x})\ RPD(X)為以平均波前導出之平均遠端折射焦度, 其係於光束高度X處於遠端測量,RJPN(X)為由波前導 出之平均近端折射焦度,其係於光束高度X處於近端 測量’ k(x)為任何適合之數學函數。例如,一個常數 乘數,其較佳值在介於1至2間,但是可用範圍擴及 0·25至4間,或隨著x變化,並伴隨反史泰爾—克羅 福特效應(inverse Stiles Crawford effect)。於選出之案 13 201042311 例中,RPD函數係可以斜率 $ 為藉平均波前所導出之、Γ f之水平線取代。RPD(〇) RPN(O)為於光束高度又洌::頂點折射焦度,以及 點折射焦度。 里之平均波前所導出近端頂 於方法四至六中1 數據’而非半子午線之c半子午線 旋轉對稱設計。此等設計物 广方法結果係非 丁物為穩定化以減少鏡片旋轉。 方法四 於本發明之此實施方式中,半子午線 折射焦度為此設計起始點。該财需要增二^皮前 焦度(增加正焦度)’並伴隨從鏡片中心增c 該焦度增加量係用以抵銷自然負焦度偏移,該t。 焦度偏移在近端波前焦度之群組數據中可明顯察矣然負 對於任一子午線與弦位置,當焦度為負值時y1 焦度將會加以細零。本方法與方法一類似,作θ α 應用於所有子午線之所有位置(不像方法〜=係可 子午線數據)。 僅用平均 方法五與方法六: 此等方法分別與方法二與方法三類似。於方去五 中’焦度輪廓之每個位置,其對於近端波前屬負焦产 時,會使其移動,以與遠端波前對應點配合。二二, , 大多數 例子中,於任一位置之遠端波前具有正焦度變化,4曰 於某些例子中,焦度變化係為負值。 ^ 201042311 於方法六中, 波前屬負焦^ ±,…、度輪廓之每個位置,其對於近端 度之方式力=$以使配合遠端波前之對應點所需焦 化輪廓心動。若於任一位置之遠端波前焦度變 置之預执*為負值,該設計方法係可修改’以使此位 焦度等於零。 方法·七:\m\<\ otherwise For eye pupil size, it can also be estimated directly from the wavefront or through a separate pupil measurement (eg using a pupil meter). If the measurement of the pupil does not involve the wavefront, the patient should be gaze at the distant target and the near target under similar illumination conditions, under the same level of stimulating stimulation as the measurement of the wavefront (eg, 〇D and 3D to adjust the stimulation level) ), take measurements. In order to obtain a wavefront map with sufficient diameter, it is preferred to measure the wavefront under medium brightness to 201042311 low brightness conditions. The far-end and near-end wavefronts should be measured under the same truth conditions, for example less than or equal to ''duplex' DU turbidity per square meter. The ophthalmic lens made in accordance with the present invention has the following components and features: a) having a convex surface of the central optical zone surrounded by a perimeter region, which is surrounded by an edge region and supported by the patient = concave on the eye; ~ 乂b) The lens power at any position in the optical zone (lens p〇wer) is the sum of the power of the average far-end wavefront derived from the axial apex. Add the amount of correction, which is a single, partial complex or complex number, located at each position (the difference between the power of the average wavefront of the distal and proximal ends of the phantom, and the near and far of the vertices) The difference in power derived from the wavefront of the end is derived; the lens manufactured using this special δ is used to control or slow down the development of myopia. The data file will be screened for the wavefront Zernike coefficient, pupil size and refractive power. The graph is analyzed to confirm its trend in the dynamics of the wave and to remove outliers or invalid data (eg using wavefront file management software). If complex wavefront data has been collected (in better cases), refraction Focus The graphs can be averaged to reduce random errors and variability due to factors such as adjusting for fretting. The next step in the method is to generate an average refractive power profile, which is for all considered refractive power data. The semi-meridian is averaged (in other words, the average is calculated with radial polar coordinates, and the azimuth/meridian angle coordinates are not considered). The contour can be generated for case-by-group or based on group average data. When the azimuth frequency frequency 9 201042311 exceeds the significant importance of the fourth order, it should at least = meridian. Preferably, it is at least 32 meridians. The Θ 2 shows the radial coordinate (the medium power) The data wheel _ y distance is folded to the left. It can be used for non-data to display the flat 麻 丄 疋 疋 疋 对称 对称 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。. It can be calculated by the averaging and order averaging methods, including but not limited to, the arithmetic is equal to the ethnic group, and the system can be used for case customization or the base group is for the case and the average group, at 6 meters away: The average of the obtained eye refractive = = Heart stimulation 〇.i7D). It is approximately distal vision. In Figure 4, the average left-eye refractive coke obtained for the case and the flat condition was '. = (4) is 3.00D). It represents near vision. The ensemble-near end stimulation group averages the refractive power profile required for the focal gyro lens. Ni (4) Eye lens design method with a round of power: Different data sources can be used for the measurement. Examples include: contact lens design for controlling myopia, or group design (eg, case-based custom design based on specific subgroups in the data, such as young Asian children aged 10-16), 201042311 Design based on the general ethnicity of all available data (eg all myopia). Further, both a rotationally symmetric design or a non-rotationally symmetric design can be produced by the method of the present invention. Averaging the data for all considered semi-meridians (see Figure 5) can be used to create a rotationally symmetric design, or the right data is retained as a semi-meridian (left side of Figure 2), which can be used to produce a non-rotationally symmetric design. Modifications for non-rotationally symmetrical designs, including but not limited to torics, cylindrical surfaces, spherical cylinders modified by higher order aberrations. The toric surface includes corrections to rules and irregular astigmatism. The design produced by the present invention can be further fine-tuned according to the pupil size of the object (or the object group). In the natural state, the pupil size of the proximal adjustment level is usually smaller than the pupil size of the remote/distal adjustment level. Therefore, for the optical design of the orbital vision (coaxial), when measuring the near-end wavefront, based on the near-end wavefront, the power change used to control eye growth can be limited to optics corresponding to the presentation of smaller pupils. Zone diameter. Outside the central region, the optical design can be restored to a distal vision state. The following is an illustration of the design methodology for the use of average data obtained from all considered semi-meridians. In this way, a rotational symmetry design is obtained (such design does not require stabilization to reduce lens rotation). Method 1: In the first method, the average meridian and the near-end wavefront refraction power are used as the starting point for the design. This design requires an increase in the lens refractive power (increasing the positive power) with an increase in the chord diameter from the center of the lens. This increase in power is designed to offset the natural negative power offset. 2010423li The average of the coke's offset in the near-end wavefront power is calculated (Fig. 6). The black and colored arrows represent the desired positive power change, and the near-end wavefront is corrected to zero power. Method 2: In the second method of Acoustic 2, the average meridian and the near-end wavefront refraction focal point are the starting points of this design. — In this method, the two focal powers are the average meridian and the far-end wavefront refractive power. This design requires the addition of the lens refractive power (increasing the positive power) with the accompanying U-chord diameter from the lens. The increase in power is used to change the natural negative power. The natural negative power is visible in the group average contour of the near-end wavefront power, which is significantly greater than that in the far-end wavefront power profile ( Figure 7). The ‘, , and ^ heads represent the required positive power changes. If the patient needs a distal end of -3.00 Ε), the focal power profile of the lens is: -3.000D for the center of the lens, and 〇25 D for the south of the beam is 〇·6 亳m. The power is 2.75.). When the beam height is i mm, the required increase in power is 〇.5 D (net power _25 〇 D). Figure 7 shows the power wheel derived from the wavefront, and Figure 8 shows the power profile of the lens design, which corrects the lens center error and extends the surrounding contour in accordance with the above logic. This example shows that the design can be extended to a beam height of 1.6 mm (3.2 m diameter), but it is understood that the design can be expanded if the wavefront measurement is expanded to a larger diameter. By appropriate mathematical calculations, the design can be extrapolated for beam heights up to 4 mm. Figure 8 shows the final lens power profile obtained based on the above method. 0 12 201042311 Method 3: In the present invention (4) - the embodiment towel, the average meridian, the 刖 difocal power is used again as the starting point of the design. However, here ’ : 'The target power change will be able to reach the average meridian, the far end / then the pound shot: !, the difference between the degrees doubled. The preferred method is to double this, but the difference can be four times more difficult. ^ Increase the refractive power of the lens (increasing the positive power) and accompany the diameter from the mirror = 'day plus string. The increase in power is used to change the natural negative focus shift. The natural negative power is clearly visible in the group of the near-front wavefront power and is greater than in the far-end wavefront power profile. ). The black arrow represents the desired positive power change. It can be seen that it is helpful to have a multiplier of less than the work unit, for example, a difference of 0.5. This may be closer to the patient's natural vision, but is still covered by the principles of the present invention. In methods one through three, the design power profile is calculated according to the following formula: The optical power profile is described by the equation: \PowVtof = RPD(0) + kU)((RPDU) + (^(〇) -RpD(〇) ))-ju>N{x})\ RPD(X) is the average far-end refractive power derived from the average wavefront, which is measured at the far end of the beam height X, and RJPN(X) is derived from the wavefront The average near-end refractive power, which is measured at the near-end of the beam height X, is 'k(x) for any suitable mathematical function. For example, a constant multiplier, preferably between 1 and 2, but the available range is extended from 0. 25 to 4, or varies with x, with the inverse Styrian-Croford effect (inverse) Stiles Crawford effect). In the case of selection 13 201042311, the RPD function can be replaced by the horizontal line of Γ f derived from the average wavefront. RPD(〇) RPN(O) is the beam height and 洌:: vertex refraction power, and point refraction power. The average wavefront derived in the middle is based on the data of methods 4 to 6 and the semi-meridian rotationally symmetric design of the semi-meridian. The result of these designs is that the non-butyl material is stabilized to reduce lens rotation. Method 4 In this embodiment of the invention, the semi-meridian refractive power is the design starting point. The financial need to increase the anterior power (increasing the positive power) and accompany the increase from the center of the lens. This increase in power is used to offset the natural negative power offset, t. The power offset can be clearly observed in the group data of the near-end wavefront power. For any meridian and chord position, the y1 power will be fined when the power is negative. This method is similar to Method 1, where θ α is applied to all positions of all meridians (unlike method ~= system meridian data). Only average method five and method six: These methods are similar to method two and method three, respectively. At each position of the 'focal contour', the square wave is moved to the near-end wavefront to produce a point with the corresponding point of the far-end wavefront. 22, in most cases, the far-end wavefront at any position has a positive power change, and in some cases, the power change is negative. ^ 201042311 In Method 6, the wavefront is a negative focus ^ ±, ..., each position of the contour, its force for the near-end degree = $ to make the coking contour required for the corresponding point of the far-end wavefront. If the pre-execution* of the far-end wavefront power change at any position is negative, the design method can be modified to make this bit equal to zero. Method · Seven:

l75t端刺激之波前直徑約略為3.5毫米(光束高度 古而运端波前直徑則約4毫米(光束高度2 中央區域3.5毫米内(此例中)之焦度輪廓係玎 、又照上述方法一至六來設計。從中央區域3·5亳米之 邊j到光學區之邊緣(例如·· 7毫米),該鏡片焦度改變 之°又°十可根據下述由遠端波前導出之焦度改變為之 (參^ 1.75至2毫米遠端波前中之黑色箭頭)。若遠端 波前未延伸到光學區之7毫米邊緣,該焦度發展係讦 以外插法得到遠端焦度輪廓中焦度變化或焦度漸近 線。 該設計方法嘗試限制與近端波前修正相關之視覺 ,失’以控制眼球成長。其係藉由提供修正,該修疋 是特別針對鏡片光學區(光學區之周圍區域)之遠端波 月5,該鏡片光學區於望向遠方,致瞳孔變大時「活化」。 另一項替代方案,其並非使遠端視力最佳化,而 是增強眼球生長控制’其係將近端波前邊緣之焦度輪 廓外插到到7毫米光學區邊緣區。 圖10呈現實施該方法之資訊流程圖。 201042311 圖11顯不應用本方法以創造出特定散光或複曲 面設計。圖11A顯示難聽_由雜(subtracting)The wavefront diameter of the l75t end stimulus is approximately 3.5 mm (the beam height is ancient and the wave front diameter is about 4 mm (the beam height 2 is within the central region of 3.5 mm (in this case)), and the above method is used. Designed from one to six. From the side of the central area of 3·5 亳m to the edge of the optical zone (for example, 7 mm), the lens power change ° ° ° can be derived from the far-end wavefront according to the following The power is changed (refer to the black arrow in the 1.75 to 2 mm distal wavefront). If the far-end wavefront does not extend to the 7 mm edge of the optic zone, the coke development system is extrapolated to obtain the far-end focal length. The power profile changes or the power asymptotes. The design method attempts to limit the vision associated with the near-end wavefront correction, which is used to control eye growth. This is done by providing corrections that are specific to the lens optics area. The distal end of the (optical area of the optical zone) is 5, and the optical zone of the lens is "activated" when it is looking farther, causing the pupil to become larger. Another alternative is not to optimize the far end vision, but Enhance eyeball growth control The power profile is extrapolated to the 7 mm optical zone edge region. Figure 10 presents an information flow diagram for implementing the method. 201042311 Figure 11 shows the application of the method to create a specific astigmatism or toric design. Figure 11A shows the ugly Subtracting

遠端減去近端波别所導出之平均焦度而導出。圖11B 顯示傳統複曲面鏡片之子午線’其係具有-6.00 DS -2.00 DC X 135 之焦度。 圖12顯示以本方法產生之特別球面鏡片設計物 之詳細焦度輪廓®,賴焦度分為—1ggds、_3〇〇ds 以及-6.00 DS。該輪廓顯示轴焦度和至鏡片光學區周 邊之焦度。 圖I3 ,,、、頁不以本方法產生之特別球面鏡片設計物 =詳細焦度輪廓圖’具有〜9.〇〇 Ds之頂點焦度,以 ^-1.00 DS-1.00DCX 45 ^3.00 Ds.1〇〇DCx〇^ 计。該輪靡為顯示轴焦度至_ 周邊 之焦度。 圖14顯示以本方法產去 面鏡片設計物之詳細焦度财、光鏡片和複曲 ^Xl35^ -9.00Ds!〇?d;^-6-〇〇DS-2·00 該輪廓顯示軸焦度至鏡片光學區之周9二之;頁點焦度。 取編法係Γ由電腦讀取媒;:之電腦讀 讀取媒介係指可儲存資料之 任何儲存裝置,其係可藉由t <仔貝竹 媒介之例示包含唯料㈣以統讀取。電腦讀取 唯讀記憶體、數位視訊記憶體、光蝶 置。電腦讀取媒介係可分散至與二2二料儲存裝 使電腦讀取編碼时散•存錄行電腦糸統, 201042311 電腦可供作使用電腦程式與工程技術,包括 刃體、硬體或任一組合或子集,據本發 每m有電月自項取編碼,所產生之任何程式,可具體 二給—個或多個電腦讀取媒介,從而製造電腦 ; 5 ^^ofmanufacture)o Ο ❹ /磁•腦讀取媒介係可以油定(硬)碟、磁片、光 3任如唯讀記憶雖⑽)之半導體記憶體等, 二際網路、溝通網路或連接之傳送/接收媒 ^媒3腦編碼之製造物品,係可藉由直接從單 編碼使用/或產生,其係藉由從一媒介複製 、·馬至另一媒介,或從網路傳送編碼。 根據本發明之褒置亦可為一個 包括但不限於中央處理器(CPU)、記憶體、儲/裝先置 體元件包括軟體、— 之發明。…或子巿’其料諸實鱗求項所載 使用者輸入端係可藉由鍵盤、滑鼠、筆 =幕:或任何其他人類能輸入資料至電腦内:方 》 ,5亥方法包含透過其他應用程式。 創造於中熟習該項技藝者能將依上述内容 以創、4二有適當或特殊目的之電腦硬體結合, ί例i施本發明之電腦系統或電腦次系統。 二例來説’利用電腦讀取媒介上之電腦指令,產 依循上述方法之一而創造之設計,用 '以佳地,該鏡片係隱形眼鏡。製作軟式 17 201042311 隱形眼鏡之例示材料’包含但不限於:鄉彈性體、 含石夕巨分子,該含石夕巨分子係包含但不限於,揭示於, 吳國專利第咖加號、第號和第 5,057,578號(上述專利全部内容均作為本案之參考資 料)者’以及水凝膠與錢膠,及其相似物鱼组合。更 佳地,表層最好為石夕氧燒,或具石夕氧炫功能,包含但 不限於:聚雙甲基石夕氧烧巨分子、甲基丙烯醯氧石夕氧 烷、及其混合物、石夕凝膠或水凝膠。例示材料包含但 不限於 acquafilccm、etafilc〇n、genfUc〇n、⑽、 senefllcon、balafilcon、lotrafilc〇n、或抑__。 〇 鏡片材料能藉各種便利方法硬化。舉例來說,材 料可在鑄模沉積、以熱能、輕射、化學物、電磁幸畐射 等方式固化、及其相似物及組合。較佳地,造模為使 用紫外線或可見光全部光譜。更具體來說,適當用以 之固化鏡片材料之精確條件與材料選擇和所要形成之 鏡片種類有關。適當製程揭示於美國專利第4,495,313 號、第 4,680,336 號、第 4,889,664 號、第 5 039,459 號及第5,540,410號’上述所列專利號整體均作為本案 ◎ 之參考資料。 本發明之隱形眼鏡能藉各種便利方法形成。一種 此便利方法是使用車床製作模具嵌入物。模具嵌入物 繼而用以造模。隨後,在模具之間放置一個合適之鏡 片材料’接著壓縮並固化樹脂以組成本發明之鏡片。 通常熟習該領域之技藝人士將會發現,任何其他已知 之方法可用於生產本發明之鏡片。 18 201042311 【圖式簡單說明】 右側,兩麵相’輯算之㈣焦度於 據輪=轉’料之折射焦度數 平均值、最大得子午線’右側顯示其 圖3為平均折射;I、度輪廓圖, Ο Ο 離處之調節刺激條件下,個體或群組之ί:值公尺距 圖4為平均折射;I、度輪㈣ 於 離處之調節刺激條件,個體或群組之平均值公尺距 度輪7顯示於遠端及近端刺激層級中,平均折射焦 之以抵消近端波前焦度 二,:二然負焦度偏移於近端波前焦度之;= ::::均謝可明顯察知,大於在遠d 圖。圖8顯讀據本發明料之最終鏡片焦度輪靡 圖9顯不焦度增加量係用以改變自 :組波前焦度,輪二 扉中者。月趣知,大於在遠端波前焦度輪 流程r顯樹㈣方^樹實行之資訊 201042311 圖11A- 11B顯示依據本發明方法之一層面所設計 之鏡片焦度輪廓。 圖12A-12C顯示依據本發明方法之一層面所設計 之鏡片焦度輪廓。 圖13A-13C顯示依據本發明方法之一層面所設計 之鏡片焦度輪廓。 圖14A-14B顯示依據本發明方法之一層面所設計 之鏡片焦度輪廓。 20The far end is derived by subtracting the average power derived from the near-end wave. Figure 11B shows the meridian of a conventional toric lens having a power of -6.00 DS - 2.00 DC X 135. Figure 12 shows the detailed power profile® of a special spherical lens design produced by this method, with a resolution of -1ggds, _3〇〇ds, and -6.00 DS. This profile shows the power of the shaft and the power to the periphery of the optical zone of the lens. Figure I3,,,, page, special spherical lens design not produced by this method = detailed power profile 'with vertex power of ~9.〇〇Ds, to ^-1.00 DS-1.00DCX 45 ^3.00 Ds. 1〇〇DCx〇^ count. The rim is the power of the display axis to the periphery of _. Figure 14 shows the detailed coke, light lens and complex of the face lens design produced by the method ^Xl35^ -9.00Ds!〇?d;^-6-〇〇DS-2·00 The outline shows the axis focus Degree to the circumference of the optical zone of the lens 9; page power. The system of reading and editing is read by a computer; the computer reading and reading medium refers to any storage device that can store data, which can be read by the example of t < . The computer reads the read-only memory, the digital video memory, and the light butterfly. The computer reading medium can be distributed to the computer storage system when the computer reads and encodes the code. The 201042311 computer can be used for computer programs and engineering techniques, including blade, hardware or any A combination or subset, according to the present invention, every m has a monthly charge code, any program generated, can specifically give one or more computer reading medium to manufacture a computer; 5 ^^ofmanufacture) o Ο ❹ / magnetic • brain reading media can be oil (hard), magnetic, light 3, such as read-only memory (10) semiconductor memory, etc., two networks, communication networks or connections transmission / reception The manufactured article of the media 3 brain code can be generated and/or generated by directly from a single code by copying from one medium, another to another medium, or transmitting the code from the network. The device according to the present invention may also be an invention including, but not limited to, a central processing unit (CPU), a memory, and a storage/installation pre-assembly component including a software. ... or the child's input to the user's input can be obtained by keyboard, mouse, pen = screen: or any other human input data into the computer: Fang, 5 Hai method includes Other applications. Those who are skilled in the art can combine the above-mentioned contents with the computer hardware of the appropriate or special purpose, and the computer system or computer subsystem of the invention. In two cases, 'using a computer to read the computer instructions on the medium, the design created according to one of the above methods, using 'Yi Jia, the lens is a contact lens. Making soft 17 201042311 Exemplary materials for contact lenses include, but are not limited to, the township elastomer, containing the stone giant molecules, including but not limited to, disclosed in, Wu Guo patent No. Kiga, No. And the combination of the 5th, 057, and 578 (all of which are referred to in the above-mentioned patents) and the hydrogel and the gum, and the similar fish. More preferably, the surface layer is preferably a diarrhea or a diarrhea function, including but not limited to: polydimethyl sulphate, methacrylic oxime, and mixtures thereof , Shixi gel or hydrogel. Exemplary materials include, but are not limited to, acquafilccm, etafilc〇n, genfUc〇n, (10), senefllcon, balafilcon, lotrafilc〇n, or __.镜片 Lens materials can be hardened by various convenient methods. For example, materials can be deposited in molds, thermally, lightly, chemically, electromagnetically, etc., and similar and combinations thereof. Preferably, the molding is performed using ultraviolet or visible light throughout the spectrum. More specifically, the precise conditions suitable for curing the lens material are related to the choice of materials and the type of lens to be formed. Appropriate processes are disclosed in U.S. Patent Nos. 4,495,313, 4,680,336, 4,889,664, 5,039,459, and 5,540,410. The contact lenses of the present invention can be formed by a variety of convenient methods. One convenient method is to use a lathe to make a mold insert. The mold insert is then used to mold. Subsequently, a suitable lens material is placed between the dies' and the resin is then compressed and cured to form the lenses of the present invention. Those skilled in the art will recognize that any other known method can be used to produce the lenses of the present invention. 18 201042311 [Simple description of the diagram] On the right side, the two sides are calculated by the (four) power of the average of the refractive power of the wheel according to the rotation of the wheel, and the maximum meridian is shown on the right side of Figure 3. The average refraction is shown in Fig. 3; Contour map, Ο Ο Under the condition of adjusting the stimulus, the individual or group ί: the value of the meter is the average refraction in Figure 4; I, the wheel (4) the stimulating condition at the distance, the average of the individual or group The gauge wheel 7 is shown in the distal and proximal stimulation levels, and the average refractive power is offset to offset the near-end wavefront power 2: the second negative power is offset to the near-end wavefront power; = : ::: Thanks to the obvious, greater than the far d chart. Figure 8 shows the final lens power rim of the material according to the present invention. Figure 9 shows the increase in the power of the power to change from the group wavefront power to the wheel. Months are known to be greater than the far-end wavefront power wheel process. The information is implemented. 201042311 Figures 11A-11B show the lens power profile designed in accordance with one aspect of the method of the present invention. Figures 12A-12C show lens power profiles designed in accordance with one aspect of the method of the present invention. Figures 13A-13C show lens power profiles designed in accordance with one aspect of the method of the present invention. Figures 14A-14B show lens power profiles designed in accordance with one aspect of the method of the present invention. 20

Claims (1)

201042311 七、申請專利範圍: 1' —種眼用鏡片,包含一白杠攸τ , ^ s匕括修正因子用於近端或 返端視力基於波前數據及瞳孔大小之設計,其中 該鏡片係用以減緩或停止近視發展。 2. ”請專利範圍第!項所述之鏡片:包含: -凸面’具有—中央光學區,該中央光學區被一 周圍區環繞,該周圍區再被一邊緣區環繞,以及 —凹面支撐在佩戴者眼睛上; D *中位於該絲區任—位置之鏡片焦度係以轴向 頂點之遠端平均波前導出之焦度總和加上一修正 加以描述,其中該修正係由一單一、部份複數或 複數之位於各個位置(x)的遠端及近端平均波前 導出之焦度差異,以及位於頂點的近端及遠端波 月1j導出之焦度差異所導出’該光學鏡片焦度用於 控制或減緩近視發展。 3·—種設計隱形眼鏡之方法,包含: ^ a) 取得波前數據; b) 轉換該波前數據為一徑向焦度圖; c) 產生一鏡片焦度輪靡,其係包含有基於波前 數據及瞳孔大小,用於近端及遠端視力之複 數修正因子。 4*如申請專利範圍第2項所述之方法,其中整體族 群之波前數據被取得。 5.如申請專利範圍第2項所述之方法,其中次族群 之波前數據被取得。 21 201042311 6. 如申請專利範圍第2項所述之方法,其中一個體 之波前數據被取得。 7. 如申請專利範圍第2項所述之方法,其中該波前 數據係多個波前檔案之平均值。 8. 如申請專利範圍第2項所述之方法,其中該鏡片 設計之焦度輪廓係對於一旋轉對稱形式,計算所 有子午線之平均。 9. 如申請專利範圍第7項所述之方法,其中該鏡片 設計之焦度輪廓係以倒置之近端焦度輪廓加以計 算。 10. 如申請專利範圍第7項所述之方法,其中該鏡片 設計之焦度輪廓係以抵銷近端焦度輪廓之負像差 計算。 11. 如申請專利範圍第7項所述之方法,其中該鏡片 設計之焦度輪廓係以對近端焦度輪廓加入一距離 加以計算。 12. 如申請專利範圍第7項所述之方法,其中該設計 之鏡片焦度輪廓係以對近端焦度輪廓加入該距離 之一倍數加以計算。 13. 如申請專利範圍第7項所述之方法,其中該設計 之鏡片焦度輪廓係以對近端焦度輪廓加入該距離 之一部分加以計算。 14. 一種物件包含電腦可使用媒介其具有電腦可讀取 指令儲存其上而供一處理器執行一方法,該方法 包含:轉換表示一眼睛特徵之波前數據為一徑向 焦度圖,與產生一鏡片焦度輪廓,該鏡片焦度輪 22 201042311 廓係包含基於波前數據及瞳孔大小之近端或遠端 視力之複數修正因子。 15. 如申請專利範圍第14項所述之物件,係用於產生 一鏡片之一鏡片設計,該設計包含一凸面,其具 有一中央光學區,該中央光學區被一周圍區環 繞,該周圍區再被一邊緣區環繞,以及一凹面支 撐於佩戴者眼睛上。 16. 如申請專利範圍第15項所述之物件,其中於此設 計之光學區任一位置之鏡片焦度係以軸向頂點之 遠端平均波前導出之焦度總和加上一修正量加以 描述,其中該修正量係由單一、部份複數或複數 位於各個位置(X)的遠端及近端之平均波前導出 之焦度差異,以及位於頂點的近端及遠端之波前 導出之焦度差異所導出。 17. 如申請專利範圍第1項所述之鏡片,其中鏡片焦 度藉由下述決定: 18. —種用以減緩近視發展之眼用鏡片,包含: 一中央光學區、一周圍區以及一邊緣區; 其中該周圍區環繞該中央光學區,該邊緣區環繞 該周圍區;位於該中央光學區之鏡片焦度包含漸 增之一焦度輪廓,其係由待修正遠端視力焦度漸 增至少大於待修正遠端視力之焦度0.5屈光度, 該中央光學區於光學焦度輪廓中更包含一最大 23 201042311 值;其中位於該周圍區之該光學焦度具有用以修 正遠端視力之一焦度。 19. 如申請專利範圍第18項所述之鏡片,其中該中央 光學區之外徑等於或小於3.5毫米。 20. 如申請專利範圍第18項所述之鏡片,其中該中央 光學區之外徑等於或小於5.3毫米。 21. 如申請專利範圍第18項所述之鏡片,其中該中央 光學區之外徑等於或小於8.0毫米。 22. —種用以減緩近視發展之眼用鏡片包含: 一中央光學區、一周圍區以及一邊緣區; 其中該周圍區環繞該中央光學區,該邊緣區環繞 該周圍區;位於該中央光學區之鏡片焦度包含漸 增之一焦度輪廓,其係由待修正遠端視力焦度漸 增至少大於待修正遠端視力之焦度0.5屈光度, 該中央光學區於光學焦度輪廓中更包含一最大 值;其中位於該周圍區之該光學焦度具有一焦度 輪廓,係自該中央光學區之該光學焦度進行外插 得之。 23. 如申請專利範圍第22項所述之鏡片,其中該中央 光學區之外徑等於或小於3.5毫米。 24. 如申請專利範圍第22項所述之鏡片,其中該中央 光學區之外徑等於或小於5.3毫米。 25. 如申請專利範圍第22項所述之鏡片,其中該中央 光學區之外徑等於或小於8.0毫米。 26. 如申請專利範圍第22項所述之鏡片,其中該外插 係指線性外插法。 24 201042311 . 27.如申請專利範圍第26項所述之鏡片,其中該線性 外插法於該中央光學區邊界保持該焦度斜率。 28. 如申請專利範圍第22項所述之鏡片,其中該外插 係指一高階多項式。 29. 如申請專利範圍第28項所述之鏡片,其中該多項 式至少為一二階函數。 30. 如申請專利範圍第28項所述之鏡片,其中該多項 式係指包含一連續二階導數之一連續函數。 31. —種用以減緩近視發展之方法,包含: Θ 提供一患者鏡片,該鏡片具有一中央光學區、一 周圍區以及一邊緣區;其中該周圍區環繞該中央 光學區,該邊緣區環繞該周圍區;位於該中央光 學區之鏡片焦度包含漸增之焦度輪廓,其係由待 修正遠端視力焦度漸增至少大於待修正遠端視力 之焦度0.5屈光度,該中央光學區於光學焦度輪 廓中更包含一最大值,且其中位於該周圍區之該 光學焦度具有用以修正遠端視力之一焦度。 〇 32. —種用以減緩近視發展之方法包含: 提供一患者一鏡片,該鏡片具有一中央光學區、 一周圍區以及一邊緣區;其中該周圍區環繞該中 央光學區,該邊緣區環繞該周圍區;位於該中央 光學區之鏡片焦度包含漸增之焦度輪廓,其係由 待修正遠端視力焦度漸增至少大於待修正遠端視 力之焦度0.5屈光度,該中央光學區於光學焦度 輪廓中更包含一最大值;其中位於該周圍區之該 25 201042311 光學焦度具有一焦度輪廟,係自該中央光學區之 該光學焦度進行外插得之。 26201042311 VII. Patent application scope: 1'-type ophthalmic lens, including a white bar 攸τ, ^ s including correction factor for near-end or back-end vision based on wavefront data and pupil size design, where the lens system Used to slow or stop the development of myopia. 2. The lens of the scope of the patent: item: comprising: - a convex surface having a central optical zone surrounded by a surrounding zone, the peripheral zone being surrounded by an edge zone, and - the concave surface is supported On the wearer's eye; the lens power in the position of the D* in the silk zone is described by the sum of the power derived from the far-end average wavefront of the axial apex plus a correction, wherein the correction is performed by a single The partial or complex number of focal depths derived from the far-end and near-end average wavefronts at each position (x), and the difference in power derived from the proximal and distal wavefronts of the apex 1j derived from the optical lens The power is used to control or slow down the development of myopia. 3. A method for designing contact lenses, comprising: ^ a) obtaining wavefront data; b) converting the wavefront data to a radial power map; c) generating a lens The focal rim includes a complex correction factor for the near-end and far-end vision based on the wavefront data and the pupil size. 4* The method described in claim 2, wherein the wavefront of the overall ethnic group Data was obtained 5. The method of claim 2, wherein the wavefront data of the subgroup is obtained. 21 201042311 6. The method of claim 2, wherein the wavefront data of one of the bodies is obtained. 7. The method of claim 2, wherein the wavefront data is an average of a plurality of wavefront files. 8. The method of claim 2, wherein the lens design has a power The contour is calculated for a rotationally symmetrical form, and the average of all meridians is calculated. 9. The method of claim 7, wherein the focal length of the lens design is calculated as an inverted proximal power profile. The method of claim 7, wherein the lens design has a power profile that is offset by a negative aberration of the near-end power profile. 11. The method of claim 7, wherein The focal length profile of the lens design is calculated by adding a distance to the proximal power profile. 12. The method of claim 7 wherein the lens power profile of the design is proximal to The degree profile is calculated by adding a multiple of the distance. 13. The method of claim 7, wherein the lens power profile of the design is calculated by adding a portion of the distance to the proximal power profile. An object comprising a computer usable medium having computer readable instructions stored thereon for execution by a processor, the method comprising: converting a wavefront data representative of an eye feature to a radial power map, and generating A lens power profile, the lens power wheel 22 201042311 profile includes a plurality of correction factors based on the wavefront data and the proximal or distal vision of the pupil size. 15. The object of claim 14 is A lens design for producing a lens, the design comprising a convex surface having a central optical zone surrounded by a peripheral zone, the peripheral zone being surrounded by an edge zone, and a concave surface supported by the wearer On the eyes. 16. The article of claim 15 wherein the lens power at any position of the optical zone of the design is a sum of the power derived from the distal average wavefront of the axial apex plus a correction amount. Description, wherein the correction amount is derived from a single, partial complex or complex focus of the average wavefront derived at the distal and proximal ends of each position (X), and a wavefront derived at the proximal and distal ends of the apex The difference in power is derived. 17. The lens of claim 1, wherein the lens power is determined by the following: 18. An ophthalmic lens for slowing the progression of myopia, comprising: a central optical zone, a surrounding zone, and a An edge region; wherein the peripheral region surrounds the central optical zone, the edge region surrounding the peripheral region; the lens power in the central optical region includes an increasing one-degree power profile, which is determined by the distal vision power to be corrected Increasing the power by at least 0.5 diopter of the distal vision to be corrected, the central optical zone further comprising a maximum value of 23 201042311 in the optical power profile; wherein the optical power located in the peripheral zone has a visual power for correcting the distal vision One degree of power. 19. The lens of claim 18, wherein the central optical zone has an outer diameter equal to or less than 3.5 mm. 20. The lens of claim 18, wherein the central optical zone has an outer diameter equal to or less than 5.3 mm. 21. The lens of claim 18, wherein the central optical zone has an outer diameter equal to or less than 8.0 mm. 22. An ophthalmic lens for use in mitigating myopia development comprising: a central optical zone, a peripheral zone, and an edge zone; wherein the peripheral zone surrounds the central optical zone, the edge zone surrounding the peripheral zone; The lens power of the region includes an increasing one-degree power profile, which is obtained by increasing the distal vision power to be corrected by at least 0.5 diopter greater than the power of the distal vision to be corrected, the central optical zone being more in the optical power profile A maximum value is included; wherein the optical power in the peripheral region has a power profile that is extrapolated from the optical power of the central optical zone. 23. The lens of claim 22, wherein the central optical zone has an outer diameter equal to or less than 3.5 mm. 24. The lens of claim 22, wherein the central optical zone has an outer diameter equal to or less than 5.3 mm. 25. The lens of claim 22, wherein the central optical zone has an outer diameter equal to or less than 8.0 mm. 26. The lens of claim 22, wherein the extrapolation is a linear extrapolation. The lens of claim 26, wherein the linear extrapolation maintains the power gradient at the boundary of the central optical zone. 28. The lens of claim 22, wherein the extrapolation is a high order polynomial. 29. The lens of claim 28, wherein the polynomial is at least a second order function. 30. The lens of claim 28, wherein the polynomial is a continuous function comprising a continuous second derivative. 31. A method for slowing the progression of myopia comprising: Θ providing a patient lens having a central optical zone, a peripheral zone, and an edge zone; wherein the peripheral zone surrounds the central optical zone, the edge zone surrounding The peripheral region; the lens power in the central optical zone comprises an increasing power profile, wherein the distal vision power to be corrected is increased by at least 0.5 diopter greater than the power of the distal vision to be corrected, the central optical zone The optical power profile further includes a maximum value, and wherein the optical power located in the peripheral region has a power to correct the distal vision. 〇 32. A method for slowing the progression of myopia comprises: providing a patient-one lens having a central optical zone, a peripheral zone, and an edge zone; wherein the peripheral zone surrounds the central optical zone, the edge zone surrounding The peripheral region; the lens power in the central optical zone comprises an increasing power profile, wherein the distal vision power to be corrected is increased by at least 0.5 diopter greater than the power of the distal vision to be corrected, the central optical zone The optical power profile further includes a maximum value; wherein the 25 201042311 optical power located in the peripheral region has a power circle temple, and the optical power of the central optical region is extrapolated. 26
TW099102878A 2009-02-02 2010-02-01 Ophthalmic lens and method for the slowing of myopia progression, and method of designing contact lens thereof, and article used to perform the method thereof TWI519843B (en)

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