WO2003059157A1 - Dispositif et procede de mesure du diametre de l'angle irido-corneen - Google Patents
Dispositif et procede de mesure du diametre de l'angle irido-corneen Download PDFInfo
- Publication number
- WO2003059157A1 WO2003059157A1 PCT/FR2003/000068 FR0300068W WO03059157A1 WO 2003059157 A1 WO2003059157 A1 WO 2003059157A1 FR 0300068 W FR0300068 W FR 0300068W WO 03059157 A1 WO03059157 A1 WO 03059157A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- image
- eye
- angle
- light source
- iridocorneal angle
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/12—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for looking at the eye fundus, e.g. ophthalmoscopes
- A61B3/1216—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for looking at the eye fundus, e.g. ophthalmoscopes for diagnostics of the iris
Definitions
- the present invention relates to a device for measuring the diameter of the iridocean angle and to a corresponding method.
- the success of refractive surgery by placing anterior chamber implants with fixation in the iridocorneal angle implies an appropriate dimensioning of the implant and in particular a good adequacy between the total diameter of the implant (also called “overall" diameter) and the diameter of the iridocorneal angle, formed by the cornea and the periphery of the iris.
- oversizing the implant can lead to deformation of the implant, which can be communicated to the iris and the pupil.
- This overall deformation of the eye can cause an indentation of the feet of the implant in the root of the iris and result in an inflammatory reaction in the form of goniosynechies, or even an encapsulation of the feet of the implant.
- undersizing the implant can allow the implant to move around the eye and, as a result, loss of endothelial cells, if the implant rubs against the endothelium.
- the precise determination of the diameter of the iridocorneal angle is therefore important in particular for the correct choice of implant. However, this determination is not immediate because the outside of the eye, the iridocorneal angle is invisible and is not directly accessible.
- Methods and instruments are known for measuring the invasive iridocorneal angle.
- the determination of the angle in this case is generally empirical in nature and a drawback related to this empirical character is, as in the case of invasive methods and instruments, the imprecision of the resulting value and the lack thereof. associated reliability.
- the so-called "white-to-white” measurement method consists, from the corneal diameter, of evaluating the value of the angle by arbitrarily adding 0.5 to 1 mm to the value of the diameter of the cornea, to obtain the overall diameter of the implant that will need to be placed.
- the choice to add a value between 0.5 and 1 mm is empirical and left to the discretion of the practitioner.
- the present invention aims to remedy these drawbacks.
- the present invention provides a device for measuring the iridocorneal angle, remarkable in that it comprises:
- the invention makes it possible to proceed with precision, during the preoperative visit, to the measurement of the iridocorneal angle of the eye to be operated on. It therefore reduces the uncertainty and unreliability relating to the choice of the size of the implant. In addition, no surgical intervention is necessary, which eliminates any danger represented by an operation for the patient.
- the light source emits in the visible. It is for example a light-emitting diode. Thanks to such a diode, the angle of light emitted is wide and the light emitted is of high intensity. In addition, the implementation of such a component is relatively simple and this component is inexpensive and in common use.
- the image capture means comprises a CCD type camera.
- the device further comprises a trigger for capturing an image, which can advantageously be produced in the form of a trigger arranged on the image capturing means, or in the form of '' a pedal connected by image capture means.
- the trigger allows the practitioner to be very reactive and to take a snapshot almost instantaneously when he judges that the image, which he visualizes for example on the screen of a personal computer (PC, in English "Personal Computer”) ), is correct.
- the image processing means comprises a computer system suitable for implementing image analysis software, which allows an automatic analysis of the differences in contrast.
- the image processing means comprises storage means, which make it possible to archive, for example, the values of the diameter of the iridocorneal angle and the corresponding photographs in the form of a database.
- the storage means are adapted to store a file containing the captured image.
- the light source is positioned relative to the eye so that the optical axis of the light source forms with the main axis of the eye a predetermined angle of incidence;
- the captured image is processed using contrast differences in this image, so as to determine a value of the iridocorneal angle.
- the method further comprises a step according to which the captured image is stored.
- the distance between the geometric center of the eye and the periphery of the trabecular reflection is measured according to a plurality of angular positions.
- the angle of incidence has a value of 18 ⁇ 2 degrees.
- FIG. 1 is a block diagram of the device for measuring the iridocorneal angle according to the invention, in a particular embodiment
- FIG. 2 illustrates in more detail the schematic structure of a computer system included in a device of the type of that of Figure 1, in a particular embodiment
- FIG. 3 is a flowchart illustrating the main steps of the operating method of the device of Figure 1, in a particular embodiment.
- the practitioner Before performing the measurement of the iridocorneal angle, the practitioner places the device in abutment on the orbital floor and, using appropriate computer equipment known per se, searches for the pupillary center, for example directly by visualization on the computer screen. The practitioner also performs the focusing.
- the diameter of the iridocorneal angle is symmetrical with respect to the pupillary center thus determined.
- the quantities considered are averages given that, on the one hand, the eye is not perfectly spherical and that, on the other hand, the quantities measured come from the field of biometrics and not from geometry.
- the present invention is based on the analysis of the contrasts of the trabecular reflection, the trabecular meshwork being the region located in the iridocorneal angle.
- a measuring device comprises a camera 10, for example a digital color camera of the CCD type (in English "Charge-Coupled Device"), placed in front of the eye to be examined 12.
- the eye to be examined can be isolated by placing an eyecup in front of it.
- Annular illumination of the iridocorneal angle is produced by a light source 14 emitting in the visible, that is to say in a wavelength range between 380 nm and 780 nm, having the property of make the sclera translucent, is arranged at an angle of grazing incidence with respect to the main axis of the eye examined 12, so as to illuminate the whole cornea as well as the region surrounding the sclera and makes it possible to illuminate the iridocorneal angle.
- the angle of incidence can take the value 18 ° ⁇ 2 °.
- This illumination causes a change in contrast of the region of the sclera crossed by the light produced by the illumination 14, relative to the part of the sclera not crossed by light.
- the light source 14 is constituted by a light-emitting diode (LED), such as for example a white LED with wide angle and high brightness.
- LED light-emitting diode
- the LED may be replaced, by way of nonlimiting examples, by a laser diode, or a light obtained by optical fibers, or even a halogen light, this list not being exhaustive.
- the patient's gaze is directed towards an aiming point, produced for example by means of a light-emitting diode of color, mounted for example at the end of a hose connected to the camera.
- the capture of the images of the illuminated region of the eye is carried out via an optical system 18, without any contact with the eye 12.
- the triggering of the image capture can be done by means of a trigger 20 included in the camera 10 or a pedal connected to the camera, or by any other means deemed appropriate.
- the optical system 18 is included in the camera.
- the image capture system can for example be in the form of a gun integrating the camera 10, the light source 14, fixed according to the specific angle of incidence mentioned above, the optical system 18 and the trigger 20
- the camera 10 is connected to a computer system 22, for example a PC.
- the computer system 22 is connected to the camera 10 as well as to a keyboard 32 and a screen 34 jointly connected to an input / output port 36.
- the computer system 22 comprises, linked together by an address and data bus 38:
- the random access memory 42 is adapted to store, in a register designated by the reference sign 'V in the drawing, data, variables and intermediate processing results, the word "register” designating both a low-capacity memory zone (some binary data) than a large memory area (allowing to store an entire program).
- the read-only memory 44 is adapted to keep the operating program of the central processing unit 40, as well as, in a register designated by the reference sign "L" in the drawing, an image analysis software and, in a register "f (l, P) 'one or more files corresponding to the patient (s) examined and containing for example the identity and contact details of the patient, the captured images, for example in JPEG format (in English "Joint Picture Experts Group"), and the biometric parameters of the eye (s) of this patient.
- this information may be stored, in whole or in part, on a floppy disk or CD -ROM or another storage medium.
- the measurement of the iridocorneal angle is obtained by processing the image captured using the image analysis software stored in the register.
- FIG. 3 illustrates the course of the main stages of the operation of a device of the type of that of FIG. 1, once this device is powered up.
- the light source 14 is arranged so that its optical axis forms an angle of grazing incidence with the main axis of the eye to be examined. This makes it possible to illuminate an annular zone of the eye 12 with the light source 14.
- the camera 10 converts the captured image, which is for example in the form of a video signal, into an image file, consisting of bytes . Conventionally, each picture element (pixel) of the captured image is coded by one or more of these bytes.
- the CCD camera can be replaced by a conventional video camera, accompanied by an acquisition card to convert the video images supplied by the conventional camera into digital images, ie in the form of bytes.
- the captured image is then optionally compressed, in a manner known per se, for storage in the form of a file, for example in bitmap format, in the computer system 22, during a storage step 28.
- This step 28 is optional and can take place at the end of the next step 30 of image analysis.
- the red component of the image is firstly extracted from among its red, green and blue components. The red component is indeed particularly advantageous for the analysis of variations in contrast. Then, as a function of the more or less dark color of the iris of the eye examined, a minimum threshold for detecting variations in contrast is chosen.
- the measurement is repeated at different angular positions, so that an average value for the diameter of the iridocorneal angle can then be calculated.
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2003559328A JP2005514146A (ja) | 2002-01-16 | 2003-01-10 | 虹彩角膜角の直径を測定するための装置及び方法 |
US10/501,728 US20050110947A1 (en) | 2002-01-16 | 2003-01-10 | Device and method for measuring the diameter of the iridocorneal angle |
AU2003214302A AU2003214302A1 (en) | 2002-01-16 | 2003-01-10 | Device and method for measuring the diameter of the iridocorneal angle |
EP03709867A EP1465523A1 (fr) | 2002-01-16 | 2003-01-10 | Dispositif et procede de mesure du diametre de l'angle irido-corneen |
CA002473096A CA2473096A1 (fr) | 2002-01-16 | 2003-01-10 | Dispositif et procede de mesure du diametre de l'angle irido-corneen |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR02/00486 | 2002-01-16 | ||
FR0200486A FR2834627B1 (fr) | 2002-01-16 | 2002-01-16 | Dispositif et procede de mesure du diametre de l'angle irido-corneen |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2003059157A1 true WO2003059157A1 (fr) | 2003-07-24 |
WO2003059157A8 WO2003059157A8 (fr) | 2004-08-12 |
Family
ID=8871308
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/FR2003/000068 WO2003059157A1 (fr) | 2002-01-16 | 2003-01-10 | Dispositif et procede de mesure du diametre de l'angle irido-corneen |
Country Status (8)
Country | Link |
---|---|
US (1) | US20050110947A1 (fr) |
EP (1) | EP1465523A1 (fr) |
JP (1) | JP2005514146A (fr) |
CN (1) | CN1617685A (fr) |
AU (1) | AU2003214302A1 (fr) |
CA (1) | CA2473096A1 (fr) |
FR (1) | FR2834627B1 (fr) |
WO (1) | WO2003059157A1 (fr) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113924071A (zh) * | 2019-05-03 | 2022-01-11 | 马克·洛巴诺夫 | 用于手术过程的近红外照明 |
Families Citing this family (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE102007055923A1 (de) * | 2007-12-21 | 2009-06-25 | Carl Zeiss Surgical Gmbh | Verfahren zur Ermittlung von Eigenschaften und/oder der Position charakteristischer Augenbestandteile |
US8662667B2 (en) | 2007-12-21 | 2014-03-04 | Carl Zeiss Meditec Ag | Ophthalmologic visualization system |
US20100134759A1 (en) * | 2008-06-26 | 2010-06-03 | Silvestrini Thomas A | Digital imaging system for eye procedures |
US8308298B2 (en) * | 2009-06-24 | 2012-11-13 | Carl Zeiss Meditec Ag | Microscopy system for eye surgery |
US8596788B2 (en) * | 2011-06-27 | 2013-12-03 | Broadspot Imaging Corporation | Multiple-view composite ophthalmic iridocorneal angle imaging system |
KR101716299B1 (ko) * | 2013-04-02 | 2017-03-14 | 가톨릭대학교 산학협력단 | 전낭 중심 산출 시스템 및 이를 이용한 전낭 중심 산출방법 |
CN106419830A (zh) * | 2016-11-10 | 2017-02-22 | 任秋生 | 一种瞳孔直径测量方法 |
Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5291560A (en) * | 1991-07-15 | 1994-03-01 | Iri Scan Incorporated | Biometric personal identification system based on iris analysis |
DE19641632A1 (de) * | 1995-10-09 | 1997-05-15 | Nihon Kohden Corp | Augapfeloberflächenmessbrille und Augapfeloberflächenmessvorrichtung |
US5671737A (en) * | 1995-12-08 | 1997-09-30 | Marine Biological Laboratory | Self-operable tonometer for measuring intraocular pressure of a patient's eye |
US5810005A (en) * | 1993-08-04 | 1998-09-22 | Dublin, Jr.; Wilbur L. | Apparatus and method for monitoring intraocular and blood pressure by non-contact contour measurement |
US5841510A (en) * | 1998-02-11 | 1998-11-24 | Roggy; David L. | Rotatable diagnostic lens for evaluation of the irido-corneal angle, retina and other portions of the eye |
WO1999029102A1 (fr) * | 1997-12-01 | 1999-06-10 | Sensar, Inc. | Soustraction d'images pour supprimer une illumination ambiante |
WO2001089373A2 (fr) * | 2000-05-20 | 2001-11-29 | Sensomotoric Instruments Gmbh | Procede et appareil d'adaptation controlee de la cornee |
US6325765B1 (en) * | 1993-07-20 | 2001-12-04 | S. Hutson Hay | Methods for analyzing eye |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5570698A (en) * | 1995-06-02 | 1996-11-05 | Siemens Corporate Research, Inc. | System for monitoring eyes for detecting sleep behavior |
US6442409B1 (en) * | 2000-03-22 | 2002-08-27 | Gholam A. Peyman | Diagnostic system and method using radiant energy and implants |
-
2002
- 2002-01-16 FR FR0200486A patent/FR2834627B1/fr not_active Expired - Fee Related
-
2003
- 2003-01-10 US US10/501,728 patent/US20050110947A1/en not_active Abandoned
- 2003-01-10 CA CA002473096A patent/CA2473096A1/fr not_active Abandoned
- 2003-01-10 CN CNA038022931A patent/CN1617685A/zh active Pending
- 2003-01-10 AU AU2003214302A patent/AU2003214302A1/en not_active Abandoned
- 2003-01-10 JP JP2003559328A patent/JP2005514146A/ja not_active Abandoned
- 2003-01-10 EP EP03709867A patent/EP1465523A1/fr not_active Withdrawn
- 2003-01-10 WO PCT/FR2003/000068 patent/WO2003059157A1/fr not_active Application Discontinuation
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5291560A (en) * | 1991-07-15 | 1994-03-01 | Iri Scan Incorporated | Biometric personal identification system based on iris analysis |
US6325765B1 (en) * | 1993-07-20 | 2001-12-04 | S. Hutson Hay | Methods for analyzing eye |
US5810005A (en) * | 1993-08-04 | 1998-09-22 | Dublin, Jr.; Wilbur L. | Apparatus and method for monitoring intraocular and blood pressure by non-contact contour measurement |
DE19641632A1 (de) * | 1995-10-09 | 1997-05-15 | Nihon Kohden Corp | Augapfeloberflächenmessbrille und Augapfeloberflächenmessvorrichtung |
US5671737A (en) * | 1995-12-08 | 1997-09-30 | Marine Biological Laboratory | Self-operable tonometer for measuring intraocular pressure of a patient's eye |
WO1999029102A1 (fr) * | 1997-12-01 | 1999-06-10 | Sensar, Inc. | Soustraction d'images pour supprimer une illumination ambiante |
US5841510A (en) * | 1998-02-11 | 1998-11-24 | Roggy; David L. | Rotatable diagnostic lens for evaluation of the irido-corneal angle, retina and other portions of the eye |
WO2001089373A2 (fr) * | 2000-05-20 | 2001-11-29 | Sensomotoric Instruments Gmbh | Procede et appareil d'adaptation controlee de la cornee |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113924071A (zh) * | 2019-05-03 | 2022-01-11 | 马克·洛巴诺夫 | 用于手术过程的近红外照明 |
Also Published As
Publication number | Publication date |
---|---|
FR2834627B1 (fr) | 2004-09-03 |
WO2003059157A8 (fr) | 2004-08-12 |
JP2005514146A (ja) | 2005-05-19 |
FR2834627A1 (fr) | 2003-07-18 |
AU2003214302A1 (en) | 2003-07-30 |
CA2473096A1 (fr) | 2003-07-24 |
US20050110947A1 (en) | 2005-05-26 |
CN1617685A (zh) | 2005-05-18 |
EP1465523A1 (fr) | 2004-10-13 |
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