WO2016072272A1 - 視覚検査装置およびヘッドマウント型表示装置 - Google Patents
視覚検査装置およびヘッドマウント型表示装置 Download PDFInfo
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- WO2016072272A1 WO2016072272A1 PCT/JP2015/079779 JP2015079779W WO2016072272A1 WO 2016072272 A1 WO2016072272 A1 WO 2016072272A1 JP 2015079779 W JP2015079779 W JP 2015079779W WO 2016072272 A1 WO2016072272 A1 WO 2016072272A1
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- display
- subject
- eyeball
- image
- head
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/0016—Operational features thereof
- A61B3/0041—Operational features thereof characterised by display arrangements
- A61B3/005—Constructional features of the display
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/0016—Operational features thereof
- A61B3/0041—Operational features thereof characterised by display arrangements
- A61B3/0058—Operational features thereof characterised by display arrangements for multiple images
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/0091—Fixation targets for viewing direction
-
- 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
- A61B3/02—Subjective types, i.e. testing apparatus requiring the active assistance of the patient
- A61B3/024—Subjective types, i.e. testing apparatus requiring the active assistance of the patient for determining the visual field, e.g. perimeter types
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/02—Subjective types, i.e. testing apparatus requiring the active assistance of the patient
- A61B3/028—Subjective types, i.e. testing apparatus requiring the active assistance of the patient for testing visual acuity; for determination of refraction, e.g. phoropters
- A61B3/032—Devices for presenting test symbols or characters, e.g. test chart projectors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/14—Arrangements specially adapted for eye photography
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/14—Arrangements specially adapted for eye photography
- A61B3/15—Arrangements specially adapted for eye photography with means for aligning, spacing or blocking spurious reflection ; with means for relaxing
- A61B3/152—Arrangements specially adapted for eye photography with means for aligning, spacing or blocking spurious reflection ; with means for relaxing for aligning
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- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B27/00—Optical systems or apparatus not provided for by any of the groups G02B1/00 - G02B26/00, G02B30/00
- G02B27/01—Head-up displays
- G02B27/017—Head mounted
- G02B27/0172—Head mounted characterised by optical features
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
- A61B2090/502—Headgear, e.g. helmet, spectacles
Definitions
- the present invention relates to a visual inspection device and a head-mounted display device.
- the visual test that tests the visual function of the eye.
- a typical visual inspection is a “field inspection”.
- the visual field inspection is performed for diagnosis of visual field constriction, visual field defect, etc. caused by glaucoma or retinal detachment, for example, and various inspection apparatuses have been proposed.
- the eyeball of the subject (hereinafter referred to as “the subject eye”) is imaged by a camera built in the main body portion (hereinafter referred to as “the device body”) of the visual inspection apparatus.
- the device body Describes a technique for displaying the image of the eyeball obtained by the above method together with the alignment mark on a television monitor separate from the apparatus main body.
- an image of an eyeball captured by a camera is displayed on a television monitor observed by an examiner such as an ophthalmologist or an ophthalmologist, and the pupil of the subject is concentric with the alignment mark on the television monitor.
- the position of the apparatus main body is adjusted.
- the subject may move the apparatus main body in a direction unintended by the examiner, or the amount of movement may not be appropriate, and it may take time to adjust the position of the apparatus main body. Further, since the examiner needs to keep watching the television monitor until the position adjustment of the apparatus main body is completed, there is a disadvantage that other work cannot be performed during that time.
- the main object of the present invention is to provide a visual inspection apparatus that can reduce the work burden on the examiner when adjusting the position of the apparatus main body when the apparatus main body of the visual inspection apparatus is mounted on the subject's head. There is to do.
- a first aspect of the present invention is a head-mounted visual inspection device that is used by being mounted on the head of a subject, An apparatus body having a display element for displaying a visual target on the subject, and an imaging element for imaging the eyeball of the subject; A mounting tool for mounting the apparatus main body on the head of the subject; An image of the eyeball imaged by the imaging device is used to cause the subject to recognize a position shift state of the eyeball accompanying a position shift of the apparatus body mounted on the head of the subject using the mounting tool.
- control unit sets a display frame on a display surface of the display element, and displays an image of the eyeball imaged by the imaging element on the display frame.
- the visual inspection apparatus according to the first aspect.
- the display element and the imaging element are separately provided for the subject's left eye and right eye, respectively.
- the controller synthesizes the left eye image captured by the left eye image sensor and the right eye image captured by the right eye image sensor so as to be arranged side by side, and the synthesized left and right eyes.
- the visual inspection apparatus according to the first aspect, wherein the image is displayed on a display element for the left eye and a display element for the right eye.
- control unit sets two display frames side by side on the display surface of the display element for the left eye and the display surface of the display element for the right eye.
- the visual inspection apparatus according to the third aspect, wherein the left-eye image is displayed on the left display frame and the right-eye image is displayed on the right display frame as viewed from the subject.
- control unit displays a fixation target for causing the subject to gaze between the left eye image and the right eye image.
- the visual inspection apparatus according to the third or fourth aspect.
- control unit displays a mark for aligning the position of the pupil of the eyeball in the display frame.
- a display optical system provided on an optical axis between an eyeball position where the eyeball of the subject is disposed and the display element;
- An observation optical system provided on the optical axis between the eyeball position and the image sensor;
- the display optical system is configured by sequentially arranging a first lens, a mirror having wavelength selectivity, and a second lens group on the optical axis from the eyeball position to the display element.
- the observation optical system is configured by sequentially arranging the first lens, the mirror, and a third lens on the optical axis from the eyeball position to the imaging device, and the light from the eyeball position to the mirror.
- An eighth aspect of the present invention is a head-mounted display device used by being mounted on a user's head,
- An apparatus main body having a display element for displaying an image to the user and an image sensor for imaging the eyeball of the user;
- a mounting tool for mounting the device body on the user's head;
- the display of the image of the eyeball imaged by the imaging device so as to allow the user to recognize the position shift state of the eyeball accompanying the position shift of the apparatus body mounted on the user's head using the mounting tool.
- a head-mounted display device comprising:
- the work burden on the examiner related to the position adjustment of the apparatus main body can be reduced.
- FIG. 1 is a schematic diagram showing a configuration example of a visual inspection apparatus according to an embodiment of the present invention.
- the illustrated visual inspection apparatus 1 is a head-mounted visual inspection apparatus that is used by being mounted on the head 3 of a subject 2.
- the visual inspection device 1 generally includes a device main body 5 and a mounting tool 6 mechanically connected to the device main body 5.
- the apparatus body 5 includes a housing 7 having a space inside.
- the internal space of the housing 7 is divided into left and right. This is because the visual inspection is performed separately for the left eye 8L and the right eye 8R of the subject 2.
- the subject 2 sees the target through the pupil 9L of the left eye 8L
- the right eye 8R is the eye to be examined
- the subject 2 sees the target through the pupil 9R of the right eye 8R.
- the “target” described here is displayed in order to give light stimulation to the eyeball of the subject when examining the subject's vision.
- the size, shape, etc. of the visual target There are no particular restrictions on the size, shape, etc. of the visual target.
- the point of light is displayed as a target with a predetermined size, and the position of the point of light is changed to examine the presence or absence of the missing visual field and the location of the defect (specific) can do.
- a display optical system 11L and a display element 12L are provided in one space of the housing 7, a display optical system 11L and a display element 12L are provided.
- a display optical system 11R and a display element 12R are provided in the other internal space of the housing 7.
- the display optical system 11L and the display element 12L are provided for visual inspection of the left eye 8L of the subject 2.
- the display optical system 11R and the display element 12R are provided for visual inspection of the right eye 8R of the subject 2.
- the distance between the optical axes of the left and right display optical systems 11L and 11R can be adjusted according to the distance between the pupils of the subject 2 by an adjustment mechanism (not shown).
- the mounting tool 6 is for mounting the apparatus main body 5 on the head 3 of the subject 2.
- the wearing tool 6 includes a belt 13 that is stretched in a U-shape from both sides of the subject 2 to the back of the head, and a belt 14 that is stretched over the top of the subject 2. Then, in a state where the length of the belt 14 is appropriately adjusted, the mechanism 13 can be mounted on the head 3 of the subject 2 by pulling and tightening the belt 13 from the back head side.
- the distance between the optical axes of the display optical systems 11L and 11R described above is the distance between the pupils when the apparatus main body 5 is fixed to the head 3 of the subject 2 by the wearing tool 6 and the subject 2 faces the front. Adjust according to the distance.
- the symbols L and R are omitted, and the eyeball 8 and the pupil 9 are collectively referred to.
- the display optical systems 11L and 11R and the display elements 12L and 12R are described without distinction for the left eye and the right eye, the reference optical systems 11 and 11 are omitted by omitting the symbols L and R, respectively.
- the display element 12 Collectively referred to as the display element 12.
- FIG. 2 is a schematic diagram including configurations of an optical system and a control system of the visual inspection apparatus according to the embodiment of the present invention.
- the visual inspection apparatus 1 includes an observation optical system 15 for observing the eyeball 8 of the subject and the test optical system 15 in addition to the display optical system 11 and the display element 12 described above.
- An imaging element 16 that images the eyeball 8 of the person, an infrared light source 17 that irradiates the eyeball 8 of the subject with infrared rays, a control unit 30 that controls the entire visual inspection device 1, and a response switch 31. ing.
- the observation optical system 15, the image sensor 16, and the infrared light source 17 are provided separately for the left eye and the right eye of the subject, respectively, similarly to the display optical system 11 and the display element 12 described above, and the control unit 30.
- One response switch 31 is provided for each visual inspection device 1.
- the display optical system 11 is provided on the optical axis 18 between the eyeball position where the eyeball 8 of the subject is placed and the display surface 12 a of the display element 12.
- the display optical system 11 has a configuration in which a first lens 19, a mirror 20, and a second lens group 21 are arranged in order from the eyeball position side of the subject.
- a first lens 19, a mirror 20, and a second lens group 21 are arranged in order from the eyeball position side of the subject.
- each component will be described.
- the optical axis 18 from the eyeball position of the subject to the display element 12 is the optical axis 18a
- the optical axis from the mirror 20 to the display element 12 is the optical axis. Is the optical axis 18b.
- the first lens 19 is disposed on the optical axis 18 a from the eyeball position to the mirror 20.
- the first lens 19 is configured using an aspherical lens (convex lens) having positive power.
- the first lens 19 converges the light reflected by the mirror 20 and incident on the first lens 19 onto the pupil 9 of the subject, while the light divergence occurs when the subject views an object through the pupil 9 at a wide angle. It is to suppress.
- FIG. 2 when a point of light serving as a target is displayed on the display surface 12a of the display element 12, and the subject views the target through the display optical system 11 from the eyeball position, the center of the pupil of the subject is displayed.
- the incident angle of the chief ray incident on the first lens 19 from is represented by the symbol ⁇ .
- the incident angle ⁇ is an angle with respect to the optical axis 18a (an angle formed between the principal ray passing through the center of the pupil and the optical axis 18a).
- the outer diameter (diameter) and position of the first lens 19 on the optical axis 18a are set under conditions that can secure at least a viewing angle necessary for visual inspection.
- the maximum viewing angle (maximum value of ⁇ ) of the display optical system 11 using the first lens 19 is preferably 30 degrees or more and 60 degrees or less at a half field angle (60 degrees or more at all angles). , 120 degrees or less).
- the mirror 20 is disposed on the opposite side of the eyeball position on the optical axis 18a from the eyeball position to the mirror 20 with the first lens 19 interposed therebetween.
- the mirror 20 is configured using a mirror having wavelength selectivity.
- the mirror 20 is configured using a cold mirror that reflects visible light and transmits infrared rays.
- the inclination of the reflecting surface of the mirror 20 with respect to the optical axis 18a is such that the angle ⁇ formed by the optical axis 18a and the optical axis 18b bent by the mirror 20 is preferably less than 90 degrees, more preferably less than 80 degrees, and still more preferably. It is set to be in the range of “40 degrees ⁇ ⁇ 70 degrees”.
- the display element 12 and the second lens group 21 are too close to the head of the subject, and they may interfere with the head.
- ⁇ > 40 ° it is possible to avoid the display element 12 and the second lens group 21 from interfering with the head.
- ⁇ ⁇ 90 ° the visual inspection device 1 is likely to slip off the head when the subject tilts the head forward.
- ⁇ ⁇ 90 ° the visual inspection device 1 is less likely to slip off the head when the subject tilts the head forward.
- the second lens group 21 is disposed on the optical axis 18b from the mirror 20 to the display element 12.
- the second lens group 21 is configured by using three lenses 21a, 21b, and 21c.
- the three lenses 21a, 21b, and 21c are sequentially arranged from the mirror 20 side toward the display element 12 side. That is, the lens 21a is disposed at a position closest to the mirror 20 on the optical axis 18b, and the lens 21c is disposed at a position closest to the display element 12 on the optical axis 18b.
- a lens 21b is disposed between the two lenses 21a and 21c.
- the lens 21b is arranged near the lens 21c in a state of being separated from the lens 21a.
- the lens 21a is configured using an aspherical lens (convex lens) having positive power.
- the lens 21b is configured by using an aspheric lens (concave lens) having negative power, and the lens 21c is configured by using an aspheric lens (convex meniscus lens) having positive power.
- the outer diameter (diameter) of the lens 21a is larger than the outer diameters of the other lenses 21b and 21c, and the outer diameters of the lenses 21b and 21c are substantially equal to each other.
- the first lens 19 is made of a material (glass, plastic, etc.) that satisfies the relational expression “45 ⁇ v1 ⁇ 80”.
- the Abbe numbers of the lenses 21a and 21c having positive power among the lenses 21a to 21c constituting the second lens group 21 are both v2, each of the lenses 21a and 21c is “45 ⁇ v2 ⁇ 80”. It is comprised with the material which satisfy
- the Abbe number of the lens 21b having negative power is v3
- the lens 21b is made of a material that satisfies the relational expression “15 ⁇ v3 ⁇ 30”.
- the focal length of the first lens 19 is f1
- the focal length of the second lens group 21 is f2
- the focal length f1 of the first lens 19 is the sum (a + b) of the optical distance a from the first lens 19 to the mirror 20 and the optical distance b from the mirror 20 to the second lens group 21 (lens 21a). ) And shorter than that.
- the display element 12 is disposed on the optical axis 18b from the mirror 20 to the display element 12 so as to face the lens 21c of the second lens group 21.
- the display element 12 is configured using, for example, a flat display element such as a liquid crystal display element having a backlight.
- the display surface 12a of the display element 12 has a configuration in which a large number of pixels are arranged in a matrix. When an image (including a target) is actually displayed on the display surface 12a, display (on) and non-display (off) of the image can be controlled in units of pixels.
- the display surface 12a of the display element 12 preferably has a display size with a diagonal length of 1.5 inches or less, more preferably a display size with a diagonal length of 1 inch or less.
- the optical axis 18b is aligned at the center.
- the subject 2 moves the first lens 19, the mirror 20, and the second lens from the eyeball position.
- the target is viewed through the group 21.
- the outer diameter of the first lens 19 closest to the eyeball position is increased, visual inspection can be performed in a wider range.
- the outer diameter of the first lens 19 is increased, the principal ray passing through the lens end is largely inclined with respect to the optical axis 18 (18a). Therefore, when the power of the first lens 19 is low, the chief ray passing through the lens end is diverged.
- the principal ray passing through the lens end of the first lens 19 is increased.
- the light is refracted and stored on the reflection surface of the mirror 20.
- the high-power first lens 19 is used in this way, the main light beam is condensed and focused in the middle of the optical path from the first lens 19 to the second lens group 21.
- the second lens group 21 is disposed on the optical axis 18b in order to condense (image) the principal ray bundle focused in the middle of the optical path on the display surface 12a of the display element 12 again.
- the second lens group 21 is composed of three lenses 21a, 21b, and 21c.
- the observation optical system 15 is for observing, for example, the anterior part of the eye including the pupil 9, the iris, the sclera, the fundus of the eye including the retina 10 and the like, with the eyeball 8 of the subject as an observation target.
- the observation optical system 15 is provided on the optical axis 18 from the eyeball position of the subject to the image sensor 16.
- the observation optical system 15 has a configuration in which a first lens 19, a mirror 20, and a third lens 22 are arranged in order from the eyeball position side of the subject.
- the first lens 19 and the mirror 20 are common (shared) with the display optical system 11 described above, including the optical axis 18a. If the optical axis from the mirror 20 to the image sensor 16 is the optical axis 18c, the optical axis 18c is substantially parallel to the optical axis 18a described above.
- the third lens 22 is disposed on the optical axis 18 c from the mirror 20 to the image sensor 16.
- the third lens 22 is configured using an aspherical lens (convex lens) having positive power.
- the third lens 22 transmits light that enters the first lens 19 from the eyeball 8 and passes through the mirror 20 to the imaging surface 16 a of the imaging device 16. The image is formed.
- the imaging element 16 images an eyeball (anterior eye part, fundus oculi part, etc.) 8 to be examined.
- the image sensor 16 is configured using a CCD (Charge Coupled Device) image sensor having sensitivity to infrared rays, a CMOS (Complementary Metal Oxide Semiconductor) image sensor, or the like.
- the image pickup surface 16a of the image pickup device 16 is disposed on the optical axis 18c so as to face the eyeball 8, and the optical axis 18c is aligned with the center of the image pickup surface 16a.
- the infrared light source 17 irradiates infrared rays toward the eyeball position of the subject.
- the infrared light source 17 is configured using a pair of infrared light emitting diodes 17a and 17b.
- the pair of infrared light emitting diodes 17a and 17b are arranged in an obliquely upward and obliquely downward direction with respect to the eyeball position of the subject so as not to disturb the visual field of the subject.
- One infrared light-emitting diode 17a irradiates the subject's eyeball 8 with infrared rays obliquely from above, and the other infrared light-emitting diode 17b irradiates the subject's eyeball 8 with infrared rays obliquely from below. It is configured to do.
- the eyeball 8 is irradiated via the first lens 19, the mirror 20, and the third lens 22 while irradiating the eyeball 8 of the subject with infrared rays from the infrared light source 17.
- the image is picked up by the image pickup device 16.
- the control unit 30 realizes various functions (means) for visual inspection.
- the control unit 30 has, for example, a housing structure smaller than the apparatus main body 5 and is mounted on the rear head side of the mounting tool 6 and arranged. Thereby, the weight balance before and behind the apparatus main body 5 and the control part 30 can be maintained.
- the control unit 30 is configured by a computer including a combination of CPU (Central Processing Unit), RAM (Random Access Memory), ROM (Read Only Memory), HDD (Hard Disk Drive), various interfaces, and the like. And the control part 30 is comprised so that various functions may be implement
- the predetermined program for realizing each function is used by being installed in a computer, but may be provided by being stored in a computer-readable storage medium prior to the installation, or the computer It may be provided through a communication line connected to.
- the control unit 30 includes an operation control function and an image processing function as an example of a function (means) realized by executing the program.
- the operation control function is a function for controlling the operation of each unit such as the display element 12, the image sensor 16, and the infrared light source 17 incorporated in the apparatus main body 5.
- the image processing function is a function for performing various image processing on the image of the eyeball 8 imaged by the image sensor 16.
- the image of the eyeball 8 imaged by the image sensor 16 is taken into the control unit 30 in the form of electronic data (hereinafter also referred to as “image data”). Further, the instruction signal for operation control and the image data of the eyeball 8 are exchanged via a wired or wireless communication line.
- the control unit 30 includes at least two modes as modes for operation control.
- One is an alignment mode
- the other is a visual inspection mode.
- the alignment mode is performed for position adjustment of the apparatus main body 5. Specifically, the alignment mode is performed when the position of the apparatus body 5 mounted on the head 3 of the subject 2 using the mounting tool 6 is shifted from the normal position as shown in FIG. This is performed to adjust (correct) the position of the main body 5.
- the “regular position” described here refers to a position suitable for visual inspection.
- the visual inspection mode is a mode in which a visual inspection is performed by presenting a visual target to the subject. Specific contents of the visual inspection method based on the visual inspection mode will be described later.
- the operation control mode may be switched by the following configuration, for example. That is, an external terminal device is communicably connected to the control unit 30 by wireless or wired communication. Then, a mode switching signal may be input from the terminal device to the control unit 30, and the control unit 30 may switch the operation control mode in accordance with the mode switching signal.
- the alignment mode is basically performed before the visual inspection mode. However, the alignment mode may be performed during the visual inspection mode or after the end of the visual inspection mode as necessary. The reason is that the position of the apparatus main body 5 may be shifted during the visual inspection in the visual inspection mode, for example, when the subject touches the apparatus main body 5 or moves the head 3 suddenly. It is possible.
- the response switch 31 is a switch operated by the subject. When the subject presses down the response switch 31, an ON signal is output from the response switch 31 at that moment. This ON signal is taken into the control unit 30.
- the response switch 31 is a manual type that the subject holds and operates. However, the present invention is not limited to this, and a stepping switch may be used.
- FIG. 3 is a schematic diagram showing a state when the visual inspection apparatus operates in the alignment mode.
- the control unit 30 causes the subject 2 to recognize the position shift state of the eyeball 8 accompanying the position shift of the apparatus main body 5 mounted on the subject's head 3 using the mounting tool 6.
- the image of the eyeball 8 captured by the image sensor 16 is captured and displayed on the display element 12.
- the image of the eyeball 8 displayed on the display element 12 is a real-time moving image.
- the misalignment state of the eyeball 8 refers to the direction of misalignment, the amount of misalignment, and the like in addition to the presence or absence of misalignment such as whether the position of the eyeball 8 is deviated from a specified position.
- the control unit 30 displays the left and right eye images for each display element 12. This will be described in detail below.
- the control unit 30 captures the image of the left eye 8L captured by the image sensor 16L and the image of the right eye 8R captured by the image sensor 16R, and arranges the captured left eye 8L, image, and right eye 8R side by side. To synthesize. In the synthesis process, the control unit 30 sets two display frames 33L and 33R side by side on the display surface 12aL of the display element 12L side by side. That is, two display frames 33L and 33R are set in one display surface 12aL. The control unit 30 assigns the image of the left eye 8L to the left display frame 33L when viewed from the subject 2 wearing the apparatus body 5 on the head 3, while the right side when viewed from the subject 2.
- the image is synthesized so that the image of the right eye 8R is assigned to the display frame 33R.
- the control unit 30 sets two display frames 33L and 33R side by side on the display surface 12aR of the display element 12R, and sets the left eye 8L image and the right eye in each of the display frames 33L and 33R.
- the images are synthesized so that 8R images are allocated.
- the two display frames 33L and 33R are set as follows according to the positional relationship between the display element 12 and the imaging element 16 with respect to the optical axis 18. That is, when the apparatus main body 5 is correctly attached to the head 3 of the subject 2 and the subject 2 looks straight ahead with both the left and right eyes, the pupil 9L of the left eye 8L imaged by the imaging element 16L. Are positioned at the center of the display frame 33L, and the left and right display frames 33L and 33R are set so that the pupil 9R of the right eye 8R imaged by the image sensor 16R is positioned at the center of the display frame 33R.
- the pupil 9 and its surrounding iris are mainly displayed among the images of the eyeball 8 imaged by the corresponding image sensor 16. Further, on one display surface 12a, the display frame 33 and the fixation target 34 described later are displayed with appropriate brightness, but the other portions are not displayed (image display is in an off state). It is said.
- the control unit 30 displays the image obtained by the above synthesis process on both the display element 12L and the display element 12R. As a result, a composite image including the image of the left eye 8L and the image of the right eye 8R is displayed on the display element 12L, and the same composite image is displayed on the display element 12R.
- the control unit 30 displays a mark 35 for aligning the position of the pupil 9 of the eyeball 8 in the display frame 33 as shown in FIG. Specifically, the mark 35L is displayed at the center of the left display frame 33L, and the mark 35R is displayed at the center of the right display frame 33R. The mark 35 is displayed so as to overlap the image of the eyeball 8 in the display frame 33. Whether or not to display the mark 35 may be configured to be switchable according to the condition setting of the visual inspection device 1.
- the control unit 30 displays (presents) a fixation target 34 for causing the subject 2 to gaze on each of the display surfaces 12aL and 12aR.
- the fixation target 34 has a cross shape, for example, and is displayed between the two display frames 33L and 33R (intermediate portion) so as not to overlap the left and right display frames 33L and 33R.
- the left eye 8L image is displayed in the left display frame 33L as viewed from the subject 2
- the right eye 8R image is displayed in the right display frame 33R as viewed from the subject 2
- a fixation target 34 is displayed between the image of the eye 8L and the image of the right eye 8R.
- the fixation target 34 is displayed at the center of each of the display surfaces 12aL and 12aR (the portion where the optical axis 18b is aligned).
- Visual inspection method based on visual inspection mode> In the visual inspection apparatus 1 configured as described above, dynamic quantitative visual field inspection (Goldman visual field inspection), static quantitative visual field inspection, fundus visual field inspection (microperimetry), electroretinography (ERG) and other inspections Can be done.
- dynamic quantitative visual field inspection Goldman visual field inspection
- static quantitative visual field inspection static quantitative visual field inspection
- fundus visual field inspection microperimetry
- electroretinography EMG
- other inspections can be done.
- the case where a static quantitative visual field inspection is performed is described as an example.
- Static quantitative visual field inspection is performed as follows. First, a target is presented at one point in the field of view, and its brightness is gradually increased. Then, when the target has a certain brightness, the target can be seen from the subject. Therefore, the value corresponding to the brightness when the subject can see the target is set as the retina sensitivity at the point where the target is presented at that time. Then, the same measurement is performed for each point in the field of view, thereby quantitatively examining the difference in retinal sensitivity in the field of view and creating a map. There are a subjective examination and an objective examination in the static quantitative visual field examination. If the visual inspection apparatus 1 of the present embodiment is used, any type of inspection can be performed. This will be described below.
- Self-aware inspection is performed as follows. First, the head-mounted visual inspection apparatus 1 is mounted on the subject's head, and the response switch 31 is held in the subject's hand. Next, based on a command from the control unit 30, a visual field inspection target is displayed at one point on the display surface 12 a of the display element 12. At this time, the brightness of the target is initially darkened, and then the brightness of the target is gradually increased. Then, even if it is dark at first and the target is not visible to the subject, when the target reaches a certain brightness, the subject's retina responds to the light stimulus so that the subject can see the target. become. For this reason, when the target can be seen from the subject, the subject presses the response switch 31.
- an ON signal is sent to the control unit 30.
- the control unit 30 performs a predetermined process, and sets the value corresponding to the brightness of the point of the target at that time as the sensitivity of the retina of that point. Thereafter, the same measurement is performed for each point in the field of view, thereby quantitatively examining the difference in retinal sensitivity in the field of view and creating a sensitivity map of the retina.
- the objective test is performed as follows. First, the head-mounted visual inspection apparatus 1 is attached to the subject's head. In this case, it is not necessary for the subject to have the response switch 31. Next, based on a command from the control unit 30, a visual field inspection target is displayed at one point on the display surface 12 a of the display element 12. At this time, the brightness of the target is initially darkened, and then the brightness of the target is gradually increased. Then, even if it is dark at first and the target is not visible to the subject, when the target reaches a certain brightness, the subject's retina responds to the light stimulus so that the subject can see the target. become.
- the size of the pupil 9 (pupil diameter) of the subject changes according to the brightness of the target. Specifically, the diameter of the pupil 9 of the subject is reduced.
- the state change of the eyeball 8 at this time is imaged.
- the imaging of the eyeball 8 is performed by irradiating infrared rays from the infrared light source 17 toward the eyeball 8, and the image light of the eyeball 8 obtained thereby is transmitted to the imaging element 16 via the observation optical system 15 (19, 20, 22). This is performed by forming an image on the imaging surface 16a.
- the timing for starting imaging of the eyeball 8 may be set, for example, before the display of the visual target on the display surface 12a or simultaneously with the display of the visual target. Incidentally, since the human retina has no sensitivity to infrared rays, it does not affect the state change of the eyeball 8.
- the image data of the eyeball 8 imaged using the image sensor 16 is taken into the control unit 30.
- Image data sent from the imaging device 16 indicates whether the pupil diameter of the subject has changed (reduced) in response to the brightness of the target in the process of gradually increasing the brightness of the target. Judgment based on.
- the value corresponding to the brightness of the point of the target at that time is set as the sensitivity on the retina at that point. Thereafter, the same measurement is automatically performed one after another for each point in the field of view to quantitatively check the difference in sensitivity on the retina in the field of view, and a sensitivity map on the retina is automatically created.
- the objective test uses a single upper threshold stimulation method in which a bright target is displayed on one point of the display surface 12a of the flat display element 12 and a sensitivity map is created by observing the degree of reduction of the pupil diameter. May be.
- the control unit 30 combines the image of the left eye 8L captured by the image sensor 16L and the image of the right eye 8R captured by the image sensor 16R, and adds the fixation target 34 to the composite image. Display on the display element 12L and the display element 12R.
- the left display frame 33L displays the image of the left eye 8L and the mark 35L
- the right display frame 33R displays the right The image of the eye 8R and the mark 35R are displayed.
- the subject 2 wearing the apparatus main body 5 on the head 3 simultaneously sees the same image (synthesized image) with the left eye 8L and the right eye 8R.
- the image viewed with the left eye 8L and the image viewed with the right eye 8R appear to overlap exactly.
- the image displayed on the display element 12L and the image displayed on the display element 12R are recognized as an integrated image.
- the examiner instructs the subject 2 to gaze at the fixation target 34 displayed between the left and right display frames 33L and 33R.
- the line of sight of both eyes of the subject 2 is fixed in a state of facing straight forward.
- the examiner determines in which part of the left display frame 33L the pupil 9L of the left eye 8L of the subject is displayed, and the pupil of the right eye 8R of the subject. The subject is asked to confirm in which part of the right display frame 33R 9R is displayed.
- the apparatus body 5 If the pupil 9L of the left eye 8L is displaced from the center of the display frame 33L, or if the pupil 9R of the right eye 8R is displaced from the center of the display frame 33L, the apparatus body 5 is appropriately moved to shift the pupil 9L. Instruct the subject to resolve the problem.
- some typical examples relating to the position adjustment of the apparatus main body 5 will be described.
- the first typical example is a case where the apparatus main body 5 is mounted while being shifted to either the upper or lower side.
- the positions of the pupils 9L and 9R displayed in the left and right display frames 33L and 33R are respectively separated from the subject 2 as shown in FIG. Look upward and shift upward.
- the subject moves the apparatus main body 5 upward. Accordingly, the positions of the pupils 9L and 9R move downward in the left and right display frames 33L and 33R as viewed from the subject 2 in conjunction with the movement of the apparatus body 5.
- the subject 2 moves the apparatus main body 5 while confirming the positions of the pupils 9L and 9R displayed on the left and right display frames 33L and 33R, thereby, as shown in FIG.
- the position of the apparatus main body 5 can be adjusted so that the pupils 9L and 9R are positioned at the center of 33R.
- a second typical example is a case where the apparatus main body 5 is mounted shifted to either the left or right.
- the positions of the pupils 9L and 9R displayed in the left and right display frames 33L and 33R as shown in FIG. Are shifted to the left when viewed from the subject 2.
- the subject 2 moves the apparatus main body 5 to the left side of the head. Accordingly, the positions of the pupils 9L and 9R are moved to the right in the left and right display frames 33L and 33R as viewed from the subject 2 in conjunction with the movement of the apparatus body 5.
- the subject 2 moves the apparatus main body 5 while confirming the positions of the pupils 9L and 9R displayed on the left and right display frames 33L and 33R, so that the left and right display frames 33L are displayed as shown in FIG. , 33R can be adjusted so that the pupils 9L, 9R are located at the center of the center, respectively.
- a third typical example is a case in which the apparatus main body 5 is mounted while being inclined with respect to a horizontal reference line passing through the pupil centers of the left and right eyes of the subject.
- the apparatus main body 5 when the apparatus main body 5 is tilted in such a direction that the right head side of the subject 2 is high and the left head side is low, it is displayed in the left display frame 33L as shown in FIG.
- the position of the pupil 9L is shifted upward when viewed from the subject 2
- the position of the pupil 9R displayed in the right display frame 33R is shifted downward when viewed from the subject 2.
- the subject 2 moves the apparatus main body 5 so as to lower the right side of the head and raise the left side of the head.
- the position of the pupil 9L moves downward as viewed from the subject 2 in the left display frame 33L, and the position of the pupil 9R in the right display frame 33R. It moves upward as viewed from the subject 2. Therefore, the subject 2 moves the apparatus main body 5 while confirming the positions of the pupils 9L and 9R displayed on the left and right display frames 33L and 33R, so that the left and right display frames 33L are displayed as shown in FIG. , 33R can be adjusted so that the pupils 9L, 9R are located at the center of the center, respectively.
- the combined images of the left and right eyes 8L and 8R obtained by the above-described combining processing are displayed on both display elements 12L and 12R. It may be displayed only on one of the display elements, or may be displayed alternately on the left and right display elements.
- the apparatus main body 5 When the apparatus main body 5 is mounted on the head 3 of the subject 2 using the mounting tool 6, the image of the eyeball 8 captured by the image sensor 16 is displayed on the display element 12, whereby the apparatus main body 5 It is possible for the subject 2 to recognize the positional deviation state of the eyeball 8 accompanying the positional deviation.
- the apparatus main body 5 when the apparatus main body 5 is worn out of position, the subject 2 can adjust the position of the apparatus main body 5 while viewing the display image on the display element 12. For this reason, compared with the case where the subject 2 receives an instruction from the examiner and adjusts the position of the apparatus main body 5 as in the past, the adjustment work can be completed in a short time.
- the examiner does not need to give an instruction to the examinee 2 or check the position shift while watching the monitor when adjusting the position of the apparatus main body 5. For this reason, the work burden of the examiner concerning the position adjustment of the apparatus main body 5 can be reduced. In addition, other tasks (for example, setting of inspection items and inspection conditions) can be performed until the subject 2 finishes adjusting the position of the apparatus body 5. Therefore, medical work related to visual inspection can be efficiently advanced.
- the position shift state of the eyeball 8 accompanying the position shift of the apparatus body 5 is The subject 2 can be made to recognize from the pupil position of the eyeball 8 within the display frame 33. In addition, the subject 2 can intuitively grasp how much the position of the eyeball 8 is shifted in which direction in the display frame 33 from the positional relationship between the display frame 33 and the pupil 9.
- the subject 2 can move the eyeball in the display frame 33 from the positional relationship between the pupil 9 and the mark 35 displayed in the display frame 33. It is possible to grasp more accurately how much the position of 8 is shifted in which direction.
- the optical axis 18 a from the eyeball position to the mirror 20 is shared by the display optical system 11 and the observation optical system 15. For this reason, when the image of the eyeball 8 imaged by the image sensor 16 is displayed on the display element 12, the amount of displacement of the apparatus body 5 can be directly reflected in the amount of displacement of the eyeball 8 (pupil 9). . Therefore, it is possible to accurately and easily grasp from the image of the eyeball 8 displayed on the display element 12 how much the subject 2 should adjust when adjusting the position of the apparatus body 5.
- the state when the visual inspection apparatus 1 operates in the alignment mode is different from that of the previous embodiment. That is, in the alignment mode, the control unit 30 displays the images of the left and right eyeballs 8 for each eye on the subject 2 wearing the apparatus main body 5. Specifically, as shown in FIG. 9, an image of the left eye 8L captured by the image sensor 16L is displayed on the left display element 12L, while an image of the right eye 8R captured by the image sensor 16R is displayed on the right display element. 12R is displayed.
- control unit 30 sets a display frame 33L on the display surface 12aL of the display element 12L, and displays an image of the left eye 8L in the display frame 33L.
- a display frame 33R is set on the display surface 12aR of the display element 12R, and an image of the right eye 8R is displayed in the display frame 33R.
- the display frame 33L is set at the center of the display surface 12aL, and the display frame 33R is set at the center of the display surface 12aR.
- the display frame 33L for the left eye is imaged by the imaging element 16L when the apparatus body 5 is correctly attached to the head 3 on the subject 2 and the subject 2 looks straight ahead with the left eye 8L.
- the pupil 9L of the left eye 8L is set to be positioned at the center of the display frame 33L.
- the display frame 33R for the right eye has an image pickup element when the apparatus body 5 is correctly attached to the head 3 of the subject 2 and the subject 2 looks straight ahead with the right eye 8R.
- the pupil 9R of the right eye 8R imaged with 16R is set to be positioned at the center of the display frame 33R.
- a mark 35 for aligning the position of the pupil 9 of the eyeball 8 may be displayed in the display frame 33 as necessary. Specifically, a mark 35L for aligning the position of the pupil 9L of the left eye 8L is displayed at the center of the display frame 33L of the display element 12L, and the right eye is displayed at the center of the display frame 33R of the display element 12R. A mark 35R for aligning the position of the 8R pupil 9R may be displayed.
- the position adjustment of the apparatus main body 5 attached to the subject's head 3 is performed as follows prior to the start of the visual inspection.
- the control unit 30 displays the image of the left eye 8L captured by the left imaging element 16L on the display element 12L, and displays the image of the right eye 8R captured by the right imaging element 16R on the display element 12R.
- the image of the left eye 8L is displayed on the display frame 33L set on the display surface 12aL of the display element 12L
- the image of the right eye 8R is displayed on the display frame 33R set on the display surface 12aR of the display element 12R.
- the subject 2 wearing the apparatus body 5 on the head 3 sees the left eye 8L of the left eye 8L displayed on the display frame 33L of the display element 12L, while viewing the display frame 33R of the display element 12R.
- the displayed image of the right eye 8R is viewed with the right eye 8R.
- the examiner gives an instruction to the subject 2 so that the left eye 8L gazes at the center of the display frame 33L of the display element 12L, for example.
- an instruction may be given so that the left eye 8L gazes at the mark 35L.
- the line of sight of the left eye 8L of the subject 2 is fixed in a state where the line of sight faces straight forward.
- the examiner asks the subject 2 himself to confirm in which part of the display frame 33L the pupil 9L of the left eye 8L of the subject 2 is displayed.
- the control unit 30 instructs the subject 2 to gaze at the center of the display frame 33R of the display element 12R with the right eye 8R.
- an instruction may be given so that the right eye 8R gazes at the mark 35R.
- the line of sight of the right eye 8R of the subject 2 is fixed in a state of facing straight forward.
- the examiner asks the subject 2 himself to confirm in which part of the display frame 33R the pupil 9R of the right eye 8R of the subject 2 is displayed.
- the device main body 5 is appropriately moved to shift the pupil. Instruct the subject 2 to resolve the problem. Thereby, for example, the subject 2 has the position of the pupil 9L of the left eye 8L displayed in the display frame 33L and the position of the pupil 9R of the right eye 8R displayed in the display frame 33R, both in the display frame 33L, If it is displaced upward in 33R, the apparatus main body 5 is moved to the opposite side (lower side).
- the position of the pupil 9L of the left eye 8L displayed in the display frame 33L and the position of the pupil 9R of the right eye 8R displayed in the display frame 33R are both shifted to the left in the display frames 33L and 33R.
- the subject 2 moves the apparatus main body 5 to the opposite side (right side). Further, the position of the pupil 9L of the left eye 8L displayed in the display frame 33L is shifted upward in the frame, and the position of the pupil 9R of the right eye 8R displayed in the display frame 33R is lower in the frame. If the position of the main body 5 is shifted, the main body 5 is moved so that the left side of the main body 5 is inclined downward and the right side is inclined upward. Thereby, the apparatus main body 5 can be adjusted to an appropriate position. Note that when the image of the left eye 8L is displayed on the display element 12L, one display element 12R is not displayed, and when the image of the right eye 8R is displayed on the display element 12R, one display element 12L is not displayed. Good.
- the mounting tool 6 of the visual inspection device 1 is configured using the belts 13 and 14, but if the device main body 5 can be mounted on the head 3 of the subject 2, You may employ
- the image of the eyeball 8 imaged using the image pick-up element 16 was displayed on the display element 12 as it is, it is not restricted to this,
- the image of the eyeball 8 imaged by the image pick-up element 16 May be displayed on the display element 12.
- the outline of the pupil included in the image as a circle and display the circle (the center of the pupil) as a crosshair.
- each optical system is set so that the subject 2 recognizes an image at a short distance in consideration of the amount of inset at that time, and the left and right optical systems are inclined inward according to the distance. It is good.
- a fixation target or a display image may be displayed inward.
- the display element 12 is configured using a liquid crystal display element.
- the present invention is not limited to this, and an organic EL (Electro Luminescence) display element may be used.
- the display optical system 11 is configured with a total of four lenses
- the observation optical system 15 is configured with a total of two lenses (one of which is shared with the display optical system 11).
- the number and shape of the lenses constituting each optical system, the lens interval in the optical axis direction, and the like can be changed as necessary.
- the second lens group 21 is preferably composed of a plurality of lenses in order to correct chromatic aberration and image magnification by combining a lens having a positive power and a lens having a negative power.
- the mirror 20 may be constituted by a dichroic mirror.
- FIGS. 10 other configuration examples of the display optical system are shown in FIGS. 10 is different from the above embodiment in that the lens 21c belonging to the second lens group 21 of the display optical system 11 can be moved in the optical axis direction by a lens moving mechanism (not shown).
- the second lens group 21 of the display optical system 11 is configured by using a total of four lenses 21a to 21d by adding a lens (convex lens) 21d, and the display surface 12a of the flat display element 12. The point which reduced the magnitude
- the visual target can be displayed more clearly to the subject.
- the present invention can be embodied not only as a visual inspection device but also as a head-mounted display device.
- the configuration of the head-mounted display device is such that “subject” is replaced with “user”.
- the eyeball 8 of the user who uses the head-mounted display device is arranged at the eyeball position.
- An image is displayed on the display surface 12a of the display element 12 instead of the visual target.
- the image displayed on the display surface 12a is not particularly limited, and may be either a still image or a moving image (game or movie image).
- the image to be displayed is not limited to a two-dimensional image, and may be a three-dimensional image.
- the apparatus main body 5 when the apparatus main body 5 is mounted on the user's head using the mounting tool 6, the user himself / herself recognizes the displacement of the mounting position, and the apparatus main body 5 position adjustment can be performed. For this reason, when the user wearing the apparatus main body 5 sees the image of the display element 12, the position of the apparatus main body 5 is adjusted prior to that, so that the user's eyeball 8 and the display element 12 are relatively aligned. The positional relationship can be set appropriately.
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Abstract
Description
前記被検者に視標を表示するための表示素子と、前記被検者の眼球を撮像するための撮像素子と、を有する装置本体と、
前記装置本体を前記被検者の頭部に装着するための装着具と、
前記装着具を用いて前記被検者の頭部に装着した前記装置本体の位置ずれに伴う眼球の位置ずれ状態を前記被検者に認識させるべく、前記撮像素子が撮像する前記眼球の画像を前記表示素子に表示する制御部と、
を備えることを特徴とする視覚検査装置である。
ことを特徴とする上記第1の態様に記載の視覚検査装置である。
前記制御部は、前記左眼用の撮像素子で撮像した左眼の画像と前記右眼用の撮像素子で撮像した右眼の画像を左右隣り合わせに並べるように合成し、該合成した左右両眼の画像を左眼用の表示素子と右眼用の表示素子にそれぞれ表示する
ことを特徴とする上記第1の態様に記載の視覚検査装置である。
ことを特徴とする上記第3の態様に記載の視覚検査装置である。
ことを特徴とする上記第3または第4の態様に記載の視覚検査装置である。
ことを特徴とする上記第2または第4の態様に記載の視覚検査装置である。
前記眼球位置と前記撮像素子との間の光軸上に設けられた観察光学系と、
を備え、
前記表示光学系は、前記眼球位置から前記表示素子までの光軸上に、第1レンズと、波長選択性を有するミラーと、第2レンズ群とを順に配置してなり、
前記観察光学系は、前記眼球位置から前記撮像素子までの光軸上に、前記第1レンズと、前記ミラーと、第3レンズとを順に配置してなり、前記眼球位置から前記ミラーまでの光軸が前記表示光学系と共通である
ことを特徴とする上記第1~第6の態様のいずれかに記載の視覚検査装置である。
前記使用者に画像を表示するための表示素子と、前記使用者の眼球を撮像するための撮像素子と、を有する装置本体と、
前記装置本体を前記使用者の頭部に装着するための装着具と、
前記装着具を用いて前記使用者の頭部に装着した前記装置本体の位置ずれに伴う眼球の位置ずれ状態を前記使用者に認識させるべく、前記撮像素子が撮像する前記眼球の画像を前記表示素子に表示する制御部と、
を備えることを特徴とするヘッドマウント型表示装置である。
本発明の実施の形態においては、次の順序で説明を行う。
1.視覚検査装置の構成
2.視覚検査モードに基づく視覚検査方法
3.アライメントモードに基づく装置本体の位置調整方法
4.実施の形態の効果
5.他の実施の形態
6.変形例等
図1は本発明の実施の形態に係る視覚検査装置の構成例を示す概略図である。
図示した視覚検査装置1は、被検者2の頭部3に装着して用いられるヘッドマウント型の視覚検査装置である。視覚検査装置1は、大きくは、装置本体5と、この装置本体5に機械的に接続された装着具6と、を備えている。
上述した表示光学系11L,11Rの光軸間距離は、被検者2の頭部3に装着具6によって装置本体5を固定した後に、被検者2が正面を向いた状態での瞳孔間距離に合わせて調整する。
図示のように、視覚検査装置1は、上述した表示光学系11と表示素子12の他に、被検者の眼球8を観察するための観察光学系15と、この観察光学系15を通して被検者の眼球8を撮像する撮像素子16と、被検者の眼球8に赤外線を照射する赤外光源17と、視覚検査装置1全体の制御を司る制御部30と、応答スイッチ31と、を備えている。観察光学系15、撮像素子16および赤外光源17は、上述した表示光学系11や表示素子12と同様に、被検者の左眼用と右眼用でそれぞれ別々に設けられ、制御部30および応答スイッチ31は、1つの視覚検査装置1につき一つずつ設けられるものである。
また、第1レンズ19の焦点距離をf1とし、第2レンズ群21の焦点距離をf2とすると、これらは「0<f1/f2<1.0」の関係を満たしている。さらに、第1レンズ19の焦点距離f1は、第1レンズ19からミラー20までの光学距離aと、ミラー20から第2レンズ群21(レンズ21a)までの光学距離bとの和(a+b)に比べて、それよりも短くなっている。
アライメントモードにおいて、制御部30は、装着具6を用いて被検者の頭部3に装着した装置本体5の位置ずれに伴う眼球8の位置ずれ状態を被検者2自身に認識させるために、撮像素子16が撮像する眼球8の画像を取り込んで表示素子12に表示する。このとき、表示素子12に表示する眼球8の画像は、リアルタイムの動画である。眼球8の位置ずれ状態とは、眼球8の位置が規定の位置からずれているかどうかといった位置ずれの有無のほか、位置ずれの方向、位置ずれの量などをいう。眼球8の位置ずれ状態を被検者2に認識させるにあたって、制御部30は、一つの表示素子12につき左右両眼の画像を表示する。以下、詳しく説明する。
ここでは、まず、視覚検査モードに基づく視覚検査方法について説明し、その後で、アライメントモードに基づく装置本体の位置調整方法について説明する。
上記構成からなる視覚検査装置1においては、動的量的視野検査(ゴールドマン視野検査)、静的量的視野検査、眼底視野検査(マイクロペリメトリー)、網膜電図検査(ERG)その他の検査を行うことが可能である。ここでは一例として、静的量的視野検査を行う場合について説明する。
上記構成からなる視覚検査装置1においては、視覚検査の開始に先立って、被検者2の頭部3に装着した装置本体5の位置調整を次のように行う。
第1の典型例は、装置本体5が上下いずれか一方にずれて装着された場合である。この場合は、たとえば装置本体5の位置が下側にずれていると、図5に示すように、左右の表示枠33L,33Rに表示される瞳孔9L,9Rの位置がそれぞれ被検者2から見て上側にずれる。このずれを修正する場合、被検者は、上側に装置本体5を動かす。これにより、装置本体5の動きに連動して瞳孔9L,9Rの位置が左右の表示枠33L,33R内でそれぞれ被検者2から見て下側に移動する。したがって、被検者2は、左右の表示枠33L,33Rに表示される瞳孔9L,9Rの位置を確認しながら装置本体5を動かすことにより、図6に示すように、左右の表示枠33L,33Rの中心部にそれぞれ瞳孔9L,9Rが位置するように装置本体5の位置を調整することができる。
第2の典型例は、装置本体5が左右いずれか一方にずれて装着された場合である。この場合は、たとえば装置本体5の位置が被検者2の右側頭部側にずれていると、図7に示すように、左右の表示枠33L,33Rに表示される瞳孔9L,9Rの位置がそれぞれ被検者2から見て左側にずれる。このずれを修正する場合、被検者2は、左側頭部側に装置本体5を動かす。これにより、装置本体5の動きに連動して瞳孔9L,9Rの位置が左右の表示枠33L,33R内でそれぞれ被検者2から見て右側に移動する。したがって、被検者2は、左右の表示枠33L,33Rに表示される瞳孔9L,9Rの位置を確認しながら装置本体5を動かすことにより、上記図6に示すように、左右の表示枠33L,33Rの中心部にそれぞれ瞳孔9L,9Rが位置するように装置本体5の位置を調整することができる。
第3の典型例は、被検者の左右両眼の瞳孔中心を通過する水平基準線に対して装置本体5が傾いて装着された場合である。この場合は、たとえば被検者2の右側頭部側が高位、左側頭部側が低位となる向きで装置本体5が傾いていると、図8に示すように、左側の表示枠33Lに表示される瞳孔9Lの位置が被検者2から見て上側にずれ、右側の表示枠33Rに表示される瞳孔9Rの位置が被検者2から見て下側にずれる。このずれを修正する場合、被検者2は、右側頭部側を下げ、左側頭部側を上げるように装置本体5を動かす。これにより、装置本体5の動きに連動して、左側の表示枠33L内では瞳孔9Lの位置が被検者2から見て下側に移動し、右側の表示枠33R内では瞳孔9Rの位置が被検者2から見て上側に移動する。したがって、被検者2は、左右の表示枠33L,33Rに表示される瞳孔9L,9Rの位置を確認しながら装置本体5を動かすことにより、上記図6に示すように、左右の表示枠33L,33Rの中心部にそれぞれ瞳孔9L,9Rが位置するように装置本体5の位置を調整することができる。
なお、本実施の形態では、好ましい例として、上記合成処理によって得られた左右両眼8L,8Rの合成画像を表示素子12L,12Rの両方に表示しているが、この合成画像については、いずれか一方の表示素子だけに表示してもよいし、左右の表示素子に交互に表示してもよい。
本実施の形態に係る視覚検査装置1によれば、以下のような効果が得られる。
本実施の形態においては、先の実施の形態と比較して、視覚検査装置1がアライメントモードで動作するときの状態が異なる。すなわち、アライメントモードにおいて、制御部30は、装置本体5を装着した被検者2に対して、左右の眼球8の画像を片眼ずつ表示する。具体的には、図9に示すように、撮像素子16Lが撮像する左眼8Lの画像を左側の表示素子12Lに表示する一方、撮像素子16Rが撮像する右眼8Rの画像を右側の表示素子12Rに表示する。
なお、左眼8Lの画像を表示素子12Lに表示するときは片方の表示素子12Rを非表示とし、右眼8Rの画像を表示素子12Rに表示するときには、片方の表示素子12Lを非表示としてもよい。
本発明の技術的範囲は上述した実施の形態に限定されるものではなく、発明の構成要件やその組み合わせによって得られる特定の効果を導き出せる範囲において、種々の変更や改良を加えた形態も含む。
図10においては、表示光学系11の第2レンズ群21に属するレンズ21cを、図示しないレンズ移動機構により光軸方向に移動可能とした点が、上記実施の形態と異なっている。この構成を採用した場合は、被検者の視力に合わせて視度を調整することが可能となる。
一方、図11においては、表示光学系11の第2レンズ群21をレンズ(凸レンズ)21dの追加により計4つのレンズ21a~21dを用いて構成した点と、平面型表示素子12の表示面12aの大きさを小さくした点が、上記実施の形態と異なっている。この構成を採用した場合は、被検者に対して、より鮮明に視標を表示することが可能となる。また、この構成においても、レンズ21cを光軸方向に移動可能な構成とすることにより、被検者の視力に合わせて視度を調整することが可能となる。
2…被検者
3…頭部
5…装置本体
6…装着具
8…眼球
9…瞳孔
11…表示光学系
12…表示素子
12a…表示面
15…観察光学系
16…撮像素子
30…制御部
33…表示枠
34…固視標
35…マーク
Claims (8)
- 被検者の頭部に装着して用いられるヘッドマウント型の視覚検査装置であって、
前記被検者に視標を表示するための表示素子と、前記被検者の眼球を撮像するための撮像素子と、を有する装置本体と、
前記装置本体を前記被検者の頭部に装着するための装着具と、
前記装着具を用いて前記被検者の頭部に装着した前記装置本体の位置ずれに伴う眼球の位置ずれ状態を前記被検者に認識させるべく、前記撮像素子が撮像する前記眼球の画像を前記表示素子に表示する制御部と、
を備えることを特徴とする視覚検査装置。 - 前記制御部は、前記表示素子の表示面に表示枠を設定し、前記撮像素子が撮像する前記眼球の画像を前記表示枠に表示する
ことを特徴とする請求項1に記載の視覚検査装置。 - 前記表示素子および前記撮像素子は、前記被検者の左眼用と右眼用でそれぞれ別々に設けられ、
前記制御部は、前記左眼用の撮像素子で撮像した左眼の画像と前記右眼用の撮像素子で撮像した右眼の画像を左右隣り合わせに並べるように合成し、該合成した左右両眼の画像を左眼用の表示素子と右眼用の表示素子にそれぞれ表示する
ことを特徴とする請求項1に記載の視覚検査装置。 - 前記制御部は、前記左眼用の表示素子の表示面と前記右眼用の表示素子の表示面にそれぞれ左右隣り合わせに2つの表示枠を並べて設定し、前記被検者から見て左側の表示枠に前記左眼の画像、右側の表示枠に前記右眼の画像を表示する
ことを特徴とする請求項3に記載の視覚検査装置。 - 前記制御部は、前記被検者に注視させるための固視標を、前記左眼の画像と前記右眼の画像との間に表示する
ことを特徴とする請求項3または4に記載の視覚検査装置。 - 前記制御部は、前記眼球の瞳孔の位置を合わせるためのマークを前記表示枠内に表示する
ことを特徴とする請求項2または4に記載の視覚検査装置。 - 前記被検者の眼球が配置される眼球位置と前記表示素子との間の光軸上に設けられた表示光学系と、
前記眼球位置と前記撮像素子との間の光軸上に設けられた観察光学系と、
を備え、
前記表示光学系は、前記眼球位置から前記表示素子までの光軸上に、第1レンズと、波長選択性を有するミラーと、第2レンズ群とを順に配置してなり、
前記観察光学系は、前記眼球位置から前記撮像素子までの光軸上に、前記第1レンズと、前記ミラーと、第3レンズとを順に配置してなり、前記眼球位置から前記ミラーまでの光軸が前記表示光学系と共通である
ことを特徴とする請求項1~6のいずれかに記載の視覚検査装置。 - 使用者の頭部に装着して用いられるヘッドマウント型表示装置であって、
前記使用者に画像を表示するための表示素子と、前記使用者の眼球を撮像するための撮像素子と、を有する装置本体と、
前記装置本体を前記使用者の頭部に装着するための装着具と、
前記装着具を用いて前記使用者の頭部に装着した前記装置本体の位置ずれに伴う眼球の位置ずれ状態を前記使用者に認識させるべく、前記撮像素子が撮像する前記眼球の画像を前記表示素子に表示する制御部と、
を備えることを特徴とするヘッドマウント型表示装置。
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KR20190108903A (ko) * | 2018-03-16 | 2019-09-25 | 김선호 | 시각장애 예방 및 치료장치 |
KR20190108904A (ko) * | 2018-03-16 | 2019-09-25 | 김선호 | 사시각 자동 측정방법과 이를 이용한 사시각 자동 측정장치 |
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