WO2021010345A1 - 眼科撮影装置 - Google Patents

眼科撮影装置 Download PDF

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Publication number
WO2021010345A1
WO2021010345A1 PCT/JP2020/027126 JP2020027126W WO2021010345A1 WO 2021010345 A1 WO2021010345 A1 WO 2021010345A1 JP 2020027126 W JP2020027126 W JP 2020027126W WO 2021010345 A1 WO2021010345 A1 WO 2021010345A1
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Prior art keywords
optical system
image
eye
light
imaging
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PCT/JP2020/027126
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English (en)
French (fr)
Japanese (ja)
Inventor
幸弘 樋口
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Nidek Co Ltd
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Nidek Co Ltd
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Priority to EP20840504.3A priority Critical patent/EP4000501A4/en
Priority to JP2021533053A priority patent/JP7447902B2/ja
Publication of WO2021010345A1 publication Critical patent/WO2021010345A1/ja
Anticipated expiration legal-status Critical
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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
    • A61B3/12—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
    • 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
    • A61B3/102—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for optical coherence tomography [OCT]
    • 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

Definitions

  • This disclosure relates to an ophthalmologic imaging device.
  • OCT optical coherence tomography
  • a method for optimizing the focus position in an ophthalmologic imaging apparatus a method using an image of an eye to be inspected acquired by an imaging optical system is known. In this method, a predetermined evaluation value is acquired from an image obtained at any time when the focus position is changed. Then, the focus position is adjusted to the position where the evaluation value peaks.
  • Patent Document 1 discloses a device in which the focus position of a frontal imaging optical system that captures a frontal image of the fundus is adjusted by using the above method. Further, Patent Document 1 discloses an apparatus in which the focus position of the OCT optical system is adjusted in conjunction with the device.
  • the focus position may not be adjusted properly by the above method.
  • the technical subject of the present disclosure is to provide an ophthalmologic imaging apparatus in which the focus position is satisfactorily adjusted based on the image of the eye to be examined.
  • the ophthalmologic imaging apparatus includes an irradiation optical system that irradiates the eye to be inspected with light, and a light receiving optical system that receives the return light from the eye to be inspected by the light receiving element.
  • An imaging optical system that captures an image of the pre-examined eye based on a signal and an imaging optical system that is arranged in the optical path of the imaging optical system and is controlled to adjust the focusing position of the imaging optical system with respect to the eye to be inspected.
  • a control means that controls the device based on the images of the eye to be sequentially acquired, and at the same time or before, controls the second optical device based on the images of the eye to be sequentially acquired. Be prepared.
  • the focus position is satisfactorily adjusted based on the front image.
  • the ophthalmologic imaging apparatus shall be a fundus imaging apparatus unless otherwise specified.
  • the ophthalmologic imaging device captures at least a fundus image of the eye to be inspected (see, eg, FIG. 2).
  • the ophthalmologic imaging apparatus includes at least an imaging optical system, a first optical device (focus adjustment unit), a second optical device, and a control unit. Further, the ophthalmologic imaging apparatus may include a second optical system. The first optical device and the second optical device may be a part of the imaging optical system, respectively.
  • the optical device in the present embodiment is a general term for devices that realize recording and transmission of information by using light in an ophthalmologic imaging device. For example, a lens, a mirror, a fiber, an aperture, a filter, a scanner, and a light source. , And a light receiving element and the like.
  • the imaging optical system of the present embodiment may be a frontal imaging optical system.
  • the frontal imaging optical system captures a frontal image of the eye to be inspected (here, a frontal image of the fundus) as an image of the eye to be inspected.
  • the imaging optical system may be an observation optical system that acquires an observation image of the fundus as a front image.
  • the observation image is used for various adjustments of the device.
  • invisible light such as infrared light may be acquired by illumination light (also referred to as observation light), and the front image may be acquired as a moving image.
  • Such an imaging optical system may be a non-scanning type optical system or a scanning type optical system.
  • the imaging optical system includes an irradiation optical system and a light receiving optical system.
  • the irradiation optical system irradiates the fundus of the eye to be inspected with light.
  • the light receiving optical system has a light receiving element, and receives the return light from the fundus by the light receiving element. A frontal image of the fundus is taken based on the signal from the light receiving element.
  • the first optical device is arranged in the optical path of the imaging optical system and is controlled to adjust the focus position (focusing position) of the imaging optical system with respect to the eye to be inspected.
  • the first optical device is the focus adjusting unit in the present embodiment.
  • the focus adjustment unit may be provided with, for example, a moving lens, a variable focus lens such as a liquid crystal lens, or an optical system capable of changing the optical path length. It may be a lens.
  • the optical system whose optical path length can be changed may be, for example, one or more lenses, mirrors, or a combination thereof.
  • the second optical device is controlled to adjust the amount of light emitted from the imaging optical system to the eye to be inspected, the gain for the signal from the light receiving element, and the shooting condition of at least one of the exposure times.
  • the second optical device may be, for example, a light source of an imaging optical system or a light receiving element (including a gain control circuit).
  • an optical scanner may be used as the second optical device.
  • the second optical device is not necessarily limited to these, and may be another optical device used for adjusting the conditions relating to the intensity of the received light signal.
  • the control unit (control means in the present embodiment) is a processor that controls various operations of the ophthalmologic imaging apparatus.
  • the control unit may be composed of, for example, a CPU, RAM, ROM, and the like.
  • the control unit of the present embodiment acquires a front image at each of a plurality of focus positions while changing the focus position.
  • the control unit acquires an evaluation value related to the focus state from each front image, and identifies the optimum focus position based on the evaluation value.
  • the quality of the image quality of the front image is greatly affected by the imaging state (focus state) of the front image. That is, when the focus is on, the image quality of the front image is high. If the image is out of focus, the image quality of the front image deteriorates. Therefore, for example, the evaluation value of the image quality may be used as an example of the evaluation value regarding the focus state.
  • the position where the image quality is the best (in other words, the position where the evaluation value is maximized) may be specified as the optimum focus position.
  • the eye to be inspected is a diseased eye such as a cataract eye
  • the change in the evaluation value of the image quality with respect to the change in the focus position becomes small, and as a result, the optimum focus position may not be properly specified.
  • the amount of change in the evaluation value with respect to the change in the focus position becomes large, and the position where the image quality is the best can be easily identified.
  • the imaging conditions for the second optical device are adjusted in advance so as to obtain a light receiving signal with higher intensity, the pixel values are likely to be saturated when photographing a normal eye. As a result, the relationship between the evaluation value and the actual focus state is deviated, and it is assumed that the optimum focus position cannot be properly specified based on the evaluation value. In this case, for example, it is effective that the imaging conditions for the second optical device are adjusted in advance so that a light receiving signal having a lower intensity than that for photographing a diseased eye can be obtained.
  • the examiner cannot always grasp the characteristics such as whether or not the eye to be examined is a diseased eye in advance.
  • control unit may simultaneously control the adjustment of the focus position and the adjustment of the shooting conditions related to the second optical device based on the sequentially acquired front image.
  • the optimum focus position is searched for while the imaging conditions relating to the second optical device are adjusted according to the eye to be inspected so that a light receiving signal having an appropriate intensity can be obtained. Therefore, the optimum focus position can be more reliably identified regardless of the eye to be inspected.
  • the initial value of the shooting conditions for the second optical device is set to a value such that the brightness value saturates in a part of the range when the focus position is changed with respect to the normal eye, for example. You may be.
  • the imaging conditions by the second optical device may be changed to a level at which a received signal with a lower intensity can be obtained.
  • the evaluation value can be maximized while suppressing the saturation of the luminance value while the focus position is changed in a predetermined range, so that the optimum focus position can be more reliably specified.
  • the shooting conditions related to the second optical device may be adjusted first based on the sequentially acquired front image, and then the focus position adjustment control may be started. It is desirable that the imaging conditions relating to the second optical device are adjusted at the same time during the focus position adjustment control. However, it is not necessarily limited to this. For example, it is considered that the imaging conditions for the second optical device are appropriately adjusted according to the characteristics of the eye to be inspected, so that the adjustment control of the second optical device becomes unnecessary in the subsequent adjustment control of the focus position. Be done.
  • the ophthalmologic imaging apparatus may have a second optical system.
  • the second optical system irradiates at least the second light into the imaging range of the front image on the fundus.
  • the second optical system may be a photographing optical system or a measuring optical system having a modality different from that of the imaging optical system, or may be an irradiation optical system that irradiates therapeutic light (medical beam).
  • the focus position of the second optical system with respect to the fundus of the eye may be adjusted in conjunction with the focus position of the imaging optical system.
  • the focus adjusting unit in the second optical system (hereinafter, also referred to as “second focus adjusting unit”) may be a separate body from the focus adjusting unit in the imaging optical system. Both focus adjustment units may be mechanically interlocked (linked) or interlocked by simultaneous control so that the focus position in the second optical system and the focus position in the imaging optical system match. It may be. Further, the focus adjusting unit may be shared between the second optical system and the imaging optical system.
  • the second optical system may be an OCT optical system for acquiring an OCT image (tomographic image, for example, see FIG. 3) in the photographing range of the front image.
  • the shooting range of the OCT image may be narrower than the shooting range of the front image, may be equal to the shooting range of the front image, or may be wider than the shooting range of the front image.
  • the OCT optical system acquires an OCT image based on a spectral interference signal between the measurement light and the reference light.
  • the OCT optical system has at least an optical divider and a detector. The measurement light and the reference light are generated by dividing the light from the light source by an optical divider. The return light from the eye to be inspected and the reference light of the measurement light are guided to the detector.
  • the OPL is appropriately adjusted, so that an OCT image of the eye to be inspected can be obtained based on the spectral interference signal.
  • OPL is the optical path length difference between the measurement light and the reference light.
  • the ophthalmologic imaging apparatus may further have an OPL adjusting unit (third optical device) for adjusting the OPL in the OCT optical system. Any of various configurations may be appropriately applied to the OPL adjusting unit.
  • the OPL adjusting unit includes at least a driver (driving unit).
  • the control unit may simultaneously control the adjustment of the OPL together with the adjustment of the focus position and the adjustment of the imaging conditions related to the second optical device.
  • the focus position and the OPL in the OCT optical system can be adjusted to the optimum position in a shorter time.
  • the OPL adjustment performed at the same time as the adjustment of the focus position and the adjustment of the shooting conditions related to the second optical device may be a rough adjustment. After the rough adjustment is completed, the OPL may be finely adjusted based on the OCT image obtained by the OCT optical system.
  • the ophthalmologic imaging apparatus has been described as imaging the fundus of the eye to be inspected, but the present invention is not necessarily limited to this.
  • the ophthalmologic imaging apparatus may obtain a front image of the anterior segment of the eye to be inspected by an imaging optical system. Even in this case, a certain effect can be enjoyed in shortening the adjustment time before shooting.
  • the imaging optical system is a frontal imaging optical system
  • the imaging optical system may be an OCT optical system.
  • the OCT optical system captures a tomographic image of the fundus as an image of the eye to be inspected based on a spectral interference signal between the measurement light and the reference light.
  • the focus position in the OCT optical system based on the image information of the tomographic image acquired at any time, at the same time or before that, the tomography in which the imaging conditions regarding the intensity of the received signal are acquired at any time in the OCT optical system.
  • the focus position can be optimized more reliably.
  • the axial direction of the eye E to be inspected will be the Z direction
  • the horizontal direction will be the X direction
  • the vertical direction will be the Y direction
  • the surface direction of the fundus may be considered as the XY direction.
  • the fundus imaging device (OCT device) 1 of this embodiment is a type of ophthalmologic imaging device according to the embodiment.
  • the OCT device 1 according to this embodiment includes an interference optical system (OCT optical system) 200, an observation optical system 300 (SLO optical system), and a control unit 70.
  • the optical path of the interference optical system 200 and the observation optical system 300 is coupled / branched by the dichroic mirror 40.
  • FIG. 1 shows an SD-OCT optical system as an example. However, it is not necessarily limited to this.
  • the fundus imaging device 1 may be, for example, SS-OCT or OCT based on other imaging principles.
  • the OCT optical system 200 includes at least a light source 27, an optical divider 26, a polarizer 33, and a spectroscopic optical system (spectrometer) 800.
  • the light source 27 emits low coherent light.
  • the light emitted from the light source 27 is divided into measurement light and reference light by the light divider 26.
  • a coupler splitter
  • the measurement light is guided to the fundus of the eye to be inspected via the measurement optical system 200a, and the reference light is guided to the reference optical system 200b.
  • the polarizer 33 adjusts the polarization of the measurement light and the reference light.
  • the polarizer 33 is arranged on the reference optical path.
  • the reference light is folded back by the mirror 31 arranged on the reference light path, and is incident on the spectroscopic optical system 800 in a state of being combined with the return light of the measurement light by the coupler 26.
  • the spectroscopic optical system 800 disperses the return light and the reference light for each frequency (wavelength), and causes the detector 83 (in this embodiment, the line sensor) to receive the dispersed light.
  • An OCT image of the fundus (for example, a tomographic image, see FIG. 3) is acquired based on the spectral interference signal between the return light and the reference light.
  • an optical fiber 38b, a collimator lens 21, a focusing lens 24, a scanning unit (optical scanner) 23, a mirror 25, a relay lens 22, and a dichroic mirror 40 are on the measurement optical path between the optical divider 26 and the eye E to be inspected.
  • the objective lens 10 are arranged.
  • the focus adjusting unit of the OCT optical system 200 includes a focusing lens 24 and a driver 24a.
  • the focusing lens 24 is displaced in the optical axis direction by the driver 24a, so that the focus position in the OCT optical system 200 is changed.
  • the focusing lens 24 may be movable in the range of -12D to + 12D.
  • the initial position of the focusing lens 24 is a position corresponding to the average refractive power of the eye to be inspected (for example, a position corresponding to 0D).
  • the position before moving to the initial position may be used as the initial position.
  • the initial position may be set to be arbitrarily changed. Either the first movement limit position or the second movement limit position may be the initial position.
  • the scanning unit 23 is used to change the acquisition position of the OCT image on the fundus.
  • the scanning unit 23 may be used to scan the measurement light two-dimensionally (in the XY directions) on the fundus (examination object).
  • the scanning unit 23 may include, for example, two optical scanners having different scanning directions. Each optical scanner may be a galvanometer mirror or another optical scanner.
  • the objective lens 10 forms a turning point of the measurement light, and guides the measurement light to the fundus of the eye to be inspected through the turning point.
  • the scanning unit 23 is arranged at a position conjugate with the pupil of the eye to be inspected. As a result, the measurement light is swirled around one point on the pupil according to the driving amount of the scanning unit 23.
  • the OPL adjustment unit adjusts the OPL by changing the optical path length of the reference optical path.
  • the imaging range in the depth direction of the OCT is adjusted according to the individual difference in the axial length.
  • the OPL adjusting unit shown in FIG. 1 includes a mirror 31 and a driver 50, and the OPL is adjusted by the mirror 31 being displaced by the driver 50.
  • the OPL adjustment unit is not necessarily limited to this.
  • the OPL adjustment unit may adjust the OPL by changing the optical path length in the measurement optical path.
  • the OPL adjusting unit may integrally displace the end portion of the optical fiber 38b and the collimator lens 21 along the optical axis.
  • the reference optical path is shown as a reflection type optical system in FIG. 1, the reference optical path is not necessarily limited to this, and may be formed by a transmission type optical system.
  • an SLO optical system is shown as an example of the observation optical system 300.
  • the observation optical system 300 may include at least an irradiation optical system and a light receiving optical system.
  • the irradiation optical system irradiates the fundus with illumination light.
  • the light receiving optical system receives the fundus reflected light by the light receiving element 68. Based on the output signal from the light receiving element 68, a frontal image of the fundus (see FIG. 2) is sequentially acquired as an observation image.
  • the observation optical system 300 further has a focus adjusting unit.
  • the focus adjusting unit includes a focusing lens 63 and a driver 63a for driving the focusing lens 63.
  • the light source 61 for example, a laser diode light source is used.
  • a scanning unit 64, a relay lens 65, and an objective lens 10 are arranged in an optical path that emits light emitted from a light source 61 (illumination light in the embodiment) toward the eye E to be inspected.
  • the scanning unit 64 is arranged at a position substantially conjugate with the pupil of the eye to be inspected.
  • the scanning unit 64 scans the light two-dimensionally on the fundus.
  • the scanning unit 64 may include, for example, a combination of a polygon mirror and a galvano scanner.
  • a beam splitter 62 is arranged between the light source 61 and the focusing lens 63.
  • a confocal lens 66, a confocal aperture 67, and a light receiving element 68 are arranged in the reflection direction of the beam splitter 62.
  • the light from the light source 61 (illumination light in the embodiment) passes through the beam splitter 62 and then reaches the scanning unit 64 via the focusing lens 63.
  • the light that has passed through the scanning unit 64 passes through the dichroic mirror 40 via the relay lens 65 and then is irradiated to the fundus through the objective lens 10.
  • the fundus reflected light is guided back to the beam splitter 62 along the projection path.
  • the fundus reflected light is reflected by the beam splitter 62 and is received by the light receiving element 68 through the condenser lens 66 and the confocal aperture 67.
  • a frontal image of the fundus is formed based on the light receiving signal from the light receiving element 68.
  • the formed front image may be stored in the memory 72.
  • the optical fiber 38c is rotationally moved by being driven by the driver 34, and the movable range thereof is set.
  • the optical fiber 38c can rotate and move from the first movement limit position (for example, 0 °) to the second movement limit position (for example, 180 °).
  • the optical fiber 38c is located at an intermediate position between the first movement limit position and the second movement limit position, and is not moved until after the completion of the second automatic optical path length adjustment. Therefore, in the polarizer 33, the intermediate position is the initial position.
  • the control unit 70 of the OCT device 1 controls various operations in the OCT device 1. Also, in this embodiment, the control unit 70 performs various image processing. That is, the control unit 70 also serves as an image processor.
  • the control unit 70 may be composed of, for example, a CPU, a RAM, a ROM, and the like.
  • control unit 70 is connected to the monitor 75 and controls the display of the monitor 75. Further, the control unit 70 is connected to the memory 72, the operation unit 74, the drivers 24a, 30, 50, 63a, and the like.
  • the device is aligned with respect to the eye to be inspected.
  • the positional relationship between the subject and the measurement optical axis is adjusted based on the anterior segment observation image taken by the anterior segment observation camera (not shown).
  • the center of the pupil of the eye to be inspected and the measurement optical axis are adjusted to coincide with each other.
  • the alignment may be adjusted manually or automatically.
  • a frontal image (SLO image) of the fundus of the eye can be acquired by the observation optical system 300.
  • the acquisition of the observation image via the observation optical system 300 and the display of the observation image on the monitor 75 are started.
  • the control unit 70 acquires an OCT image at any time via the OCT optical system 200.
  • optimization control of shooting conditions is performed.
  • the fundus region desired by the examiner can be observed with high sensitivity and high resolution by the OCT optical system 200.
  • optical path length adjustment, focus adjustment, and polarization state adjustment (polarizer adjustment) are executed.
  • the optimization control is started by the operation of the optimization start switch (Optimize switch) 74a arranged in the operation unit 74 as a trigger.
  • the optimization start switch Optimize switch
  • control unit 70 initializes the OPL and the focus position. For example, the position of the focusing lens 24 and the position of the mirror 31 are each moved to a predetermined initial position (movement start position). In this embodiment, each initial position may be either the upper limit or the lower limit of the movable range.
  • the adjustment of the focus position and the adjustment of the first optical path length are controlled in parallel.
  • the focus position in the observation optical system 300 is adjusted based on the observation image by the SLO image.
  • the gain of the observation image (SLO image) is automatically adjusted at the same time.
  • the differential histogram is a histogram based on the differential value of the pixel value obtained by differentiating the image data of the SLO image. For example, after the image data of the SLO image is converted into a contour image by applying a filter for edge extraction (for example, Laplacian conversion, SOBEL, etc.), the histogram of the contour image is acquired as a differential histogram.
  • a filter for edge extraction for example, Laplacian conversion, SOBEL, etc.
  • FIG. 6 is a diagram showing an example of a differential histogram.
  • the horizontal axis is the absolute value d of the differential value (hereinafter, simply referred to as the differential value).
  • FIG. 6 shows a case where the differential value d is represented by a value of 255 gradations from 1 to 254.
  • the vertical axis is a value obtained by normalizing the number of pixels corresponding to each differential value. In the differential value having the largest number of corresponding pixels in the image, the number of pixels corresponding to each differential value is normalized with the number of pixels as 100%.
  • the differential histogram shows that the more appropriate the focus, the sharper the edge at the blood vessel site of the fundus. Therefore, the more appropriate the focus, the greater the number of pixels that take a large differential value.
  • the differential histogram shows a tendency for the edge to become dull as the focus position deviates from the optimum position. Therefore, as the focus position deviates from the optimum position, the number of pixels that take a large differential value decreases.
  • the evaluation value C of the imaging state (focus state) of the SLO image is calculated using the differential value having a certain number of pixels or more in the differential histogram.
  • 20% is set as an example of the threshold value S1.
  • the evaluation value C is expressed as follows in this embodiment.
  • Dmax is the maximum value of the differential value having pixels above the threshold value
  • Dmin is the maximum value of the differential value having pixels above the threshold value.
  • control unit 70 acquires the evaluation value C regarding the focus state from the observation image acquired at each focus position, and identifies the optimum focus position based on the evaluation value C.
  • the position at -12D is set as the initial position, and the position is moved in the plus direction in 2D steps, and the evaluation value C is acquired in each step up to + 12D.
  • setting the amount of change per step to 2D is an example, and the amount of change per step may be a value larger than 2D or a value smaller than 2D within a range in which the optimum focus position can be specified. Good.
  • the graph shown in FIG. 7 shows the relationship between the evaluation value C and the position Z of the focusing lens 63 when the evaluation value C is acquired without saturation at each focus position.
  • the position where the evaluation value C is maximized may be obtained as the target position of the focus position.
  • a scatter plot in which the evaluation value C acquired in each step is plotted is subjected to curve approximation (interpolation processing) with a function having a maximum value in the moving range of the focusing lens 63. (Example) may be performed to obtain the peak position Zp of the evaluation value C on this curve as the target position.
  • the control unit 70 moves the focusing lens 63 to the target position obtained as a result of the above processing. In this way, the focusing lens 63 is adjusted in the first focus adjustment.
  • the gain value is important for acquiring the evaluation value C in the focus state as described above.
  • the change in the image quality evaluation value C with respect to the change in the focus position becomes small when the eye to be inspected has turbidity or the like.
  • the optimum focus position may not be properly specified based on the evaluation value C.
  • the gain value is large, it becomes easy to detect the optimum focus position when the eye to be inspected has turbidity or the like, but when the eye to be inspected has no turbidity or the like, the saturation of the brightness value tends to occur. As a result, the relationship between the evaluation value C and the actual focus state may deviate. In this embodiment, in this case, saturation of the evaluation value C occurs.
  • the initial value Gp of the gain is set (or adjusted) to a certain high value (however, the initial value Gp is smaller than the threshold value T1 described later). Further, the control unit 70 compares the evaluation value C with the threshold value T1 at the focus position of each step, and reduces the gain when the evaluation value C exceeds the threshold value T1. The amount of decrease in gain at this time may be a constant value. If the evaluation value C still exceeds the threshold value T1 even after the gain is reduced, the gain may be repeatedly reduced. The number of times the gain has been reduced since the focus adjustment was started (here, the total number of times, hereinafter referred to as a count value) may be counted.
  • the focus position is moved to the next position, and the evaluation value C is obtained again.
  • the evaluation value C and the above count value may be stored in the memory 72 in association with each focus position.
  • the evaluation value C at the focus position transitions as shown in the graph of FIG.
  • the gain is adjusted (reduced) once at the position of -4D.
  • the target position of the focus position may be obtained based on the above count value and the evaluation value.
  • the target position is set from the focus positions having the largest count values.
  • the position where the evaluation value becomes the maximum (maximum) in the range may be set as the target position of the focus position.
  • the estimated value of the maximum value obtained by performing the complement processing in the above range may be acquired as the target position of the focus position.
  • the target position of the focus position can be obtained once by performing the gain adjustment during the focus adjustment of the observation optical system 300 based on the observation image.
  • the target position of the focus position is obtained by using the count value of the number of times the gain is reduced, but the description is not necessarily limited to this.
  • the gain value is stored together with the evaluation value C, and the evaluation value C is converted according to the gain value into a generalized value so that the evaluation values can be compared between different gains. You may.
  • the position where the generalized evaluation value is maximized can be obtained as the target position of the focus position.
  • the evaluation value may be linearly transformed (at least one of offset and scaling) depending on the gain value.
  • the initial value Gp of the gain is set to a sufficiently high value as described above, the image quality with respect to the change in the focus position is obtained even when the eye to be inspected has turbidity or the like. It is possible to sufficiently secure a change in the evaluation value C of. Therefore, even when the eye to be inspected has opacity or the like, it becomes easy to properly acquire the target position of the focus position. Further, when the evaluation value C exceeds the threshold value T2, the gain is adjusted in a direction of lowering, and the evaluation value C is evaluated in consideration of the adjustment. Therefore, even when there is no turbidity in the eye to be inspected, it is easy to properly acquire the target position of the focus position even though the initial value Gp of the gain is set to a certain high value.
  • the initial value Gp of the gain is set to a certain high value and the gain is reduced when the evaluation value C exceeds the threshold value T1, but the present invention is not necessarily limited to this.
  • the initial value of the gain may be set to a somewhat low value (a value lower than the above-mentioned initial value Gp), and the gain may be increased when the evaluation value C is lower than the second threshold value T2.
  • a control for reducing the gain when the evaluation value C exceeds the threshold value T1 may be used in combination.
  • control unit 70 moves the focusing lens 24 of the OCT optical system 200 to the same focus position as the focusing lens 63 (second focus adjustment). At this time, the control unit 70 moves the focusing lens 24 of the OCT optical system 200 based on the focus position of the observation optical system 300 obtained as a result of the first focus adjustment (autofocus on the OCT image).
  • the focus position of the observation optical system 300 is -3D
  • the focus position of the OCT optical system 200 is also controlled to be -3D.
  • Each focus position in the observation optical system 300 and each focus position in the OCT optical system 200 may be associated with each other by, for example, diopter conversion.
  • the focus position information of the OCT optical system 200 may be acquired based on the OCT image, and the focusing lens 24 may be readjusted.
  • the position of the focusing lens 24 may be adjusted so that the focus position matches a predetermined layer. As a result, the focus position in the OCT optical system 200 can be adjusted more accurately.
  • the control unit 70 moves the mirror 31 and adjusts the position of the mirror 31 to a position where a tomographic image of the fundus is acquired based on the output signal output from the light receiving element 83 at each position of the mirror 31. ..
  • control unit 70 moves the mirror 31 in one direction from the initial position by a predetermined step (for example, about several mm in terms of air).
  • a predetermined step for example, about several mm in terms of air.
  • the signal strength of the OCT image is represented as the value of the next evaluation value B.
  • the present invention is not limited to this, and various values that correlate with the signal strength of the OCT image may be used as the evaluation value.
  • the evaluation value B may be calculated from the entire image, or may be calculated based on the luminance information in a plurality of scanning lines in the depth direction.
  • control unit 70 may store the position of the mirror 31 and the evaluation value B in the memory 75 in association with each other.
  • the evaluation value B at each position of the mirror 31 transitions as shown in the graph of FIG. 9, for example.
  • the horizontal axis represents the position of the reference mirror, and the vertical axis represents the evaluation value B.
  • the position where the evaluation value B peaks is the adjustment target in the first optical path length adjustment. Therefore, the control unit 70 obtains the position of the reference mirror at which the evaluation value B peaks, and adjusts the reference mirror to the obtained position.
  • the control unit 70 may estimate the position of the reference mirror corresponding to the peak from the calculation result of the evaluation value B for each position of the mirror 31, and move the reference mirror with the estimated position as the adjustment target.
  • the position of the mirror 31 when the real image of the fundus of the eye appears in the OCT image is the position where the peak of the evaluation value B is detected.
  • the position of the mirror 31 when the virtual image appears in the OCT image may be the position where the peak of the evaluation value B is detected.
  • the evaluation value B changes and the peak detection position changes before and after the first automatic optical path length adjustment.
  • the peak position does not necessarily have to be detected appropriately. That is, since the optical path length may be adjusted roughly, the peak detection accuracy does not necessarily have to be high.
  • control unit 70 moves the mirror 31 again in the optical axis direction to readjust (finely adjust) the OPL.
  • the control unit 70 determines whether the image of the fundus of the eye included in the OCT image acquired after the focus adjustment is a real image or a virtual image. For example, the control unit 70 compares the half width with respect to the peak in the brightness distribution in the depth direction in the OCT image with a predetermined threshold value. If the half-value width is smaller than the threshold value, it may be determined as a real image, and if the half-value width is greater than or equal to the threshold value, it may be determined as a virtual image. For the determination of real / imaginary, any method may be used as long as the difference in image quality between the real image and the virtual image is used. To. Moreover, the shape of the OCT image may be used.
  • the control unit 70 determines that the image of the fundus in the OCT image is a virtual image
  • the control unit 70 moves the mirror 31 in the direction in which the real image is acquired.
  • the position where the real image is acquired has a correspondence relationship with the position where the virtual image is acquired, it may be adjusted as follows. That is, the position where the real image is acquired is in the direction in which the reference optical path is shorter than the position where the virtual image is acquired.
  • the movement amount of the mirror 31 that makes the deviation amount to the image detection position zero is calculated from the predetermined optical path length matching position S, and twice the movement amount is calculated from the position where the virtual image is acquired.
  • the mirror 31 may be moved as the amount of movement (to the position where the real image is acquired).
  • the method of adjusting the OPL to the position where the real image is acquired is not necessarily limited to this.
  • the control unit 70 adjusts the position of the real image. For example, the control unit 70 considers the position where the peak of the luminance distribution in the depth direction is detected as the image position, calculates the displacement amount between the preset optical path length matching position S and the image position, and the displacement amount is The mirror 31 may be moved so as to disappear (see JP-A-2010-12111).
  • control unit 70 determines whether the tomographic image of the fundus in the OCT image is real or imaginary, and further determines whether or not the real image and the virtual image coexist in the OCT image. It is preferable to execute in parallel. At this time, for example, it may be determined whether or not the real image and the virtual image coexist based on the amount of deviation from the optical path length matching position S to the image detection position P1.
  • the control unit 70 sets the image as a real image. It may be determined that the state coexists with the virtual image. In this case, the control unit 70 may move the mirror 31 in a predetermined direction (direction in which the reference light becomes shorter) so that only the real image is acquired.
  • the moving direction and the amount of movement of the mirror 31 from the coexisting state of the real image and the virtual image to the state in which only the real image is acquired may be predetermined experimentally or by simulation.
  • the control unit 70 drives the polarizer 33 to adjust the polarization state between the measurement light and the reference light.
  • the polarizer 33 is driven and controlled based on the output signal output from the light receiving element 83 so that the polarization states match between the measurement light and the reference light.
  • the polarizer 33 is driven and controlled based on the OCT image.
  • the control unit 70 obtains the signal strength of the OCT image acquired each time the position (orientation) of the polarizer 33 is changed.
  • the above-mentioned evaluation value B may indicate the signal strength.
  • Polarizer adjustment is completed by finding the position of the polarizer 33 at which the evaluation value B (peak value) peaks and adjusting to that position.
  • the fundus region desired by the examiner can be observed with high sensitivity and high resolution.
  • the images sequentially acquired by the imaging optical system have been described as being one channel (one type) of only the observation image, but this is not necessarily the case.
  • Japanese Patent Application Laid-Open No. 2016-59399 by the present applicant discloses an SLO optical system capable of simultaneously acquiring a three-channel (three-color) fundus image.
  • the above ⁇ first focus adjustment> may be performed based on the fundus image of any one channel.
  • the imaging conditions regarding the second optical device during the focus adjustment may be adjusted so that the brightness values of the fundus images of the plurality of channels are not saturated.
  • the focus position in the observation optical system 300 (and the OCT optical system 200) is adjusted, and the imaging conditions (light amount, gain, and exposure time) regarding the intensity of the received signal in the observation optical system 300 are adjusted.
  • the control is performed based on the information of the entire image in the observed image.
  • the present invention is not necessarily limited to this, and at least one of the controls may be performed based on the information of a part of the region in the observation image.
  • the evaluation values B and C in the above embodiment may be acquired as statistics of a part of the image. In this case, the adjustment can be performed more quickly.
  • the iris may eclipse the illumination light to the fundus. This may affect the validity of the above-mentioned evaluation value. Therefore, for example, in the present embodiment, the validity of the evaluation value acquired at each focus position may be determined based on the anterior segment image acquired by the anterior segment observation optical system (not shown).
  • the control unit 70 determines whether or not the optimization adjustment is successful based on the luminance information of the OCT image, and stops the optimization adjustment based on the determination result. You may let it.
  • the control unit 70 determines that the adjustment has failed, the control unit 70 causes the optimization control to be repeated again.
  • the optimization control may be stopped every time the optimization control fails, or the optimization control may be stopped when the optimization control fails several times. Further, when the optimization fails, the display on which the optimization has failed may be displayed on the monitor 75 so that the examiner can select whether or not to perform the re-optimization.
  • the processing proceeded in the order of the first automatic optical path length adjustment, the focus adjustment, the second automatic optical path length adjustment, and the polarizer adjustment.
  • the processing order is not necessarily limited to this, and the processing order can be rearranged as appropriate.
  • the polarizer adjustment may be performed between the completion of the first automatic optical path length adjustment and the focus adjustment and the start of the second automatic optical path length adjustment.
  • the focus adjustment may be performed before and after the second optical path length adjustment.
  • the control unit 70 makes a rough adjustment to the extent that the optical path length can be finely adjusted by the second optical path length adjustment, and after the fine adjustment of the optical path length by the second optical path length adjustment is completed, the first 2 The focus may be adjusted by adjusting the focus.
  • the focus adjustment is completed and the second automatic optical path length adjustment is started, but the present invention is not limited to this.
  • the focus adjustment and the first automatic optical path length adjustment may be completed, and the second automatic optical path length adjustment may be performed.
  • various imaging conditions have been adjusted based on the OCT image, but the present invention is not necessarily limited to this.
  • various imaging conditions may be adjusted based on the data before imaging or the output signal from the detector before Fourier transform.
  • the OCT image, the data before imaging (the signal after the Fourier transform), and the output signal from the detector are collectively referred to as OCT data. That is, various imaging conditions can be adjusted based on the OCT data.

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PCT/JP2020/027126 2019-07-16 2020-07-10 眼科撮影装置 Ceased WO2021010345A1 (ja)

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JP2013188316A (ja) 2012-03-13 2013-09-26 Nidek Co Ltd 眼底撮影装置
JP2016059399A (ja) 2014-09-12 2016-04-25 株式会社ニデック 走査型レーザー検眼鏡
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JP2013188316A (ja) 2012-03-13 2013-09-26 Nidek Co Ltd 眼底撮影装置
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