WO2022107477A1 - Optometry control program and subjective optometry system - Google Patents
Optometry control program and subjective optometry system Download PDFInfo
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- WO2022107477A1 WO2022107477A1 PCT/JP2021/037111 JP2021037111W WO2022107477A1 WO 2022107477 A1 WO2022107477 A1 WO 2022107477A1 JP 2021037111 W JP2021037111 W JP 2021037111W WO 2022107477 A1 WO2022107477 A1 WO 2022107477A1
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- 230000010365 information processing Effects 0.000 claims abstract description 181
- 230000003287 optical effect Effects 0.000 claims abstract description 79
- 238000012937 correction Methods 0.000 claims abstract description 60
- 238000000034 method Methods 0.000 claims description 200
- 230000004044 response Effects 0.000 claims description 22
- 230000004907 flux Effects 0.000 claims description 13
- 230000000007 visual effect Effects 0.000 abstract description 3
- 230000008569 process Effects 0.000 description 57
- 238000012360 testing method Methods 0.000 description 48
- 238000007689 inspection Methods 0.000 description 23
- 230000004304 visual acuity Effects 0.000 description 13
- 238000012545 processing Methods 0.000 description 7
- 230000009471 action Effects 0.000 description 6
- 230000006870 function Effects 0.000 description 4
- 230000005236 sound signal Effects 0.000 description 4
- 238000004891 communication Methods 0.000 description 3
- 201000009310 astigmatism Diseases 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 230000002250 progressing effect Effects 0.000 description 2
- 240000007594 Oryza sativa Species 0.000 description 1
- 235000007164 Oryza sativa Nutrition 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
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- 238000010586 diagram Methods 0.000 description 1
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- 239000003550 marker Substances 0.000 description 1
- 230000010287 polarization Effects 0.000 description 1
- 235000009566 rice Nutrition 0.000 description 1
- 238000011179 visual inspection Methods 0.000 description 1
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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
Definitions
- the present disclosure relates to an optometry control program executed in a subjective optometry system and a subjective optometry system.
- the subjective optometry device described in Patent Document 1 includes an optical power measuring unit, an optotype presenting unit, and a controller.
- the ocular refractive power measuring unit switches the optical element arranged in the optometry window among the plurality of optical elements included in the correction optical system by the drive unit.
- the optotype presentation unit switches the inspection optotype presented to the optometry subject.
- the controller detects the user's operation on the operation panel, and transmits a drive signal to the eye refractive power measuring unit and the visual indicator presenting unit based on the detected operation.
- a typical object of the present disclosure is to provide an optometry control program and a optometry system capable of more smoothly performing optometry.
- the optometry control program provided by the exemplary embodiment in the present disclosure includes a correction optical system that changes the optical characteristics of the optometric light beam presented to the optometry subject and an optometric display unit that presents the optometry to the optometry subject.
- the first of the optometry systems the optometry system comprising a optometry device used to subjectively measure the optical characteristics of the optometry subject and a first information processing device connected to the optometry device.
- a self-optometry application program for realizing an application that automatically advances optometry based on an answer input by a subject which is an optometry control program executed by an information processing apparatus, includes the self-optometry application program.
- an operation of presenting an optotype to a subject is instructed based on an automatically progressing procedure of self-optometry.
- a self-optometry progress step that outputs a presentation instruction signal to the subjective optometry device, an answer acquisition step that acquires an answer input by a subject who visually recognizes the presented optotype, and an answer acquisition step.
- a correction value storage step for storing the correction value of the optical characteristics of the eye to be inspected, which is acquired based on the answer and the optical characteristics of the optotype and the optotype beam presented by the subjective optometry device at the time of acquisition of the answer.
- the subjective optometry system comprises a corrective optical system that changes the optical characteristics of the optotype beam presented to the optometry subject and an optotype presenter that presents the optotype to the eye to be inspected.
- It is a subjective optometry system including a subjective optometry device that has and is used for subjectively measuring the optical characteristics of the eye to be inspected, and a first information processing device connected to the subjective optometry device.
- the first information processing apparatus has a self-optometry application that automatically advances the optometry based on the answer input by the subject, and the self-optometry application is at least a self that is automatically advanced.
- a self-optometry progress step that outputs a presentation instruction signal instructing an operation of presenting an optotype to a subject to the subjective optometry device based on an eye examination progress procedure, and a subject who visually recognizes the presented optotype.
- a correction value storage step for storing the acquired correction value of the optical characteristics of the eye to be inspected and an auxiliary operation for assisting the progress of the self-examination when a problem occurs in the progress of the self-examination are executed. Perform the self-optometry assist step and.
- the optometry can be performed more smoothly.
- the subjective optometry system exemplified in the present disclosure includes a subjective optometry device and a first information processing device.
- the optometry device has a correction optical system that changes the optical characteristics of the target luminous flux presented to the optometry, and a target display unit that presents the target to the subject, and is aware of the optical characteristics of the subject. Used to measure to.
- the first information processing device is an information processing device connected to a subjective eye examination device (hereinafter, the first information processing device may be referred to as a "connection device").
- the optometry control program according to the present disclosure includes a self-optometry application program.
- the self-optometry application program is a program for realizing an application (self-optometry application) that automatically advances optometry based on an answer input by a subject.
- the self-optometry application program is executed by the control unit of the first information processing device, and the self-optometry progress step, the answer acquisition step, the correction value storage step, and the self-optometry assist step are executed by the first information processing device.
- the first information processing apparatus performs the action of presenting the optotype to the subject, at least based on (that is, according to the progress procedure) the automatically progressing procedure of the self-optometry.
- a plurality of presentation instruction signals to be instructed are sequentially output to the subjective optometry device.
- the first information processing apparatus controls the correction optical system and the optotype presenting unit in order to execute a plurality of test items based on the self-eye examination progress procedure that is automatically progressed. You may.
- the first information processing apparatus acquires the answer input by the subject who visually recognizes the presented optotype.
- the correction value storage step the first information processing apparatus is acquired based on the answer acquired in the answer acquisition step and the optical characteristics of the optotype and the optotype luminous flux presented by the subjective optometry apparatus at the time of answer acquisition. The correction value of the optical characteristics of the eye to be inspected is memorized.
- the first information processing apparatus executes an assisting operation to assist the progress of the self-optometry when a problem occurs in the progress of the self-optometry.
- the subject's optometry can be appropriately performed even if the examiner does not proceed with the optometry.
- an auxiliary operation for assisting the progress of the self-optometry is executed. That is, a function that assists the progress of self-optometry is incorporated in the function of the self-optometry application. Therefore, for example, while the self-optometry application is being executed, at least one of the assistive actions of the self-optometry by the advice from the examiner or the like is executed. Therefore, the subjective optometry is appropriately performed while the burden on the examiner is reduced.
- a personal computer hereinafter referred to as "PC"
- a server a mobile terminal, a smartphone, or the like may be used as the first information processing device.
- the first information processing device may be configured by combining a plurality of devices.
- the first information processing device may be composed of a device such as a personal computer and a dedicated controller including a controller and a storage device.
- the dedicated controller itself may be provided with a function as a device such as a personal computer equipped with a CPU, and may be configured as a first information processing device.
- a storage device for storing the optometry control program can be appropriately selected.
- the eye examination control program may be stored in a storage device built in the first information processing device, or may be stored in a storage device that can be attached to and detached from the first information processing device.
- the optometry control program may be stored in the storage device built in the dedicated controller described above. Further, the optometry control program may be stored in a plurality of storage devices.
- the self-optometry assist step when the status of the self-optometry being performed meets a predetermined condition, or when an instruction to execute the assisted action is input, an assisted action for assisting the progress of the self-optometry is executed. May be done. In this case, when the subject cannot perform the self-optometry, the assisting operation of the self-optometry is appropriately performed.
- the conditions for the self-optometry situation when performing the auxiliary movement can be selected as appropriate.
- the control unit may determine that the execution condition of the auxiliary operation is satisfied when the predetermined time elapses without inputting the answer from the subject. Further, the control unit may determine that the execution condition of the auxiliary operation is satisfied when the answer input by the subject is inappropriate.
- the method of determining whether or not the answer is inappropriate can be appropriately selected. For example, if the input answer does not meet the predetermined answer conditions (for example, if an answer different from the answer candidate requested from the subject is input, the control unit will give the same answer. If the answers are entered more than the specified number of times in a row, or if more answers are entered than the number of answers requested from the subject), it is judged that the entered answers are inappropriate. You may.
- the assisting action performed in the self-optometry assisting step may include a calling action to call the examiner.
- the examiner is called when there is a problem in the progress of the self-optometry, so that the subsequent optometry is appropriately performed.
- the self-optometry assisting step may include a manual optometry step that outputs a presentation instruction signal for advancing at least a part of the optometry procedure to a subjective optometry device in response to an instruction input by the examiner.
- the examiner can manually proceed with the examination or the like in which a problem occurs among the progress procedures that were planned to be advanced by the self-optometry. Therefore, optometry for the subject is more appropriately assisted.
- the self-optometry assisting step may include a correction value correction step that corrects at least one or more of the correction values stored by the self-optometry according to an instruction input by the examiner. In this case, for example, even if there is a correction value in which the measurement by the self-optometry fails, the correction value is corrected by the judgment of the examiner. Therefore, the optometry for the subject proceeds smoothly.
- the self-optometry assisting step may include a test omission step that omits at least part of the progress procedure according to instructions entered by the examiner.
- the examiner can omit the procedure determined to be unnecessary from the predetermined progress procedures. Therefore, the optometry for the subject proceeds smoothly.
- the method of inputting instructions by the examiner in order to omit at least a part of the progress procedure can be appropriately selected.
- the examiner may input to the first information processing apparatus a test selection instruction to be omitted from a plurality of tests executed according to the progress procedure.
- the control unit of the first information processing apparatus may omit the selected test from the progress procedure.
- the examiner may input the timing for resuming the once stopped self-optometry to the first information processing apparatus as a timing after the procedure for omitting the procedure.
- the control unit of the first information processing apparatus may omit some steps by restarting the self-optometry from the input timing.
- the self-optometry assist step may include a proxy response acquisition step.
- the control unit inputs the answer of the subject who visually recognizes the presented optotype when the optotype is presented to the subject in the self-optometry progress step according to the progress procedure. Get according to the instructions given.
- the examiner listens to the answer from the subject who visually recognizes the optotype in the process of presenting the optotype to the subject in order according to the procedure of self-optometry, and inputs the heard answer by himself / herself. can do. Therefore, even if the subject does not know the answer method in the self-optometry, the examiner can appropriately assist the self-optometry by inputting the answer heard from the subject. can.
- the self-optometry assisting step may include a continuous resumption step of resuming the temporarily stopped self-optometry from the procedure following the procedure for which the optometry has already been completed (for example, a completed test, etc.).
- the self-optometry is restarted from the procedure following the already completed procedure among the progress procedures. Therefore, even after the assistance of the self-optometry is completed, the continuation of the self-optometry is appropriately performed according to the progress procedure.
- the self-optometry assisting step may include a designated resumption step of resuming the temporarily stopped self-optometry from a procedure designated by the examiner (for example, a designated test, etc.) among the progress procedures.
- the examiner can restart the self-optometry from the procedure specified by the examiner when the problem that occurred during the self-optometry is solved. Therefore, it is possible to prevent the burden on the examiner for assisting the optometry from increasing excessively.
- the procedure for proceeding with self-optometry may define a plurality of tests (examinations) executed for the subject and an execution order of the plurality of tests.
- multiple tests may be performed in sequence according to the progression procedure. In this case, multiple tests on the eye to be inspected will proceed appropriately and automatically.
- the examiner can appropriately assist a test that is determined to require assistance (for example, a test in which a good correction value is not obtained by self-optometry) among a plurality of tests.
- the self-optometry assisting step may include a procedure display step for displaying the progress procedure on the display device.
- the display device may be located at a base where the examiner stands by, may be located at a base different from the base where the subjective optometry device is located, or may be located at a base where the subjective optometry device is located. They may be located at the same base.
- the input of the designated instruction of the procedure for restarting the self-optometry (hereinafter referred to as “restart procedure”) may be accepted on the progress procedure displayed by the display device.
- the examiner can specify a resumption procedure for resuming the self-optometry while appropriately grasping the details of the progress procedure, the progress status, and the like by the displayed progress procedure.
- the specific method for accepting the input of the restart procedure on the displayed progress procedure can be appropriately selected.
- a touch panel may be provided in the display area of the display device.
- the control unit may process the displayed progress procedure corresponding to the position where the touch panel is operated (for example, a specific test or the like) as a restart procedure designated by the examiner.
- a mouse or the like for moving the pointer within the display area of the display device may be provided.
- the control unit may process the procedure corresponding to the position of the pointer among the displayed progress procedures as the restart procedure designated by the examiner.
- control unit controls the procedure being performed at that time, the procedure being performed when a problem occurs in the progress, etc., among the entire progress procedure (for example, a plurality of tests included in the progress procedure). At least one of the above may be displayed on the progress procedure. In this case, the examiner can appropriately grasp the progress of the self-optometry by the displayed progress procedure.
- restarting the once stopped self-optometry has various merits.
- the cross-cylinder test which is one of the tests performed by the subjective optometry system
- two point clouds are presented to the subject.
- the examiner gives advice to adjust the position of the optometry object with respect to the examination window while the self-optometry is temporarily stopped, and the cross-cylinder test is performed. After assisting the progression, the subject's independent self-optometry can be resumed.
- a useful effect can be obtained for both the examiner and the subject.
- the self-eye examination assisting step may be executed in response to an instruction input to a second information processing device, which is another information processing device connected to the first information processing device via a network.
- a second information processing device which is another information processing device connected to the first information processing device via a network.
- the examiner can appropriately perform self-optometry by the subject from a remote location by inputting an instruction to the second information processing device. Can be assisted.
- the control unit of the first information processing apparatus issues an instruction to execute a calling operation to call the examiner. , May be output to the second information processing device.
- the examiner can easily grasp that a problem has occurred in the progress of the self-optometry.
- the self-optometry assisting step may be executed in response to an instruction directly input to the first information processing device (for example, an instruction input to the operation unit of the first information processing device). That is, the examiner at the place where the subjective optometry apparatus and the first information processing apparatus are installed may input an instruction for executing the self-optometry assist step.
- the operation unit (controller for the examiner) of the first information processing device used for inputting an instruction from the examiner may be a dedicated controller provided in the subjective eye examination device, or a mouse.
- a general-purpose user interface such as a tablet may be used.
- the number of the second information processing apparatus may be one or two or more.
- various devices for example, a PC, a mobile terminal, a smartphone, etc.
- the second information processing device may be already connected to the first information processing device when the self-optometry is executed, or may be connected to the first information processing device after a problem occurs in the self-optometry.
- each control unit of the first information processing device and the second information processing device may at least input audio data (which may be both audio data and image data).
- a remote conversation step may be performed to assist the conversation between the examiner and the subject by transmitting and receiving each other.
- the optometry in a remote place can appropriately assist the self-optometry by grasping the situation of the subject by conversation.
- the subjective optometry system 100 of the present embodiment includes a subjective optometry device 1 and a first information processing device 2A.
- the optometry device 1 is used to subjectively measure the optical characteristics of the eye to be inspected.
- the optical characteristic of the eye to be inspected measured by the subjective optometry device 1 of the present embodiment is the optical power of refraction.
- the measured optical power may be at least one of the spherical power, the cylindrical power, the astigmatic axis angle, and the like of the eye to be inspected.
- the first information processing device 2A is connected to the subjective optometry device 1.
- the first information processing device 2A may be referred to as a connecting device. Further, the first information processing device 2A is connected to the second information processing device 2B, which is another information processing device, via the network 5. That is, the first information processing device 2A of the present embodiment may be remotely accessed by the second information processing device 2B.
- the first information processing device 2A of the present embodiment may be remotely accessed by the second information processing device 2B.
- the subjective optometry device 1 will be described.
- the subjective optometry device 1 includes an optical power measuring unit 10, a visual marker presentation unit 15, and a relay unit 19.
- the optical power measuring unit 10 includes a correction optical system 11 and a driving unit 12.
- the correction optical system 11 changes the optical characteristics of the target luminous flux presented to the eye to be inspected. That is, the correction optical system 11 changes at least one of the spherical power, the cylindrical power, the astigmatic axis angle, the polarization characteristic, the amount of aberration, and the like of the target luminous flux.
- the correction optical system 11 of the present embodiment changes the optical characteristics of the target luminous flux by switching the optical element arranged in the inspection window in front of the eye to be inspected among the plurality of optical elements.
- a lens disc for the left eye and a lens disc for the right eye in which a plurality of optical elements are arranged on the same circumference are used.
- Each of the lens disc for the left eye and the lens disc for the right eye may be one or a plurality.
- the optical element for example, at least one of a spherical lens, a cylindrical lens, a cross cylinder lens, a rotary prism, a wavefront modulation element, and the like may be used.
- the driving unit 12 changes the optical characteristics of the optotype luminous flux by driving the correction optical system 11.
- the drive unit 12 of the present embodiment drives the correction optical system 11 by rotating each of the lens disk for the left eye and the lens disk for the right eye to switch the optical element arranged in the inspection window.
- a step motor or the like can be used for the drive unit 12.
- the drive unit 12 is driven in response to a drive signal.
- the optotype presentation unit 15 presents an inspection optotype (for example, at least one of a Randold ring optotype and a character, etc.) to the eye to be inspected, and switches the inspection optotype to be presented to the eye to be inspected.
- the optotype presenting unit 15 includes an optotype presenting unit 16 and a driving unit 17.
- the optotype presenting unit 16 presents an inspection optotype to the eye to be inspected.
- the optotype display unit 16 includes, for example, a space-saving optotype projection device that projects an inspection optotype onto the eye to be inspected via a concave mirror, a chart projector that projects the inspection optotype on a screen, and an inspection optotype.
- the optotype presenting unit 16 is arranged at substantially the same height as the optical power measuring unit 10 so that the distance from the eye to be inspected is optically a predetermined distance.
- the driving unit 17 drives the optotype presenting unit 16 to switch the inspection optotype presented to the eye to be inspected.
- the drive unit 17 is driven in response to a drive signal.
- the relay unit 19 relays the drive signal between the first information processing device 2A and the drive units 12 and 17. Further, in the present embodiment, the system of the drive signal output from the first information processing apparatus 2A and the system of the drive signal capable of controlling at least one of the drive units 12 and 17 are different.
- the relay unit 19 of the present embodiment converts the drive signal received from the first information processing apparatus 2A into a drive signal that can be controlled by the drive units 12 and 17, and transmits the drive signal to the drive units 12 and 17. Further, as an example, when the relay unit 19 of the present embodiment receives one drive signal for driving the two drive units 12 and 17 together from the first information processing apparatus 2A, the relay unit 19 receives one drive signal. It is converted into two drive signals for driving each of the two drive units 12 and 17, and transmitted to each of the two drive units 12 and 17.
- the first information processing device 2A and the second information processing device 2B will be described.
- the first information processing device 2A and the second information processing device 2B at least one of various information processing devices capable of processing various information can be adopted.
- a personal computer hereinafter referred to as "PC" is used for the first information processing device 2A and the second information processing device 2B of the present embodiment.
- the information processing apparatus that can function as the first information processing apparatus 2A and the second information processing apparatus 2B of the present embodiment is not limited to the PC.
- a server, a mobile terminal, a smartphone, or the like may be used as at least one of the first information processing device 2A and the second information processing device 2B.
- At least one of the first information processing device 2A and the second information processing device 2B may be configured by a plurality of devices.
- the first information processing device 2A may be composed of a dedicated controller including a controller and a storage device, and a personal computer.
- the first information processing device 2A and the second information processing device 2B are connected in a communicable state via a network (for example, the Internet or the like) 5.
- a network for example, the Internet or the like
- FIG. 1 a case where a plurality of second information processing devices 2B are connected to one first information processing device 2A is illustrated.
- one second information processing device 2B may be connected to one first information processing device 2A.
- one second information processing device 2B may be connected to a plurality of first information processing devices 2A.
- the first information processing device 2A is arranged at a base (for example, an optician or a hospital) where a subjective optometry for the subject is performed.
- the first information processing device 2A includes a CPU 21A and a storage device 22A.
- the CPU 21A is a control unit (controller) that controls the first information processing device 2A.
- the storage device 22A can store programs, various data, and the like. In this embodiment, the optometry control program is stored in the storage device 22A.
- the first information processing device 2A is connected to the subjective optometry device 1 (specifically, the relay unit 19 of the subjective optometry device 1) in a communicable state.
- the connection standard between the first information processing device 2A and the subjective optometry device 1 various standards such as LAN can be adopted.
- the first information processing device 2A is connected to the objective optometry device 3 in a communicable state.
- the objective optometry device 3 objectively measures the optical characteristics of the eye to be inspected (for example, at least one of spherical power, cylindrical power, astigmatic axis angle, and the like).
- various standards such as LAN can be adopted.
- the objective optometry device 3 may be connected to the relay unit 19.
- the measurement result by the objective optometry device 3 may be stored in a storage device included in the relay unit 19.
- a camera 31A, a microphone 32A, a speaker 33A, an operation unit 34A, and a display unit 35A are connected to the first information processing device 2A.
- the camera 31A captures an image.
- the camera 31A of the present embodiment is used to capture a moving image of a subject.
- the microphone 32A converts sound into an audio signal and outputs it.
- the speaker 33A converts the audio signal into sound.
- the operation unit 34A is operated by the user in order for the user (for example, a subject or the like) to input various instructions.
- the operation unit 34A for example, at least one of a keyboard, a mouse, a touch panel, and the like may be used.
- the operation unit 34A a dedicated operation unit (for example, a joystick or the like) suitable for inputting an answer for a subjective optometry may be used.
- the display unit 35A displays various images.
- Various devices capable of displaying an image for example, at least one of a monitor, a display, a projector, and the like) can be used for the display unit 35B.
- the second information processing device 2B is for an examiner who can proceed with the optometry by the optometry device 1 (for example, a optician, a doctor, a nurse, etc. who is familiar with the optometry by the optometry device 1). Placed at the base.
- the second information processing device 2B includes a CPU 21B and a storage device 22B.
- the CPU 21B is a control unit (controller) that controls the second information processing device 2B.
- the storage device 22A can store programs, various data, and the like.
- a camera 31A, a microphone 32A, a speaker 33A, an operation unit 34A, and a display unit 35A are connected to the second information processing device 2B.
- various devices can be used in the same manner as the devices connected to the first information processing apparatus 2A described above.
- the storage device 22A included in the first information processing device 2A stores an optometry control program for executing the optometry control process (see FIG. 2).
- the optometry control program includes a drive control application program for executing a drive control application and a self-eye examination application program for executing a self-eye examination application.
- the drive control application transmits a control signal for controlling the drive of the subjective optometry device 1 to the subjective optometry device 1.
- the self-optometry application automatically advances the optometry by the subjective optometry device 1 based on the answer input by the subject.
- the drive control application program for executing the drive control application and the self-optometry application program for executing the self-optometry application may be separately constructed and prepared, or may be incorporated into one program. It may be.
- the subjective optometry method that can be executed by the subjective optometry system 100 of the present embodiment will be described.
- the subjective optometry system 100 of the present embodiment can perform self-optometry and remote optometry.
- Self-optometry is an optometry performed by a self-optometry application. That is, in the self-optometry, basically, the optometry proceeds automatically based on the answer input by the subject.
- a self-optometry assist process for assisting the progress of self-optometry is executed.
- the self-optometry assisting process can also be executed in response to an instruction signal input to the second information processing apparatus 2B at a remote location.
- the remote optometry is an optometry performed in response to an instruction signal input to the second information processing apparatus 2B.
- the explanation of self-optometry will be emphasized.
- Optometry control processing An example of the optometry control process executed by the first information processing apparatus 2A of the subjective optometry system 100 of the present embodiment will be described with reference to FIGS. 2 to 4.
- the optometry control process for example, a process of controlling self-optometry, a process of assisting self-optometry, and the like are executed.
- the CPU 21A of the first information processing apparatus 2A executes the optometry control process exemplified in FIG. 2 according to the optometry control program. do.
- the optometry control process of the present embodiment is executed in a state where communication (for example, remote access) of one or more second information processing devices 2B to the first information processing device 2A is established.
- the communication between the first information processing device 2A and the second information processing device 2B may be established during the execution of the optometry control process (for example, at the start of the self-optometry assist process shown in FIG. 4).
- the communication method between the first information processing device 2A and the second information processing device 2B can also be appropriately selected.
- remote access of the second information processing device 2B to the first information processing device 2A may be established by using the RAS (remote access service).
- the CPU 21A acquires the optometry result by the objective method (S1).
- the first information processing device 2A of the present embodiment is an objective optometry device 3 (see FIG. 1) connected to the same subject via a LAN or a relay unit 19 or the like. Obtain the result of optometry.
- the CPU 21A may acquire objective optometry results for the same subject via, for example, a detachable memory, network 5, or the like. Further, the objective optometry result may be input by the user via the operation unit 34A or the like. If there is no objective optometry result for the same subject, the process of S1 may be omitted.
- the CPU 21A sets the procedure for proceeding with the self-optometry (S3).
- the progress procedure display column 52 of FIG. 3 a part of an example of the progress procedure of the self-optometry used in the subjective optometry system 100 of the present embodiment (in FIG. 3, only the progress procedure for the right eye) is displayed. ..
- the progress procedure used in the present embodiment defines a plurality of tests (several tests) performed on a subject and an execution order of the plurality of tests.
- the R / G test (S), the cross cylinder-test (A), the cross cylinder-test (C), the R / G test, and the VA test are performed on the right eye of the subject.
- an R / G test S
- a cross cylinder-test A
- a cross cylinder-test C
- an R / G test and a VA test are performed on the left eye of the subject.
- the R / G test S
- the spherical power of the eye to be inspected is measured.
- the cross-cylinder test A
- the astigmatic axis angle of the eye to be inspected is measured.
- the cross-cylinder test (C) the astigmatic power of the eye to be inspected is measured.
- Subsequent R / G tests confirm whether or not adjustment by the eye to be inspected worked in the performed test.
- the VA test measures the maximum visual acuity of the eye under test.
- the result of the objective optometry for example, the optical power measured for the same subject (for example, the ocular refractive power measured for the same subject).
- the procedure for self-optometry is set according to at least one of spherical power, astigmatic power, and astigmatic axis angle)).
- the type and size of the optical element first arranged in the inspection window of the orthodontic optical system 11 and the optotype presented to the optotype presenting unit 16 are objective. It may be set according to the result of the optometry.
- a progress procedure is set in which the astigmatism test (for example, the cross-cylinder-test (A) and the cross-cylinder-test (C)) is omitted. You may. Further, in S1, when the result of the objective optometry is not acquired, the default progress procedure may be set in S3.
- the CPU 21A determines the next target display operation to be executed by the subjective optometry device 1 according to the progress procedure set in S3 and the progress status of the self-optometry, and causes the determined presentation operation to be executed.
- the presentation instruction signal (drive signal) is output to the subjective optometry device 1 (S5).
- S5 of the present embodiment at least one of the optical element to be arranged in the inspection window of the correction optical system 11 and the optotype to be presented to the optotype presenting unit 16 is determined as the next presentation operation. ..
- a drive signal for at least one of the drive unit 12 and the drive unit 17 for executing the determined operation is transmitted to the subjective optometry device 1.
- the CPU 21A transmits the drive signal to the subjective optometry device 1
- the CPU 21A outputs a guidance voice according to the inspection content from the speaker 33A. Therefore, the subject can see the presented inspection target after appropriately grasping the inspection contents.
- the drive signal is transmitted from the first information processing apparatus 2A to the drive units 12 and 17 via the relay unit 19 (see FIG. 1) described above. Therefore, the signal transmitted from the first information processing apparatus 2A does not need to go through a dedicated controller or the like. Therefore, the processing of the signal by the dedicated controller or the like is omitted, and the optometry is executed more smoothly.
- the subject grasps the inspection contents by the guidance voice, visually recognizes the inspection target presented by the subjective optometry apparatus 1, and inputs the answer of the visual inspection result to the first information processing apparatus 2A. do.
- the answer is input by operating the dedicated operation unit 34A suitable for inputting the answer of the subjective optometry by the subject.
- the answer may be input by a general operation unit 34A (for example, a mouse, a touch panel, a keyboard, etc.). Further, the answer may be input by the audio signal converted by the microphone 32A.
- the CPU 21A determines whether or not the answer from the subject has been input (S7).
- an answer is input (S7: YES)
- the input answer and the optically specific correction value (measured value) of the eye to be inspected are stored in the storage device 22A (S8).
- the correction values of the optical characteristics of the eye to be inspected are the answer input in S7, the optotype presented to the eye to be inspected when the answer was input, and the optical element arranged in the inspection window of the correction optical system 11. It is acquired based on the optical characteristics of (that is, the optical characteristics of the optometric luminous flux).
- the process returns to S5 and the self-optometry is continued according to the progress procedure.
- the CPU 21A presents the visual acuity to the visual acuity display unit 16 last time.
- the next visual acuity presentation operation is determined so that the visual acuity value is one step higher than that of the visual acuity (for example, the visual acuity is one step smaller in size).
- the CPU 21A sets the visual acuity value presented to the visual acuity display unit 16 to a visual acuity value one step lower than that of the visual acuity presented last time.
- the next visual acuity presentation operation is determined so that the visual acuity is an optotype (for example, an optotype whose size is one step larger).
- the CPU 21A may determine the correction power of the optical element to be arranged in the inspection window of the correction optical system 11 and the correction power of the optical element to be arranged in the inspection window of the correction optical system 11 as the next target presentation operation.
- the self-optometry situation meets certain conditions that are likely to be inappropriate (S11). ..
- the predetermined condition is satisfied when the predetermined time elapses without inputting the answer from the subject after the presentation instruction signal is transmitted in S5.
- the answer entered by the subject is inappropriate (for example, if an answer different from the candidate answer requested by the subject is entered, the same answer will be repeated a predetermined number of times or more in succession.
- the predetermined condition is satisfied when the input is made, or when the number of answers requested from the subject is larger than the number of times the answer is input).
- the CPU 21A performs the auxiliary operation of the self-optometry. It is determined whether or not the execution instruction has been input by the subject (S12). As an example, in the present embodiment, the subject gives an instruction to execute an auxiliary operation of self-optometry by operating a help button provided on a dedicated controller, a help button displayed on the display unit 35A, or the like. You can enter it. If it is not input (S12: NO), the process returns to S7. When the execution instruction of the auxiliary operation is input (S12: YES), the self-optometry assist process is executed (S13).
- the CPU 21A executes the examiner call process (S21).
- the CPU 21A issues an examiner call instruction to one or more second information processing devices 2B for which remote access to the first information processing device 2A is established via the network 5.
- the examiner call instruction is an instruction to cause the second information processing apparatus 2B to execute the examiner's calling operation in order to request the examiner to assist the self-eye examination.
- the calling operation may be performed by at least one of methods such as audio output and image display, for example. By performing the calling operation, the user (inspector) of the second information processing apparatus 2B can appropriately grasp that the assist of self-optometry (remote assist in this embodiment) is necessary.
- the CPU 21A determines whether or not there is a response from the examiner who is the user of the second information processing apparatus 2B (S22). If there is no response from the examiner from any of the second information processing devices 2B (S22: NO), it is impossible for the examiner to assist the self-optometry, so the judgment of S22 is repeated and the standby state is reached. Will be.
- the process shifts to S23. ..
- the CPU 21A starts the call processing by starting the transmission / reception of voice data with the second information processing device 2B used by the examiner who assists the self-eye examination (S23).
- the auxiliary process of self-optometry described below is executed in a state where the subject and the examiner can talk.
- the CPU 21A transmits the voice data input by the microphone 32A to the second information processing apparatus 2B.
- the CPU 21A receives the voice data input to the second information processing apparatus 2B via the microphone 32B and outputs the voice data to the speaker 33A.
- the CPU 21A may send and receive image data to and from the second information processing device 2B together with the audio data.
- the CPU 21A may transmit the image data input by the camera 31A to the second information processing apparatus 2B.
- the CPU 21A may receive the image data input to the second information processing apparatus 2B via the camera 32B and display it on the display unit 35A.
- the CPU 21A causes the self-optometry assist screen (see FIG. 3) to be displayed on the display unit 35B of the second information processing apparatus 2B used by the examiner who assists the self-optometry (S24).
- the self-optometry assist screen in the present embodiment includes an operation image area 50 and a progress procedure display area 51.
- an operation image including information on the optical characteristics of the target luminous flux to be presented to the eye to be inspected is displayed.
- the values related to the optical characteristics of the optotype luminous flux presented to the eye to be inspected are displayed for each type of optical characteristics.
- the examiner can operate a plurality of types of optical characteristics (spherical power, cylindrical power, astigmatic axis angle, etc.). ), The value for the desired type can be specified.
- the correction value of the optical characteristics displayed on the operation image becomes the measured value of the optical characteristics of the eye to be inspected.
- the progress procedure display area 51 is displayed not only on the display unit 35B connected to the second information processing device 2B but also on the display unit 35A connected to the first information processing device 2A.
- the progress procedure display area 51 of the present embodiment is provided with a progress procedure display field 52, an elapsed time display field 54, a left / right eye display field 55, a help button 56, and a top button 57.
- the progress procedure display field 52 displays the progress procedure set for the self-optometry during execution. In the example shown in FIG. 3, among the entire progress procedure (that is, a plurality of tests included in the progress procedure), the procedure being performed at that time is displayed on the progress procedure by the arrow 53 and the thick frame. The arrow.
- the elapsed time display field 54 displays the elapsed time since the start of the running self-optometry.
- the left and right eye display column 55 it is displayed whether the procedure being performed at that time is the procedure to be performed for the left eye or the right eye of the subject in the entire progress procedure.
- the help button 56 is operated by the subject when the subject inputs an instruction to execute the auxiliary operation of the self-optometry.
- the top button 57 is operated when the screen displayed in the progress procedure display area 51 is returned to the top screen of the self-optometry application.
- the audio signal input from the microphone 32A to the first information processing apparatus 2A becomes audio by the speaker 33B of the second information processing apparatus 2B. Will be converted.
- the voice signal input from the microphone 32B to the second information processing device 2B is converted into voice by the speaker 33A of the first information processing device 2A. Therefore, the examiner and the subject can have a conversation while assisting the self-optometry.
- the examiner using the second information processing apparatus 2B can input various instructions for assisting self-optometry by at least one of the operation unit 34B and the microphone 32B. ..
- the CPU 21A determines whether or not the manual assistance by the examiner is being executed (S26).
- either indirect assistance or manual assistance is selected as a method for assisting the self-optometry by the examiner.
- the indirect assist is a method in which the examiner indirectly assists the self-optometry while advancing the self-optometry performed by the self-optometry application according to the progress procedure set in S3.
- the manual assist is a method of assisting the self-optometry by advancing the optometry according to an instruction input by the examiner instead of the progress of the self-optometry performed according to the progress procedure.
- the examiner can make the first information processing apparatus 2A execute either indirect assistance or manual assistance by various methods.
- the indirect assist is set in advance so that the indirect assist is executed first at the start of the self-optometry assist process.
- the indirect assistance can be switched to the manual assistance by inputting the operation instruction, the correction value correction instruction, or the procedure omission instruction to the subjective optometry device 1 via various buttons on the operation image area 50. ..
- the method of switching between indirect assistance and manual assistance can be appropriately selected.
- a button for switching between indirect assistance and manual assistance may be provided on the self-optometry assistance screen.
- the CPU 21A determines whether or not the subject's answer, which has visually recognized the presented optotype, is input by the examiner or the subject (S27). ..
- the subject operates the operation unit 34B connected to the second information processing apparatus 2B, so that the subject hears the answer from the subject in the second information processing apparatus. You can enter it in 2B.
- the answer input to the second information processing device 2B is transmitted to the second information processing device 2A. Therefore, even when the subject does not know how to respond to the self-optometry, the progress of the self-optometry is appropriately assisted.
- the examiner can input the answer of the result of visually recognizing the optotype by himself / herself, as in the case of S7 (see FIG. 2) described above. .. Therefore, the subject can proceed with the optometry procedure by inputting the answer by himself / herself when he / she receives advice from the examiner and grasps the answer method.
- one of the first information processing device 2A and the second information processing device 2B may accept the answer during the execution of the indirect assistance.
- the process proceeds to S38 as it is.
- the input answer and the subject's eye are similarly to S8 (see FIG. 2).
- Optically specific measured values are stored in the storage device 22A (S28).
- the CPU 21A determines the next target display operation to be executed by the subjective optometry device 1 according to the progress procedure set in S3 (see FIG. 2) and the progress status at that time, and the determined presentation.
- a presentation instruction signal (drive signal) for executing the operation is output to the subjective optometry device 1 (S29). That is, the self-optometry performed by the self-optometry application according to the progress procedure is continued thereafter. After that, the process shifts to S38.
- the CPU 21A determines whether or not the examiner has input an operation instruction for manually advancing at least a part of the progress procedure. Is determined (S31).
- the examiner gives an operation instruction to the subjective optometry device 1 (that is, optics in the correction optical system 11) based on, for example, the display contents of the self-optometry assist screen (see FIG. 3) or a conversation with the subject.
- At least one of the instruction of the arrangement operation of the element and the instruction of the display operation of the optotype in the optometric display unit 16) can be determined.
- the examiner inputs the determined operation instruction to the second information processing apparatus 2B via the operation unit 34B or the like.
- the input operation instruction is acquired by the first information processing apparatus 2A via the network 5.
- the CPU 21A transmits a presentation instruction signal (drive signal) for causing the subjective optometry device 1 to execute the instructed operation to the optometry device 1. (S32).
- the CPU 21A determines whether or not the correction instruction of the correction value stored in S8 (see FIG. 2) or S28 is input by the self-optometry (S33).
- the examiner determines that the correction value (measured value) displayed on the self-optometry assist screen (see FIG. 3) needs to be corrected
- the examiner gives an instruction to correct the correction value that needs to be corrected via the operation unit 34B or the like.
- the input correction instruction is acquired by the first information processing apparatus 2A via the network 5.
- the CPU 21A corrects the correction value according to the instruction (S34).
- the CPU 21A determines whether or not an omission instruction for at least a part of the progress procedure (at least one of a plurality of tests in the present embodiment) has been input (S35).
- the CPU 21A inputs an omission instruction via the second information processing apparatus 2B and the network 5 (S35: YES)
- the instructed test is omitted from the progress procedure among the plurality of tests included in the progress procedure (S36). ). After that, the process shifts to S38.
- the CPU 21A determines whether or not a series of eye examinations for the subject has been completed (S38). For example, the CPU 21A may determine that a series of optometry has been completed when the self-optometry executed according to the progress procedure is completed. Further, the CPU 21A may determine that a series of optometry has been completed when an instruction to end the optometry to the subject is input. When a series of optometry is completed (S38: YES), the process ends.
- the CPU 21A determines whether or not the self-optometry continuation restart instruction has been input (S39).
- the continuous resumption instruction is an instruction to restart the self-optometry from the procedure following the procedure in which the optometry has already been completed among the progress procedures set in S3 (see FIG. 2).
- the CPU 21A may determine that the continuation restart instruction has been input when the continuation restart button (not shown) is operated by the subject.
- the continuation restart instruction is input via the second information processing device 2B and the network 5 (S39: YES)
- the CPU 21A sets the restart procedure for restarting the self-optometry as a procedure in which the optometry has already been completed.
- the procedure is set to the next step (S40), and the process returns to the optometry control process (see FIG. 2).
- the self-optometry is restarted from the restart procedure set in S40. If the continuation restart instruction is not input (S39: NO), the process proceeds to S42 as it is.
- the designated resumption instruction is an instruction to restart the self-optometry from the procedure designated by the examiner among the progress procedures set in S3 (see FIG. 2).
- the examiner gives a designated resumption instruction by designating a resumption procedure for resuming self-optometry on the progress procedure displayed in the progress procedure display field 52 (see FIG. 3) of the self-optometry assist screen. You can enter it.
- the examiner inputs a designated restart instruction by using a mouse, a touch panel, or the like.
- a designated restart instruction button for erasing the result of the self-optometry already performed according to the progress procedure and restarting the self-optometry from the beginning of the progress procedure is provided on the self-eye examination assist screen or the like. May be good.
- the CPU 21A designates the restart procedure for restarting the self-optometry by the designated restart instruction in the progress procedure.
- the procedure is set (S43), and the process returns to the optometry control process (see FIG. 2).
- the self-optometry is restarted from the restart procedure set in S43.
- the technique disclosed in the above embodiment is only an example. Therefore, it is possible to modify the techniques exemplified in the above embodiments. For example, it is possible to perform only some of the techniques exemplified in the above embodiments.
- the examiner calling process S21
- the self-optometry by the examiner are performed.
- Auxiliary processing S23 to S43
- the optometry system 100 may execute only one of the examiner calling process and the examiner's auxiliary process. For example, even if the examiner is called by the examiner call process, the self-optometry is appropriately assisted.
- the self-optometry is started with the second information processing device 2B connected to the first information processing device 2A.
- the second information processing device 2B may be connected to the first information processing device 2A after a problem occurs in the progress of self-optometry (S11: YES or S12: YES).
- the self-optometry assisting process of the present embodiment is executed in response to an instruction input to the second information processing apparatus 2B located at a remote location.
- the self-optometry assisting process responds to an instruction directly input to the first information processing device 2A (for example, an instruction input to the first information processing device 2A by the examiner operating the operation unit 34A). It may be executed. That is, the examiner at the place where the subjective optometry device 1 is installed may input an instruction for assisting the self-optometry. Further, both the first information processing device 2A and the second information processing device 2B may accept the input of an instruction for assisting the self-optometry.
- the examiner can assist the self-optometry at either the place where the subjective optometry device 1 is installed or the remote place.
- the process of calling the examiner in S21 is executed by the first information processing device 2A. It may be executed in both the first information processing device 2A and the second information processing device 2B.
- the process of outputting the presentation instruction signal to the subjective optometry device 1 based on the progress procedure is an example of the “self-optometry progress step”.
- the process of acquiring the response from the subject in S7 of FIG. 2 and S27 of FIG. 4 is an example of the “answer acquisition step”.
- the process of storing the correction value in S8 of FIG. 2 and S28 of FIG. 4 is an example of the “correction value storage step”.
- the self-optometry assisting process shown in FIG. 4 is an example of the “self-optometry assisting step”.
- the process of outputting the presentation instruction signal in response to the operation instruction in S31 and S32 of FIG. 4 is an example of the “manual progress step”.
- the process of correcting the correction value in S33 and S34 of FIG. 4 is an example of the “correction value correction step”.
- the process of omitting the progress procedure in S35 and S36 of FIG. 4 is an example of the “procedure omission step”.
- the process of acquiring the subject's answer in response to the instruction input by the examiner is an example of the “proxy response acquisition step”.
- the process of restarting the self-optometry from the next procedure in S39 and S40 of FIG. 4 is an example of the “continuous restart step”.
- the process of restarting the self-optometry from the procedure designated by the examiner is an example of the “designated restart step”.
- the process of restarting the self-optometry in S33 and S34 of FIG. 4 is an example of the “self-optometry restart step”.
- the process of displaying the progress procedure in S24 of FIG. 4 is an example of the “procedure display step”.
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Abstract
In the present invention, a first information processing device executes a self optometry proceeding step, an answer acquisition step, a correction value memorization step, and a self optometry assistance step. The self optometry proceeding step comprises sending out, to a subjective optometry device, a presentation instruction signal, which provides instructions for the operation of presenting a visual target to a subject, at least on the basis of a self optometry proceeding protocol that proceeds automatically. The answer acquisition step comprises acquiring an answer entered by the subject. The correction value memorization step comprises memorizing a correction value for an optical property of the eye under examination. The self optometry assistance step comprises executing an assistance operation to provide assistance in proceeding with the self optometry, if a problem has arisen in the self optometry proceeding.
Description
本開示は、自覚式検眼システムにおいて実行される検眼制御プログラム、および自覚式検眼システムに関する。
The present disclosure relates to an optometry control program executed in a subjective optometry system and a subjective optometry system.
被検者の眼前に光学素子を配置し、光学素子を通じて検査視標を被検眼に呈示することで、被検眼の眼屈折力等の光学特性を測定する自覚式検眼装置が知られている。例えば、特許文献1に記載の自覚式検眼装置は、眼屈折力測定ユニット、視標呈示ユニット、およびコントローラを備える。眼屈折力測定ユニットは、矯正光学系が備える複数の光学素子のうち、検眼窓に配置する光学素子を、駆動部によって切り替える。視標呈示ユニットは、被検眼に呈示する検査視標を切り替える。コントローラは、操作パネルに対するユーザの操作を検出し、検出した操作に基づいて、眼屈折力測定ユニットおよび視標呈示ユニットに駆動信号を送信する。
There is known a subjective optometry device that measures optical characteristics such as the refractive power of the eye to be inspected by arranging an optical element in front of the eye of the subject and presenting an inspection target to the eye to be inspected through the optical element. For example, the subjective optometry device described in Patent Document 1 includes an optical power measuring unit, an optotype presenting unit, and a controller. The ocular refractive power measuring unit switches the optical element arranged in the optometry window among the plurality of optical elements included in the correction optical system by the drive unit. The optotype presentation unit switches the inspection optotype presented to the optometry subject. The controller detects the user's operation on the operation panel, and transmits a drive signal to the eye refractive power measuring unit and the visual indicator presenting unit based on the detected operation.
従来の自覚式検眼装置では、検者が被検者に立ち会い、検査視標を視認した被検者からの回答に基づいて、自覚式検眼装置の次の動作の駆動指示を入力する必要があった。従って、従来の自覚式検眼装置では、検者の負担を軽減させつつ円滑に自覚式の検眼を実行することは困難であった。
In a conventional optometry device, it is necessary for the examiner to witness the subject and input a drive instruction for the next operation of the optometry device based on the response from the subject who visually recognizes the inspection target. rice field. Therefore, with the conventional optometry device, it is difficult to smoothly perform optometry while reducing the burden on the examiner.
本開示の典型的な目的は、自覚式の検眼をより円滑に実行することが可能な検眼制御プログラムおよび自覚式検眼システムを提供することである。
A typical object of the present disclosure is to provide an optometry control program and a optometry system capable of more smoothly performing optometry.
本開示における典型的な実施形態が提供する検眼制御プログラムは、被検眼に呈示される視標光束の光学特性を変化させる矯正光学系と、被検眼に視標を呈示する視標呈示部を有し、被検眼の光学特性を自覚的に測定するために使用される自覚式検眼装置と、前記自覚式検眼装置に接続される第1情報処理装置と、を備えた自覚式検眼システムの前記第1情報処理装置によって実行される検眼制御プログラムであって、被検者によって入力された回答に基づいて検眼を自動的に進行させるアプリケーションを実現するための、セルフ検眼アプリケーションプログラムを含み、前記セルフ検眼アプリケーションプログラムが前記第1情報処理装置の前記制御部によって実行されることで、少なくとも、自動的に進行されるセルフ検眼の進行手順に基づいて、被検者への視標の呈示動作を指示する呈示指示信号を前記自覚式検眼装置に出力するセルフ検眼進行ステップと、呈示された視標を視認した被検者によって入力される回答を取得する回答取得ステップと、前記回答取得ステップにおいて取得された回答と、回答取得時に前記自覚式検眼装置によって呈示されていた視標および視標光束の光学特性とに基づいて取得される、前記被検眼の光学特性の矯正値を記憶する矯正値記憶ステップと、前記セルフ検眼の進行に問題が生じた場合に、前記セルフ検眼の進行を補助するための補助動作を実行するセルフ検眼補助ステップと、が前記第1情報処理装置によって実行される。
The optometry control program provided by the exemplary embodiment in the present disclosure includes a correction optical system that changes the optical characteristics of the optometric light beam presented to the optometry subject and an optometric display unit that presents the optometry to the optometry subject. The first of the optometry systems, the optometry system comprising a optometry device used to subjectively measure the optical characteristics of the optometry subject and a first information processing device connected to the optometry device. 1. A self-optometry application program for realizing an application that automatically advances optometry based on an answer input by a subject, which is an optometry control program executed by an information processing apparatus, includes the self-optometry application program. When the application program is executed by the control unit of the first information processing apparatus, at least, an operation of presenting an optotype to a subject is instructed based on an automatically progressing procedure of self-optometry. A self-optometry progress step that outputs a presentation instruction signal to the subjective optometry device, an answer acquisition step that acquires an answer input by a subject who visually recognizes the presented optotype, and an answer acquisition step. A correction value storage step for storing the correction value of the optical characteristics of the eye to be inspected, which is acquired based on the answer and the optical characteristics of the optotype and the optotype beam presented by the subjective optometry device at the time of acquisition of the answer. When a problem occurs in the progress of the self-optometry, the first information processing apparatus executes an auxiliary operation for assisting the progress of the self-optometry.
本開示における典型的な実施形態が提供する自覚式検眼システムは、被検眼に呈示される視標光束の光学特性を変化させる矯正光学系と、被検眼に視標を呈示する視標呈示部を有し、被検眼の光学特性を自覚的に測定するために使用される自覚式検眼装置と、前記自覚式検眼装置に接続される第1情報処理装置と、を備えた自覚式検眼システムであって、前記第1情報処理装置は、被検者によって入力された回答に基づいて検眼を自動的に進行させるセルフ検眼アプリケーションを有し、前記セルフ検眼アプリケーションは、少なくとも、自動的に進行されるセルフ検眼の進行手順に基づいて、被検者への視標の呈示動作を指示する呈示指示信号を前記自覚式検眼装置に出力するセルフ検眼進行ステップと、呈示された視標を視認した被検者によって入力される回答を取得する回答取得ステップと、前記回答取得ステップにおいて取得された回答と、回答取得時に前記自覚式検眼装置によって呈示されていた視標および視標光束の光学特性とに基づいて取得される、前記被検眼の光学特性の矯正値を記憶する矯正値記憶ステップと、前記セルフ検眼の進行に問題が生じた場合に、前記セルフ検眼の進行を補助するための補助動作を実行するセルフ検眼補助ステップと、を実行する。
The subjective optometry system provided by the exemplary embodiments of the present disclosure comprises a corrective optical system that changes the optical characteristics of the optotype beam presented to the optometry subject and an optotype presenter that presents the optotype to the eye to be inspected. It is a subjective optometry system including a subjective optometry device that has and is used for subjectively measuring the optical characteristics of the eye to be inspected, and a first information processing device connected to the subjective optometry device. The first information processing apparatus has a self-optometry application that automatically advances the optometry based on the answer input by the subject, and the self-optometry application is at least a self that is automatically advanced. A self-optometry progress step that outputs a presentation instruction signal instructing an operation of presenting an optotype to a subject to the subjective optometry device based on an eye examination progress procedure, and a subject who visually recognizes the presented optotype. Based on the answer acquisition step of acquiring the answer input by, the answer acquired in the answer acquisition step, and the optical characteristics of the optotype and the optotype light beam presented by the subjective optometry device at the time of answer acquisition. A correction value storage step for storing the acquired correction value of the optical characteristics of the eye to be inspected and an auxiliary operation for assisting the progress of the self-examination when a problem occurs in the progress of the self-examination are executed. Perform the self-optometry assist step and.
本開示に係る検眼制御プログラムおよび自覚式検眼システムによると、自覚式の検眼がより円滑に実行される。
According to the optometry control program and the optometry system according to the present disclosure, the optometry can be performed more smoothly.
本開示で例示する自覚式検眼システムは、自覚式検眼装置と第1情報処理装置を備える。自覚式検眼装置は、被検眼に呈示される視標光束の光学特性を変化させる矯正光学系と、被検眼に視標を呈示する視標呈示部を有し、被検眼の光学特性を自覚的に測定するために使用される。第1情報処理装置は、自覚式検眼装置に接続される情報処理装置である(以下、第1情報処理装置を「接続装置」という場合もある)。本開示に係る検眼制御プログラムは、セルフ検眼アプリケーションプログラムを含む。セルフ検眼アプリケーションプログラムは、被検者によって入力された回答に基づいて、検眼を自動的に進行させるアプリケーション(セルフ検眼アプリケーション)を実現するためのプログラムである。
The subjective optometry system exemplified in the present disclosure includes a subjective optometry device and a first information processing device. The optometry device has a correction optical system that changes the optical characteristics of the target luminous flux presented to the optometry, and a target display unit that presents the target to the subject, and is aware of the optical characteristics of the subject. Used to measure to. The first information processing device is an information processing device connected to a subjective eye examination device (hereinafter, the first information processing device may be referred to as a "connection device"). The optometry control program according to the present disclosure includes a self-optometry application program. The self-optometry application program is a program for realizing an application (self-optometry application) that automatically advances optometry based on an answer input by a subject.
セルフ検眼アプリケーションプログラムが、第1情報処理装置の制御部によって実行されることで、セルフ検眼進行ステップ、回答取得ステップ、矯正値記憶ステップ、およびセルフ検眼補助ステップが、第1情報処理装置によって実行される。セルフ検眼進行ステップでは、第1情報処理装置は、少なくとも、自動的に進行されるセルフ検眼の進行手順に基づいて(つまり、進行手順に沿って)、被検者への視標の呈示動作を指示する複数の呈示指示信号を、自覚式検眼装置に順に出力する。なお、セルフ検眼進行ステップでは、第1情報処理装置は、自動的に進行されるセルフ検眼の進行手順に基づいて、複数の検査項目を実行するために矯正光学系と視標呈示部を制御してもよい。回答取得ステップでは、第1情報処理装置は、呈示された視標を視認した被検者によって入力される回答を取得する。矯正値記憶ステップでは、第1情報処理装置は、回答取得ステップにおいて取得された回答と、回答取得時に自覚式検眼装置によって呈示されていた視標および視標光束の光学特性とに基づいて取得される、被検眼の光学特性の矯正値を記憶する。セルフ検眼補助ステップでは、第1情報処理装置は、セルフ検眼の進行に問題が生じた場合に、セルフ検眼の進行を補助するための補助動作を実行する。
The self-optometry application program is executed by the control unit of the first information processing device, and the self-optometry progress step, the answer acquisition step, the correction value storage step, and the self-optometry assist step are executed by the first information processing device. To. In the self-optometry progression step, the first information processing apparatus performs the action of presenting the optotype to the subject, at least based on (that is, according to the progress procedure) the automatically progressing procedure of the self-optometry. A plurality of presentation instruction signals to be instructed are sequentially output to the subjective optometry device. In the self-optometry progress step, the first information processing apparatus controls the correction optical system and the optotype presenting unit in order to execute a plurality of test items based on the self-eye examination progress procedure that is automatically progressed. You may. In the answer acquisition step, the first information processing apparatus acquires the answer input by the subject who visually recognizes the presented optotype. In the correction value storage step, the first information processing apparatus is acquired based on the answer acquired in the answer acquisition step and the optical characteristics of the optotype and the optotype luminous flux presented by the subjective optometry apparatus at the time of answer acquisition. The correction value of the optical characteristics of the eye to be inspected is memorized. In the self-optometry assisting step, the first information processing apparatus executes an assisting operation to assist the progress of the self-optometry when a problem occurs in the progress of the self-optometry.
本開示に係る自覚式検眼システムによると、セルフ検眼アプリケーションが実行されることで、検者が検眼を進行させなくても適切に被検者の検眼が行われる。さらに、セルフ検眼の進行に問題が生じた場合に、セルフ検眼の進行を補助するための補助動作が実行される。つまり、セルフ検眼アプリケーションの機能の中に、セルフ検眼の進行を補助する機能が組み込まれている。従って、例えば、セルフ検眼アプリケーションが実行されている間に、例えば、検者からのアドバイス等によるセルフ検眼の補助動作の少なくともいずれかが実行される。よって、検者の負担が軽減された状態で、自覚式の検眼が適切に実行される。
According to the subjective optometry system according to the present disclosure, by executing the self-optometry application, the subject's optometry can be appropriately performed even if the examiner does not proceed with the optometry. Further, when a problem occurs in the progress of the self-optometry, an auxiliary operation for assisting the progress of the self-optometry is executed. That is, a function that assists the progress of self-optometry is incorporated in the function of the self-optometry application. Therefore, for example, while the self-optometry application is being executed, at least one of the assistive actions of the self-optometry by the advice from the examiner or the like is executed. Therefore, the subjective optometry is appropriately performed while the burden on the examiner is reduced.
なお、検眼制御プログラムを実行する第1情報処理装置には、種々のデバイスを使用することができる。例えば、パーソナルコンピュータ(以下、「PC」という)が、第1情報処理装置として使用されてもよい。また、サーバ、携帯端末、またはスマートフォン等が、第1情報処理装置として使用されてもよい。
Various devices can be used for the first information processing device that executes the optometry control program. For example, a personal computer (hereinafter referred to as "PC") may be used as the first information processing device. Further, a server, a mobile terminal, a smartphone, or the like may be used as the first information processing device.
また、第1情報処理装置は、複数のデバイスが組み合わされることで構成されていてもよい。例えば、第1情報処理装置は、パーソナルコンピュータ等のデバイスと、コントローラおよび記憶装置を備えた専用コントローラとによって構成されていてもよい。もちろん、専用コントローラ自体に、CPUを備えるパーソナルコンピュータ等のデバイスとしての機能が設けられ、第1情報処理装置として構成されてもよい。
Further, the first information processing device may be configured by combining a plurality of devices. For example, the first information processing device may be composed of a device such as a personal computer and a dedicated controller including a controller and a storage device. Of course, the dedicated controller itself may be provided with a function as a device such as a personal computer equipped with a CPU, and may be configured as a first information processing device.
また、検眼制御プログラムを記憶する記憶装置も適宜選択できる。例えば、検眼制御プログラムは、第1情報処理装置に内蔵された記憶装置に記憶されていてもよいし、第1情報処理装置に対して着脱可能な記憶装置に記憶されていてもよい。検眼制御プログラムは、前述した専用コントローラに内蔵された記憶装置に記憶されていてもよい。また、検眼制御プログラムは、複数の記憶装置に記憶されていてもよい。
In addition, a storage device for storing the optometry control program can be appropriately selected. For example, the eye examination control program may be stored in a storage device built in the first information processing device, or may be stored in a storage device that can be attached to and detached from the first information processing device. The optometry control program may be stored in the storage device built in the dedicated controller described above. Further, the optometry control program may be stored in a plurality of storage devices.
セルフ検眼補助ステップでは、実行されているセルフ検眼の状況が所定の条件を満たした場合、または、補助動作の実行指示が入力された場合に、セルフ検眼の進行を補助するための補助動作が実行されてもよい。この場合には、被検者がセルフ検眼を実行できない状況等が生じた際に、セルフ検眼の補助動作が適切に行われる。
In the self-optometry assist step, when the status of the self-optometry being performed meets a predetermined condition, or when an instruction to execute the assisted action is input, an assisted action for assisting the progress of the self-optometry is executed. May be done. In this case, when the subject cannot perform the self-optometry, the assisting operation of the self-optometry is appropriately performed.
なお、補助動作を実行する際の、セルフ検眼の状況の条件は、適宜選択できる。例えば、制御部は、被検者からの回答が入力されることなく所定時間が経過した場合に、補助動作の実行条件が満たされたと判断してもよい。また、制御部は、被検者によって入力された回答が不適切である場合に、補助動作の実行条件が満たされたと判断してもよい。回答が不適切であるか否かを判断する方法は、適宜選択できる。例えば、制御部は、入力された回答が、予め定められた回答条件を満たさない場合(例えば、被検者に要求している回答の候補とは異なる回答が入力された場合、同一の回答が所定回数以上連続して入力された場合、または、被検者に要求している回答の回数よりも多い回数の回答が入力された場合等)に、入力された回答が不適切であると判断してもよい。
The conditions for the self-optometry situation when performing the auxiliary movement can be selected as appropriate. For example, the control unit may determine that the execution condition of the auxiliary operation is satisfied when the predetermined time elapses without inputting the answer from the subject. Further, the control unit may determine that the execution condition of the auxiliary operation is satisfied when the answer input by the subject is inappropriate. The method of determining whether or not the answer is inappropriate can be appropriately selected. For example, if the input answer does not meet the predetermined answer conditions (for example, if an answer different from the answer candidate requested from the subject is input, the control unit will give the same answer. If the answers are entered more than the specified number of times in a row, or if more answers are entered than the number of answers requested from the subject), it is judged that the entered answers are inappropriate. You may.
セルフ検眼補助ステップにおいて実行される補助動作には、検者を呼び出す呼び出し動作が含まれていてもよい。この場合には、セルフ検眼の進行に問題が生じた際に検者が呼び出されるので、その後の検眼が適切に行われる。
The assisting action performed in the self-optometry assisting step may include a calling action to call the examiner. In this case, the examiner is called when there is a problem in the progress of the self-optometry, so that the subsequent optometry is appropriately performed.
セルフ検眼補助ステップは、進行手順の少なくとも一部を進行させるための呈示指示信号を、検者によって入力される指示に応じて自覚式検眼装置に出力する手動進行ステップを含んでいてもよい。この場合、検者は、セルフ検眼によって進行する予定であった進行手順のうち、問題が生じた検査等を、手動で進行させることができる。よって、被検者に対する検眼がより適切に補助される。
The self-optometry assisting step may include a manual optometry step that outputs a presentation instruction signal for advancing at least a part of the optometry procedure to a subjective optometry device in response to an instruction input by the examiner. In this case, the examiner can manually proceed with the examination or the like in which a problem occurs among the progress procedures that were planned to be advanced by the self-optometry. Therefore, optometry for the subject is more appropriately assisted.
セルフ検眼補助ステップは、セルフ検眼によって記憶された1つまたは複数の矯正値の少なくともいずれかを、検者によって入力される指示に応じて修正する矯正値修正ステップを含んでいてもよい。この場合、例えば、セルフ検眼による測定が失敗した矯正値が存在する場合等であっても、検者の判断によって矯正値が修正される。よって、被検者に対する検眼が円滑に進行する。
The self-optometry assisting step may include a correction value correction step that corrects at least one or more of the correction values stored by the self-optometry according to an instruction input by the examiner. In this case, for example, even if there is a correction value in which the measurement by the self-optometry fails, the correction value is corrected by the judgment of the examiner. Therefore, the optometry for the subject proceeds smoothly.
セルフ検眼補助ステップは、進行手順の少なくとも一部を、検者によって入力される指示に応じて省略するテスト省略ステップを含んでいてもよい。この場合、検者は、予め定められている進行手順のうち、不要と判断した手順を省略することができる。よって、被検者に対する検眼が円滑に進行する。
The self-optometry assisting step may include a test omission step that omits at least part of the progress procedure according to instructions entered by the examiner. In this case, the examiner can omit the procedure determined to be unnecessary from the predetermined progress procedures. Therefore, the optometry for the subject proceeds smoothly.
進行手順の少なくとも一部を省略するための、検者による指示の入力方法は、適宜選択できる。例えば、検者は、進行手順に沿って実行される複数のテストのうち、省略するテストの選択指示を、第1情報処理装置に入力してもよい。この場合、第1情報処理装置の制御部は、選択されたテストを進行手順から省略してもよい。また、検者は、一旦停止されたセルフ検眼を再開させるタイミングを、省略する手順よりも後のタイミングとして第1情報処理装置に入力してもよい。この場合、第1情報処理装置の制御部は、入力されたタイミングからセルフ検眼を再開させることで、一部の手順を省略してもよい。
The method of inputting instructions by the examiner in order to omit at least a part of the progress procedure can be appropriately selected. For example, the examiner may input to the first information processing apparatus a test selection instruction to be omitted from a plurality of tests executed according to the progress procedure. In this case, the control unit of the first information processing apparatus may omit the selected test from the progress procedure. Further, the examiner may input the timing for resuming the once stopped self-optometry to the first information processing apparatus as a timing after the procedure for omitting the procedure. In this case, the control unit of the first information processing apparatus may omit some steps by restarting the self-optometry from the input timing.
セルフ検眼補助ステップは、代理回答取得ステップを含んでいてもよい。代理回答取得ステップでは、制御部は、セルフ検眼進行ステップによって被検者に視標が進行手順に従って呈示された際に、呈示された視標を視認した被検者の回答を、検者によって入力される指示に応じて取得する。この場合、検者は、セルフ検眼の進行手順に沿って視標が順に被検者に対して呈示される過程で、視標を視認した被検者から回答を聞き取り、聞き取った回答を自ら入力することができる。従って、セルフ検眼における回答方法等を被検者が把握できていない場合等であっても、検者は、被検者から聞き取った回答を入力することで、適切にセルフ検眼を補助することができる。
The self-optometry assist step may include a proxy response acquisition step. In the proxy response acquisition step, the control unit inputs the answer of the subject who visually recognizes the presented optotype when the optotype is presented to the subject in the self-optometry progress step according to the progress procedure. Get according to the instructions given. In this case, the examiner listens to the answer from the subject who visually recognizes the optotype in the process of presenting the optotype to the subject in order according to the procedure of self-optometry, and inputs the heard answer by himself / herself. can do. Therefore, even if the subject does not know the answer method in the self-optometry, the examiner can appropriately assist the self-optometry by inputting the answer heard from the subject. can.
セルフ検眼補助ステップは、進行手順のうち、既に検眼が完了した手順(例えば、完了したテスト等)の次の手順から、一旦停止されたセルフ検眼を再開させる継続再開ステップを含んでいてもよい。この場合、進行手順のうち、既に完了した手順の次の手順からセルフ検眼が再開される。よって、セルフ検眼の補助が終了した後も、セルフ検眼の続きが進行手順に沿って適切に行われる。
The self-optometry assisting step may include a continuous resumption step of resuming the temporarily stopped self-optometry from the procedure following the procedure for which the optometry has already been completed (for example, a completed test, etc.). In this case, the self-optometry is restarted from the procedure following the already completed procedure among the progress procedures. Therefore, even after the assistance of the self-optometry is completed, the continuation of the self-optometry is appropriately performed according to the progress procedure.
セルフ検眼補助ステップは、進行手順のうち、検者によって指定された手順(例えば、指定されたテスト等)から、一旦停止されたセルフ検眼を再開させる指定再開ステップを含んでいてもよい。この場合、検者は、セルフ検眼中に発生した問題が解消された場合等に、検者が指定した手順からセルフ検眼を再開させることができる。よって、検者が検眼を補助するための負担が過度に増大することが抑制される。
The self-optometry assisting step may include a designated resumption step of resuming the temporarily stopped self-optometry from a procedure designated by the examiner (for example, a designated test, etc.) among the progress procedures. In this case, the examiner can restart the self-optometry from the procedure specified by the examiner when the problem that occurred during the self-optometry is solved. Therefore, it is possible to prevent the burden on the examiner for assisting the optometry from increasing excessively.
セルフ検眼の進行手順は、被検者に対して実行される複数のテスト(検査)と、複数のテストの実行順を定めていてもよい。セルフ検眼進行ステップでは、進行手順に従って複数のテストが順に実行されてもよい。この場合、被検眼に対する複数のテストが適切に自動的に進行する。さらに、検者は、複数のテストのうち、補助が必要と判断したテスト(例えば、セルフ検眼では良好な矯正値が取得されなかったテスト等)に対して、適切に補助を行うことができる。
The procedure for proceeding with self-optometry may define a plurality of tests (examinations) executed for the subject and an execution order of the plurality of tests. In the self-optometry progression step, multiple tests may be performed in sequence according to the progression procedure. In this case, multiple tests on the eye to be inspected will proceed appropriately and automatically. Further, the examiner can appropriately assist a test that is determined to require assistance (for example, a test in which a good correction value is not obtained by self-optometry) among a plurality of tests.
セルフ検眼補助ステップは、進行手順を表示装置に表示させる手順表示ステップを含んでいてもよい。表示装置は、検者が待機する拠点に配置されていればよく、自覚式検眼装置が配置された拠点とは異なる拠点に配置されていてもよいし、自覚式検眼装置が配置された拠点と同じ拠点に配置されていてもよい。指定再開ステップでは、表示装置によって表示された進行手順上で、セルフ検眼を再開させる手順(以下、「再開手順」という)の指定指示の入力が受け付けられてもよい。この場合、検者は、進行手順の詳細および進捗状況等を、表示された進行手順によって適切に把握した状態で、セルフ検眼を再開させる再開手順を指定することができる。
The self-optometry assisting step may include a procedure display step for displaying the progress procedure on the display device. The display device may be located at a base where the examiner stands by, may be located at a base different from the base where the subjective optometry device is located, or may be located at a base where the subjective optometry device is located. They may be located at the same base. In the designated restart step, the input of the designated instruction of the procedure for restarting the self-optometry (hereinafter referred to as “restart procedure”) may be accepted on the progress procedure displayed by the display device. In this case, the examiner can specify a resumption procedure for resuming the self-optometry while appropriately grasping the details of the progress procedure, the progress status, and the like by the displayed progress procedure.
なお、再開手順の入力を、表示された進行手順上で受け付けるための具体的な方法は、適宜選択できる。例えば、表示装置の表示領域にタッチパネルが設けられていてもよい。この場合、制御部は、表示された進行手順のうち、タッチパネルが操作された位置に対応する手順(例えば、特定のテスト等)を、検者によって指定された再開手順として処理してもよい。また、表示装置の表示領域内でポインタを移動させるためのマウス等が設けられていてもよい。この場合、制御部は、表示された進行手順上のうち、ポインタの位置に対応する手順を、検者によって指定された再開手順として処理してもよい。
The specific method for accepting the input of the restart procedure on the displayed progress procedure can be appropriately selected. For example, a touch panel may be provided in the display area of the display device. In this case, the control unit may process the displayed progress procedure corresponding to the position where the touch panel is operated (for example, a specific test or the like) as a restart procedure designated by the examiner. Further, a mouse or the like for moving the pointer within the display area of the display device may be provided. In this case, the control unit may process the procedure corresponding to the position of the pointer among the displayed progress procedures as the restart procedure designated by the examiner.
また、制御部は、進行手順全体(例えば、進行手順に含まれる複数のテスト等)のうち、その時点で行われている手順、および、進行に問題が生じた際に行われていた手順等の少なくともいずれかを、進行手順上で表示してもよい。この場合、検者は、セルフ検眼の進行状況を、表示される進行手順によって適切に把握することができる。
In addition, the control unit controls the procedure being performed at that time, the procedure being performed when a problem occurs in the progress, etc., among the entire progress procedure (for example, a plurality of tests included in the progress procedure). At least one of the above may be displayed on the progress procedure. In this case, the examiner can appropriately grasp the progress of the self-optometry by the displayed progress procedure.
以上のように、一旦停止されたセルフ検眼を再開させることで、種々のメリットが生じる。例えば、自覚式検眼システムによって行われるテストの1つであるクロスシリンダ―テストでは、被検者に対して点群が2つ呈示される。しかし、矯正光学系の検査窓と被検眼の間の相対位置がずれてしまうと、被検者は、2つの点群のうちの一方しか視認できない場合がある。この場合、被検者はセルフ検眼を実行することができない。しかし、本開示に係る自覚式検眼システムによると、検者は、セルフ検眼を一旦停止させている間に、検査窓に対する被検眼の位置を調整するようにアドバイス等を行い、クロスシリンダ―テストの進行を補助した後に、被検者が単独で行うセルフ検眼を再開させることができる。このように、一旦停止されたセルフ検眼を再開させる場合には、検者および被検者の双方にとって有用な効果が得られる。
As described above, restarting the once stopped self-optometry has various merits. For example, in the cross-cylinder test, which is one of the tests performed by the subjective optometry system, two point clouds are presented to the subject. However, if the relative position between the inspection window of the corrective optical system and the eye to be inspected is displaced, the subject may be able to see only one of the two point clouds. In this case, the subject cannot perform self-optometry. However, according to the subjective optometry system according to the present disclosure, the examiner gives advice to adjust the position of the optometry object with respect to the examination window while the self-optometry is temporarily stopped, and the cross-cylinder test is performed. After assisting the progression, the subject's independent self-optometry can be resumed. As described above, when the self-optometry once stopped is restarted, a useful effect can be obtained for both the examiner and the subject.
セルフ検眼補助ステップが、第1情報処理装置に対してネットワークを介して接続された他の情報処理装置である第2情報処理装置に入力される指示に応じて実行されてもよい。この場合、被検者の場所とは異なる遠隔地に検者がいる場合でも、検者は、第2情報処理装置に指示を入力することで、被検者によるセルフ検眼を遠隔地から適切に補助することができる。
The self-eye examination assisting step may be executed in response to an instruction input to a second information processing device, which is another information processing device connected to the first information processing device via a network. In this case, even if the examiner is located in a remote location different from the subject's location, the examiner can appropriately perform self-optometry by the subject from a remote location by inputting an instruction to the second information processing device. Can be assisted.
なお、セルフ検眼の進行に問題が生じた場合(例えば、補助動作の実行指示が入力された場合等)には、第1情報処理装置の制御部は、検者を呼び出す呼び出し動作の実行指示を、第2情報処理装置に対して出力してもよい。この場合、被検者の場所とは異なる遠隔地に検者がいる場合でも、検者は、セルフ検眼の進行に問題が生じたことを把握し易い。
When a problem occurs in the progress of self-optometry (for example, when an instruction to execute an auxiliary operation is input), the control unit of the first information processing apparatus issues an instruction to execute a calling operation to call the examiner. , May be output to the second information processing device. In this case, even if the examiner is located in a remote location different from the subject's location, the examiner can easily grasp that a problem has occurred in the progress of the self-optometry.
ただし、セルフ検眼補助ステップは、第1情報処理装置に直接入力される指示(例えば、第1情報処理装置の操作部に入力される指示)に応じて実行されてもよい。つまり、自覚式検眼装置および第1情報処理装置が設置された場所にいる検者が、セルフ検眼補助ステップを実行させるための指示を入力してもよい。この場合、例えば、検者からの指示入力に用いられる第1情報処理装置の操作部(検者用コントローラ)としては、自覚式検眼装置に設けられた専用のコントローラであってもよいし、マウス、タブレット等の汎用のユーザーインターフェースであってもよい。
However, the self-optometry assisting step may be executed in response to an instruction directly input to the first information processing device (for example, an instruction input to the operation unit of the first information processing device). That is, the examiner at the place where the subjective optometry apparatus and the first information processing apparatus are installed may input an instruction for executing the self-optometry assist step. In this case, for example, the operation unit (controller for the examiner) of the first information processing device used for inputting an instruction from the examiner may be a dedicated controller provided in the subjective eye examination device, or a mouse. , A general-purpose user interface such as a tablet may be used.
また、第2情報処理装置が用いられる場合には、第2情報処理装置の数は1つでもよいし、2つ以上であってもよい。また、第2情報処理装置には、第1情報処理装置と同様に、種々のデバイス(例えば、PC、携帯端末、またはスマートフォン等)を使用できる。第2情報処理装置は、セルフ検眼が実行される際に既に第1情報処理装置に接続されていてもよいし、セルフ検眼に問題が生じた後に第1情報処理装置に接続されてもよい。
Further, when the second information processing apparatus is used, the number of the second information processing apparatus may be one or two or more. Further, as the second information processing device, various devices (for example, a PC, a mobile terminal, a smartphone, etc.) can be used in the same manner as the first information processing device. The second information processing device may be already connected to the first information processing device when the self-optometry is executed, or may be connected to the first information processing device after a problem occurs in the self-optometry.
また、第2情報処理装置が用いられる場合には、第1情報処理装置および第2情報処理装置の各々の制御部は、少なくとも音声データ(音声データと画像データの両方であってもよい)を相互に送受信させることで、検者と被検者の会話を補助する遠隔会話ステップを実行してもよい。この場合、遠隔地にいる検者は、会話によって被検者の状況を把握することで、セルフ検眼を適切に補助することが可能である。
When the second information processing device is used, each control unit of the first information processing device and the second information processing device may at least input audio data (which may be both audio data and image data). A remote conversation step may be performed to assist the conversation between the examiner and the subject by transmitting and receiving each other. In this case, the optometry in a remote place can appropriately assist the self-optometry by grasping the situation of the subject by conversation.
(システム構成)
以下、本開示における典型的な実施形態の1つについて、図面を参照して説明する。図1に示すように、本実施形態の自覚式検眼システム100は、自覚式検眼装置1および第1情報処理装置2Aを備える。自覚式検眼装置1は、被検眼の光学特性を自覚的に測定するために使用される。本実施形態の自覚式検眼装置1によって測定される被検眼の光学特性は、眼屈折力である。測定される眼屈折力は、被検眼の球面度数、円柱度数、および乱視軸角度等の少なくともいずれかであってもよい。第1情報処理装置2Aは、自覚式検眼装置1に接続される。以下では、第1情報処理装置2Aを接続装置と言う場合もある。また、第1情報処理装置2Aは、ネットワーク5を介して、他の情報処理装置である第2情報処理装置2Bに接続される。つまり、本実施形態の第1情報処理装置2Aは、第2情報処理装置2Bによってリモートアクセスされる場合がある。以下、各装置について詳細に説明する。 (System configuration)
Hereinafter, one of the typical embodiments in the present disclosure will be described with reference to the drawings. As shown in FIG. 1, thesubjective optometry system 100 of the present embodiment includes a subjective optometry device 1 and a first information processing device 2A. The optometry device 1 is used to subjectively measure the optical characteristics of the eye to be inspected. The optical characteristic of the eye to be inspected measured by the subjective optometry device 1 of the present embodiment is the optical power of refraction. The measured optical power may be at least one of the spherical power, the cylindrical power, the astigmatic axis angle, and the like of the eye to be inspected. The first information processing device 2A is connected to the subjective optometry device 1. Hereinafter, the first information processing device 2A may be referred to as a connecting device. Further, the first information processing device 2A is connected to the second information processing device 2B, which is another information processing device, via the network 5. That is, the first information processing device 2A of the present embodiment may be remotely accessed by the second information processing device 2B. Hereinafter, each device will be described in detail.
以下、本開示における典型的な実施形態の1つについて、図面を参照して説明する。図1に示すように、本実施形態の自覚式検眼システム100は、自覚式検眼装置1および第1情報処理装置2Aを備える。自覚式検眼装置1は、被検眼の光学特性を自覚的に測定するために使用される。本実施形態の自覚式検眼装置1によって測定される被検眼の光学特性は、眼屈折力である。測定される眼屈折力は、被検眼の球面度数、円柱度数、および乱視軸角度等の少なくともいずれかであってもよい。第1情報処理装置2Aは、自覚式検眼装置1に接続される。以下では、第1情報処理装置2Aを接続装置と言う場合もある。また、第1情報処理装置2Aは、ネットワーク5を介して、他の情報処理装置である第2情報処理装置2Bに接続される。つまり、本実施形態の第1情報処理装置2Aは、第2情報処理装置2Bによってリモートアクセスされる場合がある。以下、各装置について詳細に説明する。 (System configuration)
Hereinafter, one of the typical embodiments in the present disclosure will be described with reference to the drawings. As shown in FIG. 1, the
自覚式検眼装置1について説明する。自覚式検眼装置1は、眼屈折力測定ユニット10、視標呈示ユニット15、および中継部19を備える。
The subjective optometry device 1 will be described. The subjective optometry device 1 includes an optical power measuring unit 10, a visual marker presentation unit 15, and a relay unit 19.
眼屈折力測定ユニット10は、矯正光学系11と駆動部12を備える。矯正光学系11は、被検眼に呈示される視標光束の光学特性を変化させる。つまり、矯正光学系11は、視標光束の球面度数、円柱度数、乱視軸角度、偏光特性、および収差量等の少なくともいずれかを変化させる。一例として、本実施形態の矯正光学系11は、複数の光学素子のうち、被検眼の眼前の検査窓に配置する光学素子を切り替えることで、視標光束の光学特性を変化させる。本実施形態の矯正光学系11では、複数の光学素子が同一円周上に配置された、左眼用のレンズディスクと右眼用のレンズディスクが用いられている。左眼用のレンズディスクおよび右眼用のレンズディスクの各々は、1枚でもよいし複数枚でもよい。光学素子には、例えば、球面レンズ、円柱レンズ、クロスシリンダレンズ、ロータリプリズム、および波面変調素子等の少なくともいずれかが用いられてもよい。駆動部12は、矯正光学系11を駆動することで、視標光束の光学特性を変化させる。本実施形態の駆動部12は、左眼用のレンズディスクおよび右眼用のレンズディスクの各々を回転させて、検査窓に配置する光学素子を切り替えることで、矯正光学系11を駆動する。駆動部12には、例えばステップモータ等を使用できる。駆動部12は、駆動信号に応じて駆動される。
The optical power measuring unit 10 includes a correction optical system 11 and a driving unit 12. The correction optical system 11 changes the optical characteristics of the target luminous flux presented to the eye to be inspected. That is, the correction optical system 11 changes at least one of the spherical power, the cylindrical power, the astigmatic axis angle, the polarization characteristic, the amount of aberration, and the like of the target luminous flux. As an example, the correction optical system 11 of the present embodiment changes the optical characteristics of the target luminous flux by switching the optical element arranged in the inspection window in front of the eye to be inspected among the plurality of optical elements. In the correction optical system 11 of the present embodiment, a lens disc for the left eye and a lens disc for the right eye in which a plurality of optical elements are arranged on the same circumference are used. Each of the lens disc for the left eye and the lens disc for the right eye may be one or a plurality. As the optical element, for example, at least one of a spherical lens, a cylindrical lens, a cross cylinder lens, a rotary prism, a wavefront modulation element, and the like may be used. The driving unit 12 changes the optical characteristics of the optotype luminous flux by driving the correction optical system 11. The drive unit 12 of the present embodiment drives the correction optical system 11 by rotating each of the lens disk for the left eye and the lens disk for the right eye to switch the optical element arranged in the inspection window. For the drive unit 12, for example, a step motor or the like can be used. The drive unit 12 is driven in response to a drive signal.
視標呈示ユニット15は、被検眼に検査視標(例えば、ランドルト環視標、および文字等の少なくともいずれか)を呈示すると共に、被検眼に呈示する検査視標を切り替える。詳細には、視標呈示ユニット15は、視標呈示部16と駆動部17を備える。視標呈示部16は、被検眼に検査視標を呈示する。視標呈示部16には、例えば、凹面ミラーを介して検査視標を被検眼に投影する省スペース型の視標投影装置、スクリーンに検査視標を投影するチャートプロジェクタ、および、検査視標を表示するディスプレイ等の少なくともいずれかを採用できる。視標呈示部16は、被検眼からの距離が光学的に所定の距離となるように、眼屈折力測定ユニット10と略同じ高さに配置される。駆動部17は、視標呈示部16を駆動することで、被検眼に呈示する検査視標を切り替える。駆動部17は、駆動信号に応じて駆動される。
The optotype presentation unit 15 presents an inspection optotype (for example, at least one of a Randold ring optotype and a character, etc.) to the eye to be inspected, and switches the inspection optotype to be presented to the eye to be inspected. Specifically, the optotype presenting unit 15 includes an optotype presenting unit 16 and a driving unit 17. The optotype presenting unit 16 presents an inspection optotype to the eye to be inspected. The optotype display unit 16 includes, for example, a space-saving optotype projection device that projects an inspection optotype onto the eye to be inspected via a concave mirror, a chart projector that projects the inspection optotype on a screen, and an inspection optotype. At least one of the displays and the like to be displayed can be adopted. The optotype presenting unit 16 is arranged at substantially the same height as the optical power measuring unit 10 so that the distance from the eye to be inspected is optically a predetermined distance. The driving unit 17 drives the optotype presenting unit 16 to switch the inspection optotype presented to the eye to be inspected. The drive unit 17 is driven in response to a drive signal.
中継部19は、第1情報処理装置2Aと駆動部12,17の間で駆動信号を中継する。また、本実施形態では、第1情報処理装置2Aから出力される駆動信号の系統と、駆動部12,17の少なくとも一方を制御可能な駆動信号の系統とが異なる。本実施形態の中継部19は、第1情報処理装置2Aから受信した駆動信号を、駆動部12,17を制御可能な駆動信号に変換して、駆動部12,17に送信する。さらに、一例として本実施形態の中継部19は、2つの駆動部12,17を共に駆動させるための1つの駆動信号を第1情報処理装置2Aから受信した場合に、受信した1つの駆動信号を、2つの駆動部12,17の各々を駆動させるための2つの駆動信号に変換して、2つの駆動部12,17の各々に送信する。
The relay unit 19 relays the drive signal between the first information processing device 2A and the drive units 12 and 17. Further, in the present embodiment, the system of the drive signal output from the first information processing apparatus 2A and the system of the drive signal capable of controlling at least one of the drive units 12 and 17 are different. The relay unit 19 of the present embodiment converts the drive signal received from the first information processing apparatus 2A into a drive signal that can be controlled by the drive units 12 and 17, and transmits the drive signal to the drive units 12 and 17. Further, as an example, when the relay unit 19 of the present embodiment receives one drive signal for driving the two drive units 12 and 17 together from the first information processing apparatus 2A, the relay unit 19 receives one drive signal. It is converted into two drive signals for driving each of the two drive units 12 and 17, and transmitted to each of the two drive units 12 and 17.
第1情報処理装置2Aおよび第2情報処理装置2Bについて説明する。第1情報処理装置2Aおよび第2情報処理装置2Bには、各種情報を処理可能な種々の情報処理装置の少なくともいずれかを採用できる。一例として、本実施形態の第1情報処理装置2Aおよび第2情報処理装置2Bには、パーソナルコンピュータ(以下、「PC」という)が用いられる。しかし、本実施形態の第1情報処理装置2Aおよび第2情報処理装置2Bとして機能できる情報処理装置は、PCに限定されない。例えば、サーバ、携帯端末、またはスマートフォン等が、第1情報処理装置2Aおよび第2情報処理装置2Bの少なくともいずれかとして使用されてもよい。第1情報処理装置2Aおよび第2情報処理装置2Bの少なくともいずれかは、複数のデバイスによって構成されていてもよい。例えば、第1情報処理装置2Aは、コントローラおよび記憶装置を備えた専用コントローラと、パーソナルコンピュータによって構成されていてもよい。
The first information processing device 2A and the second information processing device 2B will be described. As the first information processing device 2A and the second information processing device 2B, at least one of various information processing devices capable of processing various information can be adopted. As an example, a personal computer (hereinafter referred to as "PC") is used for the first information processing device 2A and the second information processing device 2B of the present embodiment. However, the information processing apparatus that can function as the first information processing apparatus 2A and the second information processing apparatus 2B of the present embodiment is not limited to the PC. For example, a server, a mobile terminal, a smartphone, or the like may be used as at least one of the first information processing device 2A and the second information processing device 2B. At least one of the first information processing device 2A and the second information processing device 2B may be configured by a plurality of devices. For example, the first information processing device 2A may be composed of a dedicated controller including a controller and a storage device, and a personal computer.
第1情報処理装置2Aと第2情報処理装置2Bは、ネットワーク(例えばインターネット等)5を介して通信可能な状態で接続される。図1に示す例では、1つの第1情報処理装置2Aに対して複数の第2情報処理装置2Bが接続される場合を例示する。しかし、1つの第1情報処理装置2Aに対して1つの第2情報処理装置2Bが接続されてもよい。また、1つの第2情報処理装置2Bが複数の第1情報処理装置2Aに接続されてもよい。
The first information processing device 2A and the second information processing device 2B are connected in a communicable state via a network (for example, the Internet or the like) 5. In the example shown in FIG. 1, a case where a plurality of second information processing devices 2B are connected to one first information processing device 2A is illustrated. However, one second information processing device 2B may be connected to one first information processing device 2A. Further, one second information processing device 2B may be connected to a plurality of first information processing devices 2A.
第1情報処理装置2Aは、被検者に対する自覚式の検眼が行われる拠点(例えば、眼鏡店または病院等)に配置される。第1情報処理装置2Aは、CPU21Aと記憶装置22Aを備える。CPU21Aは、第1情報処理装置2Aの制御を司る制御部(コントローラ)である。記憶装置22Aは、プログラムおよび各種データ等を記憶することができる。本実施形態では、検眼制御プログラムは記憶装置22Aに記憶されている。
The first information processing device 2A is arranged at a base (for example, an optician or a hospital) where a subjective optometry for the subject is performed. The first information processing device 2A includes a CPU 21A and a storage device 22A. The CPU 21A is a control unit (controller) that controls the first information processing device 2A. The storage device 22A can store programs, various data, and the like. In this embodiment, the optometry control program is stored in the storage device 22A.
第1情報処理装置2Aは、自覚式検眼装置1(詳細には、自覚式検眼装置1の中継部19)に対して通信可能な状態で接続されている。第1情報処理装置2Aと自覚式検眼装置1の接続規格には、例えばLAN等の種々の規格を採用できる。また、第1情報処理装置2Aは、他覚式検眼装置3に対して通信可能な状態で接続されている。他覚式検眼装置3は、被検眼の光学特性(例えば、球面度数、円柱度数、および乱視軸角度等の少なくともいずれか)を、他覚的に測定する。第1情報処理装置2Aと他覚式検眼装置3の接続規格には、例えばLAN等の種々の規格を採用できる。なお、他覚式検眼装置3は、中継部19に接続されていてもよい。他覚式検眼装置3による測定結果は、中継部19が備える記憶装置に記憶されてもよい。
The first information processing device 2A is connected to the subjective optometry device 1 (specifically, the relay unit 19 of the subjective optometry device 1) in a communicable state. As the connection standard between the first information processing device 2A and the subjective optometry device 1, various standards such as LAN can be adopted. Further, the first information processing device 2A is connected to the objective optometry device 3 in a communicable state. The objective optometry device 3 objectively measures the optical characteristics of the eye to be inspected (for example, at least one of spherical power, cylindrical power, astigmatic axis angle, and the like). As the connection standard between the first information processing device 2A and the objective optometry device 3, various standards such as LAN can be adopted. The objective optometry device 3 may be connected to the relay unit 19. The measurement result by the objective optometry device 3 may be stored in a storage device included in the relay unit 19.
第1情報処理装置2Aには、カメラ31A、マイク32A、スピーカ33A、操作部34A、および表示部35Aが接続されている。カメラ31Aは、画像を撮影する。特に、本実施形態のカメラ31Aは、被検者の動画像を撮影するために使用される。マイク32Aは、音を音声信号に変換して出力する。スピーカ33Aは、音声信号を音に変換する。操作部34Aは、ユーザ(例えば被検者等)が各種指示を入力するために、ユーザによって操作される。操作部34Aには、例えば、キーボード、マウス、タッチパネル等の少なくともいずれかが使用されてもよい。また、操作部34Aとして、自覚式の検眼の回答の入力に適した専用の操作部(例えばジョイスティック等)が使用されてもよい。表示部35Aは、各種画像を表示する。表示部35Bには、画像を表示可能な種々のデバイス(例えば、モニタ、ディスプレイ、およびプロジェクタ等の少なくともいずれか)を使用できる。
A camera 31A, a microphone 32A, a speaker 33A, an operation unit 34A, and a display unit 35A are connected to the first information processing device 2A. The camera 31A captures an image. In particular, the camera 31A of the present embodiment is used to capture a moving image of a subject. The microphone 32A converts sound into an audio signal and outputs it. The speaker 33A converts the audio signal into sound. The operation unit 34A is operated by the user in order for the user (for example, a subject or the like) to input various instructions. For the operation unit 34A, for example, at least one of a keyboard, a mouse, a touch panel, and the like may be used. Further, as the operation unit 34A, a dedicated operation unit (for example, a joystick or the like) suitable for inputting an answer for a subjective optometry may be used. The display unit 35A displays various images. Various devices capable of displaying an image (for example, at least one of a monitor, a display, a projector, and the like) can be used for the display unit 35B.
第2情報処理装置2Bは、自覚式検眼装置1による検眼を進行させることが可能な検者(例えば、自覚式検眼装置1による検眼に精通した眼鏡店の店員、医師、または看護師等)の拠点に配置される。第2情報処理装置2Bは、CPU21Bと記憶装置22Bを備える。CPU21Bは、第2情報処理装置2Bの制御を司る制御部(コントローラ)である。記憶装置22Aは、プログラムおよび各種データ等を記憶することができる。
The second information processing device 2B is for an examiner who can proceed with the optometry by the optometry device 1 (for example, a optician, a doctor, a nurse, etc. who is familiar with the optometry by the optometry device 1). Placed at the base. The second information processing device 2B includes a CPU 21B and a storage device 22B. The CPU 21B is a control unit (controller) that controls the second information processing device 2B. The storage device 22A can store programs, various data, and the like.
第2情報処理装置2Bには、カメラ31A、マイク32A、スピーカ33A、操作部34A、および表示部35Aが接続されている。これらのデバイスには、前述した第1情報処理装置2Aに接続されるデバイスと同様に、種々のデバイスを使用できる。
A camera 31A, a microphone 32A, a speaker 33A, an operation unit 34A, and a display unit 35A are connected to the second information processing device 2B. As these devices, various devices can be used in the same manner as the devices connected to the first information processing apparatus 2A described above.
(アプリケーション・検眼方法)
本実施形態の第1情報処理装置2Aにインストールされるアプリケーションについて説明する。前述したように、第1情報処理装置2Aが備える記憶装置22Aには、検眼制御処理(図2参照)を実行するための検眼制御プログラムが記憶されている。検眼制御プログラムには、駆動制御アプリケーションを実行するための駆動制御アプリケーションプログラムと、セルフ検眼アプリケーションを実行するためのセルフ検眼アプリケーションプログラムとが含まれる。駆動制御アプリケーションは、自覚式検眼装置1の駆動を制御する制御信号を、自覚式検眼装置1に送信する。セルフ検眼アプリケーションは、被検者によって入力された回答に基づいて、自覚式検眼装置1による検眼を自動的に進行させる。なお、駆動制御アプリケーションを実行するための駆動制御アプリケーションプログラムと、セルフ検眼アプリケーションを実行するためのセルフ検眼アプリケーションプログラムは、別々に構築されて用意されていてもよいし、1つのプログラムの中に組み込まれていてもよい。 (Application / optometry method)
An application installed in the firstinformation processing apparatus 2A of the present embodiment will be described. As described above, the storage device 22A included in the first information processing device 2A stores an optometry control program for executing the optometry control process (see FIG. 2). The optometry control program includes a drive control application program for executing a drive control application and a self-eye examination application program for executing a self-eye examination application. The drive control application transmits a control signal for controlling the drive of the subjective optometry device 1 to the subjective optometry device 1. The self-optometry application automatically advances the optometry by the subjective optometry device 1 based on the answer input by the subject. The drive control application program for executing the drive control application and the self-optometry application program for executing the self-optometry application may be separately constructed and prepared, or may be incorporated into one program. It may be.
本実施形態の第1情報処理装置2Aにインストールされるアプリケーションについて説明する。前述したように、第1情報処理装置2Aが備える記憶装置22Aには、検眼制御処理(図2参照)を実行するための検眼制御プログラムが記憶されている。検眼制御プログラムには、駆動制御アプリケーションを実行するための駆動制御アプリケーションプログラムと、セルフ検眼アプリケーションを実行するためのセルフ検眼アプリケーションプログラムとが含まれる。駆動制御アプリケーションは、自覚式検眼装置1の駆動を制御する制御信号を、自覚式検眼装置1に送信する。セルフ検眼アプリケーションは、被検者によって入力された回答に基づいて、自覚式検眼装置1による検眼を自動的に進行させる。なお、駆動制御アプリケーションを実行するための駆動制御アプリケーションプログラムと、セルフ検眼アプリケーションを実行するためのセルフ検眼アプリケーションプログラムは、別々に構築されて用意されていてもよいし、1つのプログラムの中に組み込まれていてもよい。 (Application / optometry method)
An application installed in the first
本実施形態の自覚式検眼システム100によって実行することが可能な自覚式の検眼方法について説明する。本実施形態の自覚式検眼システム100は、セルフ検眼と遠隔検眼を実行することができる。セルフ検眼とは、セルフ検眼アプリケーションによって実行される検眼である。つまり、セルフ検眼では、基本的には、被検者によって入力された回答に基づいて、自動的に検眼が進行する。また、本実施形態の自覚式検眼システム100では、セルフ検眼の進行に問題が生じた場合に、セルフ検眼の進行を補助するためのセルフ検眼補助処理が実行される。セルフ検眼補助処理は、遠隔地の第2情報処理装置2Bに入力される指示信号に応じて実行することも可能である。従って、セルフ検眼の進行に問題が生じた場合でも、検眼が円滑に行われ易い。また、遠隔検眼は、第2情報処理装置2Bに入力される指示信号に応じて行われる検眼である。以下では、セルフ検眼の説明を重点的に行う。
The subjective optometry method that can be executed by the subjective optometry system 100 of the present embodiment will be described. The subjective optometry system 100 of the present embodiment can perform self-optometry and remote optometry. Self-optometry is an optometry performed by a self-optometry application. That is, in the self-optometry, basically, the optometry proceeds automatically based on the answer input by the subject. Further, in the subjective optometry system 100 of the present embodiment, when a problem occurs in the progress of self-optometry, a self-optometry assist process for assisting the progress of self-optometry is executed. The self-optometry assisting process can also be executed in response to an instruction signal input to the second information processing apparatus 2B at a remote location. Therefore, even if there is a problem in the progress of self-optometry, it is easy to perform optometry smoothly. Further, the remote optometry is an optometry performed in response to an instruction signal input to the second information processing apparatus 2B. In the following, the explanation of self-optometry will be emphasized.
(検眼制御処理)
図2から図4を参照して、本実施形態の自覚式検眼システム100の第1情報処理装置2Aが実行する検眼制御処理の一例について説明する。検眼制御処理では、例えば、セルフ検眼を制御する処理、セルフ検眼を補助する処理等が実行される。被検眼に対する自覚式の検眼を開始させる指示が、第1情報処理装置2Aに入力されると、第1情報処理装置2AのCPU21Aは、検眼制御プログラムに従って、図2に例示する検眼制御処理を実行する。 (Optometry control processing)
An example of the optometry control process executed by the firstinformation processing apparatus 2A of the subjective optometry system 100 of the present embodiment will be described with reference to FIGS. 2 to 4. In the optometry control process, for example, a process of controlling self-optometry, a process of assisting self-optometry, and the like are executed. When an instruction to start a subjective optometry for the eye to be inspected is input to the first information processing apparatus 2A, the CPU 21A of the first information processing apparatus 2A executes the optometry control process exemplified in FIG. 2 according to the optometry control program. do.
図2から図4を参照して、本実施形態の自覚式検眼システム100の第1情報処理装置2Aが実行する検眼制御処理の一例について説明する。検眼制御処理では、例えば、セルフ検眼を制御する処理、セルフ検眼を補助する処理等が実行される。被検眼に対する自覚式の検眼を開始させる指示が、第1情報処理装置2Aに入力されると、第1情報処理装置2AのCPU21Aは、検眼制御プログラムに従って、図2に例示する検眼制御処理を実行する。 (Optometry control processing)
An example of the optometry control process executed by the first
一例として、本実施形態の検眼制御処理は、1つまたは複数の第2情報処理装置2Bの、第1情報処理装置2Aに対する通信(例えばリモートアクセス等)が確立している状態で実行される。しかし、第1情報処理装置2Aと第2情報処理装置2Bの間の通信は、検眼制御処理の実行中(例えば、図4に示すセルフ検眼補助処理の開始時等)に確立されてもよい。また、第1情報処理装置2Aと第2情報処理装置2Bの間の通信方法も、適宜選択できる。例えば、RAS(リモートアクセスサービス)が利用されることで、第1情報処理装置2Aに対する第2情報処理装置2Bのリモートアクセスが確立されてもよい。
As an example, the optometry control process of the present embodiment is executed in a state where communication (for example, remote access) of one or more second information processing devices 2B to the first information processing device 2A is established. However, the communication between the first information processing device 2A and the second information processing device 2B may be established during the execution of the optometry control process (for example, at the start of the self-optometry assist process shown in FIG. 4). Further, the communication method between the first information processing device 2A and the second information processing device 2B can also be appropriately selected. For example, remote access of the second information processing device 2B to the first information processing device 2A may be established by using the RAS (remote access service).
まず、CPU21Aは、他覚式による検眼結果を取得する(S1)。一例として、本実施形態の第1情報処理装置2Aは、LANまたは中継部19等を介して接続された他覚式検眼装置3(図1参照)から、同一の被検者に対する他覚式の検眼の結果を取得する。しかし、CPU21Aは、例えば、着脱可能なメモリ、またはネットワーク5等を介して、同一の被検者に対する他覚式の検眼結果を取得してもよい。また、他覚式の検眼結果は、操作部34A等を介してユーザによって入力されてもよい。同一の被検者に対する他覚式の検眼結果が存在しない場合には、S1の処理は省略されてもよい。
First, the CPU 21A acquires the optometry result by the objective method (S1). As an example, the first information processing device 2A of the present embodiment is an objective optometry device 3 (see FIG. 1) connected to the same subject via a LAN or a relay unit 19 or the like. Obtain the result of optometry. However, the CPU 21A may acquire objective optometry results for the same subject via, for example, a detachable memory, network 5, or the like. Further, the objective optometry result may be input by the user via the operation unit 34A or the like. If there is no objective optometry result for the same subject, the process of S1 may be omitted.
次いで、CPU21Aは、セルフ検眼の進行手順を設定する(S3)。図3の進行手順表示欄52には、本実施形態の自覚式検眼システム100で使用されるセルフ検眼の進行手順の一例の一部分(図3では、右眼に対する進行手順のみ)が表示されている。図3で例示するように、本実施形態で使用される進行手順は、被検者に対して実行される複数のテスト(複数の検査)と、複数のテストの実行順を定める。一例として、図3に示す進行手順では、被検者の右眼に対するR/Gテスト(S)、クロスシリンダ―テスト(A)、クロスシリンダ―テスト(C)、R/Gテスト、およびVAテストが行われた後、被検者の左眼に対するR/Gテスト(S)、クロスシリンダ―テスト(A)、クロスシリンダ―テスト(C)、R/Gテスト、およびVAテストが行われる。R/Gテスト(S)では、被検眼の球面度数が測定される。クロスシリンダ―テスト(A)では、被検眼の乱視軸角度が測定される。クロスシリンダ―テスト(C)では、被検眼の乱視度数が測定される。その後のR/Gテストでは、実行済みのテストにおいて被検眼による調節が働いていたか否かが確認される。VAテストでは、被検眼の最大視力が測定される。
Next, the CPU 21A sets the procedure for proceeding with the self-optometry (S3). In the progress procedure display column 52 of FIG. 3, a part of an example of the progress procedure of the self-optometry used in the subjective optometry system 100 of the present embodiment (in FIG. 3, only the progress procedure for the right eye) is displayed. .. As illustrated in FIG. 3, the progress procedure used in the present embodiment defines a plurality of tests (several tests) performed on a subject and an execution order of the plurality of tests. As an example, in the progress procedure shown in FIG. 3, the R / G test (S), the cross cylinder-test (A), the cross cylinder-test (C), the R / G test, and the VA test are performed on the right eye of the subject. After that, an R / G test (S), a cross cylinder-test (A), a cross cylinder-test (C), an R / G test, and a VA test are performed on the left eye of the subject. In the R / G test (S), the spherical power of the eye to be inspected is measured. In the cross-cylinder test (A), the astigmatic axis angle of the eye to be inspected is measured. In the cross-cylinder test (C), the astigmatic power of the eye to be inspected is measured. Subsequent R / G tests confirm whether or not adjustment by the eye to be inspected worked in the performed test. The VA test measures the maximum visual acuity of the eye under test.
S1において、同一の被検者に対する他覚式の検眼の結果が取得されている場合には、S3では、他覚式の検眼の結果(例えば、同一の被検眼について測定された眼屈折力(球面度数、乱視度数、および乱視軸角度の少なくともいずれか))に応じて、セルフ検眼の進行手順が設定される。例えば、進行手順に含まれる各テストにおいて、矯正光学系11の検査窓に最初に配置させる光学素子、および、視標呈示部16に呈示させる視標の種類および大きさ等が、他覚式の検眼の結果に応じて設定されてもよい。また、他覚式の検眼によって得られた乱視度数が閾値以下であれば、乱視に関するテスト(例えば、クロスシリンダ―テスト(A)およびクロスシリンダ―テスト(C))を省略した進行手順が設定されてもよい。また、S1において、他覚式の検眼の結果が取得されていない場合には、S3では、デフォルトの進行手順が設定されてもよい。
In S1, when the result of the objective optometry for the same subject is obtained, in S3, the result of the objective optometry (for example, the optical power measured for the same subject (for example, the ocular refractive power measured for the same subject). The procedure for self-optometry is set according to at least one of spherical power, astigmatic power, and astigmatic axis angle)). For example, in each test included in the progress procedure, the type and size of the optical element first arranged in the inspection window of the orthodontic optical system 11 and the optotype presented to the optotype presenting unit 16 are objective. It may be set according to the result of the optometry. If the astigmatism power obtained by the objective optometry is below the threshold value, a progress procedure is set in which the astigmatism test (for example, the cross-cylinder-test (A) and the cross-cylinder-test (C)) is omitted. You may. Further, in S1, when the result of the objective optometry is not acquired, the default progress procedure may be set in S3.
次いで、CPU21Aは、S3で設定した進行手順と、セルフ検眼の進捗状況に従って、自覚式検眼装置1に対して次に実行させる視標の呈示動作を決定し、決定した呈示動作を実行させるための呈示指示信号(駆動信号)を、自覚式検眼装置1に出力する(S5)。詳細には、本実施形態のS5では、矯正光学系11の検査窓に配置させる光学素子、および、視標呈示部16に呈示させる視標の少なくともいずれかが、次の呈示動作として決定される。決定された動作を実行させるための、駆動部12および駆動部17の少なくともいずれかに対する駆動信号が、自覚式検眼装置1に送信される。なお、CPU21Aは、駆動信号を自覚式検眼装置1に送信する際に、検査内容に応じた案内音声をスピーカ33Aから出力させる。従って、被検者は、検査内容を適切に把握したうえで、呈示された検査視標を見ることができる。
Next, the CPU 21A determines the next target display operation to be executed by the subjective optometry device 1 according to the progress procedure set in S3 and the progress status of the self-optometry, and causes the determined presentation operation to be executed. The presentation instruction signal (drive signal) is output to the subjective optometry device 1 (S5). Specifically, in S5 of the present embodiment, at least one of the optical element to be arranged in the inspection window of the correction optical system 11 and the optotype to be presented to the optotype presenting unit 16 is determined as the next presentation operation. .. A drive signal for at least one of the drive unit 12 and the drive unit 17 for executing the determined operation is transmitted to the subjective optometry device 1. When the CPU 21A transmits the drive signal to the subjective optometry device 1, the CPU 21A outputs a guidance voice according to the inspection content from the speaker 33A. Therefore, the subject can see the presented inspection target after appropriately grasping the inspection contents.
本実施形態では、駆動信号は、前述した中継部19(図1参照)を介して、第1情報処理装置2Aから駆動部12,17に送信される。従って、第1情報処理装置2Aから送信される信号が、専用のコントローラ等を介する必要が無い。よって、専用のコントローラ等による信号の処理が省略されるので、より円滑に検眼が実行される。
In the present embodiment, the drive signal is transmitted from the first information processing apparatus 2A to the drive units 12 and 17 via the relay unit 19 (see FIG. 1) described above. Therefore, the signal transmitted from the first information processing apparatus 2A does not need to go through a dedicated controller or the like. Therefore, the processing of the signal by the dedicated controller or the like is omitted, and the optometry is executed more smoothly.
セルフ検眼では、被検者は、案内音声によって検査内容を把握したうえで、自覚式検眼装置1によって呈示された検査視標を視認し、視認した結果の回答を第1情報処理装置2Aに入力する。一例として、本実施形態では、自覚式の検眼の回答の入力に適した専用の操作部34Aが、被検者によって操作されることで、回答が入力される。しかし、一般的な操作部34A(例えば、マウス、タッチパネル、またはキーボード等)によって回答が入力されてもよい。また、マイク32Aが変換する音声信号によって回答が入力されてもよい。
In the self-optometry, the subject grasps the inspection contents by the guidance voice, visually recognizes the inspection target presented by the subjective optometry apparatus 1, and inputs the answer of the visual inspection result to the first information processing apparatus 2A. do. As an example, in the present embodiment, the answer is input by operating the dedicated operation unit 34A suitable for inputting the answer of the subjective optometry by the subject. However, the answer may be input by a general operation unit 34A (for example, a mouse, a touch panel, a keyboard, etc.). Further, the answer may be input by the audio signal converted by the microphone 32A.
CPU21Aは、被検者からの回答が入力されたか否かを判断する(S7)。回答が入力されると(S7:YES)、入力された回答と、被検眼の光学特定の矯正値(測定値)が、記憶装置22Aに記憶される(S8)。被検眼の光学特性の矯正値は、S7で入力された回答、回答が入力された際に被検眼に呈示されていた視標、および、矯正光学系11の検査窓に配置されていた光学素子の光学特性(つまり、視標光束の光学特性)に基づいて取得される。
The CPU 21A determines whether or not the answer from the subject has been input (S7). When an answer is input (S7: YES), the input answer and the optically specific correction value (measured value) of the eye to be inspected are stored in the storage device 22A (S8). The correction values of the optical characteristics of the eye to be inspected are the answer input in S7, the optotype presented to the eye to be inspected when the answer was input, and the optical element arranged in the inspection window of the correction optical system 11. It is acquired based on the optical characteristics of (that is, the optical characteristics of the optometric luminous flux).
次いで、一連のセルフ検眼が未だ完了していなければ(S9:NO)、処理はS5に戻り、セルフ検眼が進行手順に沿って継続される。一例として、本実施形態のVAテストでは、CPU21Aは、S7で取得された被検者からの回答が正答の場合には、視標呈示部16に呈示させる視標を、前回呈示させた視標よりも1段階高い視力値の視標(例えば、サイズが1段階小さい視標)とするように、次の視標呈示動作を決定する。また、CPU21Aは、S7で取得された被検者からの回答が誤答の場合には、視標呈示部16に呈示させる視標を、前回呈示させた視標よりも1段階低い視力値の視標(例えば、サイズが1段階大きい視標)とするように、次の視標呈示動作を決定する。また、CPU21Aは、視標の切り替えと共に、矯正光学系11の検査窓に配置させる光学素子の矯正度数等を、次の視標呈示動作として決定してもよい。
Next, if a series of self-optometry has not yet been completed (S9: NO), the process returns to S5 and the self-optometry is continued according to the progress procedure. As an example, in the VA test of the present embodiment, when the answer from the subject obtained in S7 is correct, the CPU 21A presents the visual acuity to the visual acuity display unit 16 last time. The next visual acuity presentation operation is determined so that the visual acuity value is one step higher than that of the visual acuity (for example, the visual acuity is one step smaller in size). Further, when the answer from the subject obtained in S7 is an incorrect answer, the CPU 21A sets the visual acuity value presented to the visual acuity display unit 16 to a visual acuity value one step lower than that of the visual acuity presented last time. The next visual acuity presentation operation is determined so that the visual acuity is an optotype (for example, an optotype whose size is one step larger). Further, the CPU 21A may determine the correction power of the optical element to be arranged in the inspection window of the correction optical system 11 and the correction power of the optical element to be arranged in the inspection window of the correction optical system 11 as the next target presentation operation.
なお、S7~S9の処理が繰り返し実行されて、一連のセルフ検眼が無事完了すると(S9:YES)、検眼制御処理はそのまま終了する。
When the processes of S7 to S9 are repeatedly executed and a series of self-optometry is successfully completed (S9: YES), the optometry control process ends as it is.
被検者からの回答が入力されていない場合には(S7:NO)、セルフ検眼の状況が、不適切である可能性が高い所定の条件を満たしているか否かが判断される(S11)。一例として、本実施形態では、S5で呈示指示信号が送信された以後、被検者からの回答が入力されることなく所定時間が経過した場合に、所定の条件が満たされたと判断される。また、被検者によって入力された回答が不適切である場合(例えば、被検者が要求している回答の候補とは異なる回答が入力された場合、同一の回答が所定回数以上連続して入力された場合、または、被検者に要求している回答の回数よりも多い回数の回答が入力された場合等)にも、所定の条件が満たされたと判断される。所定の条件が満たされたと判断されると(S11:YES)、セルフ検眼補助処理が実行される(S13)。
If no response from the subject has been entered (S7: NO), it is determined whether the self-optometry situation meets certain conditions that are likely to be inappropriate (S11). .. As an example, in the present embodiment, it is determined that the predetermined condition is satisfied when the predetermined time elapses without inputting the answer from the subject after the presentation instruction signal is transmitted in S5. In addition, if the answer entered by the subject is inappropriate (for example, if an answer different from the candidate answer requested by the subject is entered, the same answer will be repeated a predetermined number of times or more in succession. It is also determined that the predetermined condition is satisfied when the input is made, or when the number of answers requested from the subject is larger than the number of times the answer is input). When it is determined that the predetermined condition is satisfied (S11: YES), the self-optometry assisting process is executed (S13).
また、被検者からの回答が入力されておらず(S7:NO)、且つ、セルフ検眼の条件が条件を満たしていない場合には(S11:NO)、CPU21Aは、セルフ検眼の補助動作の実行指示が被検者によって入力されたか否かを判断する(S12)。一例として、本実施形態では、被検者は、専用のコントローラに設けられたヘルプボタン、または、表示部35Aに表示されたヘルプボタン等を操作することで、セルフ検眼の補助動作の実行指示を入力することができる。入力されていなければ(S12:NO)、処理はS7へ戻る。補助動作の実行指示が入力されると(S12:YES)、セルフ検眼補助処理が実行される(S13)。
Further, when the answer from the subject is not input (S7: NO) and the condition of the self-optometry does not satisfy the condition (S11: NO), the CPU 21A performs the auxiliary operation of the self-optometry. It is determined whether or not the execution instruction has been input by the subject (S12). As an example, in the present embodiment, the subject gives an instruction to execute an auxiliary operation of self-optometry by operating a help button provided on a dedicated controller, a help button displayed on the display unit 35A, or the like. You can enter it. If it is not input (S12: NO), the process returns to S7. When the execution instruction of the auxiliary operation is input (S12: YES), the self-optometry assist process is executed (S13).
図4を参照して、セルフ検眼補助処理の詳細について説明する。まず、CPU21Aは、検者呼び出し処理を実行する(S21)。一例として、本実施形態のS21では、CPU21Aは、第1情報処理装置2Aに対するリモートアクセスが確立されている1つまたは複数の第2情報処理装置2Bに、ネットワーク5を介して検者呼び出し指示を送信する(S4)。検者呼び出し指示とは、セルフ検眼の補助を検者に依頼するために、検者の呼び出し動作を第2情報処理装置2Bに実行させる指示である。呼び出し動作は、例えば、音声の出力および画像表示等の少なくともいずれかの方法で行われればよい。呼び出し動作が行われることで、第2情報処理装置2Bのユーザ(検者)は、セルフ検眼の補助(本実施形態では遠隔補助)が必要である旨を適切に把握することができる。
The details of the self-optometry assisting process will be described with reference to FIG. First, the CPU 21A executes the examiner call process (S21). As an example, in S21 of the present embodiment, the CPU 21A issues an examiner call instruction to one or more second information processing devices 2B for which remote access to the first information processing device 2A is established via the network 5. Send (S4). The examiner call instruction is an instruction to cause the second information processing apparatus 2B to execute the examiner's calling operation in order to request the examiner to assist the self-eye examination. The calling operation may be performed by at least one of methods such as audio output and image display, for example. By performing the calling operation, the user (inspector) of the second information processing apparatus 2B can appropriately grasp that the assist of self-optometry (remote assist in this embodiment) is necessary.
次いで、CPU21Aは、第2情報処理装置2Bのユーザである検者からの応答があったか否かを判断する(S22)。いずれの第2情報処理装置2Bからも検者による応答がなければ(S22:NO)、検者によるセルフ検眼の補助を実行することは不可能であるため、S22の判断が繰り返されて待機状態となる。いずれかの第2情報処理装置2Bのユーザが、セルフ検眼を補助することが可能な状態であり、応答指示を第2情報処理装置2Bに入力すると(S22:YES)、処理はS23へ移行する。
Next, the CPU 21A determines whether or not there is a response from the examiner who is the user of the second information processing apparatus 2B (S22). If there is no response from the examiner from any of the second information processing devices 2B (S22: NO), it is impossible for the examiner to assist the self-optometry, so the judgment of S22 is repeated and the standby state is reached. Will be. When the user of any of the second information processing devices 2B is in a state where self-optometry can be assisted and a response instruction is input to the second information processing device 2B (S22: YES), the process shifts to S23. ..
次いで、CPU21Aは、セルフ検眼を補助する検者が使用する第2情報処理装置2Bとの間で、音声データの送受信を開始することで、通話処理を開始する(S23)。その結果、被検者と検者が会話できる状態で、以後説明するセルフ検眼の補助処理が実行される。詳細には、CPU21Aは、マイク32Aによって入力された音声データを、第2情報処理装置2Bに送信する。また、CPU21Aは、マイク32Bを介して第2情報処理装置2Bに入力された音声データを受信し、スピーカ33Aに出力させる。なお、CPU21Aは、音声データと共に、画像データを第2情報処理装置2Bとの間で送受信してもよい。この場合、CPU21Aは、カメラ31Aによって入力された画像データを第2情報処理装置2Bに送信してもよい。また、CPU21Aは、カメラ32Bを介して第2情報処理装置2Bに入力された画像データを受信し、表示部35Aに表示させてもよい。
Next, the CPU 21A starts the call processing by starting the transmission / reception of voice data with the second information processing device 2B used by the examiner who assists the self-eye examination (S23). As a result, the auxiliary process of self-optometry described below is executed in a state where the subject and the examiner can talk. Specifically, the CPU 21A transmits the voice data input by the microphone 32A to the second information processing apparatus 2B. Further, the CPU 21A receives the voice data input to the second information processing apparatus 2B via the microphone 32B and outputs the voice data to the speaker 33A. The CPU 21A may send and receive image data to and from the second information processing device 2B together with the audio data. In this case, the CPU 21A may transmit the image data input by the camera 31A to the second information processing apparatus 2B. Further, the CPU 21A may receive the image data input to the second information processing apparatus 2B via the camera 32B and display it on the display unit 35A.
次いで、CPU21Aは、セルフ検眼補助画面(図3参照)を、セルフ検眼を補助する検者が使用する第2情報処理装置2Bの表示部35Bに表示させる(S24)。図3に示すように、本実施形態におけるセルフ検眼補助画面には、操作画像領域50および進行手順表示領域51が含まれている。
Next, the CPU 21A causes the self-optometry assist screen (see FIG. 3) to be displayed on the display unit 35B of the second information processing apparatus 2B used by the examiner who assists the self-optometry (S24). As shown in FIG. 3, the self-optometry assist screen in the present embodiment includes an operation image area 50 and a progress procedure display area 51.
操作画像領域50には、被検眼に呈示させる視標光束の光学特性の情報を含む操作画像が表示される。本実施形態の操作画像には、被検眼に呈示される視標光束の光学特性に関する値が、光学特性の種類毎に表示されている。検者は、操作画像領域50上の各種ボタンおよび値等を、タッチパネルまたはマウス等の操作部を介して操作することで、複数の光学特性の種類(球面度数、円柱度数、および乱視軸角度等)のうち、所望の種類についての値を指示することができる。なお、検眼が適切に実行されると、操作画像に表示されている光学特性の矯正値は、被検眼の光学特性の測定値となる。
In the operation image area 50, an operation image including information on the optical characteristics of the target luminous flux to be presented to the eye to be inspected is displayed. In the operation image of the present embodiment, the values related to the optical characteristics of the optotype luminous flux presented to the eye to be inspected are displayed for each type of optical characteristics. By operating various buttons and values on the operation image area 50 via an operation unit such as a touch panel or a mouse, the examiner can operate a plurality of types of optical characteristics (spherical power, cylindrical power, astigmatic axis angle, etc.). ), The value for the desired type can be specified. When the eye examination is properly performed, the correction value of the optical characteristics displayed on the operation image becomes the measured value of the optical characteristics of the eye to be inspected.
本実施形態では、進行手順表示領域51は、第2情報処理装置2Bに接続された表示部35Bに加えて、第1情報処理装置2Aに接続された表示部35Aにも表示される。本実施形態の進行手順表示領域51には、進行手順表示欄52、経過時間表示欄54、左右眼表示欄55、ヘルプボタン56、およびトップボタン57が設けられている。前述したように、進行手順表示欄52には、実行中のセルフ検眼に関して設定された進行手順が表示される。なお、図3に示す例では、進行手順全体(つまり、進行手順に含まれる複数のテスト)のうち、その時点で行われている手順が、矢印53および太枠によって、進行手順上で表示される。
In the present embodiment, the progress procedure display area 51 is displayed not only on the display unit 35B connected to the second information processing device 2B but also on the display unit 35A connected to the first information processing device 2A. The progress procedure display area 51 of the present embodiment is provided with a progress procedure display field 52, an elapsed time display field 54, a left / right eye display field 55, a help button 56, and a top button 57. As described above, the progress procedure display field 52 displays the progress procedure set for the self-optometry during execution. In the example shown in FIG. 3, among the entire progress procedure (that is, a plurality of tests included in the progress procedure), the procedure being performed at that time is displayed on the progress procedure by the arrow 53 and the thick frame. The arrow.
経過時間表示欄54には、実行中のセルフ検眼が開始された以後の経過時間が表示される。左右眼表示欄55には、進行手順全体のうち、その時点で行われている手順が、被検者の左眼および右眼のいずれに対して実行される手順であるかが表示される。ヘルプボタン56は、セルフ検眼の補助動作の実行指示を被検者が入力する際に、被検者によって操作される。トップボタン57は、進行手順表示領域51に表示されている画面を、セルフ検眼アプリケーションのトップ画面に戻す際に操作される。
The elapsed time display field 54 displays the elapsed time since the start of the running self-optometry. In the left and right eye display column 55, it is displayed whether the procedure being performed at that time is the procedure to be performed for the left eye or the right eye of the subject in the entire progress procedure. The help button 56 is operated by the subject when the subject inputs an instruction to execute the auxiliary operation of the self-optometry. The top button 57 is operated when the screen displayed in the progress procedure display area 51 is returned to the top screen of the self-optometry application.
以後説明するセルフ検眼の補助中(S24~S43)には、前述したように、マイク32Aから第1情報処理装置2Aに入力された音声信号が、第2情報処理装置2Bのスピーカ33Bによって音声に変換される。また、マイク32Bから第2情報処理装置2Bに入力された音声信号が、第1情報処理装置2Aのスピーカ33Aによって音声に変換される。従って、検者と被検者は、セルフ検眼の補助中に会話を行うことができる。また、セルフ検眼の補助中には、第2情報処理装置2Bを使用する検者は、操作部34Bおよびマイク32Bの少なくともいずれかによって、セルフ検眼を補助するための各種指示を入力することができる。
During the assist of self-eye examination (S24 to S43) described below, as described above, the audio signal input from the microphone 32A to the first information processing apparatus 2A becomes audio by the speaker 33B of the second information processing apparatus 2B. Will be converted. Further, the voice signal input from the microphone 32B to the second information processing device 2B is converted into voice by the speaker 33A of the first information processing device 2A. Therefore, the examiner and the subject can have a conversation while assisting the self-optometry. Further, during the assist of self-optometry, the examiner using the second information processing apparatus 2B can input various instructions for assisting self-optometry by at least one of the operation unit 34B and the microphone 32B. ..
次いで、CPU21Aは、検者による手動補助の実行中であるか否かを判断する(S26)。本実施形態では、検者がセルフ検眼を補助する方法として、間接補助と手動補助のいずれかが選択される。間接補助とは、セルフ検眼アプリケーションによって行われるセルフ検眼を、S3で設定された進行手順に沿って進行させつつ、検者がセルフ検眼を間接的に補助する方法である。手動補助とは、進行手順に沿って行われるセルフ検眼の進行の代わりに、検者が入力する指示に応じて検眼を進行させることで、セルフ検眼を補助する方法である。
Next, the CPU 21A determines whether or not the manual assistance by the examiner is being executed (S26). In the present embodiment, either indirect assistance or manual assistance is selected as a method for assisting the self-optometry by the examiner. The indirect assist is a method in which the examiner indirectly assists the self-optometry while advancing the self-optometry performed by the self-optometry application according to the progress procedure set in S3. The manual assist is a method of assisting the self-optometry by advancing the optometry according to an instruction input by the examiner instead of the progress of the self-optometry performed according to the progress procedure.
検者は、種々の方法で、間接補助および手動補助のいずれかを第1情報処理装置2Aに実行させることができる。一例として、本実施形態では、セルフ検眼補助処理の開始時には間接補助が先に実行されるように、予め設定されている。また、自覚式検眼装置1に対する動作指示、矯正値の修正指示、または手順の省略指示が、操作画像領域50上の各種ボタン等を介して入力されることで、間接補助から手動補助に切り替えられる。しかし、間接補助と手動補助を切り替える方法は、適宜選択できる。例えば、間接補助と手動補助を切り替えるためのボタンが、セルフ検眼補助画面上に設けられていてもよい。
The examiner can make the first information processing apparatus 2A execute either indirect assistance or manual assistance by various methods. As an example, in the present embodiment, the indirect assist is set in advance so that the indirect assist is executed first at the start of the self-optometry assist process. Further, the indirect assistance can be switched to the manual assistance by inputting the operation instruction, the correction value correction instruction, or the procedure omission instruction to the subjective optometry device 1 via various buttons on the operation image area 50. .. However, the method of switching between indirect assistance and manual assistance can be appropriately selected. For example, a button for switching between indirect assistance and manual assistance may be provided on the self-optometry assistance screen.
間接補助の実行中であれば(S26:NO)、CPU21Aは、呈示された視標を視認した被検者の回答が、検者または被検者によって入力されたか否かを判断する(S27)。本実施形態では、間接補助の実行中には、被検者は、第2情報処理装置2Bに接続された操作部34Bを操作することで、被検者から聞き取った回答を第2情報処理装置2Bに入力することができる。第2情報処理装置2Bに入力された回答は、第2情報処理装置2Aに送信される。従って、セルフ検眼における回答方法等を被検者が把握できていない場合等であっても、セルフ検眼の進行が適切に補助される。また、本実施形態では、間接補助の実行中であっても、前述したS7(図2参照)と同様に、検者は、視標を視認した結果の回答を自ら入力することも可能である。よって、被検者は、検者からアドバイスを受けて回答方法を把握した場合等には、回答を自ら入力して検眼手順を進行させることも可能である。ただし、間接補助の実行中には、第1情報処理装置2Aおよび第2情報処理装置2Bの一方が回答を受け付けてもよい。
If the indirect assistance is being executed (S26: NO), the CPU 21A determines whether or not the subject's answer, which has visually recognized the presented optotype, is input by the examiner or the subject (S27). .. In the present embodiment, during the execution of the indirect assistance, the subject operates the operation unit 34B connected to the second information processing apparatus 2B, so that the subject hears the answer from the subject in the second information processing apparatus. You can enter it in 2B. The answer input to the second information processing device 2B is transmitted to the second information processing device 2A. Therefore, even when the subject does not know how to respond to the self-optometry, the progress of the self-optometry is appropriately assisted. Further, in the present embodiment, even during the execution of the indirect assistance, the examiner can input the answer of the result of visually recognizing the optotype by himself / herself, as in the case of S7 (see FIG. 2) described above. .. Therefore, the subject can proceed with the optometry procedure by inputting the answer by himself / herself when he / she receives advice from the examiner and grasps the answer method. However, one of the first information processing device 2A and the second information processing device 2B may accept the answer during the execution of the indirect assistance.
被検者の回答が、第1情報処理装置2Aおよび第2情報処理装置2Bのいずれにも入力されていない場合には(S27:NO)、処理はそのままS38へ移行する。被検者の回答が、第1情報処理装置2Aまたは第2情報処理装置2Bに入力されると(S27:YES)、S8(図2参照)と同様に、入力された回答と、被検眼の光学特定の測定値が、記憶装置22Aに記憶される(S28)。次いで、CPU21Aは、S3(図2参照)で設定された進行手順と、その時点における進行状況に従って、自覚式検眼装置1に対して次に実行させる視標の呈示動作を決定し、決定した呈示動作を実行させるための呈示指示信号(駆動信号)を、自覚式検眼装置1に出力する(S29)。つまり、セルフ検眼アプリケーションによって実行される、進行手順に沿ったセルフ検眼が、以後も継続される。その後、処理はS38へ移行する。
If the subject's answer is not input to either the first information processing device 2A or the second information processing device 2B (S27: NO), the process proceeds to S38 as it is. When the subject's answer is input to the first information processing device 2A or the second information processing device 2B (S27: YES), the input answer and the subject's eye are similarly to S8 (see FIG. 2). Optically specific measured values are stored in the storage device 22A (S28). Next, the CPU 21A determines the next target display operation to be executed by the subjective optometry device 1 according to the progress procedure set in S3 (see FIG. 2) and the progress status at that time, and the determined presentation. A presentation instruction signal (drive signal) for executing the operation is output to the subjective optometry device 1 (S29). That is, the self-optometry performed by the self-optometry application according to the progress procedure is continued thereafter. After that, the process shifts to S38.
また、間接補助でなく手動補助の実行中であれば(S26:YES)、CPU21Aは、進行手順の少なくとも一部を検者が手動で進行させるための動作指示が、検者によって入力されたか否かを判断する(S31)。検者は、例えば、セルフ検眼補助画面(図3参照)の表示内容、または、被検者との間の会話に基づいて、自覚式検眼装置1に対する動作指示(つまり、矯正光学系11における光学素子の配置動作の指示、および、視標呈示部16における視標の呈示動作の指示の少なくともいずれか)を決定することができる。この場合、検者は、決定した動作指示を、操作部34B等を介して第2情報処理装置2Bに入力する。入力された動作指示は、ネットワーク5を介して第1情報処理装置2Aによって取得される。動作指示が入力および取得されると(S31:YES)、CPU21Aは、指示された動作を自覚式検眼装置1に実行させるための呈示指示信号(駆動信号)を、自覚式検眼装置1に送信する(S32)。
Further, if the manual assist is being executed instead of the indirect assist (S26: YES), the CPU 21A determines whether or not the examiner has input an operation instruction for manually advancing at least a part of the progress procedure. Is determined (S31). The examiner gives an operation instruction to the subjective optometry device 1 (that is, optics in the correction optical system 11) based on, for example, the display contents of the self-optometry assist screen (see FIG. 3) or a conversation with the subject. At least one of the instruction of the arrangement operation of the element and the instruction of the display operation of the optotype in the optometric display unit 16) can be determined. In this case, the examiner inputs the determined operation instruction to the second information processing apparatus 2B via the operation unit 34B or the like. The input operation instruction is acquired by the first information processing apparatus 2A via the network 5. When the operation instruction is input and acquired (S31: YES), the CPU 21A transmits a presentation instruction signal (drive signal) for causing the subjective optometry device 1 to execute the instructed operation to the optometry device 1. (S32).
次いで、CPU21Aは、セルフ検眼によってS8(図2参照)またはS28で記憶された矯正値の修正指示が入力されたか否かを判断する(S33)。検者は、セルフ検眼補助画面(図3参照)に表示された矯正値(測定値)の修正が必要と判断した場合に、修正が必要な矯正値の修正指示を、操作部34B等を介して第2情報処理装置2Bに入力する。入力された修正指示は、ネットワーク5を介して第1情報処理装置2Aによって取得される。修正指示が入力および取得されると(S33:YES)、CPU21Aは、指示に応じて矯正値を修正する(S34)。
Next, the CPU 21A determines whether or not the correction instruction of the correction value stored in S8 (see FIG. 2) or S28 is input by the self-optometry (S33). When the examiner determines that the correction value (measured value) displayed on the self-optometry assist screen (see FIG. 3) needs to be corrected, the examiner gives an instruction to correct the correction value that needs to be corrected via the operation unit 34B or the like. Is input to the second information processing apparatus 2B. The input correction instruction is acquired by the first information processing apparatus 2A via the network 5. When the correction instruction is input and acquired (S33: YES), the CPU 21A corrects the correction value according to the instruction (S34).
次いで、CPU21Aは、進行手順の少なくとも一部(本実施形態では、複数のテストの少なくともいずれか)の省略指示が入力されたか否かを判断する(S35)。CPU21Aは、第2情報処理装置2Bおよびネットワーク5を介して省略指示を入力すると(S35:YES)、進行手順に含まれる複数のテストのうち、指示されたテストを、進行手順から省略する(S36)。その後、処理はS38へ移行する。
Next, the CPU 21A determines whether or not an omission instruction for at least a part of the progress procedure (at least one of a plurality of tests in the present embodiment) has been input (S35). When the CPU 21A inputs an omission instruction via the second information processing apparatus 2B and the network 5 (S35: YES), the instructed test is omitted from the progress procedure among the plurality of tests included in the progress procedure (S36). ). After that, the process shifts to S38.
次いで、CPU21Aは、被検者に対する一連の検眼が完了したか否かを判断する(S38)。例えば、CPU21Aは、進行手順に沿って実行されるセルフ検眼が完了した場合に、一連の検眼が完了したと判断してもよい。また、CPU21Aは、被検者に対する検眼を終了させる指示が入力された場合に、一連の検眼が完了したと判断してもよい。一連の検眼が完了した場合には(S38:YES)、処理は終了する。
Next, the CPU 21A determines whether or not a series of eye examinations for the subject has been completed (S38). For example, the CPU 21A may determine that a series of optometry has been completed when the self-optometry executed according to the progress procedure is completed. Further, the CPU 21A may determine that a series of optometry has been completed when an instruction to end the optometry to the subject is input. When a series of optometry is completed (S38: YES), the process ends.
次いで、CPU21Aは、セルフ検眼の継続再開指示が入力されたか否かを判断する(S39)。継続再開指示とは、S3(図2参照)で設定された進行手順のうち、既に検眼が完了した手順の次の手順から、セルフ検眼を再開させる指示である。例えば、CPU21Aは、継続再開ボタン(図示せず)が被検者によって操作された場合等に、継続再開指示が入力されたと判断してもよい。第2情報処理装置2Bおよびネットワーク5を介して継続再開指示が入力されると(S39:YES)、CPU21Aは、セルフ検眼を再開させる再開手順を、進行手順のうち、既に検眼が完了した手順の次の手順に設定し(S40)、処理は検眼制御処理(図2参照)へ戻る。その後のS5~S9の処理では、S40で設定された再開手順からセルフ検眼が再開される。継続再開指示が入力されていない場合には(S39:NO)、処理はそのままS42へ移行する。
Next, the CPU 21A determines whether or not the self-optometry continuation restart instruction has been input (S39). The continuous resumption instruction is an instruction to restart the self-optometry from the procedure following the procedure in which the optometry has already been completed among the progress procedures set in S3 (see FIG. 2). For example, the CPU 21A may determine that the continuation restart instruction has been input when the continuation restart button (not shown) is operated by the subject. When the continuation restart instruction is input via the second information processing device 2B and the network 5 (S39: YES), the CPU 21A sets the restart procedure for restarting the self-optometry as a procedure in which the optometry has already been completed. The procedure is set to the next step (S40), and the process returns to the optometry control process (see FIG. 2). In the subsequent processing of S5 to S9, the self-optometry is restarted from the restart procedure set in S40. If the continuation restart instruction is not input (S39: NO), the process proceeds to S42 as it is.
次いで、CPU21Aは、セルフ検眼の指定再開指示が入力されたか否かを判断する(S42)。指定再開指示とは、S3(図2参照)で設定された進行手順のうち、検者によって指定された手順から、セルフ検眼を再開させる指示である。本実施形態では、検者は、セルフ検眼補助画面の進行手順表示欄52(図3参照)に表示された進行手順上で、セルフ検眼を再開させる再開手順を指定することで、指定再開指示を入力することができる。一例として、本実施形態では、検者は、マウスまたはタッチパネル等を用いて、指定再開指示の入力を行う。なお、進行手順に沿って既に行われたセルフ検眼の結果を消去し、進行手順の最初からセルフ検眼をやり直すための指定再開指示ボタン(リセットボタン)が、セルフ検眼補助画面等に設けられていてもよい。第2情報処理装置2およびネットワーク5を介して指定再開指示が入力されると(S42:YES)、CPU21Aは、セルフ検眼を再開させる再開手順を、進行手順のうち、指定再開指示によって指定された手順に設定し(S43)、処理は検眼制御処理(図2参照)へ戻る。その後のS5~S9の処理では、S43で設定された再開手順からセルフ検眼が再開される。
Next, the CPU 21A determines whether or not the instruction to restart the designation of self-optometry has been input (S42). The designated resumption instruction is an instruction to restart the self-optometry from the procedure designated by the examiner among the progress procedures set in S3 (see FIG. 2). In the present embodiment, the examiner gives a designated resumption instruction by designating a resumption procedure for resuming self-optometry on the progress procedure displayed in the progress procedure display field 52 (see FIG. 3) of the self-optometry assist screen. You can enter it. As an example, in the present embodiment, the examiner inputs a designated restart instruction by using a mouse, a touch panel, or the like. In addition, a designated restart instruction button (reset button) for erasing the result of the self-optometry already performed according to the progress procedure and restarting the self-optometry from the beginning of the progress procedure is provided on the self-eye examination assist screen or the like. May be good. When the designated restart instruction is input via the second information processing device 2 and the network 5 (S42: YES), the CPU 21A designates the restart procedure for restarting the self-optometry by the designated restart instruction in the progress procedure. The procedure is set (S43), and the process returns to the optometry control process (see FIG. 2). In the subsequent processing of S5 to S9, the self-optometry is restarted from the restart procedure set in S43.
上記実施形態で開示された技術は一例に過ぎない。従って、上記実施形態で例示された技術を変更することも可能である。例えば、上記実施形態で例示された技術の一部のみを実行することも可能である。一例として、上記実施形態の自覚式検眼システム100は、セルフ検眼に問題が生じた場合に(S11:YES、またはS12:YES)、検者呼び出し処理(S21)、および、検者によるセルフ検眼の補助処理(S23~S43)を共に実行する。しかし、自覚式検眼システム100は、検者呼び出し処理、および、検者による補助処理の一方のみを実行してもよい。例えば、検者呼び出し処理によって検者が呼び出されるだけでも、セルフ検眼は適切に補助される。
The technique disclosed in the above embodiment is only an example. Therefore, it is possible to modify the techniques exemplified in the above embodiments. For example, it is possible to perform only some of the techniques exemplified in the above embodiments. As an example, in the subjective optometry system 100 of the above embodiment, when a problem occurs in the self-optometry (S11: YES or S12: YES), the examiner calling process (S21) and the self-optometry by the examiner are performed. Auxiliary processing (S23 to S43) is executed together. However, the optometry system 100 may execute only one of the examiner calling process and the examiner's auxiliary process. For example, even if the examiner is called by the examiner call process, the self-optometry is appropriately assisted.
上記実施形態では、第2情報処理装置2Bが第1情報処理装置2Aに接続された状態で、セルフ検眼が開始される。しかし、セルフ検眼の進行に問題が生じた後に(S11:YES、またはS12:YES)、第2情報処理装置2Bが第1情報処理装置2Aに接続されてもよい。
In the above embodiment, the self-optometry is started with the second information processing device 2B connected to the first information processing device 2A. However, the second information processing device 2B may be connected to the first information processing device 2A after a problem occurs in the progress of self-optometry (S11: YES or S12: YES).
本実施形態のセルフ検眼補助処理(図4参照)は、遠隔地に配置された第2情報処理装置2Bに入力される指示に応じて実行される。しかし、セルフ検眼補助処理は、第1情報処理装置2Aに直接入力される指示(例えば、検者が操作部34Aを操作することで第1情報処理装置2Aに入力される指示等)に応じて実行されてもよい。つまり、自覚式検眼装置1が設置された場所にいる検者が、セルフ検眼を補助するための指示を入力してもよい。また、第1情報処理装置2Aおよび第2情報処理装置2Bのうちの両方が、セルフ検眼を補助するための指示の入力を受け付けてもよい。この場合、検者は、自覚式検眼装置1が設置された場所、および遠隔地のいずれでも、セルフ検眼を補助することが可能である。なお、セルフ検眼を補助するための指示が、第1情報処理装置2Aを介して入力される場合には、S21(図4参照)で検者を呼び出す処理は、第1情報処理装置2Aにおいて実行されてもよいし、第1情報処理装置2Aおよび第2情報処理装置2Bの両方において実行されてもよい。
The self-optometry assisting process of the present embodiment (see FIG. 4) is executed in response to an instruction input to the second information processing apparatus 2B located at a remote location. However, the self-optometry assisting process responds to an instruction directly input to the first information processing device 2A (for example, an instruction input to the first information processing device 2A by the examiner operating the operation unit 34A). It may be executed. That is, the examiner at the place where the subjective optometry device 1 is installed may input an instruction for assisting the self-optometry. Further, both the first information processing device 2A and the second information processing device 2B may accept the input of an instruction for assisting the self-optometry. In this case, the examiner can assist the self-optometry at either the place where the subjective optometry device 1 is installed or the remote place. When an instruction for assisting self-optometry is input via the first information processing device 2A, the process of calling the examiner in S21 (see FIG. 4) is executed by the first information processing device 2A. It may be executed in both the first information processing device 2A and the second information processing device 2B.
なお、図2のS5および図4のSS29において、進行手順に基づいて呈示指示信号を自覚式検眼装置1に出力する処理は、「セルフ検眼進行ステップ」の一例である。図2のS7および図4のS27で被検者からの回答を取得する処理は、「回答取得ステップ」の一例である。図2のS8および図4のS28で矯正値を記憶する処理は、「矯正値記憶ステップ」の一例である。図4に示すセルフ検眼補助処理は、「セルフ検眼補助ステップ」の一例である。図4のS31,S32で動作指示に応じて呈示指示信号を出力する処理は、「手動進行ステップ」の一例である。図4のS33,S34で矯正値を修正する処理は、「矯正値修正ステップ」の一例である。図4のS35,S36で進行手順を省略する処理は、「手順省略ステップ」の一例である。図4のS27で、検者によって入力される指示に応じて被検者の回答を取得する処理は、「代理回答取得ステップ」の一例である。図4のS39,S40でセルフ検眼を次の手順から再開させる処理は、「継続再開ステップ」の一例である。図4のS42,S43で、検者によって指定された手順からセルフ検眼を再開させる処理は、「指定再開ステップ」の一例である。図4のS33、S34でセルフ検眼を再開させる処理は、「セルフ検眼再開ステップ」の一例である。図4のS24で進行手順を表示させる処理は、「手順表示ステップ」の一例である。
In S5 of FIG. 2 and SS29 of FIG. 4, the process of outputting the presentation instruction signal to the subjective optometry device 1 based on the progress procedure is an example of the “self-optometry progress step”. The process of acquiring the response from the subject in S7 of FIG. 2 and S27 of FIG. 4 is an example of the “answer acquisition step”. The process of storing the correction value in S8 of FIG. 2 and S28 of FIG. 4 is an example of the “correction value storage step”. The self-optometry assisting process shown in FIG. 4 is an example of the “self-optometry assisting step”. The process of outputting the presentation instruction signal in response to the operation instruction in S31 and S32 of FIG. 4 is an example of the “manual progress step”. The process of correcting the correction value in S33 and S34 of FIG. 4 is an example of the “correction value correction step”. The process of omitting the progress procedure in S35 and S36 of FIG. 4 is an example of the “procedure omission step”. In S27 of FIG. 4, the process of acquiring the subject's answer in response to the instruction input by the examiner is an example of the “proxy response acquisition step”. The process of restarting the self-optometry from the next procedure in S39 and S40 of FIG. 4 is an example of the “continuous restart step”. In S42 and S43 of FIG. 4, the process of restarting the self-optometry from the procedure designated by the examiner is an example of the “designated restart step”. The process of restarting the self-optometry in S33 and S34 of FIG. 4 is an example of the “self-optometry restart step”. The process of displaying the progress procedure in S24 of FIG. 4 is an example of the “procedure display step”.
In S5 of FIG. 2 and SS29 of FIG. 4, the process of outputting the presentation instruction signal to the subjective optometry device 1 based on the progress procedure is an example of the “self-optometry progress step”. The process of acquiring the response from the subject in S7 of FIG. 2 and S27 of FIG. 4 is an example of the “answer acquisition step”. The process of storing the correction value in S8 of FIG. 2 and S28 of FIG. 4 is an example of the “correction value storage step”. The self-optometry assisting process shown in FIG. 4 is an example of the “self-optometry assisting step”. The process of outputting the presentation instruction signal in response to the operation instruction in S31 and S32 of FIG. 4 is an example of the “manual progress step”. The process of correcting the correction value in S33 and S34 of FIG. 4 is an example of the “correction value correction step”. The process of omitting the progress procedure in S35 and S36 of FIG. 4 is an example of the “procedure omission step”. In S27 of FIG. 4, the process of acquiring the subject's answer in response to the instruction input by the examiner is an example of the “proxy response acquisition step”. The process of restarting the self-optometry from the next procedure in S39 and S40 of FIG. 4 is an example of the “continuous restart step”. In S42 and S43 of FIG. 4, the process of restarting the self-optometry from the procedure designated by the examiner is an example of the “designated restart step”. The process of restarting the self-optometry in S33 and S34 of FIG. 4 is an example of the “self-optometry restart step”. The process of displaying the progress procedure in S24 of FIG. 4 is an example of the “procedure display step”.
Claims (12)
- 被検眼に呈示される視標光束の光学特性を変化させる矯正光学系と、被検眼に視標を呈示する視標呈示部を有し、被検眼の光学特性を自覚的に測定するために使用される自覚式検眼装置と、
前記自覚式検眼装置に接続される第1情報処理装置と、
を備えた自覚式検眼システムの前記第1情報処理装置によって実行される検眼制御プログラムであって、
被検者によって入力された回答に基づいて検眼を自動的に進行させるアプリケーションを実現するための、セルフ検眼アプリケーションプログラムを含み、
前記セルフ検眼アプリケーションプログラムが前記第1情報処理装置の前記制御部によって実行されることで、
少なくとも、自動的に進行されるセルフ検眼の進行手順に基づいて、被検者への視標の呈示動作を指示する呈示指示信号を前記自覚式検眼装置に出力するセルフ検眼進行ステップと、
呈示された視標を視認した被検者によって入力される回答を取得する回答取得ステップと、
前記回答取得ステップにおいて取得された回答と、回答取得時に前記自覚式検眼装置によって呈示されていた視標および視標光束の光学特性とに基づいて取得される、前記被検眼の光学特性の矯正値を記憶する矯正値記憶ステップと、
前記セルフ検眼の進行に問題が生じた場合に、前記セルフ検眼の進行を補助するための補助動作を実行するセルフ検眼補助ステップと、
が前記第1情報処理装置によって実行されることを特徴とする検眼制御プログラム。 It has a correction optical system that changes the optical characteristics of the luminous flux presented to the eye to be inspected, and an optotype presenting unit that presents the optotype to the eye to be inspected, and is used to subjectively measure the optical characteristics of the eye to be inspected. With a subjective optometry device
The first information processing device connected to the subjective optometry device and
It is an optometry control program executed by the first information processing apparatus of the subjective optometry system provided with the above.
Includes a self-optometry application program to implement an application that automatically advances optometry based on the answers entered by the subject.
The self-optometry application program is executed by the control unit of the first information processing apparatus.
At least, a self-optometry progress step that outputs a presentation instruction signal instructing the subject to present the optotype to the subject to the subjective optometry device based on the self-optometry progress procedure that is automatically progressed.
The answer acquisition step to acquire the answer input by the subject who visually recognized the presented optotype, and the answer acquisition step.
The correction value of the optical characteristics of the eye to be inspected, which is acquired based on the answer acquired in the answer acquisition step and the optical characteristics of the optotype and the optotype luminous flux presented by the subjective eye examination device at the time of answer acquisition. And the correction value memory step to memorize
A self-optometry assisting step that executes an assisting operation to assist the progress of the self-optometry when a problem occurs in the progress of the self-optometry.
Is an optometry control program, characterized in that is executed by the first information processing apparatus. - 請求項1に記載の検眼制御プログラムであって、
前記セルフ検眼補助ステップでは、実行されている前記セルフ検眼の状況が所定の条件を満たした場合、または、前記補助動作の実行指示が入力された場合に、前記セルフ検眼の進行を補助するための補助動作が実行されることを特徴とする検眼制御プログラム。 The optometry control program according to claim 1.
In the self-optometry assisting step, when the situation of the self-optometry being executed meets a predetermined condition, or when an execution instruction of the assisting operation is input, the self-optometry is assisted in the progress of the self-optometry. An optometry control program characterized by the execution of auxiliary movements. - 請求項1または2に記載の検眼制御プログラムであって、
前記セルフ検眼補助ステップにおいて実行される前記補助動作には、検者を呼び出す呼び出し動作が含まれることを特徴とする検眼制御プログラム。 The optometry control program according to claim 1 or 2.
The optometry control program, characterized in that the auxiliary operation executed in the self-optometry assisting step includes a calling operation for calling an examiner. - 請求項1から3のいずれかに記載の検眼制御プログラムであって、
前記セルフ検眼補助ステップは、
前記進行手順の少なくとも一部を進行させるための前記呈示指示信号を、検者によって入力される指示に応じて前記自覚式検眼装置に出力する手動進行ステップを含むことを特徴とする検眼制御プログラム。 The optometry control program according to any one of claims 1 to 3.
The self-optometry assisting step is
An optometry control program comprising a manual progress step of outputting the presentation instruction signal for advancing at least a part of the progress procedure to the subjective optometry device in response to an instruction input by an examiner. - 請求項1から4のいずれかに記載の検眼制御プログラムであって、
前記セルフ検眼補助ステップは、
前記セルフ検眼によって記憶された1つまたは複数の矯正値の少なくともいずれかを、検者によって入力される指示に応じて修正する矯正値修正ステップを含むことを特徴とする検眼制御プログラム。 The optometry control program according to any one of claims 1 to 4.
The self-optometry assisting step is
An optometry control program comprising a correction value correction step that corrects at least one or more of the correction values stored by the self-optometry according to an instruction input by the examiner. - 請求項1から5のいずれかに記載の検眼制御プログラムであって、
前記セルフ検眼補助ステップは、
前記進行手順の少なくとも一部を、検者によって入力される指示に応じて省略する手順省略ステップを含むことを特徴とする検眼制御プログラム。 The optometry control program according to any one of claims 1 to 5.
The self-optometry assisting step is
An optometry control program comprising a procedure omission step in which at least a part of the progress procedure is omitted according to an instruction input by an examiner. - 請求項1から6のいずれかに記載の検眼制御プログラムであって、
前記セルフ検眼補助ステップは、
前記セルフ検眼進行ステップによって被検者に視標が前記進行手順に従って呈示された際に、呈示された前記視標を視認した被検者の回答を、前記検者によって入力される指示に応じて取得する代理回答取得ステップを含むことを特徴とする検眼制御プログラム。 The optometry control program according to any one of claims 1 to 6.
The self-optometry assisting step is
When the target is presented to the subject by the self-optometry progress step according to the progress procedure, the subject's answer that visually recognizes the presented target is given according to the instruction input by the examiner. An optometry control program comprising an acquisition step of a proxy response to be acquired. - 請求項1から7のいずれかに記載の検眼制御プログラムであって、
前記セルフ検眼補助ステップは、
前記進行手順のうち、既に検眼が完了した手順の次の手順から、一旦停止された前記セルフ検眼を再開させる継続再開ステップを含むことを特徴とする検眼制御プログラム。 The optometry control program according to any one of claims 1 to 7.
The self-optometry assisting step is
An optometry control program comprising: a continuous resumption step of resuming the self-examination once stopped from the procedure following the procedure in which the optometry has already been completed. - 請求項1から8のいずれかに記載の検眼制御プログラムであって、
前記セルフ検眼補助ステップは、
前記進行手順のうち、検者によって指定された手順から、一旦停止された前記セルフ検眼を再開させる指定再開ステップを含むことを特徴とする検眼制御プログラム。 The optometry control program according to any one of claims 1 to 8.
The self-optometry assisting step is
An optometry control program comprising a designated resumption step of resuming the self-examination once stopped from a procedure designated by the examiner among the progress procedures. - 請求項9に記載の検眼制御プログラムであって、
前記セルフ検眼補助ステップは、
前記進行手順を表示装置に表示させる手順表示ステップを含み、
前記指定再開ステップでは、前記表示装置によって表示された前記進行手順上で、前記セルフ検眼を再開させる手順の指定指示の入力が受け付けられることを特徴とする検眼制御プログラム。 The optometry control program according to claim 9.
The self-optometry assisting step is
A procedure display step for displaying the progress procedure on a display device is included.
In the designated resumption step, an optometry control program is characterized in that an input of a designation instruction for a procedure for resuming the self-optometry is accepted on the progress procedure displayed by the display device. - 請求項1から10のいずれかに記載の検眼制御プログラムであって、
前記セルフ検眼補助ステップが、前記第1情報処理装置に対してネットワークを介して接続された他の情報処理装置である第2情報処理装置に入力される指示に応じて実行されることを特徴とする検眼制御プログラム。 The optometry control program according to any one of claims 1 to 10.
The self-eye examination assist step is executed in response to an instruction input to a second information processing device, which is another information processing device connected to the first information processing device via a network. Information processing control program. - 被検眼に呈示される視標光束の光学特性を変化させる矯正光学系と、被検眼に視標を呈示する視標呈示部を有し、被検眼の光学特性を自覚的に測定するために使用される自覚式検眼装置と、
前記自覚式検眼装置に接続される第1情報処理装置と、
を備えた自覚式検眼システムであって、
前記第1情報処理装置は、
被検者によって入力された回答に基づいて検眼を自動的に進行させるセルフ検眼アプリケーションを有し、
前記セルフ検眼アプリケーションは、
少なくとも、自動的に進行されるセルフ検眼の進行手順に基づいて、被検者への視標の呈示動作を指示する呈示指示信号を前記自覚式検眼装置に出力するセルフ検眼進行ステップと、
呈示された視標を視認した被検者によって入力される回答を取得する回答取得ステップと、
前記回答取得ステップにおいて取得された回答と、回答取得時に前記自覚式検眼装置によって呈示されていた視標および視標光束の光学特性とに基づいて取得される、前記被検眼の光学特性の矯正値を記憶する矯正値記憶ステップと、
前記セルフ検眼の進行に問題が生じた場合に、前記セルフ検眼の進行を補助するための補助動作を実行するセルフ検眼補助ステップと、
を実行することを特徴とする自覚式検眼システム。
It has a correction optical system that changes the optical characteristics of the luminous flux presented to the eye to be inspected, and an optotype presenting unit that presents the optotype to the eye to be inspected, and is used to subjectively measure the optical characteristics of the eye to be inspected. With a subjective optometry device
The first information processing device connected to the subjective optometry device and
It is a subjective optometry system equipped with
The first information processing device is
It has a self-optometry application that automatically advances optometry based on the answers entered by the subject.
The self-optometry application
At least, a self-optometry progress step that outputs a presentation instruction signal instructing the subject to present the optotype to the subject to the subjective optometry device based on the self-optometry progress procedure that is automatically progressed.
The answer acquisition step to acquire the answer input by the subject who visually recognized the presented optotype, and the answer acquisition step.
The correction value of the optical characteristics of the eye to be inspected, which is acquired based on the answer acquired in the answer acquisition step and the optical characteristics of the optotype and the optotype luminous flux presented by the subjective eye examination device at the time of answer acquisition. And the correction value memory step to memorize
A self-optometry assisting step that executes an assisting operation to assist the progress of the self-optometry when a problem occurs in the progress of the self-optometry.
A subjective optometry system characterized by performing.
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