WO2022107722A1 - 検眼制御プログラム及び自覚式検眼システム - Google Patents

検眼制御プログラム及び自覚式検眼システム Download PDF

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Publication number
WO2022107722A1
WO2022107722A1 PCT/JP2021/041922 JP2021041922W WO2022107722A1 WO 2022107722 A1 WO2022107722 A1 WO 2022107722A1 JP 2021041922 W JP2021041922 W JP 2021041922W WO 2022107722 A1 WO2022107722 A1 WO 2022107722A1
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WO
WIPO (PCT)
Prior art keywords
optometry
self
input
information processing
execution instruction
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2021/041922
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English (en)
French (fr)
Japanese (ja)
Inventor
尋久 寺部
妙子 堀野
有彩 島崎
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Nidek Co Ltd
Original Assignee
Nidek Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from PCT/JP2021/037111 external-priority patent/WO2022107477A1/ja
Application filed by Nidek Co Ltd filed Critical Nidek Co Ltd
Priority to EP21894596.2A priority Critical patent/EP4248839A4/en
Priority to KR1020237016337A priority patent/KR20230109632A/ko
Priority to CN202180077926.9A priority patent/CN116615133A/zh
Priority to JP2022563742A priority patent/JP7623603B2/ja
Publication of WO2022107722A1 publication Critical patent/WO2022107722A1/ja
Priority to US18/319,372 priority patent/US20230284896A1/en
Anticipated expiration legal-status Critical
Priority to JP2025002083A priority patent/JP7803442B2/ja
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/02—Subjective types, i.e. testing apparatus requiring the active assistance of the patient
    • A61B3/028—Subjective types, i.e. testing apparatus requiring the active assistance of the patient for testing visual acuity; for determination of refraction, e.g. phoropters
    • A61B3/032—Devices for presenting test symbols or characters, e.g. test chart projectors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/0016—Operational features thereof
    • A61B3/0033—Operational features thereof characterised by user input arrangements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/0091—Fixation targets for viewing direction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/02—Subjective types, i.e. testing apparatus requiring the active assistance of the patient
    • A61B3/028—Subjective types, i.e. testing apparatus requiring the active assistance of the patient for testing visual acuity; for determination of refraction, e.g. phoropters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/02—Subjective types, i.e. testing apparatus requiring the active assistance of the patient
    • A61B3/028—Subjective types, i.e. testing apparatus requiring the active assistance of the patient for testing visual acuity; for determination of refraction, e.g. phoropters
    • A61B3/036—Subjective types, i.e. testing apparatus requiring the active assistance of the patient for testing visual acuity; for determination of refraction, e.g. phoropters for testing astigmatism
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/0016—Operational features thereof
    • A61B3/0025—Operational features thereof characterised by electronic signal processing, e.g. eye models
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/0016—Operational features thereof
    • A61B3/0041—Operational features thereof characterised by display arrangements

Definitions

  • a self-optometry progression step that controls the orthodontic optical system and the optotype presenter to perform a plurality of test items, at least based on an automatically progressive procedure of self-optometry.
  • the answer acquisition step to acquire the answer input by the subject who visually recognized the presented optotype, and the answer acquisition step.
  • 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 executed by the first information processing apparatus.
  • 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 is possible to run a self-optometry program that automatically advances the optometry based on the answers entered by the subject.
  • the self-optometry program is executed by the control unit of the first information processing apparatus, 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 apparatus. ..
  • 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 to assist the progress of self-optometry is incorporated in the function of the self-optometry program. Therefore, for example, while the self-optometry program is being executed, at least one of the assistive actions of the self-optometry by the advice from the examiner is executed. Therefore, the subjective optometry is appropriately performed while the burden on the examiner is reduced.
  • 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 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.
  • 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 examination timing at the start of the auxiliary operation is used as the examination start time point at which the auxiliary operation is started in the optometry progress procedure (inspection flow).
  • the examiner can smoothly assist the examinee in the troubled inspection item, so that the examinee can effectively assist the examinee in the self-inspection.
  • the input of the execution instruction of the auxiliary operation in addition to the call execution instruction, for example, the input of the pause instruction for stopping the progress of the self-optometry and executing the auxiliary operation may be used.
  • the execution instruction of the auxiliary operation may be input by, for example, the subject or the examiner.
  • the self-optometry assist step when the execution instruction of the assisted operation is input, the response from the subject may be restricted and the restriction on the operation input of the examiner controller may be released. ..
  • the self-optometry assist step when the execution instruction of the assisted operation is input, the response from the subject may be restricted and the restriction on the operation input of the examiner controller may be released. ..
  • the second control is selected and the call is executed.
  • the first control may be selected as long as it is the end of the inspection in the inspection item at the time the instruction is entered. In this case, if it is a one-eye examination, the device may be set only for the measuring eye. Further, the control is not limited to the above-mentioned proper use, and the control desired by the examiner may be appropriately selected.
  • 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 self-optometry assist step for example, by setting the inspection timing at the time of starting the auxiliary operation so that the auxiliary operation can be started with the inspection item at the time when the call execution instruction is input, the person is at a remote location.
  • 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 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 the subject operating the dedicated operation unit (controller for the subject) 34A suitable for inputting the answer of the subjective optometry.
  • 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 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 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 CPU 21A stops the progress of the inspection in the inspection item at the time when the call execution instruction is input, for example.
  • the CPU 21A may not accept the response from the subject from the time when the call execution instruction is input, and may not switch to the next correction value and optotype based on the self-optometry program. ..
  • the inspection state for example, the correction value and the optotype
  • the test proceeds without solving the problem that occurred during the self-optometry, and the possibility that an erroneous test result is obtained can be avoided in advance.
  • the burden on the subject can be reduced, and the examiner can concentrate on the inspection when assisting.
  • the CPU 21A stops the progress of the self-optometry at the time when the call execution instruction is input, so that the inspection item at the time when the call execution instruction is input is maintained.
  • the CPU 21A can set the inspection timing for the inspection item at the time when the call execution instruction is input.
  • the examiner can easily select the inspection item at the time when the call execution instruction is input as the inspection item for assisting the optometry by using the discrimination display regarding the inspection item at the time when the call execution instruction is input. You can choose.
  • the inspection timing is set for the inspection item at the time when the call execution instruction is input.
  • the CPU 21A executes the call stored in the storage device 22A when the subject is assisted based on the operation signal from the examiner controller. Based on the inspection item at the time of inputting the instruction, the inspection timing may be automatically set for the inspection item at the time when the call execution instruction is input.
  • the input of the answer by the subject from the controller for the subject is restricted, but the input is not limited to this, and when the examiner assists the eye examination.
  • the input restriction of the answer by the subject from the controller for the examinee may be released.
  • the examiner can train the subject on the answer input method, confirm the suitability of the answer input, and then restart the suspended self-optometry.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Ophthalmology & Optometry (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • General Business, Economics & Management (AREA)
  • Business, Economics & Management (AREA)
  • Pathology (AREA)
  • Signal Processing (AREA)
  • Eye Examination Apparatus (AREA)
PCT/JP2021/041922 2020-11-20 2021-11-15 検眼制御プログラム及び自覚式検眼システム Ceased WO2022107722A1 (ja)

Priority Applications (6)

Application Number Priority Date Filing Date Title
EP21894596.2A EP4248839A4 (en) 2020-11-20 2021-11-15 Optometry control program and subjective optometry system
KR1020237016337A KR20230109632A (ko) 2020-11-20 2021-11-15 검안 제어 프로그램 및 자각식 검안 시스템
CN202180077926.9A CN116615133A (zh) 2020-11-20 2021-11-15 验光控制程序以及主觉式验光系统
JP2022563742A JP7623603B2 (ja) 2020-11-20 2021-11-15 検眼制御プログラム及び自覚式検眼システム
US18/319,372 US20230284896A1 (en) 2020-11-20 2023-05-17 Storage medium storing optometry control program and subjective optometry system
JP2025002083A JP7803442B2 (ja) 2020-11-20 2025-01-07 検眼制御プログラム及び自覚式検眼システム

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
JP2020193730 2020-11-20
JP2020-193730 2020-11-20
JP2020201880 2020-12-04
JP2020-201880 2020-12-04
PCT/JP2021/037111 WO2022107477A1 (ja) 2020-11-20 2021-10-07 検眼制御プログラムおよび自覚式検眼システム
JPPCT/JP2021/037111 2021-10-07

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US18/319,372 Continuation US20230284896A1 (en) 2020-11-20 2023-05-17 Storage medium storing optometry control program and subjective optometry system

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WO2022107722A1 true WO2022107722A1 (ja) 2022-05-27

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US (2) US20230284895A1 (https=)
EP (2) EP4248838A4 (https=)
JP (2) JP7623603B2 (https=)
KR (1) KR20230109632A (https=)
WO (1) WO2022107722A1 (https=)

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Publication number Priority date Publication date Assignee Title
WO2024209606A1 (ja) 2023-04-05 2024-10-10 三菱電機株式会社 転がり軸受および転がり軸受の診断装置

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH06189913A (ja) * 1992-12-24 1994-07-12 Canon Inc 眼底カメラ
JP2008054928A (ja) * 2006-08-31 2008-03-13 Nidek Co Ltd 眼底撮影装置
JP2017143992A (ja) * 2016-02-16 2017-08-24 株式会社トプコン 眼科検査システム及び眼科検査装置
JP2019062978A (ja) * 2017-09-28 2019-04-25 株式会社トプコン 検眼装置、方法およびプログラム
JP2020018712A (ja) 2018-08-02 2020-02-06 株式会社ニデック 自覚式検眼装置

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3939063B2 (ja) 2000-01-31 2007-06-27 株式会社ニデック 遮眼具
JP3423943B1 (ja) * 2001-12-10 2003-07-07 有限会社エコー総合企画 店舗用遠隔呼出システム
US9760684B2 (en) * 2012-11-12 2017-09-12 Koninklijke Philips N.V. Caregiver centric and acuity adapting multi-patient system
JP6869032B2 (ja) * 2017-01-11 2021-05-12 株式会社トプコン 眼科検査システム
JP2020156848A (ja) * 2019-03-27 2020-10-01 ダイコク電機株式会社 遊技場用管理システム及び携帯端末

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH06189913A (ja) * 1992-12-24 1994-07-12 Canon Inc 眼底カメラ
JP2008054928A (ja) * 2006-08-31 2008-03-13 Nidek Co Ltd 眼底撮影装置
JP2017143992A (ja) * 2016-02-16 2017-08-24 株式会社トプコン 眼科検査システム及び眼科検査装置
JP2019062978A (ja) * 2017-09-28 2019-04-25 株式会社トプコン 検眼装置、方法およびプログラム
JP2020018712A (ja) 2018-08-02 2020-02-06 株式会社ニデック 自覚式検眼装置

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP4248839A4

Also Published As

Publication number Publication date
KR20230109632A (ko) 2023-07-20
EP4248839A4 (en) 2024-11-06
JP7803442B2 (ja) 2026-01-21
EP4248838A4 (en) 2024-09-04
EP4248839A1 (en) 2023-09-27
EP4248838A1 (en) 2023-09-27
US20230284895A1 (en) 2023-09-14
US20230284896A1 (en) 2023-09-14
JP2025061055A (ja) 2025-04-10
JPWO2022107722A1 (https=) 2022-05-27
JP7623603B2 (ja) 2025-01-29

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