Logarithmically Incremented Magnifiers for Low Vision Rehabilitation
20220221737 · 2022-07-14
Inventors
Cpc classification
A61B3/032
HUMAN NECESSITIES
G02C7/022
PHYSICS
International classification
Abstract
A method is presented that includes providing a set of spectacle magnifiers, each magnifier in the set having a different corresponding diopter value, the magnifiers together providing a sequence of evenly incremented diopter values. The set further includes a magnifier having a lowest value (MAG.sub.0), a magnifier having a highest value (MAG.sub.N), and one or more magnifiers having values between those of MAG.sub.0 and MAG.sub.N. In one or more embodiments, the diopter value increment between any two successive magnifiers of the set is equal to K(0.1) log, where K is an integer>0 or a fraction whose denominator is an integer>0. In one or more embodiments, one or more elements of the set are packaged for sale. In some embodiments, a set of optical, telescopic, or electronic magnification devices may be provided, the set including one or more devices configured to provide non-rectilinear magnification.
Claims
1. A method, comprising: providing a set of visual enlargement devices, each visual enlargement device having a different corresponding diopter value, the visual enlargement devices having a sequence of evenly incremented diopter or other enlargement metric values, wherein the set includes a visual enlargement device having a lowest value (MAG.sub.0), a visual enlargement device having a highest value (MAG.sub.N) and one or more visual enlargement devices having in between values, wherein the diopter or other enlargement metric value increment between any two successive visual enlargement devices of the set is equal to K(0.1) log, where K is an integer>0 or a fraction whose denominator is an integer>0.
2. The method of claim 1, wherein the visual enlargement device is a spectacle magnifier, and wherein the diopter value of MAG.sub.0 is +5.0 D, and wherein the diopter value of MAG.sub.N is +50.0 D.
3. (canceled)
4. The method of claim 1, wherein the visual enlargement device is a spectacle magnifier, K=1, and there are nine magnifiers with values in between.
5. The method of claim 1, wherein the visual enlargement device is a spectacle magnifier, and further comprising at least one of: labelling the magnifiers of the set in diopters of equivalent power; labelling the magnifiers of the set in log of equivalent power; labelling the magnifiers of the set in both diopters of equivalent power and log of diopters of equivalent power; and not labelling the magnifiers of the set in X power.
6-7. (canceled)
8. The method of claim 1, wherein the visual enlargement device is a spectacle magnifier, and further comprising at least one of: providing one or more of the set of magnifiers with an LED for illumination; providing one or more of the set of magnifiers with an LED for illumination, wherein the LED may have one of a set of pre-defined color temperatures; and providing each magnifier of a subset of the set of magnifiers with two LEDs for illumination, each LED having a different color temperature.
10-11. (canceled)
12. A set of handheld magnifiers, comprising: three or more magnifiers, each magnifier having a different corresponding diopter value, the magnifiers in the set having a sequence of evenly log-incremented diopter values, wherein the set includes: a magnifier having a lowest value (MAG.sub.0), a magnifier having a highest value (MAG.sub.N), and one or more magnifiers having in between values, and wherein the diopter value increment between any two successive magnifiers of the set is equal to K(0.1) log, where K is an integer>0 or a fraction whose denominator is an integer>0.
13. The set of claim 12, wherein at least one of: one or more of the magnifiers of the set includes a comfortable grip; one or more of the magnifiers of the set includes an LED for illumination; one or more of the magnifiers of the set includes an LED for illumination, wherein the LED may have one of a set of pre-defined color temperatures; one or more of the magnifiers of the set includes a rectangular lens and a handle; or one or more of the magnifiers of the set includes a rectangular lens and a handle, connected with an angled connection.
14-16. (canceled)
17. The set of claim 12, wherein one or more of the magnifiers of the set includes two LEDs for illumination, each LED having a different color temperature.
18. A set of stand magnifiers, comprising: three or more magnifiers, each magnifier having a different corresponding enlargement ratio, the magnifiers in the set having a progression of enlargement ratio values, wherein the set includes: a magnifier having a lowest value (MAG.sub.0), a magnifier having a highest value (MAG.sub.N), and one or more magnifiers having in between values, wherein the log-increment between any two successive magnifiers of the set is equal to K(0.1) log of enlargement ratio, where K is an integer>0 or a fraction whose denominator is an integer>0.
19. The set of claim 18, wherein at least one of: the value of MAG.sub.0 is +2.0X; the value of MAG.sub.N is +16.0X; or the lowest value is 1.6X, the highest value is 16.0X, and there are nine magnifiers with values in between.
20-21. (canceled)
22. The set of claim 18, wherein at least one of: the magnifiers of the set are labeled as to enlargement ratio; the magnifiers of the set are labeled as to log of enlargement ratio; the magnifiers of the set are labeled as to both enlargement ratio and log of enlargement ratio; or the magnifiers of the set are provided with a comfortable grip.
23-25. (canceled)
26. The set of claim 18, wherein at least one of: one or more of the magnifiers of the set are provided with an LED for illumination; one or more of the magnifiers of the set are provided with an LED for illumination and each provided LED may have one of a set of pre-defined color temperatures; or each magnifier of a subset of the set of magnifiers is provided with two LEDs for illumination, each LED having a different color temperature.
27-29. (canceled)
30. The method of claim 1, wherein the set of visual enlargement devices comprises a set of telescopes or telemicroscopes, and wherein the set includes: a first telescope or telemicroscope with an enlargement ratio value of 1.6X (log=0.30); a final telescope or telemicroscope with an enlargement ratio value of 16X (log=1.20); and eight interim telescopes or telemicroscopes have enlargement ratios of 2.5, 3.2, 4.0, 5.0, 6.3, 8.0, 10.0 and 12.5.
31. The method of claim 30, further comprising at least one of: labelling each element of the set with both an enlargement ratio and an image distance; or labelling each element of the set with both an enlargement ratio and an image distance and providing the image distance in centimeters.
32. (canceled)
33. The method of claim 1, wherein the set of visual enlargement devices comprises a set of telescopes or telemicroscopes and the enlargement metric an image distance, and wherein the elements of the set together provide a progression of image distances, such that the image distances increase incrementally along with log of enlargement ratio.
34. The method of claim 33, wherein the image distance of each element of the set is 33 cm or less.
35-36. (canceled)
37. The method of claim 1, further comprising packaging one or more elements of the set for sale.
38. The method of claim 18, further comprising packaging one or more elements of the set for sale.
39. The method of claim 30, further comprising packaging one or more elements of the set for sale.
40. (canceled)
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0020]
[0021]
[0022]
[0023]
[0024]
[0025]
[0026]
[0027]
[0028]
[0029]
DETAILED DESCRIPTION
[0030] In one or more embodiments, a set of magnifiers having a systematic progression of magnification powers from lowest to highest magnification is presented.
[0031] In one or more embodiments, such a set of magnifiers may be offered as a product line of spectacle and/or hand magnifiers. The product line includes a set of at least three magnifiers, each magnifier having a different corresponding diopter value, the magnifiers having a sequence of evenly incremented diopter values. The set includes a magnifier having a lowest value (MAG.sub.0), a magnifier having a highest value (MAG.sub.N), and one or more magnifiers having values between those of MAG.sub.0 and MAG.sub.N. In one or more embodiments, the diopter value increment between any two successive magnifiers of the set is equal to K(0.1) log, where K is an integer>0.
[0032] For clarity, a Diopter is a unit of measurement of the optical power of a lens, which is equal to the reciprocal of the focal length measured in meters. It is thus a unit of reciprocal length. For example, a 3 Diopter lens brings parallel rays of light to focus at ⅓ meter (33.33 cm). Similarly, a 10 Diopter lens brings parallel rays of light to focus at 1/10 meter (10 cm).
[0033] Additionally, as used herein, including in the claims, the term “enlargement ratio” refers to the size of a viewed magnified image of an object compared to the actual size of the object being magnified.
[0034] As an example to illustrate the ambiguities in conventionally available magnifiers, in the product line of a large international manufacturer of stand magnifiers, products that are labeled “4X” and “5X” have virtually the same enlargement ratio, as do those labeled as “10.75X” and “13X.” Moreover, the magnifier labeled “8X” has an actual enlargement ratio about 14% less than that of the one labeled “7X”. These facts are presented in
[0035] Given these systemic ambiguities, low vision treatment is the only field of medical optical prescribing where the prescribing professional must either measure the devices for himself or herself, or depend on a third party to do so. Further, it is believed that only one of the large international manufacturers of hand and stand magnifiers makes technical information readily available to vision rehabilitation professionals for their products. The other manufacturers simply leave a prescribing professional in the dark. Thus, as noted above, a better set of magnification devices is needed.
[0036] Described below are example sets of magnifiers, in accordance with one or more embodiments. These sets of magnifiers generally fall into two types, namely hand held magnifiers, and stand magnifiers. In what follows, these are described one at a time.
[0037] In one or more embodiments, a set of handheld magnifiers may be provided. Specifications for such an exemplary set are illustrated in
[0038] With reference to
[0039] The example set of magnifiers together includes a logarithmic progression of powers in diopters of equivalent power (EP) (as opposed to front or back vertex power). For example, as shown, the example set begins with a +5.0 D (log=0.7) magnifier, increases in 0.1 log steps, and ends with a 50 D (log (EP)=1.7) magnifier. In
[0040] In one or more embodiments, the set of magnifiers may be accurately labeled in diopters of equivalent power. It is noted that handheld magnifiers should not be labeled in “X” power, as the formulas for converting from D to X are arbitrary for D/4 and meaningless, especially with D/4+1. This is because the D/4 formula predicts the magnification compared to an arbitrary reference distance of 25 cm, but patients with low vision use a very wide variety of reading and working distances. Thus, comparing magnification to a viewing distance of 25 cm is neither helpful nor relevant for the vast majority of patients. The D/4+1 formula is an effort by manufacturers to imply that their magnifiers magnify more than they do for the arbitrary reference distance of 25 cm. Because manufacturers would not be able to sell many +4.00 D magnifiers that are labeled as “1X” (using the D/4 formula), using the D/4+1 formula allows them to market their +4.00 D magnifiers as “2X”.
[0041] In one or more embodiments, the magnifiers may be provided with at least one LED for illumination. In some embodiments, at least two color temperatures of LED illumination in a set may be provided. These may be provided in different models, for example, one LED per model, or, for example, within the same model, there may be multiple LEDs. In one or more embodiments the LEDs may be replaceable.
[0042] In one or more embodiments, the set of magnifiers may be provided with better ergonomic features, so as to make them both more efficient as well as comfortable to use. For example, one or more of the following may be provided: comfortable grip, angled lens-to-handle connection for rectangular lens shapes, options for short or long lanyards for wrist or neck support for carrying, rechargeable batteries.
[0043] In one or more embodiments, a set of stand magnifiers may be provided. Such an exemplary set is illustrated in
[0044] With reference to
[0045]
[0046] In one or more embodiments, the set of stand magnifiers is accurately labeled with enlargement ratio, as well as image distance in centimeters. It is noted that labeling in D by itself is not helpful, as the height of the stand also affects the magnification.
[0047] In one or more embodiments, within the set, image distance increases incrementally along with enlargement ratio, as shown in
[0048] In one or more embodiments, the set of magnifiers may be provided with better ergonomic features, so as to make them both more efficient as well as comfortable to use. For example, one or more of the following may be provided: comfortable grip, angled lens to reduce a user having to lean forward to achiever a nearly perpendicular view through the lens, rechargeable batteries, and options for at least two color temperatures of LED illumination, either in different models, or within the same model, which could include replaceable LEDs or more than one LED in the same device.
[0049]
[0050] Continuing with reference to
[0051]
[0052]
[0053] In one or more embodiments, a given image may be intentionally warped so as to squeeze more characters on the screen (or within a given lens window's field of view). This process is similar to what is done with anamorphic lenses to fit widescreen footage onto square frame film, which is usually indicated by an informational blurb that says “The following text has been modified from its original version. It has been formatted to fit this screen.” In one or more embodiments, for example, this “formatting” could be done on the same log10 magnification scale described herein. Thus, if an electronic device were used, it could ratchet from a square frame to 0.10 or 0.20 log steps more of magnification in one direction relative to the magnification in another direction. For example, there could be greater magnification in a vertical direction than in a horizontal direction, for example, or vice versa. It is noted that this could actually occur between any two directions, and may, for example, be user programmable, in whole or in part, depending upon the types of images that are being displayed. In this disclosure, such greater/lesser magnification in one direction relative to another direction (usually orthogonal, but not limited to be) is termed as “non-rectilinear”, and may, for example, encompass fish eye or other types of image squeezing beyond bi-axial. In one or more embodiments, the non-rectilinear magnification may be applied in 0.10 log10 proportional amounts. IN other embodiments, different increments may be used.
[0054] Thus, for example, alternatively, a series of magnifiers may be provided with a fixed 0.20 log10 of non-rectilinear magnification, where each device is 0.10 log10 stronger than the previous.
[0055] In one or more embodiments, for example, an electronic device that has an image enhancement mode may be provided where the user may toggle the amount of smearing of the image so as to reduce the amount of text scrolling necessary. In such examples, there is a trade-off between the amount of smearing tolerated and the quantity of text that can be displayed on the screen at a time.
[0056] Thus, in one or more embodiments, a set of optical, telescopic, or electronic magnification devices is provided. The set includes one or more devices configured to provide non-rectilinear magnification to give the user a wider field of view and/or reduced contour interaction. The non-rectilinear magnification can be applied using 0.10 log10 increments to tailor the amount of image formatting as desired. These devices maintain a logarithmic progression of magnification values. The set further includes a lowest magnification value, a highest magnification value, and one or more in between magnification values, wherein the log-increment between any two successive magnification values of the set is equal to K(0.10) log, where K is an integer>0 or a fraction whose denominator is an integer>0.
[0057] In one or more embodiments, one or more non-rectilinear magnifiers of the set may be packaged and sold (or be included as an image enhancement feature of an electronic magnifier).
[0058] Illustrating this is the example shown in
[0059] In one or more embodiments, sets of magnifiers may be provided, where the magnifiers are presented in a pre-defined increment of the log of equivalent power or of enlargement ratio. For example, there may be a set of hand held magnifiers having equivalent powers selected from those shown in
[0060] Similarly, for example, in some embodiments, a set of stand magnifiers may be provided, with, for example, powers of enlargement ratio selected from those shown in
[0061]
[0062] At the bottom of each of
[0063] It is convenient to compare the logs of indicated power as shown in
[0064] With reference to
[0065] Finally, with reference to
[0066] As may be appreciated from
[0067]
[0068]
[0069] In
[0070] Similarly,
[0071] Finally,
[0072] Alternatively, the large white E 527 at the far left may also represent an image magnified by a 5X telescopic device with a 2 Diopter cap for viewing an object at 50 cm. It is noted that all of these scenarios result in the same angular size as the original letter directly viewed from 10D (10 cm) because (1×10 Diopters)=(3.2×3.125 Diopters)=(5×2 Diopters)=10 Diopters (10D).
[0073] It is noted that sets of magnifiers according to one or more embodiments offer numerous advantages over any magnifier, or set of magnifiers, now available. These advantages are next described.
[0074] In one or more embodiments, the magnifiers in an example set progress in rational logarithmic increments. It is here noted that a corollary of this occurred in visual acuity testing charts, which have been revolutionized over the last three decades by a logMAR (the log of the minimal angle of resolution) progression of optotype sizes. This has set new clinical standards and, if visual acuity is important to a given research project, publication without use of a logMAR chart is now nearly impossible. Eye care professionals understand logarithmic progression and its scientific merit.
[0075] By matching the magnifier power increments of 0.10 log to the same 0.10 logMAR increments that are used in modern visual acuity and reading performance charts, such as, for example, the MNRead and SK Read, in one or more embodiments, an example set of magnifiers may directly correlate to magnification prediction. Thus, for each line of visual acuity or critical print size reduction documented in a given patient's evaluation, one step of magnification increase would be required. This serves to simplify professional prescribing considerably.
[0076] It is even possible to directly align predicted equivalent viewing power with the visual acuity row on the eyechart (if a 2X functional magnification reserve is assumed). For clarity, 1M print=1 Diopter (1 meter) viewing distance for a 20/20 patient. A 2X reserve is a 2D viewing distance (½ a meter) for the same person, which is more comfortable as it only requires 20/40 acuity to view. As regards hand held magnifiers and visual acuity, if using a 2X reserve is desired (as is recommended in at least four clinical studies), a person with 20/100 vision would require a 10 D add or hand held magnifier used at its focal point to read 1.0M text (again, with a 2X reserve). One step worse is 20/125, which predicts a 12.5 D. Another step worse, 20/160, requires a 16 D lens, etc. Thus, the visual acuity denominator decimal point may be moved one space to the left to provide the predicted dioptric power, a very easy mathematical manipulation.
[0077] In one or more embodiments, prescribing is facilitated by working in the same log units for a modern visual acuity chart, 2X functional reserve, and dioptric power of the magnifier lenses. If a 2X functional reserve is assumed, patient's recommended equivalent dioptric power is always 0.3 log steps above their visual acuity, as the log(2)=0.30. Therefore, a patient with 20/100 visual acuity (logMAR 0.70) would be presented with a 10D (logMAG 1.0) lens. The prescriber could arrive at this lens working entirely in log units: 0.70 log visual acuity+0.30 log functional reserve=1.0 log lens power.
[0078] As regards stand magnifiers and reading performance, because total magnification is a function of both the magnifier and the patient's “add” (e.g., bifocal power in an older patient) or accommodation (e.g., focusing power of a younger patient), the situation is a little more complex. The total or “equivalent power” is the product of the stand magnifier's enlargement ratio and the dioptric power of the add or accommodation used by the patient. For example, a patient using a +3.00 D add and also using a stand magnifier with an ER of 4.0X will have an equivalent power of +12.00 D (3.00×4.0). The equivalent power needed to read normal sized 1.0 M continuous text is the critical print size divided by the test distance in meters. It is here noted that critical print size, often evaluated with assessment tools such as the MNRead or SK Read, is the smallest passage of continuous text that a patient can read at his or her maximum reading speed and is the gold standard metric in low vision rehabilitation for prescribing magnification for reading. As an example of calculating equivalent power, if the critical print size is 2.5 M and the patient was tested at 30 cm (0.30 meters) the required equivalent power is 2.5/0.3=+8.33 D. This number must now be divided by the add power or accommodation used to arrive at the predicted ER needed in a stand magnifier. These calculations take clinical time and are not known to some providers, and so are not frequently used despite strong evidence to their effectiveness. It is further complicated by the fact that currently available stand magnifiers available for professional prescribing are not available in these log progressions and are frequently not accurately labeled.
[0079] Accordingly, by designing a series of stand magnifiers in log progression that match the log steps used in standard visual acuity charts and continuous text reading assessment tools, the calculation is much easier. For example, if a patient wears a 2.50 D add and the critical print size is determined to be 2.0 M at 40 cm, a stand magnifier with an enlargement ratio of 2.0X is predicted. If the patient will be wearing the same add power while using a stand magnifier as was used to determine the critical print size (as is often the case), the magnification needed from the stand magnifier to read normal sized, newspaper or magazine text is equal to the critical print size. A critical print size of 2.5 M predicts a stand magnifier with an enlargement ratio of 2.5X, a critical print size of 3.2 M predicts an enlargement ratio of 3.2X, etc. Thus, the critical print size equals the magnifier's predicted enlargement ratio Although a 2.50 D add is common, and a 40 cm test distance corresponds to that D value, as long as the test distance corresponds to the add power, the same relationship results. The log progression of ER and accurate labeling greatly simplifies the prescribing of these devices, as is clearly seen.
[0080] Using sets of magnifiers in accordance with various embodiments, dispensing professionals can prescribe with greater confidence and accuracy, given that actual technical specifications appear on the magnifiers. In this vein it is noted that early manufacturers who may choose to offer such sets of magnifiers commercially will likely gain immediate recognition, praise and gratitude from vision care professionals who have long been frustrated with the current system. In the inventors' opinion, such market praise and gratitude directly translates to increased sales.
[0081] Embodiments according to the present invention are particularly appealing to teachers of low vision rehabilitation, such as are on faculty in schools and colleges of optometry. By presenting the exemplary sets of magnifiers to their students as treatment options, such students would likely be inclined to utilize such sets after graduation.
[0082] The presentation of various embodiments according to the present invention in the professional marketplace would be highly educational to professionals, some of whom never learned how to prescribe on a scientific basis. Thus, use of magnifiers according to one or more embodiments would also elevate the level of patient care, improving independence for visually impaired individuals.
[0083] It is here noted that many patients with visual impairment are seniors, some of whom also have arthritis or tremors, making changing batteries difficult. Moreover, the need to change batteries and dispose of spent ones is now considered old fashioned and environmentally irresponsible. People today expect their portable electronic devices to be rechargeable, as provided in one or more embodiments.
[0084] More attention is now being devoted to the color temperature of illumination for visually impaired patients (LuxIQ, Stella lamps, etc.). Thus, in one or more embodiments, providing each element of a set of magnifiers, whether hand held or stand magnifiers, with LEDs of at least two different color temperatures allows the visually impaired patient to maximize performance by choosing the color temperature that best suits them.
[0085] The embodiments and examples set forth herein were presented in order to best explain the embodiments in accordance with the present technology and its particular application and to thereby enable those skilled in the art to make and use the disclosure. However, those skilled in the art will recognize that the foregoing description and examples have been presented for the purposes of illustration and example only. The description as set forth is not intended to be exhaustive or to limit the disclosure to the precise form disclosed.
[0086] In view of the foregoing, the scope of the present disclosure is determined by the claims that follow.