Systems for determining eye refraction
10702144 ยท 2020-07-07
Assignee
Inventors
Cpc classification
A61B3/10
HUMAN NECESSITIES
A61B3/0025
HUMAN NECESSITIES
A61B3/14
HUMAN NECESSITIES
A61B3/032
HUMAN NECESSITIES
A61B3/103
HUMAN NECESSITIES
A61B5/6898
HUMAN NECESSITIES
International classification
A61B3/10
HUMAN NECESSITIES
A61B5/00
HUMAN NECESSITIES
A61B3/06
HUMAN NECESSITIES
A61B3/11
HUMAN NECESSITIES
A61B3/14
HUMAN NECESSITIES
A61B3/00
HUMAN NECESSITIES
A61B3/032
HUMAN NECESSITIES
A61B3/103
HUMAN NECESSITIES
Abstract
Mobile computer devices and systems for refraction determination of an eye, for example for objective refraction determination and/or subjective refraction determination, are provided. Here, a display of the mobile computer device can be driven to display an image for refraction determination.
Claims
1. A system for determining subjective refraction of the eyes of a person to facilitate selection of eye glass lenses or contact lenses by said person, the system comprising: a mount to be worn on a head or held thereagainst; a mobile computer device provided in said mount; said mobile computer device having a display, a processor, and a non-transitory computer-readable medium all contained within said device; said non-transitory computer-readable medium having a program code stored therein; said program code, when executed on the processor, causing said processor to drive said display to display structurally illuminated images thereon in a common plane defined by said display for viewing by said person to determine subjective refraction of the left and right eyes of said person; said mount including exchangeable viewing optics for viewing said display of the mobile computer device with a left eye and a right eye by said person; said viewing optics defining mutually adjacent optical viewing paths to said display for the left and right eyes, respectively, of said person; said exchangeable viewing optics including at least: first optical units having a first refractive power and being placeable in said mount for imaging the structurally illuminated images on said display to the left eye and the right eye, respectively, in corresponding ones of said beam paths; and, second optical units having a second refractive power different from said first refractive power and being exchangeable with said first optical units in said mount in corresponding ones of said beam paths for imaging said images concerning the left eye and the right eye, respectively, on said display to the left eye and the right eye to facilitate determination of said subjective refraction by receiving an indication from said person as to whether an impression of the images displayed on said display changes in sharpness to become sharper or less sharp in response to the exchange of said second optical units for said first optical units and so arrive at eye glass lenses or contact lenses having refractive properties required by said person to best view the images.
2. The system of claim 1, wherein said mount is configured for receiving changeable lenses, and/or changeable lenses are received in the changeable mount.
3. The system of claim 1 further comprising a combination of polarizer and analyzer for at least one eye.
4. The system of claim 1, wherein said viewing optics include a microlens arrangement.
5. The system of claim 1, wherein said viewing optics include a microlens film to be fitted on said display of said mobile computer device.
6. The system of claim 1, wherein said viewing optics include at least one of a color filter, a red filter, and an infrared filter.
7. The system of claim 1, further comprising a beam splitter arranged between the display of the mobile computer device and at least one eye, wherein the beam splitter is arranged to direct light emerging from the eye to a camera unit.
8. The system of claim 1 further comprising a shutter for at least one eye.
9. The system of claim 1, further comprising: a shading structure arranged directly within said mount between said optical viewing paths to provide separate light channels for the left and right eyes, respectively, shaded from ambient light and to provide an overall compact configuration of the system.
10. A system for determining subjective refraction of the eye or eyes of a person to facilitate selection of an eye glass lens or contact lens by said person, the system comprising: a mount to be worn on a head or held thereagainst; a mobile computer device provided in said mount; said mobile computer device having a display, a processor, and a non-transitory computer-readable medium; said non-transitory computer-readable medium having a program code stored therein; said program code, when executed on the processor, causing said processor to drive said display to display structurally illuminated images thereon in a common plane defined by said display for viewing by said person to determine the subjective refraction of the left and right eyes of said person; said mount having viewing optics for viewing said display of the mobile computer device with at least one eye of a person to be examined; said mount further having an exchange holder for holding an exchange optical unit for the subjective refraction determination being provided by receiving an indication from said person whether an impression of the images displayed on said display changes sharpness to become sharper or less sharp in response to the exchange of optical units and so arrive at eye glass lenses or contact lenses having refractive properties required by said person to best view the images; said mount further including a combination of a polarizer for suppressing extraneous light and an analyzer configured for at least one eye; and, said viewing optics defining mutually adjacent optical viewing paths to said display for the left and right eyes, respectively, of said person.
11. The system of claim 10, wherein said viewing optics include a microlens arrangement.
12. The system of claim 10, wherein said viewing optics include a microlens film to be fitted on said display of said mobile computer device.
13. The system of claim 10, wherein said viewing optics include at least one of a color filter, a red filter, and an infrared filter.
14. The system of claim 10, further comprising a beam splitter arranged between the display of the mobile computer device and the at least one eye, wherein the beam splitter is arranged to direct light emerging from the eye to a camera unit.
15. The system of claim 10 further comprising a shutter for at least one eye.
16. A method for determining subjective refraction of the eye or eyes of a person to facilitate selection of an eye glass lens or contact lens by said person, the method comprising the steps of: providing a mobile computer device in a mount, wherein the mobile computer device has a display, a processor, and a non-transitory computer-readable medium, wherein the non-transitory computer-readable medium has a program code stored therein; wearing the mount on a head of the person or holding it thereagainst with the mount defining mutually adjacent optical viewing beam paths to said display; executing the program code on the processor causing the processor to drive the display to display structurally illuminated images thereon in a common plane defined by said display for viewing by said person to determine the subjective refraction of the left and right eyes of said person; inserting first optical units having a first refractive power into said mount for imaging the structurally illuminated images on said display to the left eye and the right eye, respectively, in corresponding ones of said beam paths; and, removing said first optical units and inserting second optical units having a second refractive power different from said first refractive power into said mount in corresponding ones of said beam paths for imaging said images concerning the left eye and the right eye, respectively, on said display to the left eye and the right eye to facilitate determination of said subjective refraction by receiving an indication from said person as to whether an impression of the images displayed on said display changes in sharpness to become sharper or less sharp in response to the exchange of said second optical units for said first optical units and so arrive at eye glass lenses or contact lenses having refractive properties required by said person to best view the images.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The invention will now be described with reference to the drawings wherein:
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DESCRIPTION OF THE PREFERRED EMBODIMENTS OF THE INVENTION
(11) Various embodiments of the present invention are explained in detail below with reference to the accompanying drawings. These embodiments serve merely for illustration and should not be interpreted as restrictive. By way of example, a description of an embodiment with a multiplicity of elements or features does not mean that all of the elements or features are necessary for implementing embodiments. Rather, other embodiments may have fewer features or elements, alternative features or elements and/or additional features or elements. Moreover, features or elements of different embodiments may be combined with one another, unless indicated otherwise.
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(13) As an example, the mobile computer device in
(14) The processor 13 is further coupled to a display 11, via which images, for example information, graphics, characters, symbols and the like may be represented for viewing by a user. The term image is used generally here to denote contents which are represented on a display. Such an image may include for example characters, symbols and/or other elements. Furthermore, the processor 13 is coupled to an input unit 12. In some embodiments, the display 11 may be touch-sensitive and thus simultaneously constitute the input unit 12 or a part thereof. Additionally or alternatively, the input unit may include buttons, rotary controllers, a keyboard, a microphone for receiving sounds or voice input and/or sensors such as an inclination sensor or an acceleration sensor.
(15) Furthermore, in the embodiment in
(16) Furthermore, the mobile computer device 10 in
(17) In the embodiment illustrated, an analysis module 16 for refraction determination and selectively additionally a further module 17 are stored as application programs in the memory 15.
(18) As indicated by arrows, the modules may also interact with one another, in particular exchange data. The analysis module 16 serves to carry out a refraction determination by means of the mobile computer device. By way of example, for objective refraction determination with an internal camera such as the camera 19 in
(19) Moreover, the display 11 may be driven to display images, for example symbols, for example characters or numbers, for carrying out a subjective refraction determination. This may be effected with variable background brightness in some embodiments.
(20) Moreover, a further module 17 may selectively be provided, which may exchange data with the analysis module. The further module 17 may provide for example order functions for visual aids on the basis of the eye refraction determined or else, if appropriate, therapy and/or visual aid functions.
(21) Moreover, via the further module 17, for example, it is also possible to communicate the results via the network interface 14 for example to an ophthalmologist or other medical specialist personnel.
(22) It should be noted that in some embodiments the analysis module 16 may also perform only partial tasks of the refraction determination. By way of example, raw data may also be transmitted to a further computer device, and the recorded data (for example images) may be evaluated there.
(23) With such a mobile computer device, embodiments and measurements are possible under controlled lighting conditions. Refraction determinations can thus be carried out with different adaptation levels and hence different pupil sizes. Moreover, many displays of present-day smartphones or tablets have a high dynamic range. This enables illuminations for analysis with a very high contrast range. By way of example, displays on the basis of organic light emitting diodes (OLEDs) have a contrast range of 1000:1 or more, which may be helpful for providing an illumination for the eye.
(24)
(25) As illustrated in
(26) As a result of the display being divided as illustrated in
(27) In the regions 21A and 21B, for example, images for left and right eyes may be represented in accordance with a pupilary distance in order to enable stereo viewing. By way of example, a distance between corresponding points may be adapted such that it corresponds approximately to the pupilary distance of an adult human being, for example approximately 65 mm. In some embodiments, the pupilary distance may also be a parameter, such that the representation can be adapted to a respective user and the pupilary distance thereof.
(28) Mobile computer devices as illustrated in
(29)
(30) For simplification, only one eye is mentioned here in the description of
(31) In a step 30, an eye of a user is illuminated via a display of a mobile computer device (for example display 11 in
(32) In step 32, the eye refraction is determined on the basis of the images. This may be done in principle as in the devices mentioned in the introduction which use an illumination from different directions, wherein the display of the smartphone serves as illumination in the embodiment in
(33) The eye refraction thus determined may be used in various ways, as indicated by way of example by steps 33 to 36 in
(34) By way of example, in step 33 the eye refraction determined is used to correspondingly adapt a visual aid (for example eyeglasses or contact lenses). In step 34 the refraction determined is used as a basis for a therapy. In step 35 a data communication takes place, for example to medical specialist personnel such as a physician or an optician. By way of example, if the refraction were determined, corresponding data may be communicated to an optician who may then provide corresponding eyeglasses. A data communication is also possible directly to an eyeglasses manufacturer or eyeglass lens manufacturer, for example, which may then provide corresponding eyeglasses or eyeglass lenses. Prior to such an order, a corresponding query may be arranged with a user and/or medicinal specialist personnel. Finally, the eye refraction determined may also simply be displayed in step 36, or on the basis of the eye refraction a recommendation may be expressed on a display, for example a recommendation to visit an ophthalmologist.
(35) As already explained, determining refraction of an eye (or both eyes) of a user, that is of a person to be examined, may be illuminated in a structured fashion. In particular, an illumination may be effected sequentially from different directions, similarly to the prior art discussed in the introduction, wherein in embodiments of the invention, in contrast to the prior art discussed, the illumination is effected with the aid of a display of a mobile computer device, such as a smartphone, for example, and not by means of discrete light sources such as light emitting diodes. Examples of such an illumination will now be explained in greater detail with reference to
(36) As a first example,
(37) Moreover, a surround luminance L_u may also be settable, that is the background (that part of the display 41 which does not serve to represent a currently active point wave 42) may likewise be settable. In this case, the light source points 42 in
(38) The illumination with light source points in
(39) Other shapes are also possible. By way of example, concentric rings of different sizes may likewise serve as structured illumination, or individual points, which may also move on the display.
(40) By varying the luminances, in particular scotopic vision (also referred to as night vision or rod vision), photopic vision (also referred to as daytime vision or cone vision) and the transition range therebetween (mesopic vision or twilight vision) may be examined separately.
(41) Various systems in accordance with embodiments in which an objective refraction determination can be carried out by means of a mobile computer device such as a smartphone will be discussed next. Various variants of these systems will be explained with reference to
(42) A first embodiment is illustrated in
(43) In
(44) In the embodiment in
(45) A first camera unit including an image sensor 67, for example a CMOS sensor or a CCD sensor, and including a camera optical unit 66 is provided for recording an image of the left eye 610. In a corresponding manner, a second camera unit including an image sensor 69 and including a camera optical unit 68 is provided for recording an image of the right eye. The camera optical units 66, 68 may also have one or a plurality of lenses or other optical elements.
(46) For image recording, the device in
(47) In some embodiments, the first and second camera units may be coupled to the mobile computer device 60, for example wirelessly (for example via Bluetooth) or else in a wired fashion (for example via a USB connection or some other connection). In yet other embodiments, both the first and second camera units and the mobile computer device 60 may be controlled by an additional device (not illustrated).
(48) As a result of two camera units 66-69 being provided, an examination of stereoscopic vision (both eyes jointly) may also be carried out besides the objective refraction determination for the eyes 610, 611.
(49) Variations of the system will be described next with reference to
(50) The position of the beam splitters 64, 65 is interchanged with the position of the optical units 62, 63 in
(51) It should be noted that the optical units 62B, 63B may also be exchangeable, which, as will be explained later, may enable a subjective refraction determination.
(52) In the embodiments discussed with reference to
(53) In the embodiment in
(54) Depending on the configuration of the camera unit 90, 91, it may be the case that only one eye (for example the eye 610 in
(55) In this case, by using an internal camera of the mobile computer device 60, the construction is simplified in so far as there is no need for an additional external camera device, if appropriate in association with optical elements such as beam splitters (for example 64, 65 in
(56) Viewing optics 62, 63 of, for example, a head-up display or of some other viewing device are used in the embodiments in
(57) In this case, for example, as illustrated in
(58) In addition, in the embodiment in
(59) Consequently, the filter 100 may also be omitted, as is illustrated in the embodiment in
(60) In yet other embodiments, the microlenses 101 alone may already suffice to ensure an imaging of an illumination onto the eyes 610, 611. Such an embodiment is illustrated in
(61) In the case of the embodiment in
(62) Other aids, such as a scale, may also be provided for positioning purposes. In the embodiment in
(63) It should be noted that filter 100 and/or microlens film 101 may also be provided in the embodiments in
(64) As evident from
(65) A possible functioning of such systems for refraction determination is illustrated again in
(66) In this case, operation is carried out, as illustrated by a block 134, via a user interface of the mobile computer device, for example of the smartphone. Such a user interface may be in particular a graphical user interface, also referred to as GUI. In particular, a touch-sensitive display (so-called touch screen) may be used for this purpose. In particular, a measurement cycle control 133 which controls the refraction determination may be started and/or set by means of the user interface 134.
(67) The measurement cycle control 133 transfers illumination parameters to an algorithm for structured illumination 131, which in turn drives an indicator, for example a display, of the mobile computer device in 130 in order to obtain a desired illumination. By way of example, an illumination as discussed with reference to
(68) In 135, an image evaluation of the image recorded in 132 is then effected. In this case, it is possible to evaluate in particular whether the recording of one or both pupils was effected correctly. On the basis thereof, a measurement feedback may be given to the measurement cycle control 133. On the basis of the measurement feedback, the illumination parameters and/or the exposure parameters may then be adapted. By way of example, in the case of a blurred image, the exposure time may be shortened, or a luminance may be increased if a pupillary light reflex to be evaluated is not visible.
(69) In 136, a refraction determination is then effected on the basis of the recorded images.
(70) In particular, the pupil back-reflection (optical passage of the light through the eye lens followed by a reflection at the retina and a second passage through the eye lens) may be evaluated in this case. By evaluating the gradient profile in the reflection image with a changing illumination direction, it is then possible to determine the defective vision of the eye (sphere, cylinder, axis) since the behavior of the back-reflection is dependent on these parameters.
(71) In this case, systems as described above, by virtue of the fact that the mobile computer device is arranged relatively near to the eye to be measured or the eyes to be measured, may achieve a large field of view, that is the display of the mobile computer device may, in embodiments, fill a comparatively large part of the field of view, for example more than 50% or more than 70%. As a result, the background illumination may be set in accordance with a desired luminance adaptation level, and an arbitrary illumination pattern for the refraction determination may be set. Consequently, the optical refraction determination may be carried out by means of photo refraction with different pupil sizes in accordance with the different surround luminances. Particularly in systems in which the distance between the mobile computer device and the eye or eyes is clearly defined (for example with the use of a head-up display), in contrast to conventional handheld photorefraction meters, no distance measurement is necessary.
(72) As already explained, an objective refraction determination is carried out in the embodiments discussed with reference to
(73) 140 and 141 denote changeable lenses or other changeable optical units, that is exchangeable lenses or other optical units. 143 denotes a mount for the exchangeable lenses 140, 141, for example a changeable frame. 142 denotes housing parts or other shadings which, on the one hand, shade ambient light and, on the other hand, provide separate light channels for the left eye 610 and the right eye 611. For the subjective refraction determination, characters, symbols or images are then represented on the display 61, and the person to be examined indicates whether, when the lenses 140, 141 are changed, for example, the image impression improves or deteriorates, and/or whether the person can recognize more or fewer symbols or characters.
(74) As already explained, in some embodiments, both an objective refraction determination and a subjective refraction determination may be carried out. In such combined systems, for example, the lenses 62B and 63B in
(75) In this case, the systems in
(76) In the case of the embodiment in
(77) In addition, analyzers 153, 154 are arranged at light exit locations of the housing 142. In this case, a polarization direction of the analyzer 153 corresponds to that of the polarizer 151. In a similar manner, a polarization of the analyzer 154 corresponds to a polarization of the polarizer 152. In some embodiments, an improved separation of the light paths for left and right eyes may be achieved in this way.
(78) A further possibility is illustrated in
(79)
(80) It should be noted that the result in the subjective refraction determination may differ from the result of the objective refraction determination. This is owing to the fact that the human brain may to a certain degree become accustomed to defective vision and may compensate for the latter. If eyeglasses which optically (objectively) exactly compensate for defective vision are then used, for example, the brain may nevertheless initially continue this compensation, which then worsens the subjective image impression again. In embodiments which enable both objective refraction determination and subjective refraction determination, for example both values may be communicated to medical specialist personnel, or a compromise from the results of the objective refraction determination and the subjective refraction determination may be used for example for an eyeglass or contact lens determination.
(81) It is understood that the foregoing description is that of the preferred embodiments of the invention and that various changes and modifications may be made thereto without departing from the spirit and scope of the invention as defined in the appended claims.
(82) In some embodiments, devices, methods, systems and computer program products in accordance with the following sections are provided: Section 1. A mobile computer device, comprising: a display, a processor, and a memory with program code stored therein, wherein the program code, when it is executed on the processor, has the effect that the processor drives the display to display an image for determining the refraction of an eye on the display. Section 2. The mobile computer device according to section 1, wherein the image comprises elements represented on a background, wherein a brightness of the background is settable for setting a surround luminance. Section 3. The mobile computer device according to section 2, wherein an adaptation luminance is settable by setting the surround luminance. Section 4. The mobile computer device according to section 2 or 3, wherein the brightness of the background is settable for selectively determining the refraction for at least two from the group comprising scotopic vision, photopic vision and mesopic vision. Section 5. The mobile computer device according to any of sections 2-4, wherein a brightness of the elements is settable for setting an infield luminance. Section 6. The mobile computer device according to any of sections 1-5, wherein the image comprises an image for the subjective refraction determination. Section 7. The mobile computer device according to section 6, wherein the image comprises characters and/or symbols. Section 8. The mobile computer device according to any of sections 1-7, wherein the image comprises a structured illumination for illuminating the eye for an objective refraction determination. Section 9. The mobile computer device according to section 8, wherein the structured illumination is temporally variable in order to illuminate the eye from different directions. Section 10. The mobile computer device according to section 8 or 9, wherein the structured illumination comprises selectively drivable, circularly arranged light source points or ring segments. Section 11. The mobile computer device according to any of sections 8-10, further comprising a camera unit for recording a pupillary light reflex in response to the structured illumination. Section 12. The mobile computer device according to any of sections 1-11, wherein the mobile computer device comprises an interface for coupling to an external camera and for receiving a recorded pupillary light reflex in response to the structured illumination from the external camera. Section 13. The mobile computer device according to section 11 or 12, wherein the program code, when it is executed on the processor, carries out a determination of the refraction of the eye on the basis of the recorded pupillary light reflex. Section 14. A system, comprising: a mobile computer device according to any of sections 1-13, and viewing optics for viewing the mobile computer device with at least one eye of a person to be examined. Section 15. The system according to section 14, wherein the viewing optics comprise a first optical unit for a first eye and a second optical unit for a second eye. Section 16. The system according to section 14 or 15, wherein the viewing optics comprise a microlens arrangement. Section 17. The system according to section 16, wherein the microlens arrangement comprises a microlens film to be fitted on the display of the mobile computer device. Section 18. The system according to any of sections 14-17, wherein the viewing optics comprise a color filter. Section 19. The system according to section 18, wherein the color filter comprises a red filter and/or infrared filter. Section 20. The system according to any of sections 14-19, further comprising a beam splitter arranged between the display of the mobile computer device and the at least one eye, wherein the beam splitter is arranged to direct light emerging from the eye to a camera unit. Section 21. The system according to any of sections 14-20, further comprising a changeable mount for a changeable optical unit for the subjective refraction determination. Section 22. The system according to any of sections 14-21, further comprising, for at least one eye, a combination of polarizer and analyzer. Section 23. The system according to any of sections 14-22, further comprising, for at least one eye, a shutter. Section 24. A computer program product comprising a program code, wherein the program code, when it is executed on a processor, has the effect that the processor drives a display to display an image for determining the refraction of an eye on the display. Section 25. The computer program product according to section 24, wherein the computer program product is configured for implementing a mobile computer device according to any of sections 1-13.
(83) As already explained, the above embodiments are intended only for illustration purposes, and should not be interpreted as restrictive. Variants and modifications that were discussed with regard to the objective refraction determination may, if appropriate, also be used in the subjective refraction determination. By way of example, a microlens film for imaging may also be provided for the subjective refraction determination. Other variations are also possible.