The present invention relates to an ophthalmic device for objective vision screening. More particularly, the invention relates to an ophthalmic device attached to a Smartphone or like such as digital camera or iPad to detect the ocular anomalies and disorders that cause amblyopia in children.
Most vision screening equipment and methods currently used are subjective. They require the accurate responses from young children. Sometimes it is impossible. The subjective vision screening is to detect the abnormal visual functions by testing visual acuity and/or stereopsis. If some abnormal visual functions are found, the child will be sent to an eye care professional for a comprehensive eye examination to find the causes.
Undesirably, ophthalmic devices for vision screening tend to be large, bulky, expensive and difficult to be operated by non-professional persons.
In view of the foregoing disadvantages inherent in the known types of vision screening equipment and methods now present in the prior art, the present invention provides a new device wherein the same can be utilized for efficiently vision screening.
The general purpose of the present invention, which will be described subsequently in greater detail, is to provide a new device attached to a Smartphone for objective vision screening that has many of the advantages of the ophthalmic instruments mentioned heretofore and many novel features that result in a new device attached to a Smartphone for objective vision screening which is not anticipated, rendered obvious, suggested, or even implied by any of the prior art, either alone or in any combination thereof.
To attain this, the present invention generally comprises a main plane body which haves a cylindrical container for holding the optical elements and a house for holding the beam splitter.
A primary object of the present invention is to provide a device for objective vision screening that will overcome the shortcomings of the prior art devices.
Another object is to provide a device for completely objective vision screening, which can examine children of any ages.
Another object is to provide a device for increasing the speed and efficiency of objective vision screening.
Another object is to provide a device that will make the examination results video recorded, which can be kept in patients files and remotely sent out for consultation.
Another object is to provide a device that will make the examination results digitally video recorded, which can be analyzed by computer programs.
Another object is to provide a device that will be able to demonstrate examination results to students for teaching purpose.
Another object is to provide a device that will make examination be easily performed by non-professional persons, such as parents, school nurse and pre-school teacher.
An additional object is to provide a device that will be light-weigh, portable and cost effective.
Various other objects, features and attendant advantages other present invention will become fully appreciated as the same becomes better understood when considered in conjunction with the accompanying drawings, in which like reference characters designate the same or similar parts throughout the several views, and wherein:
Turning now descriptively to the drawings, in which similar reference characters denote similar elements throughout the several views,
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In use, the operator first align the peephole 64 of the device 10 with the camera lens 56 of the Smartphone 58 and press the device 10 to attach the Smartphone 58 with the nano stickers 60. Turn on the video recording function of the Smartphone 58, a round image of the peephole 64 will be seen at the center of the Smartphone screen. Adjust the camera's zoom function to 5x magnification.
Examination should be performed in a dimly lit area, not a completely dark room, to maintain large child's pupils 66. Turn on the light source 26, project the beam 52 to the forehead of the child at 1 meter away from the device 10, and place the vertical line in the middle of the beam between the child's two eyes 54. Guide the child to look at a target at about 4 meters away. A typical target can be a video cartoon to attract the child's fixation. Hold the device 10 close to the fixation line, and then rotate the handle 62 down and up a few times. During examination, the middle line image of the beam 52 should be moved along the midline between the child's two eyes 54, so that the beam 52 will equally and symmetrically enter the child's two eyes 54. When the beam 52 crosses through the pupils 66 of the child, the retinal reflex 68 in the pupils 66 of the child can be seen on the screen of the Smartphone 58 and recorded. Observe the direction of motion of the retinal reflex 68 compared with the light beam 52 motion. If it is “with” motion, it means that the eye is hyperopic, emmetropic or less than 1 D myopic; if it is “against” motion, it means that the eye is greater than 1 D myopic; if there is no motion, it means that the eye is 1 D myopic or that the eye is focusing on the device using accommodation.
If the retinal reflex 68 is too dim to detect the motion, it means the refractive error may be very high or the refractive media is clouded. Then move the device 10 close to the child so that the retinal reflex 68 becomes brighter. The brighter and wider retinal reflex 68 indicates myopia. Continue to move the device 10 closer until there is no motion, it indicates the power of myopia in diopter is equal to reciprocal of the examination distance in meters. If the retinal reflex 68 is getting brighter and narrower, it indicates high hyperopia. If the retinal reflex 68 is still dim, it may indicate cloudy refractive media, such as cataract or intraocular tumor.
The speed, width and brightness of the retinal reflex 68 will also give information of refractive status. A fast motion, with wide and bright retinal reflex 68 indicates low refractive error or emmetropia. Conversely, a slow motion with narrow and dim retinal reflex 68 indicates high refractive error.
A difference in the motion, direction, speed, width, and brightness of the retinal reflex 68 between the two eyes indicates anisometropia.
If the retinal reflex 68 has skewed motion, it indicates the eye is astigmatic with its axis not horizontal or vertical. If astigmatism is suspected in the eye, the examination should be repeated in oblique meridians (45 and 135 degrees) or in horizontal meridians. If the motion direction, brightness, or width of the retinal reflexes 68 are different between those meridians, it means that there is astigmatism in the eye.
The video recording can detect alignment of the two eyes, which can determine whether strabismus exists. The video recording can determine the clarity of the optical media of the eyes. If it is cloudy, it may indicate that the eye has cataract or tumor. The video recording can detect ptosis and anisocoria, which may interfere with vision development or indicate other medical conditions.
During the examination, a ruler or other type of small print may be put on the child's forehead to make the Smartphone camera focus better. The ruler can also be used for measurement of the interpupillary distance between the two eyes.
Putting small print or a picture in front of the device will stimulate the child to accommodate, the device may perform binocular dynamic retinoscopy, which objectively estimates the accommodative ability of the eyes.
The examination results can be judged immediately from the Smartphone screen, or can be analyzed later from the recorded files.
There is an optional test method using this device 10. Take photos when the beam 52 just touches the edge of the child's pupils 66. The photos will show the corneal reflex of the two eyes (the Hirschberg test), the comparison of the retinal reflex 68 of the two eyes, (the Bruckner test), and the shadow inside the pupils 66 (eccentric photorefraction).
As to a further discussion of the manner of usage and operation of the present invention, the same should be apparent from the above description. Accordingly, no further discussion relating to the manner of usage and operation will be provided.
With respect to the above description then, it is to be realized that the optimum dimensional relationships for the parts of the invention, to include variations in size, materials, shape, form, function and manner of operation, assembly and use, are deemed readily apparent and obvious to one skilled in the art, and all equivalent relationships to those illustrated in the drawings and described in the specification are intended to be encompassed by the present invention.
Therefore, the foregoing is considered as illustrative only of the principles of the invention. Further, since numerous modifications and changes will readily occur to those skilled in the art, it is not desired to limit the invention to the exact construction and operation shown and described, and accordingly, all suitable modifications and equivalents may be resorted to, falling within the scope of the invention.
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Number | Date | Country | |
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62716179 | Aug 2018 | US |