This invention relates to a lens assessment device for quantitatively assessing a lens of a patient (examinee) who received a treatment for enlarging a clear vision region, a control program and a control method of the lens assessment device.
In the past, a treatment for enlarging a clear vision region has been done on a patient of the cataract, a patient with presbyopia and a patient of the ametropia. For instance, there is a method of such an operation that the lens of the patient is extracted and a multi-focal intraocular lens is inserted in the eye of the patient (see patent related document 1).
However, a judgment whether a postoperative progress is good exclusively depends on the patient's judgment, and there is no way of assessing effects of the operation objectively and appropriately. If an intraocular lens is inserted into the eye of the patient through an operation, in some cases the patient feels a sense of incongruity till the patient is used to the intraocular lens. On the other hand, if a diffraction type of the multi-focal intraocular lens is inserted into the eye for the cataract treatment, some patients feel “blur” called Waxy vision, and there is such a problem that it is not easy to judge whether the patient is left unattended since the patient oneself only temporally feels the sense of incongruity or whether it is necessary to exchange the intraocular lens due to Waxy Vision.
An object of the invention is to provide a lens assessment device, a control program and a control method of the lens assessment device for solving the above-mentioned problems.
The invention according to claim 1 exemplarily shown in
measurement data input means (2) for inputting measurement data on a chromatic vision of the examinee;
a measurement data storage (3) for storing inputted measurement data;
a reference data storage (4) for storing reference data on the chromatic vision; and
quantitative assessment means (5) for quantitatively assessing the lens of the examinee by comparing the measurement data and the reference data.
The invention according to claim 2 is the lens assessment device according to claim 1, wherein the lens is an artificial lens inserted into an eye of the examinee through an operation or an original lens that is not the artificial lens.
The invention according to claim 3 is the lens assessment device according to claim 1 or 2, wherein the reference data storage (4) stores at least any of the measurement data of chromatic vision of a large group of people who do not install the artificial lens, and the measurement data of chromatic vision of a large group of people who install the artificial lens and classified by kinds of the artificial lenses as the reference data.
The invention according to claim 4 is the lens assessment device according to claim 3, wherein the reference data storage (4) stores the measurement data of chromatic vision, classified by ages.
The invention according to claim 5 is the lens assessment device according to claim 3 or 4, wherein the reference data storage (4) stores the data classified by kinds of the artificial lenses, further classified by postoperative elapsed time.
The invention according to claim 6 is the lens assessment device according to any of claims 3 to 6, further comprising:
examinee information input means (6) for inputting at least one data of kinds of the lenses of the examinees, ages of examinees and postoperative elapsed time as examinee information;
examinee information storage (7) for storing the inputted examinee information;
assessment mode designator (8) for designating with which examinee information of the examinee information stored in the examinee information storage (7) and with which reference data of the reference data stored in the reference data storage (4) quantitative assessment should be done.
The invention according to claim 7 is the lens assessment device according to claim 6, wherein the quantitative assessment means (5) compares the measurement data on specific colors that are easy to receive an influence according to the kind of the lens, the age of the examinee or said postoperative elapsed time designated through the assessment mode designator (8).
The invention according to claim 8 is control program for controlling a computer, for providing a computer to function as followings;
measurement data input means (2) for inputting measurement data of a chromatic vision of an examinee;
a measurement data storage (3) for storing the inputted measurement data;
a reference data storage (4) for storing reference data on the chromatic vision; and
quantitative assessment means (5) for quantitatively assessing a lens of the examinee by comparing the measurement data and the reference data.
The invention according to claim 9 is the control program according to claim 8, wherein the reference data storage (4) stores at least any of measurement data of the chromatic vision of a large group of people who do not install an artificial lens, measurement data of the chromatic vision of a large group of people who install the artificial lens and classified by kinds of the artificial lenses as the reference data.
The invention according to claim 10 is the control program according to claim 9, wherein the reference data storage (4) stores the measurement data of the chromatic vision, classified by ages.
The invention according to claim 11 is the control program according to claim 9 or 10, wherein the reference data storage (4) stores the data classified by kinds of the artificial lenses, further classified by postoperative elapsed time.
The invention according to claim 12 is the control program according to any of claims 9 to 11, for providing the computer to function as followings:
an examinee information input means (6) for inputting at least one data of kinds of the lenses of the examinees, ages of examinees and postoperative elapsed time as examinee information;
an examinee information storage (7) for storing the inputted examinee information;
an assessment mode designator (8) for designating with which examinee information of the examinee information stored in the examinee information storage (7) and with which reference data of the reference data stored in the reference data storage (4) quantitative assessment should be done.
The invention according to claim 13 is the control program according to claim 12, wherein the quantitative assessment means (5) compares measurement data on specific colors that are easy to receive an influence according to the kind of the lens, the age of the examinee or the postoperative elapsed time designated through the assessment mode designator (8).
The invention according to claim 14 is control method of a lens assessment device (1) for quantitatively assessing a lens of an examinee who received a treatment for enlarging a clear vision region, comprising:
a step of inputting measurement data on a chromatic vision of an examinee through measurement data input means (2);
a step of storing the inputted measurement data through a measurement data storage (3);
a step of storing reference data on chromatic vision through a reference data storage (4); and
a step of quantitatively assessing the lens of the examinee through quantitative assessment means (5) by comparing the measurement data and the reference data.
The invention according to claim 15 is the control method of the lens assessment device according to claim 14, wherein the reference data storage (4) stores at least any of measurement data of the chromatic vision of a large group of people who do not install an artificial lens, and measurement data of the chromatic vision of a large group of people who install the artificial lens and classified by kinds of the artificial lenses as the reference data.
The invention according to claim 16 is the control method of the lens assessment device according to claim 15, wherein said reference data storage (4) stores the measurement data of the chromatic vision, classified by ages.
The invention according to claim 17 is the control method of the lens assessment device according to claim 15 or 16, wherein the reference data storage (4) stores the data classified by kinds of the artificial lenses, further classified by postoperative elapsed time.
The invention according to claim 18 is the control method of the lens assessment device according to any of claims 15 to 17, further comprising:
a step of inputting at least one data of kinds of the lenses of the examinees, ages of the examinees and postoperative elapsed time as examinee information through examinee information input means (6);
a step of storing the inputted examinee information through examinee information storage (7); and
a step of designating with which examinee information of the examinee information stored in the examinee information storage (7) and with which reference data of the reference data stored in the reference data storage (4) quantitative assessment should be done through assessment mode designator (8).
The invention according to claim 19 is the control method of the lens assessment device according to claim 18, wherein said quantitative assessment means (5) compares the measurement data on specific colors that are easy to receive an influence according to the kinds of the lenses, the ages of the examinees or the postoperative elapsed time designated through the assessment mode designator (8).
The number in parentheses shows the corresponding element in the drawings for the sake of convenience, accordingly, the descriptions are not restricted and bound by the descriptions on the drawings.
According to the inventions of claims 1, 2, 3, 8, 9, 14 and 15, the chromatic vision of the examinee who received a treatment for widening the clear vision area is measured, and the measurement data is quantitatively compared with predetermined reference data (the reference data of the chromatic vision), so that it is possible to appropriately judge whether or not postoperative progress is good. If the artificial lens was inserted in the eye of the examinee through an operation, it is possible to properly objectively judge whether or not the artificial lens is proper. Therefore, if the diffraction type of multifocal intraocular lens was inserted in an eye of the examinee for cataract treatment and the examinee feels a sense of incongruity, it is possible to objectively judge whether the examinee only feels temporary sense of incongruity and such a situation should be left as it is, or whether it is necessary to exchange the intraocular lens due to occurrence of Waxy Vision. Furthermore, it is possible to give objective and proper information to the person who wishes to receive an operation for widening the clear vision region by accumulating such objective assessment as data.
According to the inventions of claims 4, 5, 10, 11, 16 and 17, it is possible to properly judge as to whether the postoperative progress is good by taking the age of the examinee or the postoperative elapsed time into consideration.
According to the inventions of claims 6, 12 and 18, if the examiner only designates the assessment mode through the assessment mode designator, the quantitative assessment means appropriately reads necessary information or data out of the measurement data storage, the reference data storage and the examinee information storage so as to do quantitative assessment, and such effects that the operation is made simple are exercised.
According to the inventions of claims 7, 13 and 19, a simple assessment in a short time is possible in comparison with a case of assessment on all colors.
a) is a view showing a general tendency of the color vision of persons in their 30s,
An embodiment of the invention is now explained, referring to
A lens assessment device according to the invention quantitatively assesses a lens of a patient (examinee) who received a treatment for enlarging a clear vision region. In the specification, the lenses are artificial lenses inserted to be the examinees through the operations for enlarging the clear Vision region, concretely well-known intraocular lenses, such as an intraocular lens to be inserted for the treatment of cataract (multifocal intraocular lens), an intraocular lens for correcting astigmatism and an intraocular lens for correcting presbyopia, but original lenses (lens that received a treatment for enlarging the clear vision region without inserting the intraocular lens) that are not artificial lenses are not always excluded.
A lens assessment device according to the invention shown with a reference number 1 in
The above-mentioned measurement data and the reference data both relate to measurements of color visual acuity, and to measurements of the visual acuity of respective colors R, YR, RY, Y, GY, . . . as shown in
The above-mentioned measurement data input means 2 are a keyboard or a touch panel (through which measurement data is inputted by an examiner), a mouse (through which measurement data is inputted while the examiner is watching an user interface on a screen) and an I/O interface for connecting a memory medium, such as a USB memory and a SD card (the measurement data stored in the memory medium through the above-mentioned chromatic vision tester is automatically inputted in the above-mentioned measurement data storage 3 through connection of the memory medium).
Furthermore, a method of quantitatively assessing the lens of the examinee through the above-mentioned quantitative assessment means 5 is a method of assessing for respective colors (R, YR, RY, Y, GY, . . . ) by digitizing a relation between the measurement data and the reference data, such as a fraction, decimal and percentage. Concretely, the methods are the method of making a ratio between the measurement data and the reference data a fraction or a decimal so as to assess (for instance, the method of assessing with 0.4/0.6 if the reference data of some color is 0.6 and the measurement data is 0.4) and the method of assessing a difference between the reference data and the measurement data as the ratio with respect to the reference data, such as a fraction, a decimal and a rate. Such numerals may be shown on a display or on a paper, or a ranking (characters, such as a rank, b rank and c rank) based upon the numerals may be shown on the display or the paper.
According to the invention, the chromatic vision of the examinee who received a treatment for widening the clear vision region is measured, and the measurement data is quantitatively compared with predetermined reference data (the reference data of the chromatic vision), so that it is possible to appropriately judge whether or not postoperative progress is good. If the artificial lens was inserted in the eye of the examinee through an operation, it is possible to properly objectively judge whether or not the artificial lens is proper. Therefore, if the diffraction type of multifocal intraocular lens is inserted in an eye of the examinee for cataract treatment and the examinee feels a sense of incongruity, it is possible to objectively judge whether the examinee only feels temporary sense of incongruity and such a situation should be left as it is, or whether it is necessary to exchange the intraocular lens due to occurrence of Waxy Vision. Furthermore, it is possible to give objective and proper information to the person who wishes to receive an operation for widening a clear vision region by accumulating such objective assessment as data.
Preferably, the reference data storage 4 stores at least one of both data, measurement data of the chromatic vision of many persons who do not install the artificial lens (that is, the measurement data of many normal persons in connection with the chromatic vision, and the measurement data of many persons who installs the artificial leans, that are classified for respective kinds of the artificial lenses. Preferably, the measurement data on the chromatic vision is stored, classified by ages. Furthermore, the data classified by the respective kinds of the artificial lenses may be stored, being classified every postoperative elapsed time. For instance, when considering three kinds of artificial lenses (“A intraocular lens”, “B intraocular lens” and “C intraocular lens”) and the lenses (original lens that is not the artificial lens), preferably the reference data storage 4 stores reference data, that is, the reference data in connection with the lens (classified by ages), the reference data in connection with the lens (not classified by ages), the reference data of A intraocular lens (classified by ages and by postoperative elapsed time), the B intraocular lens (classified by ages and by postoperative elapsed time), the reference data of C intraocular lens (classified by ages and by postoperative elapsed time), the reference data of A intraocular lens (classified by ages and not classified by postoperative elapsed time), the reference data of B intraocular lens (classified by ages and not classified by postoperative elapsed time), the reference data of C intraocular lens (classified by ages and not classified by postoperative elapsed time), the reference data of A intraocular lens (not classified by ages and not classified by postoperative elapsed time), the reference data of B intraocular lens (not classified by ages and not classified by postoperative elapsed time), and the reference data of C intraocular lens (not classified by ages and not classified by postoperative elapsed time) (all of the reference data or a part thereof).
It is possible to properly judge whether the postoperative progress is good when assessing with the reference data classified by ages and the reference data classified by the postoperative elapsed time. For instance, it is not possible to deny a fear to accompany complications such as edema if the intraocular lens was inserted, but it is possible to early find concurrence of such complications through quantitative assessment in consideration of the above-mentioned postoperative elapsed time.
On the other hand, preferably the lens assessment device 1 according to the invention has an examinee information input means 6 through which at least one of data, such as kinds of the lenses of the examinees (that is, information whether it is the artificial lens that inserted into the eye of the patient through the operation or an original lens that is not the artificial lens, or type number or article name if it is the artificial lens), ages of the examinees, the postoperative elapsed time if the artificial lens was inserted through the operation (number of elapsed days and number of elapsed months), is inputted as examinee information, an examinee information storage 7 for storing inputted examinee information, and an assessment mode designator 8 for designating with which examinee information of the examinee information stored in the examinee information storage and with which reference data stored in the reference data storage the quantitative assessment should be done. In such a case, if the examiner designates the assessment mode (that is, with which examinee information and with which reference data the quantitative assessment should be done) through the assessment mode designator 8, the quantitative assessment means 5 reads necessary examinee information out of the examinee information storage 7, and reads the reference data corresponding thereto out of the reference data storage and compares the read data with the measurement data. In such a case, if the examiner only designates the assessment mode through the assessment mode designator 8, the quantitative assessment means 5 appropriately reads necessary information or data out of the measurement data storage 3, the reference data storage 4 and the examinee information storage 7 so as to do quantitative assessment, and such effects that the operation is made simple are, exercised.
Preferably, the chromatic vision of only specific color is measured and is quantitatively assessed without measuring the chromatic vision of all color regions although the chromatic vision for all color regions (R, YR, RY, Y, GY, YG, G, BG, GB, B, PB, BP, P, RP, PR) was measured in an instance of
On the other hand, the examinee information input means 6 are a keyboard and a touch panel (through which data, such as ages of the examinees, are inputted by operating it by the examiner), a mouse (through which data are inputted by the examiner while the examiner is watching a user interface on a screen), and an I/O interface for connecting a storage medium, such as an USB memory and a SD card, (through which data are automatically inputted by connection of the storage medium). And, the above-mentioned assessment mode designator 8 are a keyboard and a touch panel (through which data, such as ages of the examinees, are inputted by operating it by the examiner), a mouse (through which data are inputted by the examiner while the examiner is watching a user interface on a screen) and well-known various switches. Preferably, the keyboard and the like are used also as the above-mentioned measurement data input means.
One of the above-mentioned chromatic vision tester A is a device for displaying two or more test images on a color monitor, switching in order. One of such test images is the image showing some stimulus, such as a character, a numeral, a Landolt ring and the other graphics therein. The color monitors are liquid crystal display and the other type of monitors, such as a CRT and a plasma display).
As detailedly shown in
An image data storage 13 in
On the other hand, a control program according to the invention is for controlling a computer, and for getting the computer to function as the measurement data input means 2 for inputting the measurement data on the chromatic vision of the examinees, the measurement data storage 3 for storing the inputted measurement data, the reference data storage 4 for storing reference data in connection with the chromatic vision, and the quantitative assessment means 5 for quantitatively assessing the lens of the examinee by comparing the measurement data and the reference data.
Preferably, in such a case, the reference data storage 4 stores any one of the measurement data of the chromatic vision on a large group of people who do not install the artificial lens and the measurement data of the chromatic vision on a large group of people who install the artificial lens that are classified by the kinds of the artificial lenses, as the reference data. Preferably, the reference data storage 4 stores the measurement data of the chromatic vision, classified by ages. Furthermore, preferably the reference data storage 4 stores the data classified by the kinds of the artificial lenses, further classified by the postoperative elapsed time.
Preferably, the control program gets the computer to function as the examinee information input means 6 for inputting at least one data of the kind of the lens of the examinee, the age of the examinee and the postoperative elapsed time as the examinee information, the examinee information storage 7 for storing the inputted examinee information, and the assessment mode designator 8 for designating with which examinee information of the examinee information stored in the examinee information storage 7 and with which reference data of the reference data stored in the reference data storage 3 the quantitative assessment should be done.
Preferably the control program gets the quantitative assessment means 5 to compare the measurement data in connection with the specific colors that are easy to receive an influence according to the kind of the lens, the age of the examinee or the postoperative elapsed time designated by the assessment mode designator 8.
On the other hand, a control method of the lens assessment device according to the invention is to quantitatively assessing the lens of the examinee who received the treatment for enlarging the clear vision region, and has a step of inputting the measurement data of the chromatic vision of the examinee through the measurement data input means 2, a step of storing the inputted measurement data through the measurement data storage 3, a step of storing the reference data of the chromatic vision through the reference data storage 4, and a step of quantitatively assessing the lens of the examinee by comparing the measurement data and the reference data through the quantitative assessment means 5.
Preferably, in such a case, the reference data storage 4 stores at least any of the measurement data of the chromatic vision of a large group of people who do not install the artificial lens and the measurement data of the chromatic vision of a large group of people who install the artificial lens that is classified by the kinds of the artificial lenses. Preferably, the reference data storage 4 stores the measurement data of chromatic vision, classified by ages. Besides, the reference data storage 4 stores the data classified by kinds of the artificial lenses, further classified by postoperative elapsed time.
Preferably, the control method has a step of inputting at least one data of kinds of the lenses of the examinees, ages of examinees and the postoperative elapsed time as examinee information through examinee information input means 6, a step of storing the inputted examinee information through the examinee information storage 7, and a step of designating with which examinee information of the examinee information stored in the examinee information storage 7 and with which reference data of the reference data stored in the reference data storage 4 quantitative assessment should be done through assessment mode designator 8.
Preferably, the quantitative assessment means 5 compares the measurement data on the specific colors that are easy to receive an influence according to the kind of the lens, the age of the examinee or the postoperative elapsed time designated by the assessment mode designator 8.
Number | Date | Country | Kind |
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2010-142490 | Jun 2010 | JP | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/JP2011/063488 | 6/13/2011 | WO | 00 | 2/28/2013 |