The present invention relates to an improvement in an ophthalmologic imaging device.
In related art a known ophthalmologic imaging device includes an imaging unit to capture an electronic image of a subject eye using apertures, an image processing unit to process the captured image of a fundus, and a selector unit to selectively switch the apertures (or iris aperture) disposed at different positions. This ophthalmologic imaging device can shoot the subject eye using the apertures at different positions by a single shutter operation to obtain a plurality of fundus images, and perform image processing on the fundus images so that the same parts of the subject eye in the obtained images overlap with each other (refer to Patent Document 1, for example). Also, it can acquire high-quality fundus images with flares removed.
Meanwhile, another known ophthalmologic imaging device aims to facilitate the focusing on a subject eye having a small pupil. For this purpose, it is configured to move a reference alignment position to an offset position on a monitor screen and offset the central axis of the pupil and the optical axis of a device body (refer to Patent Document 2, for example). According to this device, vignetting of a focus split mark image due to the small pupil is prevented at the optical axis (reference position) of the device body and a split mark image on one side is projected onto the subject eye. Therefore, it is possible to focus the device body relative on the subject eye by placing the one-side split mark image in the center of a stick mirror image.
Patent Document 1: Japanese Patent Application Publication No. 2009-285108
Patent Document 2: Japanese Patent Application Publication No. 2008-278914
Another ophthalmologic imaging device comprises an illumination optical system to illuminate the fundus of a subject eye, having three apertures, a cornea aperture conjugate to the cornea, an iris aperture conjugate to the iris, and a lens aperture conjugate to the posterior surface of a lens. This type of device faces a problem in imaging a subject eye with a small pupil that the center portion of a captured fundus image tends to be dark due to a small iris.
To prevent the center portion of the captured fundus image from becoming dark, the device reduces the diameter of the lens aperture conjugate with the posterior surface of the lens to sufficiently illuminate the center of the fundus when imaging the fundus of the subject eye with a small pupil.
In the following the problem to be solved by the invention is described with reference to
An illuminating ray P1 is guided to the subject eye E via the objective lens 1 and a cornea aperture image q1, an iris aperture image q2, a lens aperture image q3 are formed on the apex Cp of the cornea C and at positions approximately conjugate with the pupil 6 and the posterior surface 2a of the lens aperture 2, respectively. The illuminating ray P1 is incident on the subject eye E through the pupil 6 and illuminates the fundus Ef.
The illuminating ray P1 reflected by the fundus Ef is a reflected ray (observing ray or imaging ray) P2 to transmit through the center of the pupil 6 and return to the objective lens 1. The reflected ray P2 transmits through the objective lens 1 and is guided to the optical observation or imaging system for observation or imaging.
The cornea aperture image, iris aperture image, lens aperture image q1, q2, q3 work to prevent the occurrence of flares in the fundus image because scattered rays of the illuminating ray P1 reflected by the cornea C, iris 4, posterior surface 2a of the lens aperture 2 are incident on the objective lens 1, respectively.
The area of the pupil 6 on which the illuminating ray P1 is incident is mainly defined by the inner margin q2a of the outer aperture image q2″, the outer margin q3b of the inner aperture image q3′, the outer margin q1b of the inner aperture image q1′ and the inner margin q3a of the outer aperture image q3″. An area Pa is an area (non-incidence area) not to allow the illuminating ray P1 to transmit therethrough and an area Pb is an area (shadow area) in which the illuminating ray P1 incident through the pupil 6 cannot reach the fundus Ef.
The reflected ray P2 by the fundus Ef transmits through the shadow area Pb to the objective lens 1. The optical path of the reflected ray P2 is guided to an optical imaging system (not shown), not overlapping with that of the illuminating ray P1. Generally, the exit area of the reflected ray P2 is defined by the outer margin q3b of the inner aperture image q3′ and the outer margin q1b of the inner aperture image q1′.
As shown in
In view of this, to deal with a subject having a small pupil diameter in related art, the inner aperture of the lens aperture is replaced with one with a smaller diameter to reduce the size of the inner aperture image q3′ formed on the posterior surface 2a of the lens aperture 2, as shown in
However, a problem arises when the size of the outer diameter of the inner aperture image q3′ is decreased. As shown in
Specially, in imaging with a xenon lamp, it requires a long time to charge the lamp so that consecutive images cannot be captured by a single imaging operation. This leads to placing a load on a subject temporally, psychologically.
Another solution may be moving the iris aperture. However, with the iris aperture moved, a fundus image may include parallax, which is troublesome for image synthesis.
Still another solution may be widening the pupil of the subject by a mydriatic agent. However, many of patients with a small pupil diameter suffer a diabetic glaucoma and the use of a mydriatic agent may worsen their glaucoma. It is therefore difficult to capture a diagnostically important area from the macula to the optic papilla in a wide angle of view.
An object of the present invention is to provide an ophthalmologic imaging device which can shoot a diagnostically important area from the macula to the optic papilla in a wide angle of view without flares without trouble by a single imaging operation.
An ophthalmologic imaging device according to the present invention includes an illumination optical system having a cornea aperture conjugate to a cornea of the subject eye, an iris aperture conjugate to an iris of the subject eye, a lens aperture conjugate to a posterior surface of a lens, and a split mark projection system to bring the fundus of the subject eye into focus. A light source is controlled by a controller to emit light for being able to obtain at least two consecutive fundus images. An inner aperture image corresponding to the lens aperture is projected onto the posterior surface of the lens. The controller is configured to control the lens aperture so that for obtaining a second fundus image, the aperture image is projected at a position shifted relative to an optical axis of the optical observatory or imaging system from a position at which the aperture image is projected for obtaining a first fundus image.
According to the invention, it is possible to shoot a diagnostically important area from the macula to the optic papilla in a wide angle of view without flares without trouble by a single imaging operation.
In
The device body 12 in
The illumination optical system 25 irradiates the fundus Ef with infrared light for observation and irradiates it with visible light for imaging. The illumination optical system 25 includes an objective lens 1, a hole mirror 30, a relay lens 31, a reflection mirror 32, a relay lens 33, a cornea aperture 34 approximately conjugate to the cornea C of the subject eye E, an iris aperture 35 approximately conjugate to the iris 4 (pupil 6) of the subject eye E, a lens aperture 36 approximately conjugate to the posterior surface 2a of the lens 2, an xenon lamp 37 as light source for imaging, an IR filter 38, a condenser lens 39 and a halogen lamp 40 as light source for observation. The hole mirror 30 becomes conjugated with the cornea C of the subject eye E when the distance between the subject eye E and the objective lens 1 is set to an appropriate operation distance.
A stick mirror 41a constitutes a part of a split (focus) mark projection system 41 and is detachably inserted into the optical path of the illumination optical system 25 to be able to conjugate with the fundus Ef of the subject eye E (refer to Japanese Patent Application Publication No. H9-66032 for structural details).
The split mark projection system 41 moves along the optical axis of the illumination optical system 25 together with the optical observation system 27 and a focus lens 42 of the optical imaging system 26, to allow a not-shown split mark plate and the fundus Ef to optically conjugate with each other constantly. If the fundus Ef and split mark plate are not conjugate, two split mark images 41b, 41b are separately seen horizontally in
Thus, the split mark images 41b, 41b by the split mark projection system 41 are displayed on the screen of the monitor 22, and when the split mark images 41b match each other, the subject eye is determined to be in focus and an imaging operation follows in general.
The optical imaging system 26 captures a still image of the fundus Ef illuminated by the illumination optical system 25. It includes the objective lens 1, hole mirror 30, focus lens 42, an imaging lens 43, a reflection mirror 44, a field lens 45, a reflection mirror 46, a relay lens 47, and the imaging TV camera 20A. The imaging TV camera 20A is optically conjugated with the fundus Ef.
The optical observation system 27 observes the fundus Ef illuminated by the illumination optical system 25. It is branched from the optical path of the optical imaging system 26 by a quick return mirror 48. It includes a reflection mirror 49, a relay lens 50, and the observation TV camera 20B and is disposed at a position conjugate with an image sensor 20a relative to the quick return mirror 48.
The alignment optical system 28 projects an alignment mark onto the subject eye E, and includes an LED 51 as alignment light source, an optical guide 52 to guide the light from the LED 51, a reflection mirror 54 to reflect the light from the optical guide 52 to a double-hole aperture 53, a relay lens 55, a half mirror 56 to branch from the optical imaging system 26, a hole mirror 30, and the objective lens 1. The double-hole aperture 53 functions to project an alignment ray to the subject eye E. When the operation distance W is not proper, an alignment image 53′ based on the alignment ray is separately projected onto the subject eye E.
The alignment ray is emitted from an exit end 52a of the optical guide 52 and reflected by the reflection mirror 54 to the double-hole aperture 53. Then, it is guided to the relay lens 55 through the hole 53a of the double-hole aperture 53.
The alignment ray transmits through the relay lens 55 and is reflected by the half mirror 56 to the hole mirror 30. The relay lens 55 forms an intermediate image from the exit end 52a (alignment mark 53′) of the optical guide 52 at the center X of the hole 30a of the hole mirror 30, as shown in
The inner fixation mark projection system 29 is branched from the optical path of the optical observation system 27 by a dichroic mirror 57. The dichroic mirror 57 has property to allow infrared light to transmit therethrough and reflect visual light. The inner fixation mark projection system 29 projects a fixation mark onto the subject eye E, and includes a fixation light source 58, a mask plate 59, and the dichroic mirror 57.
Thereby, the fixation mark is presented to the subject eye E.
In general an alignment mark (parenthesis) 60 is displayed at a reference position of the monitor 22. The reference position refers to the center of the fundus Ef or the center of the optical axis O. The alignment mark 60 is controlled by the controller 23.
The operation panel 18 in
When the operation distance W is set properly relative to the subject eye E and relative to the device body 12 vertically, horizontally, the alignment mark image 53′ matches the alignment mark 60 at the center, as shown in
In manual operation, by manipulation of the focus handle 19, the split mark images 41b are moved to match each other and the focus lens 42 is moved to focus on the fundus Ef. Then the fundus in focus is shot with the shooting switch 17.
A non-mydriatic fundus camera can generally observe the image of an eye to measure a pupil diameter. The controller 23 can measure a pupil diameter Pd on the basis of an anterior eye image as shown in
In the following embodiments in which a small pupil is shot are described.
In the present embodiment an inner aperture 36′ of the lens aperture 36 is horizontally swung by imaging operation in
Along with the horizontal movement of the inner aperture 36′, a corresponding inner aperture image q3′ is projected onto the posterior surface 2a of the lens aperture 2 at a horizontally shifted position relative to the optical axis O. As previously described, if the subject eye E has a small pupil, the illuminating ray P1 is vignetted by near the inner margin 5 of the iris 4 in
In view of this, in
Here, the device body 12 is operated to place the alignment mark 53′ in the parenthesis of the alignment mark 60 to match the mark 60. Then, the optical axis O of the optical imaging system 26 is offset from the pupil central axis Q of the subject eye E in
Then, by manipulation of the focus handle 19, the split mark image 41b is moved so that the center thereof along the width coincides with the center of the stick mirror image 41a′ (S. 2), as shown in
Then, in
By manipulation of the shooting switch 17, the controller 23 controls the drive motor 36A to drive to swing the inner aperture 36′ to a left-side predetermined position. Simultaneously, the controller 23 controls the xenon lamp 37 to emit light.
In accordance with the leftward movement of the inner aperture 36′, the inner aperture image q3′ is shifted to the right side, and the amount of the illuminating light P1 incident on the subject eye E from one side is increased, as shown in
The controller 23 then moves the inner aperture 36′ to a symmetric, right-side position relative to the optical axis O and simultaneously controls the xenon lamp 37 to emit light. In accordance with the rightward movement of the inner aperture 36′, the inner aperture image q3′ is shifted leftward as shown in
Thereby, a fundus image Ef2 in
Thus, by a single imaging operation, the inner aperture image q3′ is shifted in opposite directions to acquire the two fundus images Ef1, Ef2, as shown in
Meanwhile, since the illuminating ray P1 is incident only from one side, the fundus image Ef1 in
The controller 23 cuts off a left half of the fundus image Ef1 in
In the first embodiment the lens aperture 36 is mechanically moved. However, the cornea aperture 34, iris aperture 35, lens aperture 36 can be configured of a liquid crystal display plate (not shown). In this case the inner aperture image q3′ can be projected on the posterior surface 2a of the lens aperture 2 at a shift position by electro-optically changing the position of the inner aperture of the liquid crystal display plate corresponding to the inner aperture 36′ of the lens aperture 36.
In the first embodiment, for observation the inner aperture image q3′ associated with the inner aperture 36′ is placed at the center of the optical axis O of the objective lens 1. For imaging, the inner aperture image q3′ is shifted to horizontal, symmetric positions from the center.
Meanwhile, in the second embodiment, for observation the subject eye is brought in alignment while the inner aperture image q3′ is shifted in advance to either side of the optical axis O of the objective lens 1 and the alignment mark 60 is displayed at the reference position. Then, the alignment mark 60 is moved from the reference position to an offset position and the subject eye is focused. The observation of the fundus Ef can be improved from the first embodiment by shifting the inner aperture image q3′ in advance to either side of the optical axis O of the objective lens 1.
For example, in
Next, the alignment mark 60 is returned to the original reference position in
Then, the xenon lamp 37 is controlled to emit light concurrently with the manipulation of the shooting switch 17. A first fundus image is captured while the relation between the illuminating ray P1 and the inner aperture image q3′ as in
As configured above, the inner aperture 36′ is placed at a shift position relative to the optical axis O of the objective lens before observation, so that it is possible to shorten the time taken for moving the inner aperture 36′ and continuously shoot the fundus in a shorter time.
In the third embodiment the inner aperture 36′ is horizontally shifted at high speed during the observation of the fundus. By swinging the inner aperture 36′ at high speed, the inner aperture image q3′ is quickly shifted horizontally as shown in
A swing cycle of the inner aperture 36′ is preferably synchronized with the timing at which an image signal of the observation camera 20B is acquired. In synchronization with the manipulation of the shooting switch 17, the inner aperture 36′ is swung to acquire the two consecutive fundus images Ef1, Ef2. Thus, a fundus image close to the synthetic fundus image Ef3 can be pre-checked.
In observation the subject eye is brought in alignment while the fundus is being observed with the inner aperture 36′ away from the optical path of the illuminating ray P1 as shown in
Then, after the focus operation, the alignment mark 60 is displayed at the reference position for re-alignment of the subject eye and the shooting switch 17 is manipulated. Concurrently with the manipulation of the shooting switch 17, the inner aperture 36′ is inserted into the optical path, and the inner aperture image q3′ is projected at a shift position as shown in
Subsequently, the inner aperture 36′ is shifted to the other position to project the inner aperture image q3′ at a shift position as shown in
In the fifth embodiment the alignment mark 60 is displayed on the screen of the monitor 22 at a shift position from the reference position from the beginning, as shown in
Here, the one split mark image 41b is adjusted by focus operation to be positioned at the center of the stick mirror image 41a′ in
Then, the inner aperture 36′ is moved to shift the inner aperture image q3′ as in
Note that the number of iris apertures 35 can be two or more instead of one. Further, the lens aperture 36 can be comprised of light shielding plates corresponding to the inner and outer apertures 36′, 36″ and the one corresponding to the outer aperture 36″ is disposed between the one corresponding to the inner aperture 36′ and the iris aperture 35. The light shielding plate corresponding to the inner aperture 36′ can be moved horizontally.
In addition to the above embodiments, the apertures can be a cornea aperture conjugate to the cornea and a black plate (not shown) conjugate to the anterior surface of the lens aperture (refer to Japanese Patent Publication No. S62-16092). The black plate can be moved horizontally.
The present application is based on and claims priority from Japanese Patent Application No. 2010-179195, filed on Aug. 10, 2010, the disclosure of which is hereby incorporated by reference in its entirety.
Number | Date | Country | Kind |
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2010-179195 | Aug 2010 | JP | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/JP2011/066828 | 7/25/2011 | WO | 00 | 2/5/2013 |