CN106725278A - It is a kind of to suppress instrument and the suppression quantitative detecting method using the suppression instrument - Google Patents
It is a kind of to suppress instrument and the suppression quantitative detecting method using the suppression instrument Download PDFInfo
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- CN106725278A CN106725278A CN201611049324.XA CN201611049324A CN106725278A CN 106725278 A CN106725278 A CN 106725278A CN 201611049324 A CN201611049324 A CN 201611049324A CN 106725278 A CN106725278 A CN 106725278A
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- 230000001629 suppression Effects 0.000 title claims abstract description 27
- 238000000034 method Methods 0.000 title claims abstract description 13
- 230000005764 inhibitory process Effects 0.000 claims abstract description 18
- 238000002834 transmittance Methods 0.000 claims abstract description 15
- 238000001514 detection method Methods 0.000 claims description 9
- 235000009508 confectionery Nutrition 0.000 claims description 6
- 239000000203 mixture Substances 0.000 claims description 2
- 238000009738 saturating Methods 0.000 claims 1
- 230000004438 eyesight Effects 0.000 abstract description 18
- 238000007689 inspection Methods 0.000 abstract description 8
- 230000000694 effects Effects 0.000 abstract description 5
- 230000000007 visual effect Effects 0.000 abstract description 3
- 201000009487 Amblyopia Diseases 0.000 description 16
- 239000011521 glass Substances 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 238000001914 filtration Methods 0.000 description 2
- 230000004379 myopia Effects 0.000 description 2
- 208000001491 myopia Diseases 0.000 description 2
- 206010008795 Chromatopsia Diseases 0.000 description 1
- 206010020751 Hypersensitivity Diseases 0.000 description 1
- 208000026935 allergic disease Diseases 0.000 description 1
- 238000003759 clinical diagnosis Methods 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 238000007405 data analysis Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 230000004424 eye movement Effects 0.000 description 1
- 230000009610 hypersensitivity Effects 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000010287 polarization Effects 0.000 description 1
- 210000000162 simple eye Anatomy 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 230000004382 visual function Effects 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/02—Subjective types, i.e. testing apparatus requiring the active assistance of the patient
- A61B3/028—Subjective types, i.e. testing apparatus requiring the active assistance of the patient for testing visual acuity; for determination of refraction, e.g. phoropters
- A61B3/032—Devices for presenting test symbols or characters, e.g. test chart projectors
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- Life Sciences & Earth Sciences (AREA)
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- Medical Informatics (AREA)
- Biophysics (AREA)
- Ophthalmology & Optometry (AREA)
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- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Physics & Mathematics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
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- Eye Examination Apparatus (AREA)
Abstract
It is a kind of to suppress instrument and the suppression quantitative detecting method using the suppression instrument, the effect of dichoptic viewing is reached using polarizer, reduce influence of the color eyeglass to inspection result;Fixation object uses substantial sighting target rather than spot light, examinee is easier, more objectively judges whether eyes balance;Eyes are made to reach identical visual effect by converting the light transmittance of ND filters again, so that easily and efficiently quantitative determination vision inhibition level.
Description
Technical field
Present invention relates particularly to the suppression depth detection field of amblyopia eye, and in particular to one kind suppresses instrument and adopts
With the suppression quantitative detecting method of the suppression instrument.
Background technology
Suppression is that the power suppressed between the key factor for causing amblyopia to occur, eyes thinks the generation with amblyopia and serious journey
Degree has obvious correlation, so if the degree that can be based on suppressing takes corresponding amblyopia treatment, it will to the therapeutic effect of amblyopia
There is positive role.But current clinic is unable to the suppression depth of quantitative determination amblyopia eye, it is difficult to taken according to the-degree that suppresses
The treatment of body.
Current existing method:First, the lightings of Worth 4 detection, during test, patient wears red-green glasses, using it is red-
Green complementarity principle, observes 4 sighting targets of worth under the conditions of point regarding, there are some shortcomings in the inspection method:Red, green glasses
Itself there is inhibitory action to eyes, there is certain interference to normal visual effect;Some patientss there may be dyschromatopsia,
There may be the influence that color is disturbed;Can not quantify, fine measurement suppresses depth.2nd, surveyed from eye movement uniformity threshold value
Amount:Be study at present it is more can the quantitative measurment method that suppresses depth, but experiment fitness requirement is high, and detection is directed into
People, is suitably applied laboratory and is difficult in clinical application.3rd, ND filters neutral density mirror+wire mirror:Wire mirror has
There are a plain glass spectacles of careful parallel stripes, binoculus piece striped is respectively 45 ° and 135 ° and reaches the effect that separates eyes, thus
Image that eyes are seen and background can be made essentially identical, by placing ND filters in before patient's dominant eye, light in dominant eye is reduced
Filtration reach binocular balance so as to measure the depth of suppression, but spot light is used during by checking, easily make without binocular visual function
Patient there are false positive results, while whether patient is difficult to assess eyes and balance by judging the brightness of spot light, check
The subjective factor influence of the easy patient of result.
Therefore, a kind of energy convenient use, subjective factor are lacked at present influences small quantitative determination to suppress the means of depth, limit
The eyes for having made clinical qualitative assessment amblyopia patient suppress depth, influence clinical judgment and diagnosis and treatment.
The content of the invention
It is of the invention to suppress instrument there is provided one kind and determined using the suppression in order to solve the deficiencies in the prior art
Measure the suppression quantitative detecting method of detector.
The present invention use technical solution be:One kind suppresses instrument, including wear-type mirror holder and sighting target, institute
The sighting target stated includes symmetrical left and right two parts, and the symmetrical left and right two parts of described sighting target are respectively provided with candy strip area, described
The symmetrical left and right two parts of sighting target on be placed with the orthogonal polarizer in printing opacity direction respectively, described wear-type mirror holder
It is respectively equipped with polarizer in two picture frames, polarizer and the symmetrical left and right of sighting target in two picture frames of described wear-type mirror holder
The printing opacity direction of the polarizer on two parts mutually corresponds to identical, images of left and right eyes is can only see respectively through wear-type mirror holder and regards
The candy strip of mark correspondence side, the front end of the polarizer in the picture frame of described wear-type mirror holder is additionally provided with detachable
ND filters.
The picture frame front end of described wear-type mirror holder is additionally provided with the filter groove for the ND filters placed.
Described candy strip area is made up of some stripeds, the thickness and interfringe spacing phase of described some stripeds
Together.
The light transmittance of described ND filters changes or consecutive variations in gradient.
A kind of suppression quantitative detecting method for suppressing instrument, comprises the following steps:
(1)Choose light transmittance change in gradient or consecutive variations ND filters;
(2)Remote inhibition level is regarded according to detection or different size of sighting target is chosen regarding nearly inhibition level;
(3)Sighting target is irradiated using lamp source;
(4)Detected person wears wear-type mirror holder, is seen to sighting target by picture frame, and the left and right of the sighting target seen according to detected person is bright
Degree is different, and ND filters are added in the picture frame that detected person feels brighter, light transmittance is constantly reduced, and is extremely seen by detected person
Untill the symmetrical sighting target pattern of complete left and right striped brightness;
(5)Light transmittance according to the ND filters for adding draws quantitative suppression.
Described sighting target size and the spacing of striped are adjusted according to detecting distance.
Lamp source is size 35cd/m2 in described step 3, and brightness is the LED lamp case of 320cd/ m2.
The beneficial effects of the invention are as follows:Suppress instrument the invention provides one kind and use the suppression quantitative determination
The suppression quantitative detecting method of instrument, the effect of dichoptic viewing is reached using polarizer, reduces color eyeglass to inspection result
Influence;Whether fixation object uses substantial sighting target rather than spot light, examinee is easier, more objectively judges eyes
Balance;Eyes are made to reach identical visual effect by converting the light transmittance of ND filters again, so that easily and efficiently quantitative determination
Vision inhibition level.
Brief description of the drawings
Fig. 1 is the structural representation of suppression instrument provided in an embodiment of the present invention.
Fig. 2 is the wear-type mirror holder structural representation of suppression instrument provided in an embodiment of the present invention.
Fig. 3 is sighting target figure provided in an embodiment of the present invention.
Fig. 4 is that amblyopia eye vision provided in an embodiment of the present invention and inhibition level compare figure.
Fig. 5 be amblyopia patient's eyes provided in an embodiment of the present invention between weak-eyed away from inhibition level figure.
100- wear-types mirror holder in figure, 120- filter grooves, 200-ND filters, 300- sighting targets, 311- stripeds, 400- polarizations
Piece.
Specific embodiment
The present invention is further described in conjunction with Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, one kind suppresses instrument, bag
Wear-type mirror holder 100 and sighting target 300 are included, described sighting target 300 includes symmetrical left and right two parts, and described sighting target 300 is symmetrical
Left and right two parts be respectively provided with candy strip area, be placed with printing opacity side respectively on the symmetrical left and right two parts of described sighting target 300
To orthogonal polarizer 400, polarizer 400 is respectively equipped with two picture frames of described wear-type mirror holder 100, it is described
Polarizer 400 on polarizer 400 in two picture frames of wear-type mirror holder 100 and the symmetrical left and right two parts of sighting target 300
Printing opacity direction mutually corresponds to identical, by the bridging effect of polarizer 400, images of left and right eyes is can only see correspondence side respectively
Sighting target 300, i.e. left eye are only capable of seeing the left-hand component of sighting target 300 that right eye only sees the right-hand component of sighting target 300;Described wear-type
The front end of the polarizer 400 in the picture frame of mirror holder 100 is additionally provided with detachable ND filters 200.Described wear-type mirror holder
100 picture frame front end is additionally provided with the filter groove 120 for the ND filters 200 placed.
The described pattern area of striped 311 is made up of some stripeds 311, thickness and the striped 311 of described some stripeds 311
Between spacing it is identical.
The light transmittance of described ND filters 200 changes or consecutive variations in gradient.
In the present embodiment, the ND filters 200 are increased with 0.3-log unit ratios, and light transmittance is gradually reduced from 50%
To 25%, 12.5%, 6.25%, 3.125%, 1.563%, 0.782%, 0.391%, 0.195%, 0.098%.;The sighting target 300 is by regarding
Far, regarding nearly two kinds compositions, the icon of symmetrical butterfly-like shape is, the long sight mark 300 that regards is 7.27cm*7.27cm,
The myopia mark 300 that regards is 1.81cm*1.81cm, and the butterfly icon body is provided with 5 different striate regions of spacing 310,
310 spacing of striped 311 is consistent with the thickness of striped 311 wherein in each striate region, and each striate region 310 represents one and regards
Force value, wherein eyesight value is respectively 0.2,0.4,0.6,0.8 and 1.0.
Depending on it is remote when, eyesight value be 0.2 when, the spacing of striped 311 be 7.27mm, eyesight value be 0.4 when, the spacing of striped 311 is
3.63mm, when eyesight value is 0.6, the spacing of striped 311 is 2.42mm, and when eyesight value is 0.8, the spacing of striped 311 is 1.82mm, depending on
When force value is 1, the spacing of striped 311 is 1.45mm.
Depending on it is near when, eyesight value be 0.2 when, the spacing of striped 311 be 0.73mm, eyesight value be 0.4 when, the spacing of striped 311 is
0.36mm, when eyesight value is 0.6, the spacing of striped 311 is 0.24mm, and when eyesight value is 0.8, the spacing of striped 311 is 0.18mm, depending on
When force value is 1, the spacing of striped 311 is 0.15mm, also there is similar striped 311 on two wings of butterfly, and with body on striped
311 is continuous respectively, places the orthogonal polarizer 400 of permeable light at the right and left wing of butterfly respectively.
When checking, examinee's images of left and right eyes is worn inclined with the printing opacity direction identical of left and right polarizer 400 on sighting target 300
Shake piece 400, reaches the effect of dichoptic viewing, and bias light is 35cd/m2, uses LED lamp brightness:320cd/ m2 lamp boxes irradiate
Sighting target 300.
When detection regards remote inhibition level, depending on long sight mark 300 apart from human eye 5m, examinee is wearing the optimal mirror corrected defects of vision
Under piece state, wear-type mirror holder 100 is put on, images of left and right eyes is seen to sighting target 300 through polarizer 400, examinee sees under normal circumstances
To complete butterfly and the brightness of left and right wing striped 311 are symmetrical, if there is simple eye suppression, wherein one wing or two are seen
The brightness of striped 311 of wing is differed, if there is the phenomenon, adds ND filters 200 before the dominant eye of examinee, light transmittance from
50% gradually reduces, and sees complete butterfly to examinee and left and right wing 311 brightness of striped are symmetrical, now can be according to leading
The light transmittance of ND filters 200 draws quantitative suppression at the moment.
When detection regards nearly inhibition level, depending on myopia mark 300 apart from human eye 50cm, examinee wears the optimal mirror corrected defects of vision
Under piece state, wear-type mirror holder 100 is put on, right and left eyes are seen to sighting target 300 through polarizer 400, if examinee sees complete butterfly
The butterfly and brightness of left and right wing striped 311 are symmetrical, then do not exist and suppress;If rarely seen wherein one wing of examinee or two wings
The brightness of striped 311 differ, ND filters 200 are placed before dominant eye, optical filtering rate is gradually reduced from 50%, is seen to examinee
Complete butterfly and left and right wing 311 brightness of striped are symmetrical, can now draw according to the light transmittance of ND filters 200 before dominant eye
It is quantitative to suppress.
The present invention is obtained by clinical test in this embodiment:
1. suppress instrument and check that inhibition level has notable hypersensitivity compared with the inspection of the points of Worth 4, stereopsis inspection
Worth4 points:P < 0.0001;Stereopsis:P < 0.005, show to suppress instrument compared with the inspection of the points of Worth 4, three-dimensional inspection
Look into the suppressed degree for being more easy to find clinical patients amblyopia eye.
2. inhibition level and the amblyopia eye vision ρ that the present invention is checked=- between 0.759, P < 0.0001 and eyes weak-eyed away from
There is significant correlation ρ=0.738, P < 0.0001, the inhibition level for pointing out the present invention to detect can reflect patient's amblyopia order of severity,
And have correlation with its order of severity.Meanwhile, being found by data analysis, the inhibition level that the present invention is checked is relative to amblyopia eye
Between eyesight and eyes weak-eyed away from inspection, can more fully reflect the not reciprocity degree between patient's eyes.
As shown in Figure 4:Identical amblyopia eyesight, the inhibition level of different patients may be inconsistent, and such as amblyopia eye is
During 0.1Logmar eyesights, the inhibition level of different patients is differed;As shown in figure 5, identical weak-eyed away from when, it is different
The inhibition level of patient is also likely to be inconsistent.Therefore, age, the amblyopia of the inhibition level energy comprehensive patient of present invention detection
Not reciprocity degree between the composite factors such as the cause of disease, eyes dioptric degree reflection patient's eyes, is more beneficial for clinical diagnosis and treatment.
Embodiment above not does any limitation, ND filters just for the sake of the present invention will be described in detail to it
The change of the light transmittance of mirror 200 can using other gradeds or consecutive variations, sighting target size can according to detection away from
It is not limitation with the numerical value mentioned in the present embodiment from being adjusted, this area other staff are not paying creativeness
Any change and replacement are made under work to technical scheme, is belonged within protection scope of the present invention.
Claims (7)
1. it is a kind of to suppress instrument, including wear-type mirror holder(100)And sighting target(300), it is characterised in that described sighting target
(300)Including symmetrical left and right two parts, described sighting target(300)Symmetrical left and right two parts are respectively provided with candy strip area, institute
The sighting target stated(300)The orthogonal polarizer in printing opacity direction is placed with symmetrical left and right two parts respectively(400), it is described
Wear-type mirror holder(100)Two picture frames in be respectively equipped with polarizer(400), described wear-type mirror holder(100)Two mirrors
The polarizer of inframe(400)With sighting target(300)Polarizer on symmetrical left and right two parts(400)Printing opacity direction mutually correspond to
It is identical, images of left and right eyes is passed through wear-type mirror holder(100)Sighting target is can only see respectively(300)The candy strip of correspondence side, it is described
Wear-type mirror holder(100)Picture frame in polarizer(400)Front end be additionally provided with detachable ND filters(200).
2. one kind according to claim 1 suppresses instrument, it is characterised in that described wear-type mirror holder(100)
Picture frame front end be additionally provided with for place ND filters(200)Filter groove(120).
3. one kind according to claim 1 suppresses instrument, it is characterised in that described striped(311)Pattern area
There are some stripeds(311)Composition, described some stripeds(311)Thickness and striped(311)Between spacing it is identical.
4. one kind according to claim 1 suppresses instrument, it is characterised in that described ND filters(200)It is saturating
Light rate changes or consecutive variations in gradient.
5. described in a kind of claim 1 suppression instrument suppression quantitative detecting method, it is characterised in that including following
Step:
(1)Choose light transmittance change in gradient or consecutive variations ND filters;
(2)Remote inhibition level is regarded according to detection or different size of sighting target is chosen regarding nearly inhibition level;
(3)Sighting target is irradiated using lamp source;
(4)Detected person wears wear-type mirror holder, is seen to sighting target by picture frame, and the left and right of the sighting target seen according to detected person is bright
Degree is different, and ND filters are added in the picture frame that detected person feels brighter, light transmittance is constantly reduced, and is extremely seen by detected person
Untill the symmetrical sighting target pattern of complete left and right striped brightness;
(5)Light transmittance according to the ND filters for adding draws quantitative suppression.
6. suppression quantitative detecting method according to claim 5, it is characterised in that described sighting target(300)Size and
Striped(311)Spacing be adjusted according to detecting distance.
7. suppression quantitative detecting method according to claim 5, it is characterised in that described step(3)Middle lamp source is big
Small 35cd/m2, brightness is the LED lamp case of 320cd/ m2.
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CN201611049324.XA CN106725278A (en) | 2016-11-25 | 2016-11-25 | It is a kind of to suppress instrument and the suppression quantitative detecting method using the suppression instrument |
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110367981A (en) * | 2019-07-10 | 2019-10-25 | 西安交通大学 | A kind of amblyopia brain electricity objective quantitative detection method |
CN110604542A (en) * | 2019-10-23 | 2019-12-24 | 重庆康萃医药科技有限公司 | Visual suppression determination method and system |
CN110604541A (en) * | 2019-10-23 | 2019-12-24 | 重庆康萃医药科技有限公司 | Binocular balance detection system and detection method thereof |
CN112401828A (en) * | 2021-01-14 | 2021-02-26 | 广东盖尔伦医学发展有限公司 | Binocular visual signal-to-noise ratio balance degree detection system and detection method |
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Application publication date: 20170531 |