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CN109828385A - Personalized full-contact hard corneal contact lens production method - Google Patents

Personalized full-contact hard corneal contact lens production method Download PDF

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Publication number
CN109828385A
CN109828385A CN201811612644.0A CN201811612644A CN109828385A CN 109828385 A CN109828385 A CN 109828385A CN 201811612644 A CN201811612644 A CN 201811612644A CN 109828385 A CN109828385 A CN 109828385A
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China
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lens
eyeglass
cornea
personalized
contact lens
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CN201811612644.0A
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周跃华
杨彦荣
周春阳
段俊国
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Chengdu University of Traditional Chinese Medicine
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Chengdu University of Traditional Chinese Medicine
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Priority to CN201811612644.0A priority Critical patent/CN109828385A/en
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Abstract

The present invention relates to personalized full-contact hard corneal contact lens production method, including lens design and machining eyeglass, lens design: the curvature and height map of anterior surface of cornea are obtained using corneal topography, the lens posterior surface face type with cornea Full connected is designed with this;With the best Correction Strategies of adaptive optics higher order aberratons refraction system measurement personalized eye aberration, and the thickness and face type for meeting personalized eye aberration correction eyeglass are obtained by computer software joint lens posterior surface face type;Machining eyeglass: using front-back face type and thickness as input parameter when machining eyeglass, processing and fabricating eyeglass.The method of the present invention can get the personalized eye aberration correction eyeglass completely attached to cornea, eccentricity issues during assembling and wear so as to avoid eyeglass, contact lense can be effectively prevent to the twist distortion of cornea, it can be improved the effect that eyeglass is corrected defects of vision, preferably improve visual quality, visual performance is improved, the development of myopia is controlled.

Description

Personalized full-contact hard corneal contact lens production method
Technical field
The present invention relates to contact lense production method technical fields, more particularly to personalized full-contact hard corneal contact lens Production method.
Background technique
In China, in development trend that is high-incidence and becoming younger, and at present, the rate of myopia in China is that the whole world is the first to myopia.Myopia Bring visual problem directly affects daily life and quality of life.It may be said that myopia not only makes the health of citizen At threat, immeasurable threat equally is also resulted in a country and national future.And myopia and other ametropia be A kind of irreversible dysopia can not cure once after generation, can only be controlled or be intervened by certain means. Current the most frequently used, most popular intervention means have optics intervention, including frame eyeglasses and contact lense etc..
Although frame eyeglasses can myopia correction, but can not effectively control myopia development.With lens design The development of technology, it is considered that peripheral hyperopia is the main reason for causing myopia progression.Frame eyeglasses have scaling in kind simultaneously Untrue property;And it is difficult to ensure that the center of lens of assembly is exactly pupil center, to there is assembly position error.Cornea is hard Property contact lense there are the advantages such as convenient beauty, and it is weak particularly suitable for near-sighted prevention and control, keratoconus, height ametropic Depending on rescuing for, height anisometropic amblyopia etc.;But contact lense can cause anterior corneal surface not while promoting visual quality Rule, actinomorphy reduce, and astigmatism is serious, stop wearing posterior corneal surface and are gradually recovered normally, and wherein chief reason is exactly to connect Touching mirror has extrusion process to cornea, causes cornea tissue distortion movement, thus to suit or adapt to eyeglass face type.This extruding As a result, increase the contact zone of cornea and eyeglass, but equally there is also Disengagement zone, the dynamic that will ultimately result in lens position becomes Change, and is influenced by tear film and lid pressure.Meanwhile there is also position errors for contact lens.
In addition, no matter frame eyeglasses or contact lense, can all occur the movement of eccentricity of glasses lens during wearing, lead to pupil Hole center-spot can not be consistent with center of lens, and then aggravate the development of myopia.Moreover correcting lens all at present are all Low order aberration can only be corrected, personalized aberration correction can not be implemented;And these correcting lens all only axially meet it is complete rectify or Correction is emmetropia, and cannot all be corrected in other regions as emmetropia.
And to solve the above problems, a kind of full-contact eyeglass for meeting personalized eye aberration correction must be just designed, Anterior corneal surface can be suited completely, to avoid eccentricity of glasses lens, position error, the defects of distorting cornea, and correction is personalized The influence of aberration especially higher order aberratons.
Firstly, it is necessary to anterior corneal surface curvature distribution be obtained by corneal topography, as morphological parameters.And corneal topography With computer software (Sun Ran, the clinical application [J] of computer corneal topography for calculating contact mirror curvature and refractive power reading Chinese Journal of Practical Ophthalmology, 1995,13 (12): 718.), but this calculating process by corneal topography is to improve and connect The accuracy that mirror is worn is touched, is not the eyeglass face type that design suits completely with cornea.
Then, the best Correction Strategies that human eye aberration is obtained by adaptive optics higher order aberratons refraction system, for setting The contact lense of aberration correction needed for counting.Currently, adaptive optical technique is mainly used for retina high-resolution imaging and visual function In research.And in the personalized contact lense design aspect based on adaptive optical technique, it is mainly based upon adaptive optical technique In Wavefront sensor obtain single frames or average aberration, to construct personalized eye model, design based on this meets Aspherical face type (research [D] of customized human eye vision correcting of the Wang Nan based on phantom eye of property aberration corrective lens Jilin University, 2011.) and free form surface (Wang Zhaoqi, Kong Qiang, Li Rui, He Yuanqing, Liu Yongji, Kong Xiangming are based on wave front technology Free form surface glasses design method [P] Chinese patent: CN102914879A, 2013.).And this single frames or average eye Aberration does not meet the dynamic change of aberration and the adaptability of visual system and insensitivity.The U.S. in 2013 The Yoon of Rochester university proposes a kind of system and method (Yoon G.System for designing Wavefront leading contact lense and method for designing wavefront-guided ophthalmic lenses[P].PCT/US2013/ 022507,2013-1-22.), the rear surface of contact lense is processed according to the topographic map of anterior surface of cornea in this method, and personalization is set During meter with the offset of contact lense and rotate to be variable come seek higher order aberratons best Correction Strategies and eyeglass it is best Position, evaluation index are influence of the higher order aberratons to retina image quality, do not account for visual system to visual quality It influences.So there is presently no design to meet personalized eye aberration correction based on adaptive optics higher order aberratons refraction system Contact lense.
Summary of the invention
The present invention is intended to provide personalized full-contact hard corneal contact lens production method, can get personalized eye aberration The full-contact hard contact eyeglass of correction.
In order to achieve the above objectives, The technical solution adopted by the invention is as follows:
Personalized full-contact hard corneal contact lens production method, including Step 1: lens design;Including following step Suddenly;
Step 1.1, the curvature and height map that anterior surface of cornea is obtained by corneal topography, are designed and cornea Full connected Lens posterior surface face type S2;The best correction plan of personalized eye aberration is obtained by adaptive optics higher order aberratons refraction system Slightly;
Step 1.2, according to the rear surface face type S of eyeglass2With the best Remedy strategy of personalized eye aberration, computer is utilized Software simulation, optimization obtain the thickness d and front surface face type S of eyeglass1
Further, in step 1.2, the best Remedy strategy of personalized eye aberration is A, the then wavefront slope for needing to correct For G, G=DA, wherein D is Zernike multinomial corresponding with A.Computer software simulation, optimization process are exactly to pass through directional light The wavefront slope of acquisition-G after designed eyeglass, so that optimization obtains thickness d and the front surface face of personalized full-contact eyeglass Type S1
Preferably, the corneal topography is area of computer aided type corneal topography.
Wherein, the adaptive optics higher order aberratons refraction system includes Shark-Hartman Wavefront sensor, distorting lens With optical path return portion.
Further, in the step 1 by the way of the positioning of rice word, the anchor point is at the edge in vain of corneosclera Place.
Further, personalized full-contact hard corneal contact lens production method further includes Step 2: machining eyeglass: will The processing and fabricating of eyeglass, the design parameter are completed in the design parameter input 3D printer or excimer laser device of eyeglass Including S1、S2And d.
Further, the angle in the step 2 by the way of the positioning of rice word, when the eyeglass of production is to measure in rice word Distance for assembly and wears anchor point to corneoscleral limbus in vain.
Compared with prior art, the invention has the following advantages:
The method of the present invention can get the personalized eye aberration correction eyeglass completely attached to cornea, so as to avoid eyeglass dress Eccentricity issues during matching and wearing can effectively prevent contact lense to the twist distortion of cornea, can be improved eyeglass correction view The effect of power preferably improves visual quality, improves visual performance, controls the development of myopia.
Detailed description of the invention
Fig. 1 is flow chart of the invention;
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, below in conjunction with attached drawing, to the present invention into Row is further described.
As shown in Figure 1, personalization full-contact hard corneal contact lens production method disclosed by the invention, including eyeglass are set Meter and machining eyeglass.Wherein lens design is by computer software, corneal topography and adaptive optics higher order aberratons refraction system It is responsible for completion.Corneal topography is area of computer aided type corneal topography, to design the rear surface face type of spectacle lens.It is described from Adaptive optics higher order aberratons refraction system includes Shark-Hartman Wavefront sensor, distorting lens and optical path return portion, can be obtained Wave front aberration distribution and wavefront best Correction Strategies of the human eye under 6mm pupil are obtained, the wavefront for needing to correct for designing eyeglass. Machining eyeglass process contains material and technique.
In the ophthalmic lens design stage, and using rice word as position line, it is first determined angle is consolidated in rice word anchor point on cornea Film edge distance in vain, and the curvature and height map of anterior surface of cornea are obtained by corneal topography, go out in this, as basic engineering Lens posterior surface face type S2
Then, on the basis of rice word anchor point, personalized eye picture is measured based on adaptive optics higher order aberratons refraction system The best Correction Strategies of difference, the best Correction Strategies indicate that the wavefront slope for then needing to correct is G, G=with Zernike coefficient A DA, wherein D is Zernike multinomial corresponding with A.
Finally, keeping the wavefront of directional light acquisition-G after designed eyeglass oblique by computer software simulation, optimization process Rate, so that optimization obtains the thickness d and front surface face type S of personalized full-contact eyeglass1.The eyeglass and angle that this method is designed Film front surface face type fits like a glove, to the distortionless deformation of cornea.
In the machining eyeglass stage, by the S of design phase acquisition1、S23D glass printer or excimer laser are inputted with d The production of eyeglass is completed in cutter.Made eyeglass still to measure when rice word in corneosclera edge in vain distance for dress Match and wear anchor point, guarantee that pupil center is optical center of lens, the eyeglass size of all directions be corneosclera edge it is white-light The heart-white the distance in corneosclera edge.
The present invention designs lens posterior surface face type by corneal topography, and passes through the optometry of adaptive optics higher order aberratons System obtains the best Remedy strategy of personalized eye aberration, obtains eyeglass by computer software simulation, optimization in this case Thickness d and front surface face type S1, to design the personalized full-contact hard contact eyeglass to correct aberration;It connects The production of input parameter completion eyeglass when making the face type of the eyeglass and thickness as 3D.
The present invention can design the personalized eye picture completely attached to cornea by corneal topography and eye Wavefront detecting Poor corrective lens, the eccentricity issues during assembling and wear so as to avoid eyeglass, avoids eyeglass to the twisted shape of cornea Become.In this case, it can be improved the effect that eyeglass is corrected defects of vision, preferably improve visual quality, improve visual performance, control The development of myopia.
Certainly, the present invention can also have other numerous embodiments, without deviating from the spirit and substance of the present invention, Those skilled in the art can make various corresponding changes and modifications, but these corresponding changes and change according to the present invention Shape all should fall within the scope of protection of the appended claims of the present invention.

Claims (8)

1.个性化全接触式硬性角膜接触镜制作方法,其特征在于:包括步骤一、镜片设计;包括以下步骤;1. a method for making a personalized full-contact hard contact lens, characterized in that: comprising step 1, lens design; comprising the following steps; 步骤1.1,通过角膜地形图获得角膜前表面的曲率和高度图,设计出与角膜全接触的镜片后表面面型S2;通过自适应光学高阶像差验光系统获得个性化眼像差的最佳校正策略;Step 1.1, obtain the curvature and height map of the anterior surface of the cornea through the corneal topography, and design the surface S 2 of the rear surface of the lens that is in full contact with the cornea; obtain the best personalized eye aberration through the adaptive optics high-order aberration optometry system. optimal calibration strategy; 步骤1.2,根据镜片的后表面面型S2和个性化眼像差的最佳矫正策略,利用计算机软件模拟、优化获得镜片的厚度d和前表面面型S1Step 1.2, according to the back surface profile S 2 of the lens and the best correction strategy for individualized ocular aberrations, use computer software to simulate and optimize to obtain the thickness d of the lens and the front surface profile S 1 . 2.根据权利要求1所述的硬性接触镜制作方法,其特征在于:步骤1.2中,个性化眼像差的最佳校正策略为A,需要校正的波前斜率为G,G=DA,其中D为与A对应的Zernike多项式。2. The method for making a rigid contact lens according to claim 1, wherein in step 1.2, the optimal correction strategy for individualized ocular aberrations is A, and the wavefront slope to be corrected is G, where G=DA, where D is the Zernike polynomial corresponding to A. 3.根据权利要求2所述的硬性接触镜制作方法,其特征在于:计算机软件模拟优化过程就是使平行光经所设计镜片后获得-G的波前斜率,从而优化得到个性化全接触式镜片的厚度d和前表面面型S13. The method for making a rigid contact lens according to claim 2, wherein the computer software simulation optimization process is to make the parallel light obtain the wavefront slope of -G after passing through the designed lens, thereby optimizing the personalized full contact lens. The thickness d and the front surface type S 1 . 4.根据权利要求1所述的硬性接触镜制作方法,其特征在于:所述角膜地形图为计算机辅助型角膜地形图。4 . The method for manufacturing a rigid contact lens according to claim 1 , wherein the corneal topography is a computer-assisted corneal topography. 5 . 5.根据权利要求1所述的硬性接触镜制作方法,其特征在于:所述自适应光学高阶像差验光系统包括Shark-Hartman波前传感器、变形镜和光路转折部分。5 . The method for manufacturing a rigid contact lens according to claim 1 , wherein the adaptive optics high-order aberration refraction system comprises a Shark-Hartman wavefront sensor, an anamorphic mirror and an optical path turning part. 6 . 6.根据权利要求1所述的硬性接触镜制作方法,其特征在于:所述步骤一中采用米字定位的方式,所述定位点在角巩膜的白白边缘处。6 . The method for manufacturing a rigid contact lens according to claim 1 , wherein in the step 1, a rice-character positioning method is adopted, and the positioning point is at the white edge of the cornea. 7 . 7.根据权利要求1-6中任一项所述的硬性接触镜制作方法,其特征在于:还包括步骤二、镜片加工:将镜片的设计参数输入3D打印机或准分子激光切削器中完成镜片的加工制作,所述设计参数包括S1、S2和d。7. The method for making a rigid contact lens according to any one of claims 1-6, characterized in that: further comprising step 2, lens processing: inputting the design parameters of the lens into a 3D printer or an excimer laser cutter to complete the lens , the design parameters include S 1 , S 2 and d. 8.根据权利要求7所述的硬性接触镜制作方法,其特征在于:所述步骤二中采用米字定位的方式,制作的镜片以测量时米字中的角巩膜边缘白白距离为装配和佩戴定位点。8. rigid contact lens manufacturing method according to claim 7, is characterized in that: in described step 2, adopt the mode of rice-character positioning, the lens of making is to assemble and wear with the corneoscleral edge white-white distance in rice-character during measurement location point.
CN201811612644.0A 2018-12-27 2018-12-27 Personalized full-contact hard corneal contact lens production method Pending CN109828385A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111820862A (en) * 2020-07-10 2020-10-27 温州医科大学 A personalized evaluation method and design method of scleral lens fit based on OCT image modeling guidance
CN114047643A (en) * 2021-11-26 2022-02-15 上海艾康特医疗科技有限公司 Method for preparing hard contact lens
WO2022216505A1 (en) * 2021-04-06 2022-10-13 Innovega, Inc. Automated contact lens through image capture of the eye

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Publication number Priority date Publication date Assignee Title
US4525044A (en) * 1983-05-05 1985-06-25 Bauman Robert C Soft contact lens with surface identification and method of using same
US20060244903A1 (en) * 2005-02-23 2006-11-02 Ming Ye Toric lens design
CN102171600A (en) * 2008-09-30 2011-08-31 庄臣及庄臣视力保护公司 Lens design simplification process
CN102508944A (en) * 2011-10-10 2012-06-20 沈阳理工大学 Corneal surface shape fitting method
CN102914879A (en) * 2012-11-06 2013-02-06 天津宇光光学公司 Design method of free-form surface glasses based on wave-front technology

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4525044A (en) * 1983-05-05 1985-06-25 Bauman Robert C Soft contact lens with surface identification and method of using same
US20060244903A1 (en) * 2005-02-23 2006-11-02 Ming Ye Toric lens design
CN102171600A (en) * 2008-09-30 2011-08-31 庄臣及庄臣视力保护公司 Lens design simplification process
CN102508944A (en) * 2011-10-10 2012-06-20 沈阳理工大学 Corneal surface shape fitting method
CN102914879A (en) * 2012-11-06 2013-02-06 天津宇光光学公司 Design method of free-form surface glasses based on wave-front technology

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111820862A (en) * 2020-07-10 2020-10-27 温州医科大学 A personalized evaluation method and design method of scleral lens fit based on OCT image modeling guidance
CN111820862B (en) * 2020-07-10 2023-07-21 温州医科大学 A Personalized Scleroscope Adaptability Evaluation Method and Design Method Based on OCT Image Modeling Guidance
WO2022216505A1 (en) * 2021-04-06 2022-10-13 Innovega, Inc. Automated contact lens through image capture of the eye
US12186017B2 (en) 2021-04-06 2025-01-07 Innovega, Inc. Automated contact lens design through image capture of the eye
CN114047643A (en) * 2021-11-26 2022-02-15 上海艾康特医疗科技有限公司 Method for preparing hard contact lens

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