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CN110613425A - Setting system for objectively quantifying interocular inhibition degree of crowd - Google Patents

Setting system for objectively quantifying interocular inhibition degree of crowd Download PDF

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CN110613425A
CN110613425A CN201810639587.9A CN201810639587A CN110613425A CN 110613425 A CN110613425 A CN 110613425A CN 201810639587 A CN201810639587 A CN 201810639587A CN 110613425 A CN110613425 A CN 110613425A
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okn
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文雯
刘红
何生
吴苏嘉
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Eye and ENT Hospital of Fudan University
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    • A61B3/10Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/113Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for determining or recording eye movement

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Abstract

本发明涉及视觉认知技术领域,涉及一种用于客观定量人群双眼间抑制程度的设置系统及方法,本发明利用设置系统中的被试机屏幕显示出视觉刺激,相向运动的不同对比度比例的黑白正弦波条栅,诱发被试视动性眼球震颤,通过分视镜分别呈现于双眼,继而诱发双眼间竞争,由眼动仪客观记录不同对比度比例条件下的眼球运动情况并在主试机屏幕上实时显示,通过分析眼动记录数据,计算双眼竞争平衡点,本发明能客观定量地评估人群双眼间抑制程度,解决了现有技术无法应用于配合度差或无法做出主观判断的被试问题,改善了抑制程度的评估精度,解除了现有方法对于人群依从性的完全依赖。

The invention relates to the technical field of visual cognition, and relates to a setting system and method for objectively quantifying the degree of suppression between the eyes of a crowd. The black-and-white sine-wave grating induced the subjects' optokinetic nystagmus, which was presented to both eyes through a split-view mirror, and then induced competition between the eyes. Real-time display on the screen, by analyzing the eye movement recorded data and calculating the eye competition balance point, the present invention can objectively and quantitatively evaluate the degree of inhibition between the eyes of the crowd, and solves the problem that the prior art cannot be applied to poor coordination or cannot make subjective judgments. The test problem is improved, the evaluation accuracy of inhibition degree is improved, and the complete dependence of existing methods on population compliance is relieved.

Description

一种用于客观量化人群双眼间抑制程度的设置系统A setup system for objectively quantifying the degree of suppression between the eyes of a population

技术领域technical field

本发明涉及视觉认知技术领域,涉及眼科用量化人双眼间抑制程度的方法,具体涉及一种用于客观定量人群双眼间抑制程度的设置系统及方法,进而评估双眼的平衡程度。The invention relates to the technical field of visual cognition, relates to an ophthalmology method for quantifying the degree of inhibition between people's eyes, and in particular relates to a setting system and method for objectively quantifying the degree of inhibition between people's eyes, so as to evaluate the degree of balance between the eyes.

背景技术Background technique

临床针对某些眼科疾患如,视动性眼球震颤(Optokinetic Nystagmus,OKN)需测定患者双眼间抑制程,临床眼科实践中,常用量化人双眼间抑制程度的方法,进而评估双眼的平衡程度。研究显示,当人双眼接受不同的视觉刺激时,双眼之间会发生竞争,被抑制的眼睛的对比敏感度会整体减弱。有关双眼竞争的理论提出双眼之间发生竞争是两只眼睛分别竞相占据优势(或者主导地位)的结果,即两只眼对于占据主导的竞赛诱导了双眼之间的竞争,而双眼竞争中占优势的眼睛就诱发了对对侧眼的抑制作用。由于双眼之间发生竞争时会诱导出双眼间抑制的发生,有研究基于此理论进行了有关测试,结果显示当给双眼呈现不同的视觉刺激模式引起双眼间竞争,进一步诱发优势眼对对侧眼的抑制;呈现于双眼前的视觉刺激强度变化能够决定双眼之间实时发生的竞争模式,进而视觉刺激的强度又取决于刺激条件所设计的物理性特征,包括对比度等各种影响因素。基于以上理论体系,进一步研究显示,当有意增强刺激的强度,比如对比度的增加,可以增强相应刺激的优势和对应所呈现的眼睛的主导地位。基于以上逻辑链,另有研究采用制造双眼竞争来诱发双眼间抑制,具体来说给双眼分别呈现相反的视觉刺激,诱发出双眼之间的竞争,通过调节视觉刺激的强度条件进一步实时改变双眼竞争的模式状态,当呈现于双眼的对比度条件的不同时,双眼所见的视觉刺激强度就不平衡,双眼之间的竞争状态也就变得不平衡,进一步造成优势眼对对侧眼对抑制作用。For some ophthalmic diseases, such as Optokinetic Nystagmus (OKN), it is necessary to measure the inhibitory process between the eyes of patients. In clinical ophthalmology practice, the method of quantifying the degree of inhibition between the eyes is often used to evaluate the balance of the eyes. Studies have shown that when a person's eyes receive different visual stimuli, competition occurs between the eyes, and the contrast sensitivity of the suppressed eye decreases overall. The theory of binocular competition proposes that the competition between eyes is the result of the two eyes competing for dominance (or dominance). eye induced inhibition of the contralateral eye. Since the competition between the eyes will induce the occurrence of the inhibition between the eyes, some studies have conducted relevant tests based on this theory. The results show that when the eyes are presented with different visual stimulation patterns, the competition between the eyes will be induced, which will further induce the dominant eye to the contralateral eye. The intensity changes of visual stimuli presented in front of the eyes can determine the real-time competition pattern between the eyes, and the intensity of visual stimuli in turn depends on the physical characteristics designed by the stimulus conditions, including various influencing factors such as contrast. Based on the above theoretical system, further studies have shown that when the intensity of a stimulus is intentionally enhanced, such as an increase in contrast, the dominance of the corresponding stimulus and the dominance of the corresponding presented eye can be enhanced. Based on the above logic chain, other studies have used the creation of binocular competition to induce binocular inhibition. Specifically, the eyes are presented with opposite visual stimuli to induce competition between the eyes, and the binocular competition can be further changed in real time by adjusting the intensity conditions of the visual stimuli. When the contrast conditions of the eyes are different, the intensity of visual stimuli seen by the eyes is unbalanced, and the competition state between the eyes becomes unbalanced, which further causes the dominant eye to inhibit the contralateral eye. .

目前临床眼科实践中已有的测定双眼间抑制程度的方法基本均为主观方法,包括定性和定量方法,其中需要借助于相关测量设置工具;一直以来,临床实践中常用的Worth四点灯及Bagolini线状镜等各种工具只能主观、定性地评估双眼间抑制程度,完全依赖于被试的主观判断;而定量的方法,如双眼整体方向觉判定方法、双眼整体运动觉判定方法、双眼相位整合方法等均需被试做主观判断,对被试的认知水平要求较高,因此,长期缺乏一种客观、定量、简便的评估双眼间抑制程度的方法及相关设置工具。At present, the existing methods for measuring the degree of inhibition between the eyes in clinical ophthalmology practice are basically subjective methods, including qualitative and quantitative methods, which require the help of relevant measurement and setting tools; the Worth four-point lamp and Bagolini line commonly used in clinical practice Various tools such as scleroscope can only evaluate the degree of inhibition between the eyes subjectively and qualitatively, which is completely dependent on the subjective judgment of the subjects; while quantitative methods, such as the judgment method of the overall orientation sense of the eyes, the judgment method of the overall sense of movement of the eyes, and the integration of the binocular phase The methods, etc. all require the subjects to make subjective judgments, and the cognitive level of the subjects is required to be high. Therefore, there has been a long-term lack of an objective, quantitative, and simple method for evaluating the degree of inhibition between the eyes and related setting tools.

视动性眼球震颤(Optokinetic Nystagmus,OKN)的定义可分为跟随运动(慢相)和扫视运动(快相)两相,研究表明OKN是可以被视觉刺激诱发的,并且是可以客观记录和测量的,有研究中有相应的双眼分视实验验证了呈相反方向运动的条栅视觉刺激可以诱导出双眼竞争和相反方向交替出现的OKN,还有研究亦表明OKN跟随运动的方向可以直接被用作双眼竞争时被试所见的优势运动方向的客观证明;但是上述方法均未能有效的测定双眼间抑制程度。The definition of optokinetic nystagmus (OKN) can be divided into following movement (slow phase) and saccade movement (fast phase). Studies have shown that OKN can be induced by visual stimuli and can be recorded and measured objectively. Yes, there is a corresponding binocular splitting experiment in some studies to verify that the grid visual stimulus moving in the opposite direction can induce binocular competition and OKN alternately appearing in the opposite direction. Other studies also show that the OKN can be directly used to follow the direction of the movement. Objective proof of the dominant direction of movement seen by the subjects during binocular competition; however, none of the above methods can effectively measure the degree of inhibition between the eyes.

基于现有技术的现状,本申请的发明人拟提供一种客观、定量、简便的评估双眼间抑制程度的方法及相关设置系统。Based on the current state of the prior art, the inventor of the present application intends to provide an objective, quantitative and convenient method for evaluating the degree of inhibition between eyes and a related setting system.

发明内容SUMMARY OF THE INVENTION

本发明的目的是要解决现有技术的不足,提供一种用于定量人群双眼间抑制程度的客观方法及设置系统及方法,进而评估双眼的平衡程度。The purpose of the present invention is to solve the deficiencies of the prior art, and to provide an objective method and a setting system and method for quantifying the degree of suppression between the eyes of a population, so as to evaluate the degree of balance between the eyes.

本发明中,设计相反方向运动的对比度比值不同的条栅视觉刺激分别呈现于双眼,诱导双眼竞争,进而OKN方向交替变换的发生,通过分析OKN记录数据客观反映出双眼之间竞相占据优势的情况,即双眼竞争的状态和优势眼对对侧眼对抑制程度。In the present invention, the grid visual stimuli with different contrast ratios moving in opposite directions are designed to be presented to the eyes respectively, inducing the competition between the eyes, and then the occurrence of the OKN direction alternation. By analyzing the OKN record data, it objectively reflects the situation that the eyes are competing for the upper hand. , that is, the state of binocular competition and the degree of inhibition of the dominant eye to the contralateral eye.

本发明进一步,提供了用于客观量化人群双眼间抑制程度的设置系统,该设置系统包括被试机1,分视镜2,眼动仪3,和主试机4,临床使用时:利用被试机1屏幕显示出视觉刺激(相向运动的不同对比度比例的黑白正弦波条栅,如图2所示)诱发被试视动性眼球震颤(optokinetic nystagmus,OKN),通过分视镜2分别呈现于双眼,继而诱发双眼间竞争,由眼动仪3客观记录不同对比度比例条件下的眼球运动情况并在主试机4屏幕上实时显示,通过分析眼动记录数据,计算双眼竞争平衡点,即双眼竞争达到平衡状态下的有效对比度比例。The present invention further provides a setting system for objectively quantifying the degree of suppression between the eyes of a crowd. The setting system includes a subject machine 1, a split-view mirror 2, an eye tracker 3, and a main test machine 4. During clinical use: using the subject machine 1 The screen of test machine 1 displayed visual stimuli (black and white sine wave grids with different contrast ratios of opposite motion, as shown in Figure 2) that induced the subjects' optokinetic nystagmus (OKN), which were presented through the split-view mirror 2 respectively. In both eyes, the competition between the eyes is then induced, and the eye movement under different contrast ratio conditions is objectively recorded by the eye tracker 3 and displayed on the screen of the main test machine 4 in real time. The effective contrast ratio at which the eyes compete to reach equilibrium.

本发明中获得的双眼竞争平衡点可用作客观量化双眼间抑制程度的指标。The binocular competition equilibrium point obtained in the present invention can be used as an index to objectively quantify the degree of inhibition between the eyes.

本发明的设置系统中的被试机,分视镜,眼动仪和主试机均为本领域知悉的或可通过商业渠道获得。The tested machine, the split-view mirror, the eye tracker and the main test machine in the setting system of the present invention are known in the art or can be obtained through commercial channels.

本发明中,所述的利用被试机1屏幕显示出如图2所示的视觉刺激,相向运动(向心性)的不同对比度比例黑白正弦波条栅,其中高对比度(对比度100%)条栅呈现被试一眼,不同的对比度(对比度10%-100%)呈现于被试另一眼,以此诱发被试视动性眼球震颤(OKN),视觉刺激通过分视镜2分别呈现于双眼,继而诱发双眼间竞争。In the present invention, using the screen of the tested machine 1 to display the visual stimulus as shown in Figure 2, the black and white sine wave bars with different contrast ratios of opposite motion (centripetal), wherein the high contrast (contrast 100%) bars One eye of the subject was presented, and different contrasts (contrast 10%-100%) were presented to the other eye of the subject to induce optokinetic nystagmus (OKN). Induce competition between eyes.

本发明中,通过所述的分析眼动记录数据,计算客观量化双眼间抑制程度的指标,其包括,首先提取目标数据段,去除扫视运动和眨眼,仅提取跟随运动;定义高对比度图像对应的OKN方向的累积时间/低对比度图像对应的OKN方向的累积时间为OKN方向比值;根据比值与相应对比度比例条件拟合出幂函数曲线,定义当OKN方向比值是1时对应的双眼间对比度比例为有效对比度比例,即在此有效对比度比例条件下,双眼竞争达到平衡状态,由此计算出的双眼竞争平衡点,即被试双眼竞争达到平衡状态下的有效对比度比例,可用作客观量化双眼间抑制程度的指标。In the present invention, by analyzing the eye movement recorded data, calculating the index of objectively quantifying the degree of inhibition between the eyes, which includes: first extracting the target data segment, removing the saccade movement and blinking, and extracting only the following movement; The accumulation time in the OKN direction/the accumulation time in the OKN direction corresponding to the low-contrast image is the OKN direction ratio; according to the ratio and the corresponding contrast ratio condition, a power function curve is fitted, and when the OKN direction ratio is 1, the corresponding contrast ratio between the eyes is defined as The effective contrast ratio, that is, under the condition of this effective contrast ratio, the binocular competition reaches a balanced state, and the calculated binocular competition balance point, that is, the effective contrast ratio when the subject's binocular competition reaches a balanced state, can be used as an objective quantification of the ratio between the eyes. An indicator of the degree of inhibition.

本发明提供了一种用于定量人群双眼间抑制程度的客观方法及设置系统,经临床试用,结果显示,本发明的优点在于:能够客观定量地评估人群双眼间抑制程度,尤其是为临床上、科研上衡量抑制程度提供了客观手段,不但能有效而方便地从客观角度具体量化双眼间抑制程度,而且拓宽了临床应用范围,很好的解决了现有方法无法应用于配合度差或无法做出主观判断的被试这一问题,改善了抑制程度的评估精度,解除了现有方法对于人群依从性的完全依赖,显著有利于眼科领域及视觉认知领域的临床实践工作以及发病机制的进一步探索。The present invention provides an objective method and setting system for quantifying the degree of suppression between the eyes of a population. After clinical trials, the results show that the present invention has the advantage of being able to objectively and quantitatively evaluate the degree of suppression between the eyes of a population, especially for clinical trials. In scientific research, it provides an objective means to measure the degree of inhibition, which not only can effectively and conveniently quantify the degree of inhibition between the eyes from an objective point of view, but also broadens the scope of clinical application, and solves the problem that the existing methods cannot be applied to poor coordination or cannot be used. The problem of subjects who make subjective judgments improves the evaluation accuracy of the degree of inhibition, relieves the complete dependence of existing methods on population compliance, and is significantly beneficial to clinical practice in the field of ophthalmology and visual cognition, as well as the study of pathogenesis. Explore further.

附图说明Description of drawings

图1是本发明客观量化人群双眼间抑制程度的设置系统的结构示意图,Fig. 1 is the structural representation of the setting system of the present invention for objectively quantifying the degree of suppression between the eyes of a crowd,

其中1.被试机2.分视镜3.眼动仪4.主试机。Among them, 1. The subject machine 2. The split-view mirror 3. The eye tracker 4. The main test machine.

图2是呈现的视觉刺激示意图。Figure 2 is a schematic representation of the visual stimuli presented.

结合附图和实施例对本发明作进一步说明。The present invention will be further described with reference to the accompanying drawings and embodiments.

具体实施方式Detailed ways

实施例1Example 1

提供一种客观量化人群双眼间抑制程度的评估系统,该设置系统包括被试机1,分视镜2,眼动仪3,和主试机4,对受试者进行检测,利用被试机1屏幕显示出如图2所示的视觉刺激,相向运动(向心性)的不同对比度比例黑白正弦波条栅,其中高对比度(对比度100%)条栅呈现于被试一眼,低对比度(对比度100%,80%,40%,20%或10%)呈现于被试另一眼,以此诱发被试视动性眼球震颤(OKN),视觉刺激通过分视镜2分别呈现于双眼,继而诱发双眼间竞争,由眼动仪3记录客观不同对比度比例条件下的眼球运动OKN情况并在主试机4屏幕上实时显示;Provide an evaluation system for objectively quantifying the degree of suppression between the eyes of a crowd. The setting system includes a subject machine 1, a split mirror 2, an eye tracker 3, and a main test machine 4. 1 The screen displays the visual stimuli as shown in Figure 2, the black and white sine wave grids with different contrast ratios of opposite motion (centripetal), in which the high contrast (contrast 100%) grid is presented to the subject's eye, and the low contrast (contrast 100%) %, 80%, 40%, 20% or 10%) were presented to the other eye of the subject to induce optokinetic nystagmus (OKN). The eye movement OKN under different contrast ratio conditions is recorded by the eye tracker 3 and displayed on the screen of the main test machine 4 in real time;

从主试机4屏幕上可观察到若双眼竞争中右眼图像占优势时,OKN方向为由左至右;当左眼图像占优势时,OKN方向为由右至左,再提取分析眼动记录数据,去除扫视运动和眨眼,仅提取跟随运动;It can be observed from the screen of the main test machine 4 that if the right eye image is dominant in the binocular competition, the OKN direction is from left to right; when the left eye image is dominant, the OKN direction is from right to left, and then the eye movements are extracted and analyzed. Record data, remove saccades and blinks, and extract only following movements;

本实施例中,定义高对比度图像对应的OKN方向的累积时间/低对比度图像对应的OKN方向的累积时间为OKN方向比值,根据比值与相应对比度比例条件拟合出幂函数曲线,定义当OKN方向比值是1时对应的双眼间对比度比例为有效对比度比例,即在此有效对比度比例条件下,双眼竞争达到平衡状态,由此计算出的双眼竞争平衡点,即被试双眼竞争达到平衡状态下的有效对比度比例,作为客观量化双眼间抑制程度的指标。In this embodiment, the accumulation time in the OKN direction corresponding to the high-contrast image/the accumulation time in the OKN direction corresponding to the low-contrast image is defined as the OKN direction ratio, and a power function curve is fitted according to the ratio and the corresponding contrast ratio condition. When the ratio is 1, the corresponding binocular contrast ratio is the effective contrast ratio, that is, under the condition of this effective contrast ratio, the binocular competition reaches a balanced state. Effective contrast ratio, as an objective quantification of the degree of inhibition between the eyes.

Claims (6)

1. A setting system for objectively quantifying the degree of interocular suppression of a human population, comprising a machine under test (1), a minute vision mirror (2), an eye tracker (3), and a main tester (), wherein: visual stimulation is displayed on a screen of a tested machine (1), black and white sine wave bars with different contrast ratios moving in opposite directions are used for inducing visual dynamic nystagmus (OKN) to be tested, the eye movement tremor (OKN) to be tested is respectively displayed on two eyes through a sight splitting mirror (2), then competition between the two eyes is induced, eyeball movement conditions under different contrast ratio conditions are objectively recorded by an eye movement instrument (3) and displayed on a screen of a main testing machine (4) in real time, and a binocular competition balance point is calculated by analyzing eye movement recorded data, namely the binocular competition reaches the effective contrast ratio under a balance state.
2. The setting system for objectively quantifying the degree of interocular suppression of a human population according to claim 1, wherein the calculated binocular competition balance point is used as an index for objectively quantifying the degree of interocular suppression.
3. The setting system for objectively quantifying the degree of interocular suppression of a human population according to claim 1, wherein the screen of the machine under test (1) is used to display visual stimuli, the bar gratings with different contrast ratios (centripetal) moving in opposite directions show the first eye under test with a high contrast ratio (i.e., a contrast ratio of 100%), the bar gratings with different contrast ratios (i.e., a contrast ratio of 10% to 100%) show the other eye under test, so as to induce the kinetic nystagmus (OKN) under test, the visual stimuli respectively show the two eyes through the sight glass (2), and then the competition between the two eyes is induced.
4. The setting system for objectively quantifying binocular suppression of human beings according to claim 1, wherein an index for objectively quantifying the binocular suppression is calculated by analyzing the eye movement record data, which includes first extracting a target data segment, removing saccadic motion and blink, and extracting only follow-up motion; defining the accumulation time in the OKN direction corresponding to the high-contrast image/the accumulation time in the OKN direction corresponding to the low-contrast image as an OKN direction ratio; and fitting a power function curve according to the ratio and a corresponding contrast ratio condition, and defining the corresponding binocular contrast ratio as an effective contrast ratio when the OKN direction ratio is 1, namely under the condition of the effective contrast ratio, the binocular competition reaches an equilibrium state, and calculating a binocular competition equilibrium point, namely the effective contrast ratio when the tested binocular competition reaches the equilibrium state.
5. The setting system for objectively quantifying the degree of interocular suppression of a human population according to claim 4, wherein the ratio of the effective contrast ratio of the two tested eyes competing to reach the equilibrium state is used as an index for objectively quantifying the degree of interocular suppression.
6. A method for objectively quantifying the degree of suppression between two eyes of a crowd is characterized by comprising the steps of designing bar grid visual stimuli with different contrast ratios of motions in opposite directions to be respectively presented to the two eyes to induce binocular competition, further enabling visual dynamic nystagmus (OKN) direction alternate transformation to occur, and objectively reflecting the situation that the two eyes compete for dominance through analyzing the OKN recorded data, namely the state of binocular competition and the degree of suppression of the dominant eye to the opposite eye.
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Application publication date: 20191227