JP6471466B2 - Ophthalmic apparatus and processing program used therefor - Google Patents

Description

  The present disclosure relates to an ophthalmologic apparatus that measures a corneal shape or the like of an eye to be examined, and a processing program used therefor.

  An ophthalmologic apparatus for measuring a corneal shape or the like of an eye to be examined is known. In order to measure the corneal shape, a conventional ophthalmic apparatus irradiates, for example, focus light (parallel light) and diffused light to the eye to be examined, and calculates the size ratio of the parallel index and the diffusion index to align the focus direction. (See Patent Document 1).

Japanese Patent Laid-Open No. 06-046999

  However, when the corneal shape is measured as described above, the corneal region where the index image used for alignment in the focus direction is formed is different from the corneal region where the index image for calculating the measured value of the corneal shape is formed. In some cases (for example, when the eyeball has asphericity), the corneal shape may not be calculated correctly.

  In view of the above-described problems, an object of the present disclosure is to provide an ophthalmologic apparatus that satisfactorily measures the cornea of an eye to be examined and a processing program used therefor.

  In order to solve the above problems, the present disclosure is characterized by having the following configuration.

(1) An ophthalmologic apparatus for measuring the shape of a cornea of an eye to be examined, wherein a parallel projection optical system that projects parallel light onto the eye to be examined and forms a parallel index image on the cornea, and a first on the cornea A diffusion index projection optical system comprising: a first diffusion projection optical system that forms a diffusion index image; and a second diffusion projection optical system that forms a second diffusion index image at an image height different from the first diffusion index image. An imaging optical system that captures the parallel index image, the first diffusion index image, and the second diffusion index image, and a corneal curvature radius of the eye to be examined based on the index image captured by the imaging optical system A calculation means; and an alignment detection means for detecting an alignment state in the working distance direction with respect to the eye to be examined based on each image height of the parallel index image and the first diffusion index image captured by the imaging optical system , said computing means, said flat When the alignment state based on the image heights of the row index image and the first diffusion index image is appropriate, the first corneal curvature radius based on the image height of at least one of the parallel index image and the first diffusion index image And the second corneal curvature radius according to the image height of the second diffusion index image, and the difference between the appropriate working distance with respect to the first corneal curvature radius and the appropriate working distance with respect to the second corneal curvature radius The measurement result of the second corneal curvature radius is corrected based on the above.
(2) An ophthalmologic apparatus for measuring the shape of the cornea of the eye to be inspected, which projects parallel light onto the eye to be examined and forms a parallel index image on the cornea, and a first on the cornea. A first diffusion projection optical system that forms a diffusion index image; a diffusion index projection optical system having an imaging optical system that captures the parallel index image and the first diffusion index image; and the imaging optical system. Alignment detection means for detecting an alignment state in the working distance direction with respect to the eye based on the image height in the first meridian direction of the parallel index image and the first diffusion index image, and the index image captured by the imaging optical system And calculating means for calculating the corneal curvature radius of the eye to be examined, wherein the calculating means is used when the alignment state based on the image heights of the parallel index image and the first diffusion index image is appropriate. Oh The corneal curvature radius due to the image height in the first meridian direction of the first diffusion index image and the cornea due to the image height in a second meridian direction different from the first meridian direction of the first diffusion index image. A radius of curvature, and based on the difference between the appropriate working distance for the corneal curvature radius due to the image height in the first meridian direction and the appropriate working distance for the corneal curvature radius due to the image height in the second meridian direction. The measurement result of the corneal curvature radius of the eye to be examined in the second meridian direction is corrected.
(3) A processing program used in an ophthalmologic apparatus for measuring the shape of the cornea of an eye to be examined, which is executed by a processor of the ophthalmologic apparatus so as to project parallel light onto the eye to be examined, and a parallel index on the cornea A parallel projection step of forming an image, a first diffusion projection step of forming a first diffusion index image on the cornea, and a second diffusion index image having an image height different from the first diffusion index image. A diffusion index projection step including two diffusion projection steps, an imaging step of capturing the parallel index image, the first diffusion index image, and the second diffusion index image, and an index image captured in the imaging step. Calculating the corneal curvature radius of the eye to be inspected, and applying to the eye to be inspected based on the image heights of the parallel index image and the first diffusion index image captured in the imaging optical system step. An alignment detection step for detecting an alignment state in the working distance direction, and when the alignment state based on the image heights of the parallel index image and the first diffusion index image is appropriate, the parallel index image and the first The first corneal curvature radius according to the image height of at least one of the diffusion index images is compared with the second corneal curvature radius according to the image height of the second diffusion index image, and an appropriate working distance with respect to the first corneal curvature radius. And a correction step of correcting the measurement result of the second corneal curvature radius based on the difference between the appropriate working distance and the second corneal curvature radius .

1 is an external view of an ophthalmologic apparatus according to the present disclosure. It is a schematic block diagram of an optical system and a control part. It is a figure which shows an example of the anterior eye part image displayed on the display part. It is a flowchart for demonstrating control operation. It is a graph which shows the relationship between a corneal curvature radius and a working distance. It is a figure which shows the shape of a ring parameter | index when an astigmatic eye is measured. It is a graph which shows the relationship between a working distance and a corneal curvature radius. It is the graph which approximated the correction amount of the corneal curvature radius by the sin function. It is a figure which shows the example of a change of the parameter | index projected on a to-be-tested eye.

<Overview>
Hereinafter, the outline | summary of the ophthalmologic apparatus which concerns on this indication is demonstrated based on FIGS. The ophthalmologic apparatus (for example, the ophthalmologic apparatus 100) measures a corneal shape such as a corneal curvature of the eye to be examined.
The ophthalmologic apparatus includes a parallel projection optical system (for example, focus index projection optical system 50), a diffusion index projection optical system (for example, pattern projection optical system 20), and an imaging optical system (for example, anterior segment imaging optical system 30). And a calculation unit (for example, the control unit 70).

  For example, the parallel projection optical system projects parallel light onto the eye to be examined, and forms parallel index images (for example, focus indices M1 and M2) on the cornea. For example, the parallel projection optical system may form two parallel index images that are line-symmetric with respect to a meridian perpendicular to the optical axis of the imaging optical system. The diffusion index projection optical system includes, for example, a first diffusion projection optical system (for example, the light source 21) and a second diffusion projection optical system (for example, the light source 22). The first diffusion projection optical system forms a first diffusion index image (for example, ring index G1) on the cornea. For example, the first diffusion projection optical system may be disposed at the same position as the parallel projection optical system with respect to the height with respect to the optical axis of the imaging optical system. For example, the first diffusion projection optical system may form a first diffusion index image in a first circumferential region on the cornea.

  For example, the second diffusion projection optical system forms a second diffusion index image at an image height different from that of the first diffusion index image. The second diffusion projection optical system has a ring index for projecting a ring index image (for example, ring index G2) as the second diffusion index image, or a plurality of point images arranged in a ring shape as the second diffusion index image. You may provide the ring-shaped parameter | index for projecting. For example, the second diffusion projection optical system may form a second diffusion index image in a second circumferential region different from the first circumferential region. The diffusion index projection optical system may be a placido index projection optical system that projects a plurality of ring indexes. The imaging optical system captures, for example, a parallel index image, a first diffusion index image, and a second diffusion index image.

  The calculation unit calculates the corneal shape of the eye to be examined based on the index image captured by the imaging optical system. Furthermore, the calculation unit compares the first corneal shape based on the image height of at least one of the parallel index image and the first diffusion index image with the second corneal shape based on the image height of the second diffusion index image. Note that the corneal shape to be compared may be a corneal curvature or a corneal refractive power obtained from a corneal curvature radius. The computing unit corrects the measurement result of the second corneal shape based on the comparison result. As a result, the ophthalmic apparatus has an aspherical relationship between a region on the cornea where the index image used for Z alignment detection is formed and a region on the cornea where a diffusion index image different from the region on the cornea is formed. Even in this case, the deviation of the measurement result can be corrected appropriately.

  Note that the calculation unit may detect an asphericity between the corneal region for which the first corneal shape is obtained and the corneal region for which the second corneal shape is obtained. In this case, the calculation unit may correct the measurement result of the second corneal shape according to the detected degree of asphericity. Here, it can be said that the asphericity is, for example, a shift in corneal shape (for example, corneal curvature value, corneal refractive power value, etc.). The calculation unit is set so that the greater the asphericity, the larger the correction amount for the measurement value before correction.

  In addition, this apparatus may be provided with the alignment detection part (for example, control part 70). The alignment detection unit detects the alignment state in the working distance direction with respect to the eye to be examined based on the image heights of the parallel index image and the first diffusion index image captured by the imaging optical system. For example, the alignment detection unit may detect the alignment with respect to the eye to be examined by comparing the image heights. More specifically, the alignment detection unit may detect the alignment from the ratio of the image heights, or may detect the alignment from the shift of the image heights.

  The calculation unit compares the corneal shape based on the image height in the first meridian direction of the second diffusion index image with the corneal shape based on the image height in the second meridian direction of the second diffusion index image, Based on this, the measurement result of the corneal shape of the eye to be examined in the second meridian direction may be corrected. Accordingly, for example, when the subject's eye has astigmatism and the corneal shape is different in the meridian direction, it is possible to suppress an error that occurs in the measured value of the corneal shape. The calculation unit may correct the measurement result of the corneal shape in at least one of the first meridian direction and the second meridian direction based on the comparison result.

<Example>
Hereinafter, embodiments according to the present disclosure will be described with reference to the drawings. The ophthalmologic apparatus of the present embodiment measures, for example, the subject's eye refractive power and corneal shape.

  FIG. 1 is an external configuration diagram of an ophthalmologic apparatus according to an embodiment. The ophthalmologic apparatus 100 mainly includes a base 1, a face support unit 2, a moving base 3, and a measurement unit 4. The face support unit 2 is attached to the base 1, for example. The movable table 3 is provided so as to be movable on the base 1, for example. The measurement unit 4 is provided, for example, so as to be movable on the movable table 3 and houses an optical system to be described later. The measuring unit 4 is moved in the left and right direction (X direction), the up and down direction (Y direction), and the front and rear direction (Z direction) with respect to the eye E by an XYZ driving unit 6 provided on the moving table 3. The drive unit 6 includes a slide mechanism, a motor, and the like provided for each of the X, Y, and Z directions. The movable table 3 is moved in the X direction and the Z direction on the base 1 by the operation of the joystick 5, and is moved in the Y direction by the Y drive of the XYZ drive unit 6 by rotating the rotary knob 5a. The movable table 3 is provided with a display unit 71 for displaying various information such as an observation image of the eye E to be examined and measurement results, and a switch unit 8 in which switches for performing various settings are arranged.

  FIG. 2 is a schematic configuration diagram showing the optical system of the ophthalmologic apparatus 100. The present optical system includes a pattern projection optical system 20, an illumination optical system 80, a focus index projection optical system 50, an anterior ocular segment imaging optical system 30, a fixation target projection optical system 40, and a second measurement optical system 60. It is roughly divided into For example, the pattern projection optical system 20 projects a corneal shape measurement index onto the cornea Ec of the eye to be examined. For example, the illumination optical system 80 illuminates the anterior segment of the eye to be examined with visible light. The anterior segment imaging optical system 30 captures an anterior segment front image, for example. The second measurement optical system 60 has, for example, a second light source for measuring the second eye characteristic, and projects the second measurement light onto the subject's eye and receives the reflected light.

  The pattern projection optical system 20 projects, for example, two large and small ring-shaped pattern indexes onto the cornea Ec. The pattern projection optical system 20 includes, for example, a light source 21 and a light source 22. The light source 21 is, for example, a ring-shaped light source disposed around the measurement optical axis L1. The light source 21 irradiates the cornea Ec with diffused light (finite light), and the first circumferential region A1 of the cornea Ec (see FIG. 3). ) Project the ring index G1. The light source 22 is, for example, a ring-shaped light source disposed inside the light source 21 with the measurement optical axis L1 as the center. The light source 22 irradiates the cornea Ec with diffused light and is applied to the second circumferential region A2 of the cornea Ec. Project. The ring index G1 and the ring index G2 are used as Mayer rings for measuring the corneal shapes (for example, corneal curvature radius, corneal refractive power, etc.) of the first circumferential area A1 and the second circumferential area A2, respectively (FIG. 3). As will be described later, the ring index G1 is used when aligning in the Z direction. For the light source 21 and the light source 22, for example, LEDs that emit infrared light or visible light are used. In addition, as for the light source 21 and the light source 22, it is sufficient that at least three or more point light sources are arranged on the same circumference with the optical axis L1 as the center, and may be intermittent ring light sources. The pattern projection optical system 20 may be a placido index projection optical system that projects a plurality of ring indexes.

  The illumination optical system 80 has a light source 81. For example, the illumination optical system 80 is disposed outside the light source 21 and the light source 22 and irradiates the eye E with illumination light.

  The focus index projection optical system 50 is, for example, an optical system that projects a focus index (Purkinje image) for detecting the front-rear direction (Z direction). The focus index projection optical system 50 is disposed, for example, on the same circumference of the light source 21 (first circumferential area A1). The focus index projection optical system 50 includes, for example, projection light sources 51 and 52 (for example, λ = 940 nm) that emit infrared light, and collimator lenses 53 and 54, and irradiates parallel light (infinite light), thereby cornea. A focus index at infinity is projected onto Ec. In the present embodiment, the projection optical system 50 is an optical system for projecting two focus indices onto the eye cornea to be examined. As shown in FIG. M2 is projected. Alignment detection in the Z direction is performed by a combination of focus indexes M1 and M2 formed by parallel light and a ring index G1 formed by diffused light. Thereby, the alignment of the measuring unit 4 with respect to the eye E (for example, automatic alignment, alignment detection, manual alignment, etc.) is performed. Note that the light sources 51 and 52 of the projection optical system 50 may also be used for anterior segment illumination that illuminates the anterior segment with infrared light from an oblique direction.

  The anterior ocular segment imaging optical system 30 includes a dichroic mirror 33, an objective lens 47, a dichroic mirror 62, a filter 34, an imaging lens 37, and a two-dimensional imaging device 35, and captures an anterior ocular segment front image of the eye to be examined. Used.

  Here, the anterior ocular segment light reflected by the projection optical system 20, the illumination optical system 80, and the projection optical system 50 passes through the beam splitter 33, the objective lens 47, the dichroic mirror 62, the filter 34, and the imaging lens 37. The image is formed on the two-dimensional image sensor 35.

  That is, the imaging optical system 30 captures the anterior segment image irradiated with light from the light source 21 and the light source 22 and includes the ring indexes (corneal reflection images) G1 and G2 formed on the cornea Ec. Eye images can be taken.

  The dichroic mirror (beam splitter) 62 is used as an optical path branching member for branching the optical path of the fixation target presenting optical system 40 and the optical path of the imaging optical system 30 (details will be described later). The filter 34 transmits infrared light from the light sources 51 and 52 and illumination light from the light source 81 and is used to block other light.

  The fixation target presenting optical system 40 is a fixation optical system for fixing the eye E to be examined. The fixation target presenting optical system 40 includes a visible light source 41, a fixation target plate 42 having a fixation target, a light projecting lens 43, a beam splitter 33, and an objective lens 47. When the visible light source 41 is turned on, the fixation target of the fixation target plate 42 is presented to the eye E.

  The second measurement optical system 60 includes a second measurement optical unit 61 configured to project the second measurement light onto the eye E and receive the reflected light, a dichroic mirror 45, and a beam splitter 33 (for example, a half mirror). , Dichroic mirror).

  As the second measurement optical system 60, for example, an axial length measurement optical system that receives the interference light by the measurement light and the reference light and measures the axial length (the wavelength of the measurement light source is, for example, λ = 830 nm) An eye refractive power measurement optical system that receives the reflected light projected on the fundus of the subject's eye and measures the eye refractive power (the wavelength of the measurement light source is, for example, λ = 870 nm) can be considered.

  Next, the control system will be described. The control unit 70 controls the entire apparatus and calculates measurement results. The control unit 70 is connected to the light source 51, the light source 21, the light source 22, the light source 81, the image sensor 35, the second measurement optical unit 61, the fixation target projection optical system 40, the display unit 71, the memory 75, and the like. Here, the imaging signal output from the imaging element 35 is subjected to image processing by the control unit 70 and displayed on the display unit 71. Furthermore, the control unit 70 detects the alignment state with respect to the eye to be examined based on the imaging signal output from the imaging device 35.

<Control action>
In the apparatus having the above-described configuration, the corneal shape measurement operation will be described based on the flowchart of FIG. The examiner instructs the face support unit 2 to support the face of the subject and view the fixation target projected by the fixation target optical system 40.

  When the subject is ready, the control unit 70 starts auto-alignment (step 1). At the time of alignment, the control unit 70 turns on the light sources 51 and 52 and the light sources 21 and 22, for example. The anterior segment imaging optical system 30 images the anterior segment of the eye E. In the anterior segment image, focus indices M1, M2, a ring index G1, and a ring index G2 formed on the anterior segment of the eye to be examined are imaged. For example, the control unit 70 detects the alignment state with respect to the eye E based on the imaging signal from the anterior segment imaging optical system 30.

  For example, the control unit 70 detects the alignment in the XY direction by calculating the center position of the ring index G1 (or the ring index G2) extracted by performing image processing on the anterior segment image, and drives the XYZ driving unit 6. Control. Furthermore, the control unit 70 may detect the alignment in the Z direction based on the focus indices M1, M2 and the ring index G1 extracted from the anterior segment image, and may control the XYZ driving unit 6, for example. For example, as shown in FIG. 3, the control unit 70 moves the measurement unit 4 at a predetermined working distance with respect to the eye E so that the focus indexes M1, M2 and the ring index G1 are formed on the same circumference. Match. In this case, for example, the control unit 70 compares the distance a between the left and right focus indices M1, M2 with the width b of the ring index G1, and the ratio of the length of the distance a to the width b becomes a predetermined ratio. Sometimes it may be determined that the focus alignment has been met. When the control unit 70 determines that the alignment is completed as described above, the control unit 70 outputs a trigger signal and captures an anterior ocular segment image using the image sensor 35. Then, the control unit 70 acquires an anterior ocular segment image including the focus indexes M1 and M2 and the ring indexes G1 and G2 as a still image based on the imaging signal output from the imaging device 35 and stores the anterior eye image in the memory 75.

  Then, the control unit 70 determines the corneal shape of the eye to be examined in the first circumferential region A1 and the second circumferential region A2 based on the image heights of the ring index images G1 and G2 in the anterior segment image stored in the memory 75. (For example, the corneal curvature in the strong main meridian direction and the weak main meridian direction, the astigmatic axis angle of the cornea, etc.) are calculated (step 2), and the measurement result is stored in the memory 75. In the case of a corneal astigmatic eye, the ring indexes G1 and G2 are elliptical shapes, and therefore the control unit 70 may obtain the astigmatic axis angle by detecting the major axis direction and the minor axis direction.

  When focusing is performed so that the ratio of the distance a and the width b is constant as described above, the curvature radius R of the cornea Ec and the appropriate working distance WD for measuring the cornea Ec are, for example, FIG. It becomes a linear relationship like For example, an appropriate working distance differs by about 1 mm between an eye E having a spherical shape with a curvature radius R of 7.8 mm and an eye E having a spherical shape with a curvature radius R of 10 mm. Therefore, the control unit 70 determines the curvature radius R based on the image heights of the ring indexes G1 and G2 photographed at an appropriate working distance with respect to the curvature radius R.

  For this reason, when measuring a spherical cornea Ec having a constant radius of curvature R, since the working distance is constant in any region of the cornea Ec, the first circumferential region A1 and the second circumferential region A2 The working distance is the same. However, when measuring an aspherical cornea Ec in which the radius of curvature of the cornea Ec is not constant, the working distances of the first circumferential region A1 and the second circumferential region A2 are different.

  For example, in the case of a spherical eye having a curvature radius R of 7.7 mm, the control unit 70 moves the measurement unit 4 back and forth so that the ratio of the length of the distance a and the width b becomes a predetermined ratio, and performs Z alignment. Match. Then, by measuring the distance a between the left and right focus indices M1, M2, the corneal curvature radius R1 of the first circumferential region A1 is calculated to be 7.7 mm.

  On the other hand, the eye to be examined has an aspherical shape. For example, in the first circumferential region (for example, Φ3.3 mm) A1, the curvature radius R1 is 7.7 mm, and in the second circumferential region (for example, Φ2.4 mm) A2. It is assumed that the curvature radius R2 is 8.0 mm. At this time, as described above, the alignment in the Z direction is determined by the ratio of the distance a between the left and right focus indices M1, M2 and the width b of the ring index G1 in the first circumferential area A1. In this case, since the second circumferential region A2 is also aligned by the working distance corresponding to the radius of curvature R1 (for example, 7.7 mm) of the first circumferential region A1, the second circumferential region A2 is originally measured. There is a deviation with respect to the working distance to be done.

  Specifically, the working distance of the second circumferential area A2 is measured at a distance that is about 0.15 mm larger than the original alignment position. As a result, the measured value of the radius of curvature R2 without correction in the above example is 7.98 mm, and an error of 0.02 mm occurs with respect to the true value of 8.0. Therefore, in this embodiment, after measuring the curvature radii R1 and R2 of the cornea in the first circumferential region A1 and the second circumferential region A2, the curvature radius R2 is corrected to obtain a value closer to the true value. .

  As described above, when the control unit 70 obtains the curvature radii R1, R2 of the eye to be examined in the first circumferential region A1 and the second circumferential region A2 based on the ring index images G1, G2, the second circumferential region The radius of curvature R2 at A2 is corrected (step 3).

  In order to correct the measured value of the radius of curvature R2 in the second circumferential region A2, the control unit 70 utilizes the fact that a linear relationship (see FIG. 5) is established between the radius of curvature R and the working distance WD. The difference of the working distance WD between the radius R1 and the curvature radius R2 is obtained.

Since the control unit 70 adjusts the Z alignment to the first circumferential area A1 (for example, R7.7 mm), the measured value of the first circumferential area A1 can be regarded as a true value, and the second circumference A true value R _{(in) t} of the radius of curvature R2 in the second circumferential region A2 is derived from the measured value in the region A2 (eg, 7.98 mm). For example, the control unit 70 uses the following expression (1) obtained by utilizing the fact that a linear relationship (see FIG. 5) is established between the radius of curvature R and the working distance WD, and the second circumferential region The measured value of A2 may be corrected.

Here, R _(out) is a measured value (= true value ₎ of the first circumferential region A1, R _{(in) m} is a measured value of the second circumferential region A2, and C is a radius of curvature with respect to the Z alignment deviation ΔZ. The slope when the change amount of the deviation ΔR is plotted for each radius of curvature R, and K is the slope in the relationship between the radius of curvature R and the working distance. The control unit 70 can obtain the true value R _{(in) t} of the second circumferential region A2 using Expression (1). The control unit 70 outputs the measured value of the curvature radius R2 corrected as described above to the display unit 71 and the like, and ends the measurement of the corneal shape. Note that the measurement value output to the display unit 71 may be either the radius of curvature R1 or the radius of curvature R2, or both. Of course, the measurement value output to the display unit 71 may be a measurement value before correction or a measurement value after correction.

  As described above, the control unit 70 can approximate the measured value of the second circumferential region A2 caused by the deviation of the working distance to a true value by correcting the curvature radius R2 using the curvature radius R1. Therefore, even if the cornea Ec of the eye E has asphericity and the working distance of the second circumferential region A2 is deviated from the first circumferential region A1, the curvature radius R2 of the second circumferential region A2 The error can be suppressed.

  Note that the control unit 70 may correct the radius of curvature R2 regardless of whether the eye E is a spherical surface or an aspherical surface as described above, and whether the eye E is a spherical surface or an aspherical surface. If it is an aspherical surface, the radius of curvature R2 may be corrected using equation (1).

  In the above description, the alignment is described so that the ratio between the distance a and the width b is constant. However, the alignment may be performed so that the ratio falls within a predetermined range. In such a case, when a deviation occurs in the working distance in the first circumferential area A1, the curvature radius R2 of the second circumferential area A2 obtained by the equation (1) is further corrected in consideration of this deviation. May be.

  In this embodiment, for example, the alignment is performed so that the ratio of the distance a between the left and right focus indexes M1 and M2 and the lateral width b of the ring index G1 is constant. For this reason, the alignment of the measurement unit 4 is performed at a working distance suitable for the radius of curvature of the position of the lateral width b of the ring index G1 (position of the astigmatic axis 0 °). Therefore, when there is no astigmatism in the eye E, the radius of curvature R1 of the cornea Ec included in the first circumferential region A1 is constant, and therefore it is possible to measure at an appropriate working distance at each position in the circumferential direction. is there.

  On the other hand, when the eye E has astigmatism, the radius of curvature R1 is different between the position of the astigmatic axis 0 ° on the first circumferential region A1 and the other positions in the circumferential direction. Therefore, even within the range of the first circumferential area A1, the measurement is performed in a state where each position in the circumferential direction is deviated from an appropriate working distance. For example, when measuring an asymptomatic eye (cylinder eye), the ring index G1 (and the ring index G2) formed on the eye E is an ellipse, and is arranged as shown in FIG. 6 depending on the astigmatic axis. .

  In such a case, since the working distance of the radius of curvature Ra in the major axis direction is different from the working distance of the radius of curvature Rb in the minor axis direction, the measurement is performed at a working distance different from the original working distance, and the curvature radius Ra, Rb may not be measured correctly. For example, consider the case where the astigmatism axis is 0 ° and 90 °. When the astigmatism axis is 0 ° (see FIG. 6A), when focus alignment is performed so that the distance a and the width b have a constant ratio, the working distance of the curvature radius Ra is aligned. Since the working distance of the curvature radius Rb is larger than the working distance of the curvature radius Ra, the measurement is performed at a position closer to the original working distance of the curvature radius Rb. As a result, the measured value of the curvature radius Rb becomes larger than the true value. On the other hand, in the case of an astigmatic axis of 90 ° (see FIG. 6B), when focus alignment is performed so that the distance a and the width b have a constant ratio, the working distance of the curvature radius Rb is aligned. Since the working distance of the curvature radius Ra is smaller than the working distance of the curvature radius Rb, the measurement is performed at a position farther than the original working distance of the curvature radius Ra. As a result, the measured value of the curvature radius Ra becomes small. For this reason, the measured value of the astigmatism power CYL (= Ra / Rb) is small when the astigmatism axis is 0 ° or 90 °. Further, when the astigmatism axis is 45 °, since the working distance of the curvature radius Ra and the working distance of the curvature radius Rb do not match, the measured values of the curvature radius Ra and the curvature radius Rb are both shifted, and the astigmatism power CYL. The measured value is small.

  Therefore, the control unit 70 of the present embodiment corrects the measured value of the curvature radius by the following method when measuring the cylinder eye.

  In order to correct the measured value of the radius of curvature in the cylinder eye, the control unit 70 first obtains the difference between the working radius WD of the curvature radius Ra and the curvature radius Rb from the relationship between the curvature radius R and the working distance WD (see FIG. 5). .

  Next, the control unit 70 calculates the maximum amount (ΔRamax, ΔRbmax) of the deviation of the measured value (that is, the correction amounts ΔRa, ΔRb) from the difference in the working distance WD between the curvature radius Ra and the curvature radius Rb. For example, the control unit 70 uses the fact that a linear relationship is established between the deviation of the working distance WD and the deviation of the measured value (see FIG. 7), and determines the maximum amount of deviation of the measured value using the following equation (2). Ask.

  For example, the control unit 70 substitutes the curvature radius Ra or the curvature radius Rb for R (curvature radius) in the formula (2), and the difference between the working distances of the curvature radius Ra and the curvature radius Rb for Δz (shift amount of Z alignment). Substituting ΔWD, the obtained ΔR is set as the maximum amount of deviation of the measured value (ΔRamax, ΔRbmax).

  Subsequently, for example, the control unit 70 obtains the relationship between the astigmatism axis (Axis) and the correction amount by approximation of a sin function or the like using the maximum correction amount (see FIG. 8). For example, the control unit 70 may obtain the relationship between the astigmatism axis and the correction amount using a function as shown in the following equation (3).

The control unit 70 determines the correction amount by substituting the angle of the astigmatism axis of the eye E into the sine function expressed by Equation (3).

  In this way, by correcting the difference between the working distance of the radius of curvature Ra in the major axis direction and the working distance of the radius of curvature Rb in the minor axis direction and the measured values of the radius of curvature Ra and Rb according to the astigmatic axis, Even if it exists, a corneal shape can be measured favorably.

  In this embodiment, as shown in FIG. 3, the focus indexes Ma and Mb are formed in the same first circumferential area A1 as the ring index G1, but the present invention is not limited to this. For example, the focus index projection optical system 50 may form the focus indexes Ma and Mb in a third circumferential area A3 different from the circumferences of the ring indexes G1 and G2. In FIG. 9, the focus indexes M1 and M2 are formed in the third circumferential area A3 outside the first circumferential area A1 and the second circumferential area A2. In this case, the pattern projection optical system 20 further includes a light source for forming pattern indexes P1 and P2 for detecting alignment in the Z direction in the third circumferential region A3 in combination with the focus indexes M1 and M2. Good. For example, as described above, the control unit 70 adjusts the alignment so that the ratio between the distance a between the index M1 and the index M2 and the distance b between the index P1 and the index P2 is constant. In this case, the control unit 70 may correct the measured values of the curvature radii R1 and R2 using the curvature radius R3 of the third circumferential region A3.

DESCRIPTION OF SYMBOLS 100 Ophthalmology apparatus 1 Base 2 Face support unit 3 Moving stand 4 Measuring part 6 XYZ drive part 8 Switch part 20 Pattern projection optical system 30 Anterior eye part imaging optical system 40 Fixation target projection optical system 50 Focus projection light optical system 60 1st 2 Measurement optical system 70 Control unit 71 Display unit 75 Memory

Claims (3)

An ophthalmologic apparatus for measuring the shape of the cornea of an eye to be examined,
A parallel projection optical system that projects parallel light onto the eye to be examined and forms a parallel index image on the cornea;
A first diffusion projection optical system that forms a first diffusion index image on the cornea; and a second diffusion projection optical system that forms a second diffusion index image at an image height different from the first diffusion index image. A diffusion index projection optical system,
An imaging optical system that captures the parallel index image, the first diffusion index image, and the second diffusion index image;
A computing means for calculating a corneal curvature radius of the eye to be examined based on an index image captured by the imaging optical system;
Alignment detection means for detecting an alignment state in the working distance direction with respect to the eye based on the image heights of the parallel index image and the first diffusion index image captured by the imaging optical system ,
When the alignment state based on the image heights of the parallel index image and the first diffusion index image is appropriate, the calculation means depends on the image height of at least one of the parallel index image and the first diffusion index image. The first corneal curvature radius is compared with the second corneal curvature radius according to the image height of the second diffusion index image, and the appropriate working distance with respect to the first corneal curvature radius and the second corneal curvature radius are compared . An ophthalmologic apparatus that corrects a measurement result of the second corneal curvature radius based on a difference from an appropriate working distance . An ophthalmologic apparatus for measuring the shape of the cornea of an eye to be examined,
A parallel projection optical system that projects parallel light onto the eye to be examined and forms a parallel index image on the cornea;
A diffusion index projection optical system comprising: a first diffusion projection optical system that forms a first diffusion index image on the cornea;
An imaging optical system for imaging the parallel index image and the first diffusion index image;
Alignment detecting means for detecting an alignment state in the working distance direction with respect to the eye to be inspected based on an image height in the first meridian direction of the parallel index image and the first diffusion index image captured by the imaging optical system;
Calculating means for calculating a corneal curvature radius of the eye to be examined based on an index image imaged by the imaging optical system,
In the case where the alignment state based on the image heights of the parallel index image and the first diffusion index image is appropriate,
A corneal curvature radius due to an image height in the first meridian direction of the first diffusion index image and a corneal curvature radius due to an image height in a second meridian direction different from the first meridian direction of the first diffusion index image. And based on the difference between the appropriate working distance for the corneal curvature radius due to the image height in the first meridian direction and the appropriate working distance for the corneal curvature radius due to the image height in the second meridian direction. An ophthalmologic apparatus for correcting a measurement result of a corneal curvature radius of an eye to be examined in a meridian direction. A processing program used in an ophthalmic apparatus for measuring the shape of the cornea of an eye to be examined,
By causing the processor of the ophthalmic device to execute,
A parallel projection step of projecting parallel light onto the eye to be examined and forming a parallel index image on the cornea;
Diffusion including a first diffusion projection step for forming a first diffusion index image on the cornea and a second diffusion projection step for forming a second diffusion index image at an image height different from the first diffusion index image. An index projection step;
An imaging step of capturing the parallel index image, the first diffusion index image, and the second diffusion index image;
A calculation step of calculating a corneal curvature radius of the eye to be examined based on the index image imaged in the imaging step;
An alignment detection step of detecting an alignment state in the working distance direction with respect to the eye to be examined based on the image heights of the parallel index image and the first diffusion index image captured in the imaging optical system step;
When the alignment state based on the image heights of the parallel index image and the first diffusion index image is appropriate, the first corneal curvature according to the image height of at least one of the parallel index image and the first diffusion index image The radius is compared with the second corneal curvature radius according to the image height of the second diffusion index image, and an appropriate working distance for the first corneal curvature radius and an appropriate working distance for the second corneal curvature radius A processing program for causing the ophthalmologic apparatus to execute a correction step of correcting the measurement result of the second corneal curvature radius based on the difference .

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