Ophthalmologic system and terminal device

Abstract

To provide an ophthalmologic system that allows an examiner to visually grasp the position of a disease in a subject's eyeball and the onset time thereof.SOLUTION: An ophthalmologic system 1 includes: a server device 20 having a storage unit for storing results of an examination or an image diagnosis on a subject's eyeball; and a terminal device 30 having a display unit 31 connected to the server device, for displaying the results and a display control unit 32 for controlling display contents and a display mode. A three-dimensional eyeball model is displayed in the display unit 31. The display control unit 32 controls rotary display of the three-dimensional eyeball model, and when a specific part of the three-dimensional eyeball model is designated, causes a window including information on the specific part to appear.SELECTED DRAWING: Figure 2

Description

[Technical Field]

[0001] The present disclosure relates to an ophthalmology system and a terminal device. [Background technology]

[0002] Conventionally, there is known a management system that performs follow-up observation of numerical values ​​such as intraocular pressure and ocular refractive power, as well as fundus images and OCT (Optical Coherence Tomography) images, centrally manages the results, and allows the results to be checked from a terminal device (for example, Patent Document 1).

[0003] Furthermore, when it comes to a single ophthalmic device such as a fundus camera or an OCT device, some are known to have the function of displaying two-dimensional and three-dimensional images in correspondence with each other, or enlarging and displaying diseased areas with a single click. [Prior art documents] [Patent documents]

[0004] [Patent Document 1] Patent No. 6489193 Summary of the Invention [Problem to be solved by the invention]

[0005] However, the management system described in Patent Document 1 has the following problems.

[0006] When examiners (e.g., ophthalmologists, optometrists, orthoptists) use electronic medical record systems, there is a problem in that it is difficult to visually understand information such as the location of the eyeball and type of disease when integrating the results from each ophthalmic device.

[0007] The present disclosure has been made in consideration of the above circumstances, and aims to provide an ophthalmologic system that allows an examiner to visually grasp the location of a disease in a subject's eyeball and the time of onset of the disease. [Means for solving the problem]

[0008] One aspect of the ophthalmologic system of the present disclosure is an ophthalmologic system comprising: a server device having a memory unit that stores the results of an examination or image diagnosis regarding a subject's eyeball; and a terminal device connected to the server device and having a display unit that displays the results of the examination or image diagnosis, and a display control unit that controls the display content and display manner, wherein the display unit displays a three-dimensional eyeball model that is a three-dimensional model of the eyeball, and the display control unit controls the rotational display of the three-dimensional eyeball model, and when a specific part of the three-dimensional eyeball model is specified, causes a first window containing information related to the specific part to appear.

[0009] The present disclosure relates to an ophthalmology system in which a terminal device such as a PC or tablet device is connected to a server device. The results of an ophthalmological examination or image diagnosis are stored in a memory unit of the server device and displayed on a display unit of the terminal device. This allows the examiner to easily check the results.

[0010] The display unit also displays a three-dimensional eyeball model, and the display control unit can rotate and display the three-dimensional eyeball model. This allows the examiner to view the three-dimensional eyeball model from various angles. Furthermore, when a specific part of the three-dimensional eyeball model (for example, the anterior segment) is specified, the display control unit causes a first window to appear and displays information related to that part (such as the examination history). This allows the examiner to visually grasp information such as what kind of disease is present at what position in the examinee's eyeball.

[0011] In another aspect of the ophthalmologic system of the present disclosure, the display control unit displays a link to the results of the image diagnosis in a first window, and when the link is selected, causes a second window containing the results of the image diagnosis to appear.

[0012] According to this configuration, the display control unit displays a link to the image diagnosis results in the first window, allowing the examiner to check whether or not there are any image diagnosis results for the specific part. When this link is specified, the display control unit causes a second window to appear and displays the image diagnosis results (fundus image, OCT image, etc.). This allows the examiner to check the image of the eye disease in the specific part and make a diagnosis.

[0013] In another aspect of the ophthalmologic system of the present disclosure, the display control unit displays a link to the results of image diagnosis in the first window, and when a link is specified, displays an image of the anterior segment of the eye or an image of the fundus overlaid on a three-dimensional eyeball model, and controls the overlaid image to follow the rotation when the image is rotated.

[0014] The display control unit displays the image diagnosis results (link) in the first window, allowing the examiner to check whether or not there are any image diagnosis results for that specific area. For example, when a fundus image is specified, the display control unit displays the fundus image superimposed on a 3D eyeball model, and when the 3D eyeball model is rotated, controls the display so that the fundus image follows the rotation. This allows the actual location of eye disease to be displayed in an easy-to-understand manner.

[0015] In another aspect of the ophthalmologic system of the present disclosure, the display control unit may generate a three-dimensional curved surface corresponding to the shape of the three-dimensional eyeball model from the anterior eye image or the fundus image, and overlay it on the three-dimensional eyeball model.

[0016] Typically, the anterior eye image and the fundus image are stored as planar images. The display control unit generates a three-dimensional curved surface from the fundus image, for example, and displays it superimposed on a three-dimensional eyeball model. This allows the examiner to easily grasp the three-dimensional location of eye diseases.

[0017] In another aspect of the ophthalmologic system of the present disclosure, the display control unit marks an abnormal portion during the examination on the three-dimensional eyeball model.

[0018] The display control unit can mark abnormal areas during the examination on the 3D eyeball model, which helps the examiner understand the number and location of each eye disease.

[0019] In another aspect of the ophthalmologic system of the present disclosure, the display control unit may cause a third window to appear for the operator of the terminal device to input a comment.

[0020] The display control unit may cause a third window to appear in which the operator of the terminal device can input a comment. For example, when the operator (mainly the examiner) discovers a new suspected disease in the eyeball, the operator can leave a comment in the third window at the corresponding position on the 3D eyeball model.

[0021] One aspect of the terminal device of the present disclosure is a terminal device comprising a display unit that displays the results of an examination or image diagnosis regarding a subject's eyeball, a display control unit that controls the display content and display mode, and a terminal memory unit that stores the results, wherein the display unit displays a three-dimensional eyeball model that is a three-dimensional model of the eyeball, and the display control unit controls the rotational display of the three-dimensional eyeball model, and when a specific part of the three-dimensional eyeball model is specified, causes a first window containing information related to the specific part to appear.

[0022] The present disclosure relates to a terminal device such as a PC or tablet terminal, in which a display unit displays the results of an ophthalmic examination or image diagnosis stored in a device storage unit, as well as a 3D eyeball model. A display control unit can rotate and display the 3D eyeball model, allowing the examiner to view the 3D eyeball model from various angles. Furthermore, when a specific portion of the 3D eyeball model (e.g., the fundus) is specified, the display control unit displays a first window and displays information related to that portion. This allows the examiner to visually grasp information such as what kind of disease is present at what position in the subject's eyeball.

[0023] In another aspect of the terminal device of the present disclosure, the display control unit displays a link to the results of the image diagnosis in the first window, and when the link is specified, causes a second window containing the results of the image diagnosis to appear.

[0024] According to this configuration, the display control unit displays the results of the image diagnosis (link) in the first window, allowing the examiner to check whether or not there are any results of the image diagnosis for the specific part. Furthermore, when this link is specified, the display control unit causes a second window to appear and displays the results of the image diagnosis (image data) stored in the device storage unit. This allows the examiner to check the area of ​​eye disease in the specific part and make a diagnosis.

[0025] In another aspect of the terminal device of the present disclosure, the display control unit displays a link to the results of image diagnosis in the first window, and when a link is specified, displays an image of the anterior segment of the eye or an image of the fundus of the eye superimposed on the three-dimensional eyeball model, and controls the superimposed image to follow the rotation when the image is rotated.

[0026] For example, when a fundus image is specified, the display control unit displays the fundus image stored in the device storage unit superimposed on a three-dimensional eyeball model, and when the three-dimensional eyeball model is rotated, the display control unit controls the display so that the fundus image follows the rotation, thereby making it possible to display the actual location of eye disease in an easy-to-understand manner. [Effects of the Invention]

[0027] According to the present disclosure, an examiner can visually grasp the location of a disease in the subject's eyeball and the time of onset of the disease. [Brief explanation of the drawings]

[0028] [Figure 1] 1 is an overall view of an ophthalmic system of the present disclosure. [Figure 2] FIG. 2 is a diagram illustrating details of each component of the ophthalmologic system. [Figure 3] FIG. 10 is a diagram showing an example of a screen of a terminal device (display unit). [Figure 4A] 10A to 10C are diagrams illustrating examples of various images (anterior segment) displayed on a display unit. [Figure 4B] 10A to 10C are diagrams illustrating examples of screens of various images (fundus of the eye) on a display unit. [Figure 5] 10A to 10C are diagrams illustrating modified examples of displaying various images on a display unit. DETAILED DESCRIPTION OF THE INVENTION

[0029] Hereinafter, an example of the present disclosure will be described with reference to the drawings, but the scope of the present disclosure is not limited to the embodiment described here, and various modifications can be made without departing from the spirit of the present disclosure. Furthermore, when multiple upper and lower limit values ​​are described for a specific parameter, any of these upper and lower limit values ​​can be combined to form a suitable numerical range.

[0030] [First embodiment] FIG. 1 is an overall view of an ophthalmic system 1 according to a first embodiment of the present disclosure. The ophthalmic system 1 is configured with a plurality of ophthalmic apparatuses 10 (10A to 10E), a server device 20, and a plurality of terminal devices 30 (30A to 30D). The ophthalmic apparatuses 10 (or terminal devices connected to the ophthalmic apparatuses 10) and the server device 20, and the terminal devices 30 and the server device 20 are each connected via a network. For example, examination results obtained by the ophthalmic apparatus 10 are stored in the server device 20 via the network, so that an examiner using the terminal device 30 can confirm the examination results. Note that the numbers of the ophthalmic apparatuses 10 and the terminal devices 30 are merely an example and are not limited thereto.

[0031] 1, the ophthalmic device 10 includes a slit lamp 10A, an OCT device 10B, a fundus camera 10C, a refractometer 10D, and a phoropter 10E. Each ophthalmic device 10 may be owned by a different medical institution (such as a general hospital, an ophthalmology clinic, or a university hospital), or a specific medical institution may own multiple devices.

[0032] For example, the fundus camera 10C is a device owned by many medical institutions, and therefore each institution introduces a model with different manufacturers and functions. However, the ophthalmologic system 1 allows the examiner to check the examination results on the terminal device 30, regardless of the manufacturer, model, etc., and including information obtained at other medical institutions.

[0033] Here, we will briefly explain the features of each ophthalmic device 10. The slit lamp (slit lamp microscope) 10A is an ophthalmic device that obtains a cross-sectional image of the cornea by irradiating a long, thin slit-shaped illumination light onto the subject's eye (the subject's eyeball) from an oblique direction. The slit lamp 10A is used to examine various aspects of the anterior eye, such as the corneal shape, corneal endothelial cells, and meibomian glands.

[0034] The OCT device 10B splits low-coherence light into two beams, irradiates one beam onto the fundus, and causes the backscattered light to interfere with the other beam, which is then received by a CCD image sensor or the like to obtain a tomographic image of the fundus (retina). This tomographic image is used to diagnose eye diseases such as glaucoma, diabetic retinopathy, and retinitis pigmentosa. The OCT device 10B may be any device using a Fourier domain system, a time domain system, a swept source system, or the like.

[0035] The fundus camera 10C is a device that irradiates illumination light onto the fundus of the subject's eye and receives the reflected light from the fundus with a light-receiving element such as a CCD (Charge Coupled Device) image sensor to obtain fundus image data. Fundus images are used to diagnose eye diseases such as glaucoma, diabetic retinopathy, and age-related macular degeneration.

[0036] The refractometer 10D is an examination device that can measure various eye characteristics, such as the intraocular pressure, eye refractive power, and corneal curvature of the subject's eye. The phoropter (vision tester) 10E is an examination device used to select a lens that suits the subject's eye. The phoropter 10E is equipped with multiple lenses, and by inserting one or more of these lenses onto the optical axis, it can measure eye refractive power and binocular vision function, such as myopia, hyperopia, and astigmatism.

[0037] The ophthalmologic apparatus 10 may include devices other than those described above. For example, a scanning laser ophthalmoscope may be used, which scans a light beam to irradiate the fundus and receives reflected light or fluorescence at a predetermined location using a CCD or the like to obtain image data of the fundus image. Another example is a specular microscope, which can photograph and measure the density of corneal endothelial cells and measure the corneal thickness.

[0038] The server device 20 has an internal storage unit and stores the examination results and image data of the ophthalmologic apparatus 10 transmitted via the network. In addition, since the terminal device 30 is connected to the server device 20, it can constantly access the examination results and the like stored in the storage unit of the server device 20. There are no particular limitations on the type of the server device 20, and it may be, for example, a cloud-based server.

[0039] The terminal devices 30 (30A to 30D) are PCs, notebook PCs, tablet terminals, etc. owned by each medical institution. Software for using the ophthalmologic system 1 is installed on each of these terminal devices 30. Therefore, the examiner can check the test results and image data stored in the server device 20 on the terminal device 30. Furthermore, the examiner can check the records of the electronic medical record in addition to the test results, etc. obtained at other medical institutions, so that the examiner can determine the presence or absence of a disease in the examined eye, taking each piece of information into consideration.

[0040] 2 is a diagram illustrating the components of the ophthalmologic system 1 of the present disclosure. The internal configurations of the ophthalmologic apparatus 10, the server apparatus 20, and the terminal apparatus 30 will be described in detail below.

[0041] In FIG. 2, a slit lamp 10A, an OCT device 10B, and a fundus camera 10C are illustrated as examples to explain multiple ophthalmic devices 10. The slit lamp 10A is installed in X Clinic. The OCT device 10B is installed in Y Ophthalmology Department. The fundus camera 10C is installed in Z University Hospital.

[0042] Next, the server device 20 includes an internal storage unit 21. The storage unit 21 stores the test and diagnosis results (test results and image data) obtained by each ophthalmic apparatus 10. The storage unit 21 also stores device information such as the manufacturer and model of the ophthalmic apparatus 10 used for the test. The test and diagnosis results and the device information are linked to each other and stored. The storage unit 21 is a storage medium such as a data-writable semiconductor memory, an optical disk, or a magnetic disk.

[0043] Each of the terminal devices 30A to 30D includes a display unit 31, a display control unit 32, and a terminal storage unit 33. The following describes the terminal device 30A as an example, but the basic configurations and functions of the terminal devices 30B to 30D are the same.

[0044] The display unit 31 is a display that displays the results of the examination or image diagnosis. On the display unit 31, the examiner can check the examination and diagnosis results, device information, and information recorded in electronic medical records at other medical institutions. The type of display may be any type, such as liquid crystal, plasma, or organic electroluminescence (EL), or may be a touch panel type.

[0045] The display control unit 32 is a processor that controls the display content and display mode of the display unit 31. As will be described in detail later, the display control unit 32 rotates and displays a three-dimensional eyeball model, which is a three-dimensional model imitating an eyeball, and when a specific part of the three-dimensional eyeball model is designated, causes a window containing information related to the specific part to appear.

[0046] The terminal storage unit 33 is a storage medium such as a semiconductor memory, an optical disk, or a magnetic disk to which data can be written. For example, since the test and diagnosis results are updated as appropriate, it is preferable that the latest test and diagnosis results are stored in the storage unit 21 of the server device 20 and are always accessible from any of the terminal devices 30. However, the test and diagnosis results, etc. may be downloaded by the examiner, for example, at the end of each month, stored in the terminal storage unit 33 of the terminal device 30, and used when necessary.

[0047] Next, examples of displays on the terminal device 30 (display unit 31) will be described with reference to FIGS.

[0048] 3 is a screen of the electronic medical record of the ophthalmology system 1 displayed on the display unit 31. Area 31a is an area for patient information, in which information such as the patient's (subject's) name, age, sex, and address is displayed. Area 31b is an area for visit history, in which information such as the medical institution where the examination was performed, the date and time, and the medicine prescribed at that time is displayed.

[0049] Area 31c is a data panel (Data Panel 1) that displays the test results when a certain test date is specified. Area 31c displays information such as visual acuity, intraocular pressure, and any diseases detected during the test on that day. It may also be configured to display the patient's surgical history.

[0050] Area 31d is also a data panel (Data Panel 2) that displays test results, and displays test results other than those displayed in area 31c. Area 31d may display information such as visual acuity and intraocular pressure values ​​from a day different from that displayed in area 31c for comparison, or may display other test results from the same day as those displayed in area 31c.

[0051] Area 31e is an area where the electronic medical record contents are displayed. Area 31e is relatively large, so it is also possible to display the image data (Image View) results. As shown in FIG. 3, a three-dimensional eyeball model M is displayed in area 31e. Note that the "x" marks on the three-dimensional eyeball model M are disease marks Pa and Pb ("marks" in this disclosure) that are recognized as abnormal areas during the examination. The disease marks P help the examiner to understand the number and positional relationship of eye diseases.

[0052] Area 31f is an area where the name of the eye disease is displayed. Area 31g is an area for a function button panel that switches between various displays. Note that, since there may be cases where multiple image data or progress graphs need to be compared side by side, it is also possible to display image data, etc., superimposed on areas 31a to 31g.

[0053] FIG. 4A is an example of a screen displayed on the display unit 31 when the examiner indicates the anterior segment of the three-dimensional eyeball model M.

[0054] When the examiner positions the cursor C on the anterior segment of the three-dimensional eyeball model M, the display control unit 32 causes a window Wa (the "first window" of the present disclosure) to appear on the display unit 31 at a position that does not overlap with the three-dimensional eyeball model M. Information relating to past examination results is mainly displayed within the window Wa. In particular, because a disease mark Pa is present in the anterior segment, details such as "corneal trauma" are displayed.

[0055] Also displayed in window Wa are an image taken by the slit lamp 10A called "SL image (221011)" and the results of the OCT device 10B called "whole eye OCT (221210)." The examiner can jump to the stored image data by instructing link display. For example, suppose the examiner places cursor C on or clicks on "SL image (221011)." At this time, the display control unit 32 causes window Wb (the "second window" in this disclosure) to appear in a position that does not overlap with the three-dimensional eyeball model M and window Wa on the display unit 31.

[0056] The window Wb displays an SL image (the "anterior segment image" of the present disclosure), which is actual image data captured by the slit lamp 10A, allowing the examiner to confirm the position, size, etc. of the injury corresponding to the disease mark Pa. Note that a slit-shaped illumination light S is visible approximately in the center of the eyeball. Information added to this image data indicates that the image was captured at X Clinic on January 11, 2022. Information about the manufacturer and model name of the slit lamp 10A may also be added.

[0057] Furthermore, when the examiner places the cursor C' on a portion of the three-dimensional eyeball model M where no disease mark P exists (for example, the iris), the display control unit 32 causes a window Wa' to appear. A comment such as "No abnormalities" is displayed in the window Wa'. In this case, too, a link to jump to image data (normal image) obtained during the examination may be displayed.

[0058] FIG. 4B is an example of a screen displayed on the display unit 31 when the examiner points to the fundus of the three-dimensional eyeball model M.

[0059] When the examiner positions the cursor C on the fundus of the three-dimensional eyeball model M, the display control unit 32 causes a window Wa to appear on the display unit 31 at a position that does not overlap with the three-dimensional eyeball model M. Information relating to past examination results is mainly displayed within the window Wa. In particular, because a disease mark Pb is present in the fundus, details such as "fundus disease xxx" are displayed.

[0060] Also displayed in window Wa is an image taken by fundus camera 10C called "fundus image (230430)" and the result of OCT device 10B called "OCT image (230430)." The examiner can jump to the stored image data by instructing link display. For example, suppose the examiner places cursor C on or clicks on "OCT image (230430)." At this time, display control unit 32 causes window Wb to appear in a position on display unit 31 that does not overlap with 3D eyeball model M and window Wa.

[0061] The actual image data (OCT image) captured by the OCT device 10B is displayed in the window Wb, allowing the examiner to check the abnormalities corresponding to the disease mark Pb, the thickness of each layer, etc. In addition, information is added to this image data that it was captured at Y Eye Clinic on April 30, 2023. Information on the device manufacturer and model name of the OCT device 10B may also be added.

[0062] In this way, when a specific part of the three-dimensional eyeball model M is specified, the display control unit 32 displays a window Wa and displays information related to the specific part (such as the examination history), which makes it easy for the examiner to understand what kind of disease is present at what position on the subject's eyeball, as well as information such as the examination date and time.

[0063] The three-dimensional eyeball model M can be rotated and displayed, allowing the examiner to view the three-dimensional eyeball model M from various angles. This rotational display is not limited to full-angle display, and may be, for example, rotation in increments of 30 degrees horizontally or 30 degrees vertically. Furthermore, the three-dimensional eyeball model M may be viewed in eight patterns, including the front side, back side, top side, bottom side, left side, and right side.

[0064] Furthermore, the display control unit 32 displays the results (link) of the image diagnosis in the window Wa, allowing the examiner to check whether or not there are any results of the image diagnosis for a specific part. When a link is specified, the display control unit 32 causes a window Wb to appear and displays image data such as an OCT image. This allows the examiner to check the image of the eye disease in the specific part and make a diagnosis.

[0065] There may be a function that allows the examiner (or the operator of the terminal device 30) to leave comments or notes by specifying (for example, right-clicking) a specific part of the 3D eyeball model M. The diamond on the 3D eyeball model M shown in FIG. 4B is a comment mark Q for commenting on this part. The comment mark Q is also useful when the examiner checks comments entered at other medical institutions.

[0066] For example, suppose that the examiner or operator places the cursor C on or clicks on a comment mark Q on the three-dimensional eyeball model M. At this time, the display control unit 32 causes a window Wc (the "third window" in the present disclosure) to appear in a position on the display unit 31 that does not overlap with the three-dimensional eyeball model M, window Wa, and window Wb. The examiner or operator can leave a comment in the window Wc.

[0067] In this way, the display control unit 32 causes the comment window Wc to appear. For example, when the examiner or operator finds a suspected disease in the subject's eye, the examiner or operator can leave a comment as shown in the window Wc in FIG. 4B.

[0068] Finally, a modified example of the display mode of the anterior eye image or the fundus image will be described with reference to Fig. 5. An example using a fundus image will be described below.

[0069] 5 is a viewpoint seen from the fundus side (rear side) after the display control unit 32 has rotated the three-dimensional eyeball model M. When the examiner aligns the cursor C with the fundus part of the three-dimensional eyeball model M, the display control unit 32 causes a window Wa to appear on the display unit 31 at a position that does not overlap with the three-dimensional eyeball model M. Information related to past examination results is mainly displayed within the window Wa.

[0070] Furthermore, the display control unit 32 displays a link to the image diagnosis results in the window Wa, allowing the examiner to check whether or not there are any image diagnosis results for a specific part. For example, suppose the examiner specifies the link "Fundus Image (230430)." At this time, the display control unit 32 matches the two-dimensional coordinates of the fundus image R with the three-dimensional coordinates of the three-dimensional eyeball model M, and displays the fundus image R superimposed on the three-dimensional eyeball model M.

[0071] Furthermore, when rotating and displaying the three-dimensional eyeball model M, the display control unit 32 controls the superimposed fundus image R so that it follows the rotation. This makes it possible to display the actual location of the eye disease in an easy-to-understand manner.

[0072] Usually, the fundus image R is stored as a planar image, but the display control unit 32 may use a known image processing technique to generate a three-dimensional curved surface from the fundus image R in accordance with the shape of the three-dimensional eyeball model M. The generated three-dimensional curved surface is then superimposed on the three-dimensional eyeball model M. This allows the examiner to easily grasp the three-dimensional location of the eye disease.

[0073] [Second embodiment] Next, a terminal device according to a second embodiment of the present disclosure will be described.

[0074] The terminal device 30 is the same as in the first embodiment in that it includes a display unit 31, a display control unit 32, and a terminal storage unit 33 (see FIG. 2). For example, a terminal device 30 owned by X Clinic is sufficient if it can basically view information on multiple patients (subjects) who visit the clinic. Therefore, the examiner can periodically download the test and diagnosis results of these patients from the server device 20 and use the results stored in the terminal storage unit 33 as needed.

[0075] Even in such an embodiment, the display unit 31 of the terminal device 30 displays the three-dimensional eyeball model M (see FIG. 3), and the display control unit 32 controls the rotational display of the three-dimensional eyeball model M. When a specific portion of the three-dimensional eyeball model M is designated, the display control unit 32 causes a window Wa (see FIGS. 4a and 4b) containing the test and diagnosis results related to the specific portion to appear. The test and diagnosis results may be retrieved from the terminal storage unit 33 and displayed on the display unit 31. This makes it easy for the examiner to grasp information such as the type of disease at which position on the subject's eyeball, the date of the examination, and the onset time of the eye disease.

[0076] Furthermore, the display unit 31 displays a link to the results of the image diagnosis in a window Wa, and when a link is selected, the display control unit 32 displays a window Wb containing the results of the image diagnosis (SL image, OCT image, fundus image, etc.) (see FIGS. 4a and 4b). This allows the examiner to check the image of the specific part of the eye that has the disease and make a diagnosis. Also similar to the first embodiment, the display control unit 32 has the function of adding a disease mark P on the 3D eyeball model M and displaying a window We for entering comments.

[0077] The display control unit 32 displays a link to the image diagnosis results in the window Wa, and when a link is selected, displays the fundus image R superimposed on the three-dimensional eyeball model M. Furthermore, when the three-dimensional eyeball model M is rotated and displayed, the display control unit 32 controls the fundus image R so that it follows the rotation. Also similar to the first embodiment, the display control unit 32 has the function of generating a three-dimensional curved surface corresponding to the shape of the three-dimensional eyeball model M from the fundus image R and superimposing it on the three-dimensional eyeball model. This allows the examiner to easily grasp the three-dimensional location of the eye disease.

[0078] The present disclosure is not limited to the above-described embodiments, and can be implemented in various forms without departing from the spirit and scope of the present disclosure.

[0079] In the first and second embodiments, an example has been described in which the display control unit 32 controls the fundus image R to follow the rotation when rotating and displaying the three-dimensional eyeball model M. However, the same applies to an SL image obtained by capturing an image of the anterior segment of the subject's eye using the slit lamp 10A. Furthermore, a three-dimensional curved surface may be generated from the SL image and superimposed on the three-dimensional eyeball model M. [Explanation of symbols]

[0080] 1. Ophthalmology System 10 Ophthalmological equipment 10A Slit Lamp 10B OCT device 10C Fundus Camera 10D Refractometer 10E Phoropter 20 Server device 21 Memory section 30 Terminal Equipment 31 Display section 32 Display control unit 33 Terminal memory section C,C' cursor M 3D eyeball model P,Pa,Pb Disease Mark Q Comment mark R fundus image S illumination light Wa, Wa' (first) window Wb (second) window Wc (third) window

Claims

1. a server device having a storage unit for storing the results of an examination or image diagnosis regarding the subject's eyeball; an ophthalmologic system comprising: a terminal device connected to the server device, the terminal device having a display unit that displays the results of the examination or image diagnosis, and a display control unit that controls the display content and display mode, a three-dimensional eyeball model that is a three-dimensional model of an eyeball is displayed on the display unit; The display control unit controls the rotational display of the three-dimensional eye model, and when a specific portion of the three-dimensional eye model is specified, causes a first window containing information related to the specific portion to appear.

2. the display control unit displays a link to the result of the image diagnosis in the first window, and when the link is designated, causes a second window including the result of the image diagnosis to appear. The ophthalmic system of claim 1 .

3. The display control unit a link to the result of the image diagnosis is displayed in the first window, and when the link is specified, an anterior segment image or a fundus image of the eyeball is displayed superimposed on the three-dimensional eyeball model; During the rotation display, the superimposed image is controlled to follow the rotation. The ophthalmic system of claim 1 .

4. the display control unit generates a three-dimensional curved surface according to a shape of the three-dimensional eyeball model from the anterior eye image or the fundus image, and overlays the three-dimensional curved surface on the three-dimensional eyeball model. The ophthalmology system of claim 3 .

5. the display control unit marks an abnormal part in the inspection on the three-dimensional eyeball model. The ophthalmology system according to claim 1 or 2.

6. the display control unit causes a third window to appear in which an operator of the terminal device can input a comment; The ophthalmology system according to claim 1 or 2.

7. A terminal device comprising: a display unit that displays the results of an examination or image diagnosis relating to the eyeball of a subject; a display control unit that controls the display content and display mode; and a terminal storage unit that stores the results, a three-dimensional eyeball model that is a three-dimensional model of an eyeball is displayed on the display unit; The display control unit controls the rotational display of the three-dimensional eyeball model, and when a specific part of the three-dimensional eyeball model is specified, causes a first window containing information related to the specific part to appear on the terminal device.

8. the display control unit displays a link to the result of the image diagnosis in the first window, and when the link is designated, causes a second window including the result of the image diagnosis to appear. The terminal device according to claim 7.

9. The display control unit a link to the result of the image diagnosis is displayed in the first window, and when the link is specified, an anterior segment image or a fundus image of the eyeball is displayed superimposed on the three-dimensional eyeball model; During the rotation display, the superimposed image is controlled to follow the rotation. The terminal device according to claim 7.

Images