ophthalmic devices
The ophthalmic device improves fundus and anterior segment observation through spectral and polarization imaging, addressing the need for detailed eye analysis in diagnosing ocular and systemic conditions.
Patent Information
- Application Number
- JP2021150683
- Authority / Receiving Office
- JP · JP
- Patent Type
- Patents
- Current Assignee / Owner
- Filing Date
- 2021-09-16
- Publication Date
- 2026-01-06
- Estimated Expiration
- 2041-09-16
AI Technical Summary
Existing ophthalmic devices lack the capability to observe the fundus and anterior segment of the eye in sufficient detail, particularly in terms of spectral and polarization information, which is crucial for diagnosing ocular diseases and estimating systemic health conditions.
An ophthalmic device with an illumination optical system and a light receiving system that captures return light with varying wavelength ranges and polarization components, allowing for the acquisition of two-dimensional spectral distributions, including hyperspectral and multispectral images, to enhance contrast based on angle and polarization dependencies.
Enables detailed observation of eye structures like RPE, choroid, retinal ganglion cells, melanin pigments, and nerve fiber layers, enhancing diagnostic capabilities for ocular diseases and systemic health assessments.
Smart Images

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Abstract
Description
[Technical Field]
[0001] The present invention relates to an ophthalmic apparatus. [Background technology]
[0002] Fundus observation, which involves observing the retina, blood vessels, optic nerve, etc. through the pupil, is useful for diagnosing ocular diseases and estimating the state of sclerosis throughout the body (particularly cerebral blood vessels). Fundus observation uses fundus images acquired by ophthalmic devices (fundus photography devices) such as fundus cameras and scanning light ophthalmoscopes (SLO).
[0003] In such fundus observation, it is known that acquiring multiple spectral fundus images over a wide analysis wavelength range may enable extraction of various fundus features that are difficult to grasp from general fundus images. For example, Patent Documents 1 and 2 disclose ophthalmologic devices that acquire spectral fundus images. For example, Non-Patent Documents 1 and 2 disclose techniques for applying hyperspectral images as spectral fundus images to the retina.
[0004] In recent years, it has been pointed out that analyzing hyperspectral images to estimate the amount of accumulated amyloid β may be applicable to the diagnosis of Alzheimer's disease (for example, Non-Patent Document 3). [Prior art documents] [Patent documents]
[0005] [Patent Document 1] Japanese Patent Application Laid-Open No. 2006-158546 [Patent Document 2] Japanese Patent Application Laid-Open No. 2010-200916 [Non-patent literature]
[0006] [Non-Patent Document 1] Sophie Lemments, et al., “Hyperspectral Imaging and the Retina: Worth the Wave?”, translational vision science & technology, August 5, 2020, Vol. 9, No. 9, Ariticle 9 [Non-patent document 2] Edith R. Reshef, et el., “Hyperspectral Imaging of the Retina: A Review”, INTERNATIONAL OPHTHALMOLOGY CLINICS, August 21, 2020, Vol. 60, No. 1, pp.85-96 [Non-patent document 3] Swati S. More, et al., “Hyperspectral Imaging Signatures Detect Amyloidpathy in Alzheimer´s Mouse Retina Well before Onset of Congnitive Decline”, ASC Chem. Neurosci., 2015, 5, pp.306-315 Summary of the Invention [Problem to be solved by the invention]
[0007] It is expected that the importance of observing not only the fundus but also the anterior segment of the eye will increase in the future. Therefore, a new technique for observing the fundus or the anterior segment of the eye in more detail is desired.
[0008] The present invention has been made in view of the above circumstances, and one of its objects is to provide a new technique for observing an observation site in an eye to be examined in more detail. [Means for solving the problem]
[0009] A first aspect of the embodiment is an ophthalmic device including an illumination optical system that illuminates an eye under test with illumination light, a light receiving optical system that sequentially receives return light of the illumination light from the eye under test, the return light having different wavelength ranges and including at least one of scattered light and diffracted light, and a spectral information acquisition unit that acquires information representing the angular dependence of reflected light with respect to the illumination light in the two-dimensional spectral distribution of the eye under test, based on the reception results of the return light obtained by the light receiving optical system.
[0010] In a second aspect of the embodiment, in the first aspect, the light receiving optical system sequentially receives the return light from the test eye, which has a predetermined polarization component and different wavelength ranges from each other, and the spectral information acquisition unit acquires information representing the polarization angle dependence of the two-dimensional spectral distribution of the test eye based on the reception results of the return light obtained by the light receiving optical system.
[0011] A third aspect of the embodiment is an ophthalmic device including an illumination optical system that illuminates an eye under test with illumination light, a light receiving optical system that sequentially receives return light of the illumination light from the eye under test, the return light having predetermined polarization components and different wavelength ranges, and a spectral information acquisition unit that acquires information representing the polarization angle dependence of the two-dimensional spectral distribution of the eye under test based on the reception results of the return light obtained by the light receiving optical system.
[0012] In a fourth aspect of the embodiment, in the second or third aspect, the illumination optical system includes a first polarizing element arranged in the optical path of the illumination light and transmitting the illumination light in a first polarization state, and the receiving optical system includes a second polarizing element arranged in the optical path of the returned light and transmitting the returned light in a second polarization state.
[0013] In a fifth aspect of the embodiment, in the fourth aspect, at least one of the first polarization state and the second polarization state is changeable.
[0014] A sixth aspect of the embodiment is any of the second to fifth aspects, further including a control unit that causes a display unit to display information representing a plurality of the spectral distributions corresponding to the wavelength ranges in accordance with the polarization state.
[0015] In a seventh aspect of the embodiment, in any one of the first, second, and fourth to sixth aspects, the illumination optical system includes an aperture stop arranged in the optical path of the illumination light, and the light receiving optical system includes a photographing stop arranged in the optical path of the return light.
[0016] In an eighth aspect of the embodiment, in the seventh aspect, the aperture stop has an opening formed at a position eccentric to the optical axis, and the photographic stop has an opening formed at a position on the optical axis.
[0017] In a ninth aspect according to the embodiment, in the eighth aspect, the aperture diaphragm is a ring diaphragm, and the imaging diaphragm is a central diaphragm.
[0018] In a tenth aspect of the present invention, in the seventh aspect, the photographic diaphragm has an opening formed at a position eccentric to the optical axis, and is rotatable about the optical axis.
[0019] In an eleventh aspect of the embodiment, in any of the seventh to tenth aspects, the aperture formed in the aperture stop is configured to be movable relative to the aperture formed in the photographing stop in a direction perpendicular to the optical axis.
[0020] In a twelfth aspect of the present invention, in any one of the first to eleventh aspects, the light receiving optical system includes a first wavelength range selection member that selects a wavelength range of the returned light.
[0021] In a thirteenth aspect according to the present invention, in any one of the first to eleventh aspects, the illumination optical system includes a second wavelength range selection member that selects a wavelength range of the illumination light.
[0022] In a fourteenth aspect according to the present invention, in any one of the first to eleventh aspects, the illumination optical system includes a light source capable of changing the wavelength range of emitted light.
[0023] The configurations according to the above-described multiple aspects can be combined in any manner. [Effects of the Invention]
[0024] According to the present invention, a new technique for observing an observation site in an eye to be examined in more detail can be provided. [Brief explanation of the drawings]
[0025] [Figure 1] 1 is a schematic diagram illustrating an example of the configuration of an optical system of an ophthalmologic apparatus according to a first embodiment. [Figure 2A] 1 is a schematic diagram illustrating an example of the configuration of an optical system of an ophthalmologic apparatus according to a first embodiment. [Figure 2B] 1 is a schematic diagram illustrating an example of the configuration of an optical system of an ophthalmologic apparatus according to a first embodiment. [Figure 2C] 1 is a schematic diagram illustrating an example of the configuration of an optical system of an ophthalmologic apparatus according to a first embodiment. [Figure 3] 2 is a schematic diagram showing an example of the configuration of a control system of the ophthalmologic apparatus according to the first embodiment. FIG. [Figure 4] FIG. 2 is a schematic diagram for explaining the operation of the ophthalmologic apparatus according to the first embodiment. [Figure 5] 4 is a flowchart illustrating an example of the operation of the ophthalmologic apparatus according to the first embodiment. [Figure 6] 4 is a flowchart illustrating an example of the operation of the ophthalmologic apparatus according to the first embodiment. [Figure 7] FIG. 4 is a schematic diagram showing an example of the configuration of an optical system of an ophthalmologic apparatus according to a first modified example of the first embodiment. [Figure 8] FIG. 10 is a schematic diagram showing an example of the configuration of an optical system of an ophthalmologic apparatus according to a second modified example of the first embodiment. [Figure 9] FIG. 10 is a schematic diagram illustrating an example of the configuration of an optical system of an ophthalmologic apparatus according to a second embodiment. [Figure 10] FIG. 10 is a schematic diagram showing an example of the configuration of a control system of an ophthalmologic apparatus according to a second embodiment. [Figure 11] 10 is a flowchart illustrating an example of the operation of the ophthalmologic apparatus according to the second embodiment. [Figure 12] 10 is a flowchart illustrating an example of the operation of the ophthalmologic apparatus according to the second embodiment. [Figure 13] FIG. 10 is a schematic diagram for explaining the operation of the ophthalmologic apparatus according to the second embodiment. [Figure 14] FIG. 10 is a schematic diagram showing an example of the configuration of an optical system of an ophthalmologic apparatus according to a first modified example of the second embodiment. [Figure 15] FIG. 10 is a schematic diagram showing an example of the configuration of an optical system of an ophthalmologic apparatus according to a second modified example of the second embodiment. [Figure 16] FIG. 10 is a schematic diagram illustrating an example of the configuration of an optical system of an ophthalmologic apparatus according to a third embodiment. [Figure 17] FIG. 11 is a schematic diagram showing an example of the configuration of a control system of an ophthalmologic apparatus according to a third embodiment. [Figure 18] FIG. 11 is a schematic diagram showing an example of the configuration of an optical system of an ophthalmologic apparatus according to a first modified example of the third embodiment. [Figure 19] FIG. 13 is a schematic diagram showing an example of the configuration of an optical system of an ophthalmologic apparatus according to a second modified example of the third embodiment. [Figure 20] FIG. 10 is a schematic diagram illustrating an example of the configuration of an optical system of an ophthalmologic apparatus according to a fourth embodiment. [Figure 21] FIG. 10 is a schematic diagram showing an example of the configuration of a control system of an ophthalmologic apparatus according to a fourth embodiment. [Figure 22] FIG. 13 is a schematic diagram showing an example of the configuration of an optical system of an ophthalmologic apparatus according to a first modified example of the fourth embodiment. [Figure 23] FIG. 13 is a schematic diagram showing an example of the configuration of an optical system of an ophthalmologic apparatus according to a second modified example of the fourth embodiment. DETAILED DESCRIPTION OF THE INVENTION
[0026] An example of an embodiment of an ophthalmic device according to the present invention will be described in detail with reference to the drawings. In the embodiment, it is possible to arbitrarily use the techniques described in the documents cited in this specification.
[0027] An ophthalmic apparatus according to an embodiment illuminates the fundus (posterior segment) or anterior segment of a subject's eye with illumination light and sequentially receives return light from the subject's eye, the return light having different wavelength ranges and including at least one of scattered light and diffracted light. Based on the results of receiving the return light, the ophthalmic apparatus acquires information representing the angle dependency of the reflected light with respect to the illumination light (i.e., the incidence angle dependency of the illumination light on the subject's eye) of the two-dimensional spectral distribution of the subject's eye. Regarding first and second return light beams having adjacent wavelength ranges among the sequentially received return light beams, a portion of the wavelength range of the first return light may overlap with the wavelength range of the second return light. Examples of two-dimensional spectral distributions include spectral images such as spectral fundus images and spectral anterior segment images. Examples of spectral images include hyperspectral images, multispectral images, and RGB color images. Examples of information representing the angle dependency of the reflected light with respect to the illumination light include information representing the spectral distribution corresponding to each of two or more angles of the reflected light with respect to the direction of specular reflection.
[0028] This makes it possible to extract and observe from the spectral image as new information the regions (materials that depend on the angle of reflected light or the angle of incidence of illumination light) whose contrast is enhanced depending on the angle of reflected light relative to illumination light (incidence angle of illumination light) in the fundus or anterior segment of the subject's eye. Examples of regions whose contrast is enhanced depending on the angle of reflected light include the retinal pigment epithelium (RPE), choroid, and retinal ganglion cells.
[0029] Furthermore, an ophthalmic apparatus according to an embodiment illuminates the fundus (posterior segment) or anterior segment of a subject's eye with illumination light and sequentially receives return light from the subject's eye, the return light having different wavelength ranges (center wavelengths). The ophthalmic apparatus acquires information representing the polarization angle dependence of a two-dimensional spectral distribution of the subject's eye based on the results of sequentially receiving the return light having a predetermined polarization component. Regarding first and second return light beams having adjacent wavelength ranges among the sequentially received return light beams, a portion of the wavelength range of the first return light beam may overlap with the wavelength range of the second return light beam. Examples of two-dimensional spectral distributions include spectral images such as spectral fundus images and spectral anterior segment images. Examples of spectral images include hyperspectral images, multispectral images, and RGB color images. Examples of information representing the polarization angle dependence of spectral distributions include information representing spectral distributions corresponding to two or more polarization angles. Examples of polarization components include the polarization direction (polarization axis) of linearly polarized light and the rotation direction of circularly polarized light (or elliptically polarized light).
[0030] This makes it possible to extract and observe from the spectral image new information about areas where contrast is enhanced depending on the polarization direction (materials that are dependent on the polarization direction). Examples of areas where contrast is enhanced depending on the polarization direction include melanin pigments, the lamina cribrosa, the nerve fiber layer, and cone cells (L cones, M cones, S cones).
[0031] In some embodiments, an ophthalmic device is configured to sequentially illuminate a test eye with illumination light having two or more wavelength components with different wavelength ranges, and sequentially select return light having wavelength components in a predetermined wavelength range from return light from the test eye.
[0032] In some embodiments, an ophthalmic device is configured to sequentially select illumination light having wavelength components in a predetermined wavelength range from illumination light having two or more wavelength components with different wavelength ranges, sequentially illuminate a test eye with the selected illumination light, and sequentially receive return light from the test eye.
[0033] In some embodiments, an ophthalmic device is configured to sequentially emit illumination light having two or more wavelength components with different wavelength ranges using a light source whose wavelength range can be arbitrarily changed, sequentially illuminate a test eye with the emitted illumination light, and sequentially receive return light from the test eye.
[0034] In some embodiments, an ophthalmic device is configured to illuminate a test eye with illumination light (e.g., white light) having two or more wavelength components with different wavelength ranges, and to receive the return light from the test eye by dispersing it using a spectroscope.
[0035] An ophthalmic apparatus according to some embodiments includes a light-receiving device capable of changing a wavelength range in which light-receiving sensitivity is high (low). In this case, the ophthalmic apparatus is configured to sequentially illuminate an eye to be examined with illumination light having two or more wavelength components with different wavelength ranges, and sequentially change the wavelength range in which light-receiving sensitivity of the light-receiving device is high to sequentially select return light from the eye to be examined.
[0036] A control method for an ophthalmic apparatus according to an embodiment includes one or more steps for controlling the ophthalmic apparatus. A program according to an embodiment causes a computer (processor) to execute each step of the control method for an ophthalmic apparatus according to an embodiment. A recording medium according to an embodiment is a non-transitory recording medium (storage medium) on which a program according to an embodiment is recorded.
[0037] In this specification, a processor includes circuits such as a central processing unit (CPU), a graphics processing unit (GPU), an application specific integrated circuit (ASIC), a programmable logic device (e.g., a simple programmable logic device (SPLD), a complex programmable logic device (CPLD), or a field programmable gate array (FPGA)). The processor realizes the functions of the embodiments by, for example, reading and executing a program stored in a memory circuit or a storage device. The memory circuit or storage device may be included in the processor. Alternatively, the memory circuit or storage device may be provided external to the processor.
[0038] Hereinafter, a case will be described in which the ophthalmic apparatus is a fundus imaging apparatus capable of acquiring a spectral image of the fundus of the subject's eye (spectral fundus image), but the configuration of the embodiment is not limited to this. The ophthalmic apparatus according to the embodiment can also be applied to an anterior segment imaging apparatus capable of acquiring a spectral image of the anterior segment of the subject's eye other than the fundus (spectral anterior segment image).
[0039] Hereinafter, a position that is approximately optically conjugate with the fundus of the subject's eye will be referred to as the fundus conjugate position, and a position that is approximately optically conjugate with the pupil (iris) of the subject's eye will be referred to as the pupil conjugate position (iris conjugate position). Furthermore, hereinafter, unless otherwise specified, the left-right direction as seen from the subject will be referred to as the X direction, the up-down direction as the Y direction, and the front-back direction (depth direction) as the Z direction. The X direction, Y direction, and Z direction define a three-dimensional Cartesian coordinate system.
[0040] First Embodiment The ophthalmologic apparatus according to the first embodiment performs dark-field photography of the fundus of the subject's eye in each of a plurality of different wavelength ranges (e.g., 10 wavelength ranges) to obtain a plurality of spectral fundus images (hyperspectral images of the fundus or multispectral images of the fundus).
[0041] [composition] FIG. 1 shows an example of the configuration of an optical system of an ophthalmic apparatus according to the first embodiment.
[0042] The ophthalmologic apparatus 1 according to the first embodiment includes an illumination optical system 10, a light-receiving optical system 20, an alignment optical system 40, a fixation optical system (light stimulus system) 50, and a finder optical system 60.
[0043] The illumination optical system 10 illuminates the fundus Ef of the subject's eye E. The light-receiving optical system 20 receives reflected light from the fundus Ef illuminated by the illumination optical system 10 and forms a fundus image on the light-receiving surface of the imaging unit (image sensor). The alignment optical system 40 projects alignment light onto the subject's eye E to align the subject's eye E with the optical system of the ophthalmologic apparatus 1, and receives reflected light of the alignment light from the subject's eye E. The fixation optical system 50 projects fixation light to present a fixation target to the subject's eye E. The finder optical system 60 guides reflected light from the fundus Ef illuminated by the illumination optical system 10 to an eyepiece (not shown).
[0044] (Illumination optical system 10) The illumination optical system 10 includes a light source 11 , a condenser lens 12 , a spectral characteristic correction filter 13 , an aperture stop 14 , a reflecting mirror 15 , a relay lens 16 , and a beam splitter 17 .
[0045] The light source 11 is an illumination light source capable of emitting a light beam in a wide analytical wavelength range for image acquisition. The wavelength range of the light beam that the light source 11 can emit includes, for example, the visible region (e.g., 400 nm to 730 nm) and the near-infrared region (e.g., 730 nm to 2500 nm). Such a light source 11 may be, for example, a halogen lamp. The light source 11 is disposed at or near the front focal position of the condenser lens 12.
[0046] The spectral characteristic correction filter 13 equalizes the received light intensity of reflected light at the light-receiving surface of the light-receiving optical system 20 over the analysis wavelength range for acquiring a spectral fundus image. Specifically, the spectral characteristic correction filter 13 corrects the spectral characteristics so as to cancel the wavelength dependency of the received light intensity for the illumination light emitted from the light source 11. In some embodiments, the spectral characteristic correction filter 13 transmits light having wavelength components in the wavelength range of 730 nm or more. The configuration of the spectral characteristic correction filter 13 is similar to the configuration of the spectral characteristic correction filter disclosed in, for example, Japanese Patent Application Laid-Open No. 2006-158546.
[0047] The aperture stop 14 is disposed at a pupil conjugate position Q. One or more apertures are formed in the aperture stop 14. In some embodiments, the one or more apertures are formed at positions that are eccentric with respect to the optical axis of the aperture stop 14 (the optical axis of the illumination optical system 10). In some embodiments, at least one of the one or more apertures is provided with a transparent member (transparent portion) that transmits illumination light.
[0048] In some embodiments, aperture stop 14 is configured so that the relative position of one or more apertures with respect to the optical axis can be changed. For example, aperture stop 14 is movable in a direction perpendicular to the optical axis (in a broad sense, a direction intersecting the optical axis). In this case, aperture stop 14 is moved in the direction perpendicular to the optical axis by a movement mechanism.
[0049] In some embodiments, aperture stop 14 is configured so that the shape, size, and position of at least one of one or more apertures can be changed. For example, aperture stop 14 may include two or more aperture stops that differ from each other in at least one of shape, size, and position, and may be configured so that the two or more aperture stops can be selectively positioned in the optical path of the illumination light.
[0050] The beam splitter 17 is an optical path combining member that combines the optical path of the illumination light that has passed through the illumination optical system 10 with the optical path of the illumination light reflected from the fundus Ef of the subject's eye E. An objective lens 18 is disposed in the optical path combined by the beam splitter 17. The beam splitter 17 is, for example, a half mirror. The beam splitter 17 is disposed so as to be approximately optically conjugate with the aperture stop 14.
[0051] In the illumination optical system 10, illumination light emitted from a light source 11 is converted into approximately parallel light by a condenser lens 12, has its spectral characteristics corrected by a spectral characteristic correction filter 13, and passes through an aperture formed in an aperture stop 14. The illumination light that passed through the aperture is reflected by a reflecting mirror 15, passes through a relay lens 16, is reflected by a beam splitter 17, and passes through an objective lens 18 to illuminate the fundus Ef of the subject's eye E.
[0052] (Receiving optical system 20) The light receiving optical system 20 includes a dark field imaging diaphragm 21, a focusing lens 22, a lens 23, a reflecting mirror 24, a switching mirror 25, a relay lens 26, a dichroic mirror 27, a wavelength tunable filter 28, an imaging lens 29, and an image sensor 30.
[0053] The dark field imaging diaphragm 21 is disposed at the pupil conjugate position Q. The dark field diaphragm 21 has one or more openings formed therein.
[0054] In some embodiments, one or more apertures are formed in the dark-field diaphragm 21 at positions corresponding to the positions of apertures formed in the aperture diaphragm 14, which is disposed at a position that is approximately optically conjugate with the dark-field diaphragm 21. For example, one or more apertures are formed in the dark-field diaphragm 21 so that, when the optical magnification is converted to unity and the optical axes are aligned and overlapped, the aperture of the dark-field diaphragm 21 is shielded by the shielding portion of the aperture diaphragm 14, and the aperture of the aperture diaphragm 14 is shielded by the shielding portion of the dark-field diaphragm 21. This makes it possible to configure an optical system in which return light (scattered light, diffracted light) of illumination light that has passed through the opening of the aperture diaphragm 14 passes through the opening of the dark-field diaphragm 14.
[0055] 2A, 2B, and 2C show exemplary configurations of the aperture diaphragm 14 and the dark-field imaging diaphragm 21 according to the embodiment. Fig. 2A shows an exemplary configuration of the aperture diaphragm 14 as viewed from the optical axis direction. Fig. 2B shows an exemplary configuration of the dark-field imaging diaphragm 21 as viewed from the optical axis direction. Fig. 2C shows another exemplary configuration of the dark-field imaging diaphragm 21 as viewed from the optical axis direction.
[0056] In this embodiment, the aperture stop 14 has an opening formed at a position eccentric to the optical axis, and the dark-field photography stop 21 has an opening formed at the position of the optical axis. That is, as shown in Fig. 2A, the aperture stop 14 is a ring stop in which a ring-shaped opening 14a is formed around a central region including the optical axis O1. Also, as shown in Fig. 2B, the dark-field photography stop 14 is a central stop in which an opening 21a is formed in a central region including the optical axis O2.
[0057] In some embodiments, as shown in FIG. 2C , the dark-field imaging diaphragm 21 has a rectangular opening 21b formed at a position eccentric to the optical axis O3. In FIG. 2C , the opening 21b is formed so that its long side is perpendicular to (intersects with) the radial direction passing through the optical axis O3 and its short side is oriented in the radial direction passing through the optical axis O3. In this case, the dark-field imaging diaphragm 21 is configured to be rotatable about the optical axis O3. That is, the long side of the opening 21b rotates about the optical axis O3. This allows the long side of the opening 21b to be aligned with the tissue flow at the observation site or the direction in which contrast is enhanced, enabling dark-field imaging with optimal contrast according to the state of the observation site.
[0058] In some embodiments, at least one of the one or more openings formed in the dark field imaging diaphragm 21 is provided with a transparent member (transparent portion) that transmits reflected light of the illumination light.
[0059] In some embodiments, the dark-field imaging diaphragm 21 is configured to be able to change the relative position of one or more apertures with respect to the optical axis. For example, the dark-field imaging diaphragm 21 is movable in a direction perpendicular to the optical axis (in a broad sense, a direction intersecting the optical axis). In this case, the dark-field imaging diaphragm 21 is moved in the direction perpendicular to the optical axis by a movement mechanism.
[0060] In some embodiments, the dark-field imaging diaphragm 21 is configured so that at least one of the shape, size, and position of one or more apertures can be changed. For example, the dark-field imaging diaphragm 21 may include two or more dark-field imaging diaphragms that are different from each other in at least one of shape, size, and position, and may be configured so that the two or more dark-field imaging diaphragms can be selectively positioned in the optical path of the reflected light of the illumination light.
[0061] As described above, by illuminating the fundus Ef with illumination light that has passed through the opening of the aperture diaphragm 14 formed at a position eccentric to the optical axis of the illumination light (illumination optical axis), it is possible to illuminate the fundus Ef by setting an incident angle with respect to the optical axis of the illumination light that is incident on the fundus Ef. Furthermore, since reflected light that has passed through the opening formed in the dark field photography diaphragm 21 is received, it is possible to receive at least one of scattered light and diffracted light from the subject's eye.
[0062] The focusing lens 22 is movable in the optical axis direction. The focusing lens 22 is moved in the optical axis direction by a movement mechanism. This changes the focal position of the return light of the illumination light from the fundus Ef in the optical axis direction. The focusing lens 22 may be an Alvarez lens or a variable focus lens.
[0063] The switching mirror 25 switches the optical path of the return light from the fundus Ef that has passed through the opening of the dark-field photography diaphragm 21. The switching mirror 25 is configured to be insertable into and removable from the optical path of the return light manually or by a drive mechanism (not shown). When the switching mirror 25 is inserted into the optical path of the return light, it guides the return light reflected by the reflecting mirror 24 to the finder optical system 60. When the switching mirror 25 is retracted from the optical path of the return light, it guides the return light reflected by the reflecting mirror 24 to the relay lens 26. When observing an observation site with the naked eye through the finder optical system 60 or when checking the alignment state with the naked eye, the switching mirror 25 is inserted into the optical path of the return light. When acquiring a spectral image, the switching mirror 25 is retracted from the optical path of the return light.
[0064] The dichroic mirror 27 is an optical path combining member that combines the optical path of the return light from the fundus Ef that has passed through the aperture of the dark-field imaging diaphragm 21 with the optical paths of the alignment optical system 40 and the fixation optical system 50. The dichroic mirror 27 transmits light having wavelength components in the near-infrared region (e.g., 730 nm to 920 nm) and reflects light having wavelength components in the visible region. In some embodiments, a beam splitter (half mirror) is disposed instead of the dichroic mirror 27.
[0065] The tunable filter 28 is a filter that can select the wavelength range of transmitted light in a predetermined analysis wavelength region. The wavelength range of light that passes through the tunable filter 28 can be selected arbitrarily.
[0066] In some embodiments, the tunable filter 28 is similar to the liquid crystal tunable filter disclosed in, for example, Japanese Patent Application Laid-Open No. 2006-158546. In this case, the tunable filter 28 can arbitrarily select the wavelength range of transmitted light by changing the voltage applied to the liquid crystal.
[0067] In some embodiments, the wavelength-tunable filter 28 may include two or more wavelength-selective filters having different wavelength selection ranges for transmitted light, and may be configured so that the two or more wavelength-selective filters can be selectively positioned in the optical path of the return light of the illumination light.
[0068] In some embodiments, the tunable filter 28 is a filter that can select a wavelength range of reflected light in a predetermined analysis wavelength region.
[0069] The image sensor 30 is an area image sensor in which imaging elements (light receiving elements) are arranged one-dimensionally or two-dimensionally on a light receiving surface. The image sensor may be a CCD (Charge-Coupled Device) image sensor or a CMOS (Complementary Metal Oxide Semiconductor) image sensor. The light receiving surface of the image sensor 30 is disposed at a fundus conjugate position P. An image of the subject's eye E can be acquired by reading out the light receiving results of the return light of the illumination light obtained by the imaging elements of the image sensor 30.
[0070] In the light-receiving optical system 20, the reflected light of the illumination light from the fundus oculi Ef passes through the objective lens 18 and the beam splitter 17, passes through an aperture formed in the dark-field photography diaphragm 21, passes through the focusing lens 22 and the lens 23, and is reflected by the reflecting mirror 24. When the switching mirror 25 is inserted in the optical path, the reflected light reflected by the reflecting mirror 24 is reflected by the switching mirror 25 and directed to the finder optical system 60. When the switching mirror 25 is retracted from the optical path, the reflected light reflected by the reflecting mirror 24 passes through the relay lens 26, is reflected by the dichroic mirror 27, and is directed to the tunable filter 28. Of the reflected light directed to the tunable filter 28, returning light having wavelength components in a predetermined wavelength range selected by the tunable filter 28 passes through the tunable filter 28 and is imaged by the imaging lens 29 on the light-receiving surface of the image sensor 30. Furthermore, the reflected light that has passed through the dichroic mirror 27 is guided to the dichroic mirror 41 .
[0071] (Alignment optical system 40) The alignment optical system 40 includes a dichroic mirror 41 , an alignment light source 42 , an imaging lens 43 , and an image sensor 44 .
[0072] The dichroic mirror 41 connects the optical path of the alignment optical system 40 with the optical path of the fixation optical system 50, and transmits light having wavelength components in the visible range and reflects light having wavelength components in the near-infrared range (wavelength components of the alignment light).
[0073] The alignment light source 42 is disposed, for example, at a position off the optical axis between the beam splitter 17 and the dark-field imaging diaphragm 21. The alignment light source 42 may be, for example, an LED that emits alignment light having a wavelength component of 940 nm.
[0074] Similar to the image sensor 30, the image sensor 44 is an area image sensor in which imaging elements (light receiving elements) are arranged one-dimensionally or two-dimensionally on a light receiving surface. The light receiving surface of the image sensor 44 is disposed at a fundus conjugate position P. By reading out the light receiving results of the reflected light of the alignment light obtained by the imaging elements of the image sensor 44, it is possible to obtain an image formed by the reflected light of the alignment light.
[0075] In the alignment optical system 40, alignment light emitted from an alignment light source 42 passes through a beam splitter 17 and an objective lens 18 and is projected onto the subject's eye E. The reflected light of the alignment light from the subject's eye E passes through the objective lens 18 and the beam splitter 17, passes through an aperture formed in the darkfield photography diaphragm 21, passes through a focusing lens 22 and a lens 23, and is reflected by a reflecting mirror 24. When the switching mirror 25 is retracted from the optical path, the reflected light of the alignment light reflected by the reflecting mirror 24 passes through a relay lens 26 and a dichroic mirror 27 and is reflected by a dichroic mirror 41. The reflected light reflected by the dichroic mirror 41 is imaged on the light-receiving surface of an image sensor 44 by an imaging lens 43.
[0076] (Fixation optical system 50) The fixation optical system 50 includes a fixation target presenting unit 51 , a relay lens 52 , and a reflecting mirror 53 .
[0077] The fixation target presentation unit 51 projects a pattern representing a fixation target. The fixation target presentation unit 51 is disposed at a fundus conjugate position P. Such a fixation target presentation unit 51 includes a liquid crystal panel or an organic EL panel. For example, the fixation position of the subject's eye E can be changed by changing the display position of the pattern on the screen of the liquid crystal panel or organic EL panel. The fixation position of the subject's eye E can be a position for acquiring an image centered on the macular region of the fundus Ef, a position for acquiring an image centered on the optic disc, or a position for acquiring an image centered on the center of the fundus between the macular region and the optic disc. The display position of the pattern representing the fixation target can be changed arbitrarily. The fixation target presentation unit 51 or the relay lens 52 may be movable in the optical axis direction.
[0078] In some embodiments, the fixation target presenting unit 51 includes a light source and a metal aperture, and is configured to present a fixation target or provide a light stimulus.
[0079] In the fixation optical system 50, light from a fixation target presenting unit 51 passes through a relay lens 52, is reflected by a reflecting mirror 53, passes through a dichroic mirror 41 and a dichroic mirror 27, and passes through a relay lens 26. The light that passed through the relay lens 26 is reflected by a reflecting mirror 24, passes through a lens 23 and a focusing lens 22, passes through an opening formed in a dark field imaging diaphragm 21, passes through a beam splitter 17, and is projected onto the fundus Ef of the subject's eye E by an objective lens 18.
[0080] (finder optical system 60) The finder optical system 60 includes, for example, an eyepiece (not shown) and an imaging lens (not shown). When the switching mirror 25 is inserted into the optical path, light reflected by the switching mirror 25 passes through the imaging lens and is guided to the eyepiece.
[0081] Fig. 3 shows a block diagram of an example of the configuration of a control system of the ophthalmic apparatus 1 according to the first embodiment. In Fig. 3, the same components as those in Fig. 1 are denoted by the same reference numerals, and descriptions thereof will be omitted where appropriate. In Fig. 3, some of the components included in the ophthalmic apparatus 1 are omitted.
[0082] The control unit 100 controls each unit of the ophthalmologic apparatus 1. The control unit 100 includes a main control unit 110 and a storage unit 120.
[0083] (Main control unit 110) The main control unit 110 includes a processor and controls each unit of the ophthalmologic apparatus 1. For example, the main control unit 110 controls each unit of the optical system 2 shown in FIG. 1 , the movement mechanism 5 that moves the entire optical system 2 and the optical elements that make up the optical system 2, the operation unit 150, the display unit 160, the communication unit 170, and the data processing unit 200.
[0084] The control of the optical system 2 includes control of the illumination optical system 10, control of the light receiving optical system 20, control of the alignment optical system 40, control of the fixation optical system 50, and the like.
[0085] Control of the illumination optical system 10 includes control of the light source 11 and control of the aperture stop 14. Control of the light source 11 includes control of turning the light source on and off, control of the amount of illumination light emitted from the light source 11, and wavelength control of the central wavelength of the illumination light. Control of the aperture stop 14 includes control of movement in a direction perpendicular to the optical axis of the illumination optical system 10, control of movement of the position of the aperture relative to the optical axis, and control of the size or shape of the aperture.
[0086] Control of the light receiving optical system 20 includes control of the dark field imaging diaphragm 21, control of the focusing lens 22, control of the wavelength tunable filter 28, control of the image sensor 30, etc. Control of the dark field imaging diaphragm 21 includes control of movement in a direction perpendicular to the optical axis of the light receiving optical system 20, control of movement of the position of the aperture relative to the optical axis, control of the size or shape of the aperture, etc. Control of the focusing lens 22 includes control of movement of the focusing lens 22, etc. Control of the wavelength tunable filter 28 includes control of selection of the wavelength range of transmitted light (for example, control of the voltage applied to the liquid crystal), etc. Control of the image sensor 30 includes control of the light receiving sensitivity of the image sensor, control of the frame rate (light receiving timing), control of the light receiving area (position, size, etc.), control of readout of the light receiving results from the image sensor, etc.
[0087] Control of the alignment optical system 40 includes control of the alignment light source 42 and control of the image sensor 44. Control of the alignment light source 42 includes control of turning the light source on and off, control of the amount of illumination light emitted from the light source, etc. Control of the image sensor 44 includes control of the light receiving sensitivity of the image sensor, control of the frame rate (light receiving timing), control of the light receiving area (position, size, dimension), and control of reading out the light receiving results from the image sensor, etc.
[0088] The control of the fixation optical system 50 includes control of the fixation target presenting unit 51. The control of the fixation target presenting unit 51 includes control of turning on and off the presentation (light emission) of a pattern representing the fixation target, control of the display position of the pattern, and control of movement of light in the optical axis direction. For example, the main control unit 110 can display the pattern representing the fixation target at a position on the screen of the liquid crystal panel corresponding to a manually or automatically set fixation position, or change (continuously or stepwise) the display position of the pattern representing the fixation target displayed on the liquid crystal panel. The display position and movement manner of the pattern representing the fixation target are set manually or automatically. Manual setting is performed using, for example, the operation unit 150. Automatic setting is performed by, for example, the data processing unit 200.
[0089] The moving mechanism 5 moves the entire optical system 2 and the optical elements that make up the optical system 2 (for example, the aperture stop 14, the dark field imaging stop 21, and the focusing lens 22).
[0090] In some embodiments, the movement mechanism 5 moves at least the optical system 2 three-dimensionally. In a typical example, the movement mechanism 5 includes a mechanism for moving at least the optical system 2 in the X direction (left-right direction), a mechanism for moving in the Y direction (up-down direction), and a mechanism for moving in the Z direction (depth direction, front-back direction). The mechanism for movement in the X direction includes, for example, an X stage that can move in the X direction and an X movement mechanism that moves the X stage. The mechanism for movement in the Y direction includes, for example, a Y stage that can move in the Y direction and a Y movement mechanism that moves the Y stage. The mechanism for movement in the Z direction includes, for example, a Z stage that can move in the Z direction and a Z movement mechanism that moves the Z stage. Each movement mechanism includes an actuator such as a pulse motor and operates under the control of the main control unit 110.
[0091] Control of the movement mechanism 5 is used for alignment and tracking. Tracking is the act of moving the optical system in accordance with the eye movement of the subject's eye E. Before tracking can be performed, alignment and focus adjustment are performed. Tracking is a function that maintains an optimal positional relationship where alignment and focus are achieved by making the position of the optical system follow the eye movement.
[0092] In the case of manual alignment, an image based on the reflected light of the alignment light is superimposed on a fundus image (spectral fundus image) and displayed on the display unit 160, and the user operates the operation unit 150 while referring to the image displayed on the display unit 160. The user moves the optical system 2 and the subject's eye E relatively by operating the operation unit 150 so as to cancel the displacement of the subject's eye E relative to the optical system 2. For example, the main control unit 110 controls the movement mechanism 5 by outputting a control signal corresponding to the operation content of the operation unit 150 to the movement mechanism 5, thereby moving the optical system 2 and the subject's eye E relatively.
[0093] In the case of auto-alignment, the main controller 110 controls the movement mechanism 5 to move the optical system 2 and the subject's eye E relatively so that displacement of the subject's eye E relative to the optical system 2 is canceled. In some embodiments, the main controller 110 controls the movement mechanism 5 to move the optical system 2 and the subject's eye E relatively by outputting a control signal to the movement mechanism 5 so that the optical axis of the optical system 2 approximately coincides with the axis of the subject's eye E and the distance of the optical system from the subject's eye E is a predetermined working distance. Here, the working distance is a predetermined value also called the working distance of the objective lens 18, and corresponds to the distance between the subject's eye E and the optical system during measurement (photography) using the optical system 2.
[0094] The moving mechanism 5 can also include a moving mechanism that moves the focusing lens 22 in the optical axis direction, a moving mechanism that moves the aperture stop 14 in a direction perpendicular to the optical axis, a moving mechanism that moves the dark field imaging stop 21 in a direction perpendicular to the optical axis, and a moving mechanism that moves the fixation target presenting unit 51 in the optical axis direction. Each moving mechanism also includes an actuator such as a pulse motor, and operates under the control of the main control unit 110.
[0095] In some embodiments, the aperture position of the aperture diaphragm 14 relative to the optical axis and the aperture position of the dark-field diaphragm 21 relative to the optical axis are configured to be movable relative to each other. In this case, one of the aperture diaphragm 14 and the dark-field diaphragm 21 can be fixed, and the other can be configured to move in a direction perpendicular to the optical axis. In this embodiment, the aperture diaphragm 14 is fixed, and the dark-field diaphragm 21 is configured to be movable in a direction perpendicular to the optical axis.
[0096] Fig. 4 is an explanatory diagram of the opening positions of the aperture diaphragm 14 and the dark-field photography diaphragm 21 according to the embodiment. Fig. 4 is a schematic diagram showing the opening positions of the aperture diaphragm 14 and the dark-field photography diaphragm 21 as viewed from the optical axis direction when the optical magnification is converted to unity magnification.
[0097] 4, the main control unit 110 controls the movement mechanism to move the dark-field imaging diaphragm 21 in a direction perpendicular to the optical axis, thereby shifting the position of the opening 21a of the dark-field imaging diaphragm 21 in a direction perpendicular to the optical axis (X direction, Y direction) relative to the position of the opening 14a of the aperture diaphragm 14. In other words, the opening 14a formed in the aperture diaphragm 14 is configured to be movable relative to the opening 21a formed in the dark-field imaging diaphragm 21 in a direction perpendicular to the optical axis. This makes it possible to arbitrarily set the angle of incidence of illumination light with respect to the subject's eye E (fundus oculi Ef) and perform dark-field imaging.
[0098] In some embodiments, the relative position of the aperture 21a of the dark-field imaging diaphragm 21 with respect to the position of the aperture 14a of the aperture diaphragm 14 is determined depending on the region to be observed. For example, when the region to be observed is specified using the operation unit 150, the main control unit 110 can control the movement mechanism depending on the specified region to be observed, and move the dark-field imaging diaphragm 21 in a direction perpendicular to the optical axis so that the dark-field imaging diaphragm 21 is at a relative position that is predetermined depending on the specified region to be observed.
[0099] (Storage unit 120) The storage unit 120 stores various types of data. The functions of the storage unit 120 are realized by a storage device such as a memory or a storage device. Examples of data stored in the storage unit 120 include control parameters, spectral image data of a fundus image, spectral image data of an anterior eye image, and information about the subject's eye. Examples of control parameters include hyperspectral imaging control data and darkfield imaging control data. The hyperspectral imaging control data is control data for acquiring multiple fundus images based on returned light having different center wavelengths within a predetermined analysis wavelength range. Examples of hyperspectral imaging control data include the analysis wavelength range in which multiple spectral fundus images are acquired, the wavelength range in which each spectral fundus image is acquired, the center wavelength, the center wavelength step, and control data for the wavelength-tunable filter 28 corresponding to the center wavelength. The darkfield imaging control data is control data for performing darkfield illumination on the fundus Ef at different angles of incidence within a predetermined incident angle range. Examples of the dark-field imaging control data include the incident angle range, the incident angle at which imaging is performed, the incident angle step for performing the next imaging, control data for the dark-field imaging diaphragm 21 (and / or the aperture diaphragm 14) corresponding to the incident angle, etc. The subject's eye information includes information about the subject, such as the patient ID and name, and information about the subject's eye, such as identification information for the left eye / right eye.
[0100] The storage unit 120 also stores various programs and data for operating the ophthalmologic apparatus 1.
[0101] (Operation unit 150) The operation unit 150 is used by the user to input instructions to the ophthalmologic apparatus 1. The operation unit 150 may include a known operation device used in a computer. For example, the operation unit 150 may include a pointing device such as a mouse, a touchpad, or a trackball. The operation unit 150 may also include a keyboard, a pen tablet, a dedicated operation panel, or the like.
[0102] (Display section 160) The display unit 160 includes a display unit (display device) such as a liquid crystal display, and displays various information such as images under the control of the control unit 100. The display unit 160 and the operation unit 150 do not need to be configured as separate units. For example, it is also possible to use a device that integrates a display function and an operation function, such as a touch panel.
[0103] (Communication unit 170) The communication unit 170 has a function for communicating with an external device (not shown). The communication unit 170 has a communication interface according to the connection form with the external device. Examples of external devices include a server device, an OCT device, a scanning optical ophthalmoscope, a slit lamp ophthalmoscope, an ophthalmic measurement device, and an ophthalmic treatment device. Examples of ophthalmic measurement devices include an eye refraction examination device, a tonometer, a specular microscope, a wavefront analyzer, a perimeter, and a microperimeter. Examples of ophthalmic treatment devices include a laser treatment device, a surgical device, and a surgical microscope. The external device may also be a device (reader) that reads information from a recording medium or a device (writer) that writes information to a recording medium. Furthermore, the external device may also be a hospital information system (HIS) server, a DICOM (Digital Imaging and Communication in Medicine) server, a doctor's terminal, a mobile terminal, a personal terminal, a cloud server, etc.
[0104] (Data processing unit 200) The data processing unit 200 performs data processing on the spectral fundus image of the subject's eye E. In some embodiments, the functions of the data processing unit 200 are realized by a processor. In this specification, "image data" and an "image" based on the image data may be considered to be the same thing.
[0105] The data processing unit 200 includes an analysis unit 210 .
[0106] The analysis unit 210 performs various image processing and analysis processing on the image obtained by the image sensor 30 or the image sensor 44. The analysis unit 210 also executes various correction processing such as brightness correction of the image.
[0107] In some embodiments, the analysis unit 210 analyzes the image obtained by the image sensor 44 to identify an image based on the alignment light reflected from the subject's eye E, and identifies the displacement between the position of the identified image and a predetermined alignment reference position. When performing auto-alignment, for example, the main control unit 110 can align the subject's eye E and the optical system 2 in the X and Y directions by controlling the movement mechanism 5 to cancel the identified displacement.
[0108] In some embodiments, the analysis unit 210 can analyze an image obtained by the image sensor 30 and calculate an evaluation value of the image quality. When performing auto-alignment, for example, the main control unit 110 can align the Z direction between the subject's eye E and the optical system 2 by controlling the movement mechanism 5 based on the calculated evaluation value. For example, the Z direction alignment between the subject's eye E and the optical system 2 can be performed by repeating image acquisition using the image sensor 30, calculation of an evaluation value of the acquired image, and control of the movement mechanism 5 so that the evaluation value approaches a predetermined reference value.
[0109] In manual alignment and automatic alignment, when evaluating spectral fundus images, it is desirable to use a single spectral fundus image corresponding to a middle wavelength range of the analysis wavelength range among multiple spectral fundus images within a predetermined analysis wavelength range obtained by the image sensor 30. The single spectral fundus image may be a spectral fundus image corresponding to a wavelength range including the median (average) of the longest wavelength and the shortest wavelength in the analysis wavelength range. This makes it easier to obtain multiple spectral fundus images with good image quality through alignment using the single spectral fundus image.
[0110] In some embodiments, the analysis unit 210 analyzes each of a plurality of spectral fundus images within a predetermined analysis wavelength range obtained by the image sensor 30. For example, the analysis unit 210 analyzes each of the plurality of spectral fundus images to identify a changed area in the fundus oculi Ef. For example, the analysis unit 210 identifies the changed area by comparing two or more of the acquired spectral fundus images. For example, the analysis unit 210 analyzes spectral fundus images within a wavelength range corresponding to a known analysis target area to identify the presence or absence of a change in the analysis target area, the degree of change, etc. In some embodiments, the main control unit 110, as a display control unit, causes the display unit 160 to display an image for identifying the identified changed area on the spectral fundus image that has been subjected to the analysis processing. At this time, the main control unit 110 can also cause the display unit 160 to display information corresponding to the degree of the identified change.
[0111] In some embodiments, the analysis unit 210 determines the wavelength characteristics of a specific area in a spectral fundus image, and identifies the specific area as a characteristic area by comparing the determined wavelength characteristics with standard wavelength characteristics, as disclosed in, for example, Japanese Patent Application Laid-Open No. 2007-330558.
[0112] The analysis unit 210 generates information representing the angular dependence of reflected light on illumination light of the acquired spectral fundus images. For example, the main controller 110 controls the optical system 2 and other components to perform multiple dark-field imaging with different angles of incidence of illumination light on the fundus Ef, and acquires multiple spectral fundus images within a predetermined analysis wavelength range in each dark-field imaging session. For example, the analysis unit 210 generates information representing the angular dependence of reflected light on illumination light of the spectral fundus images, associating multiple spectral fundus images corresponding to multiple wavelength ranges within the predetermined analysis wavelength range with the angles of incidence of illumination light. In some embodiments, the analysis unit 210 generates information representing the angular dependence of reflected light on illumination light of the spectral fundus images, associating analysis target areas in the multiple spectral fundus images with the angles of incidence of illumination light. This makes it easy to confirm the angular dependence of reflected light on illumination light at the analysis target area. The main controller 110, as a display controller, can display information representing the angular dependence of reflected light on illumination light of the spectral fundus images on the display unit 160.
[0113] In some embodiments, the analysis unit 210 generates information representing the angle dependency of reflected light with respect to illumination light for each region of the spectral fundus image.
[0114] The analysis unit 210 can also generate a composite image by combining two or more spectral fundus images selected from the plurality of spectral fundus images. In this case, the analysis unit 210 assigns different color information (or density information) and transmittance information to each of the two or more selected spectral fundus images, and generates a composite image by mixing colors for each pixel of the two or more selected spectral fundus images at a ratio according to the transmittance information.
[0115] The spectral fundus image (spectral image) is an example of a "two-dimensional spectral distribution" according to the embodiment. The dark-field imaging aperture 21 is an example of an "imaging aperture" according to the embodiment. The data processing unit 200 (analysis unit 210) is an example of a "spectral information acquisition unit" according to the embodiment. The wavelength-tunable filter 28 is an example of a "first wavelength range selection member" or a "second wavelength range selection member" according to the embodiment.
[0116] [Example of operation] An example of the operation of the ophthalmologic apparatus 1 according to the first embodiment will be described.
[0117] 5 and 6 show an overview of an operation example of the ophthalmic apparatus 1 according to the first embodiment. Fig. 5 shows a flow diagram of an operation example of the ophthalmic apparatus 1 when acquiring multiple spectral fundus images within a predetermined analysis wavelength range with illumination light incident on the fundus Ef at a predetermined angle of incidence. Fig. 6 shows a flow diagram of an operation example of the ophthalmic apparatus 1 when acquiring multiple spectral fundus images within a predetermined analysis wavelength range with illumination light incident on the fundus Ef at multiple angles of incidence.
[0118] The storage unit 120 of the control unit 100 stores a computer program for realizing the processes shown in Figures 5 and 6. The main control unit 110 of the control unit 100 operates in accordance with this computer program to execute the processes shown in Figures 5 and 6.
[0119] In the flow shown in FIG. 5, it is assumed that the position of the dark field imaging diaphragm 21 (and aperture diaphragm 14) in a direction perpendicular to the optical axis is set so that the fundus oculi Ef is illuminated at a predetermined incident angle.
[0120] (S1: Alignment) First, the main control unit 110 performs alignment.
[0121] Specifically, the main control unit 110 controls the alignment optical system 40 to emit alignment light for the subject's eye E from the alignment light source 42 and to receive the alignment light reflected from the subject's eye E by the image sensor 44 .
[0122] When performing manual alignment, the main controller 110 causes the display unit 160 to display an image formed by reflected light based on the reception result of the reflected light obtained by the image sensor 44. In some embodiments, the main controller 110 causes the display unit 160 to display the image superimposed on the spectral fundus image. The user operates the operation unit 150 so that the position of the image displayed on the display unit 160 coincides with a predetermined alignment reference position. The main controller 110 controls the movement mechanism 5 based on the user's operation on the operation unit 150, thereby moving the relative position of the optical system 2 with respect to the subject's eye E.
[0123] When performing auto-alignment, the main control unit 110 controls the analysis unit 210 to identify the position of the image formed by the reflected light based on the reception results of the reflected light obtained by the image sensor 44, and controls the movement mechanism 5 to move the optical system 2 and the test eye E relative to each other based on the identified position so that the displacement of the test eye E relative to the optical system 2 is canceled.
[0124] (S2: Present fixation target) Next, the main control unit 110 controls the fixation optical system 50 (fixation target presenting unit 51) to present a fixation target on the fundus Ef of the eye E to be examined.
[0125] (S3: Illuminated by illumination light) Next, the main control unit 110 controls the illumination optical system 10 (light source 11) to illuminate the fundus Ef of the subject's eye E with illumination light.
[0126] (S4: Set the tunable filter) Next, the main control unit 110 controls the light receiving optical system 20 (tunable filter 28) to set the wavelength selection range of the transmitted light to a predetermined wavelength range. An example of the predetermined wavelength range is an initial wavelength range when wavelength range selection is repeated sequentially to cover the analysis wavelength range.
[0127] (S5: Dark field photography) Next, the main controller 110 performs dark-field photography. The main controller 110 receives the result of receiving the return light (scattered light, diffracted light) of the illumination light obtained by the image sensor 30, and acquires a spectral fundus image.
[0128] (S6:Next?) Next, the main control unit 110 determines whether or not to perform dark-field imaging in the next wavelength range. For example, when wavelength selection is changed sequentially in predetermined wavelength range steps within the analysis wavelength range, the main control unit 110 can determine whether or not to perform the next dark-field imaging based on the number of times the wavelength range has been changed. For example, the main control unit 110 can determine whether or not to perform the next dark-field imaging by determining whether all of a plurality of predetermined wavelength ranges have been selected.
[0129] In step S6, when it is determined that the next dark-field imaging is to be performed (step S6: Y), the operation of the ophthalmic apparatus 1 proceeds to step S7. In step S6, when it is determined that the next dark-field imaging is not to be performed (step S6: N), the operation of the ophthalmic apparatus 1 ends (END).
[0130] (S7: Change wavelength range) When it is determined in step S6 that the next dark-field imaging is to be performed (step S6: Y), the main controller 110 controls the tunable filter 28 to change the selection range of the transmitted light to be selected next. Subsequently, the operation of the ophthalmologic apparatus 1 proceeds to step S5.
[0131] As described above, according to the flow shown in FIG. 5, it is possible to acquire a plurality of spectral fundus images within a predetermined analysis wavelength range using illumination light incident on the fundus Ef at a predetermined angle of incidence.
[0132] When a plurality of spectral fundus images are acquired for each of a plurality of incident angles of illumination light, the ophthalmologic apparatus 1 operates according to the flow shown in FIG.
[0133] (S11: Alignment) First, the main control unit 110 performs alignment in the same manner as in step S1.
[0134] (S12: Present the fixation target) Next, the main control unit 110 controls the fixation optical system 50 (fixation target presenting unit 51) to present a fixation target on the fundus Ef of the eye E to be examined, in the same manner as in step S2.
[0135] (S13: Set the relative position of the aperture) Next, the main control unit 110 sets the relative positions of the opening position of the aperture stop 14 with respect to the optical axis and the opening position of the dark-field imaging stop 21 with respect to the optical axis. In this embodiment, the opening position of the aperture stop 14 with respect to the optical axis is fixed, and the main control unit 110 sets the above relative positions to desired relative positions by controlling the movement mechanism to change the opening position of the dark-field imaging stop 21 with respect to the optical axis.
[0136] (S14: Fundus photography) Next, the main controller 110 photographs the fundus. The process of step S14 is the same as the processes of steps S3 to S7 in FIG.
[0137] (S15:Next?) Next, the main controller 110 determines whether or not to perform fundus photography (multiple dark-field photography within the analysis wavelength range) at the next incident angle of illumination light. For example, when the incident angle is sequentially changed within the incident angle range in predetermined incident angle steps, the main controller 110 can determine whether or not to perform the next fundus photography based on the number of times the incident angle has been changed. For example, the main controller 110 can determine whether or not to perform the next fundus photography by determining whether or not all of a plurality of predetermined incident angles have been selected.
[0138] In step S15, when it is determined that the next fundus photograph is to be taken (step S15: Y), the operation of the ophthalmologic apparatus 1 proceeds to step S16. In step S15, when it is determined that the next fundus photograph is not to be taken (step S15: N), the operation of the ophthalmologic apparatus 1 ends (END).
[0139] (S16: Change the relative position of the aperture) When it is determined in step S15 that the next fundus photographing is to be performed (step S15: Y), the main controller 110 controls the movement mechanism to change the opening position of the dark-field photographing diaphragm 21 relative to the optical axis of the light receiving optical system 20 so as to illuminate the fundus Ef at the next incident angle. Subsequently, the operation of the ophthalmologic apparatus 1 proceeds to step S14.
[0140] As described above, according to the flow shown in FIG. 6, it is possible to acquire a plurality of spectral fundus images within a predetermined analysis wavelength range using illumination light incident on the fundus Ef at a plurality of angles of incidence.
[0141] <First Modification of First Embodiment> In the first embodiment, a case has been described in which the light receiving optical system 20 is configured such that a wavelength-tunable filter 28 is placed between the dichroic mirror 27 and the imaging lens 29, and light in a desired wavelength range is selected from the reflected light of the illumination light, but the configuration of the embodiment is not limited to this.
[0142] In the first modified example of the first embodiment, light in a desired wavelength range is selected from the illumination light, and the illumination light returned from the fundus oculi Ef is configured to have wavelength components in the desired wavelength range.
[0143] The first modification of the first embodiment will be described below, focusing mainly on the differences from the first embodiment.
[0144] Fig. 7 shows an example of the configuration of an optical system of an ophthalmic apparatus according to a first modified example of the first embodiment. In Fig. 7, the same parts as in Fig. 1 are given the same reference numerals, and the description thereof will be omitted as appropriate.
[0145] The configuration of the ophthalmic apparatus 1A according to the first variant of the first embodiment differs from the configuration of the ophthalmic apparatus 1 according to the first embodiment in that an illumination optical system 10A is provided instead of the illumination optical system 10, and that a light receiving optical system 20A is provided instead of the light receiving optical system 20.
[0146] The configuration of the illumination optical system 10A differs from the configuration of the illumination optical system 10 in that a tunable filter 28 is disposed between the aperture stop 14 and the reflecting mirror 15. In some embodiments, the tunable filter 28 is disposed between the condenser lens 12 and the spectral characteristic correction filter 13.
[0147] The configuration of the light receiving optical system 20A differs from the configuration of the light receiving optical system 20 in that the wavelength tunable filter 28 is omitted.
[0148] The configuration of the control system of the ophthalmic apparatus 1A is the same as that of the ophthalmic apparatus 1. The operation of the ophthalmic apparatus 1A is the same as that of the ophthalmic apparatus 1, and therefore a detailed description thereof will be omitted.
[0149] According to the ophthalmic apparatus 1A, similar to the first embodiment, it is possible to acquire a plurality of spectral fundus images within a predetermined analysis wavelength range using illumination light incident on the fundus Ef at a predetermined angle of incidence. Also, according to the ophthalmic apparatus 1A, similar to the first embodiment, it is possible to acquire a plurality of spectral fundus images within a predetermined analysis wavelength range using illumination light incident on the fundus Ef at a plurality of angles of incidence.
[0150] <Second Modification of First Embodiment> In the first embodiment or its first modified example, a configuration has been described in which a wavelength-tunable filter is used to select light in a desired wavelength range from reflected light of illumination light, but the configuration of the embodiment is not limited to this.
[0151] In the second modified example of the first embodiment, the fundus oculi Ef is illuminated with illumination light emitted from a light source capable of changing the wavelength range of the emitted light.
[0152] The second modified example of the first embodiment will be described below, focusing mainly on the differences from the first embodiment.
[0153] Fig. 8 shows an example of the configuration of an optical system of an ophthalmic apparatus according to a second modified example of the first embodiment. In Fig. 8, the same parts as in Fig. 1 are given the same reference numerals, and the description thereof will be omitted as appropriate.
[0154] The configuration of the ophthalmic apparatus 1B according to the second variant of the first embodiment differs from the configuration of the ophthalmic apparatus 1 according to the first embodiment in that an illumination optical system 10B is provided instead of the illumination optical system 10, and that a light receiving optical system 20B is provided instead of the light receiving optical system 20.
[0155] The illumination optical system 10B differs from the illumination optical system 10 in that a light source 11B capable of changing the wavelength range of emitted light is provided instead of the light source 11. An example of such a light source 11B is a wavelength swept light source. The light source 11B scans the center wavelength of the emitted light within a predetermined analysis wavelength range and sequentially outputs emitted light beams with different center wavelengths (wavelength ranges). In some embodiments, the light source 11B is triggered by control from the main controller 110 to sequentially output emitted light beams with different center wavelengths (wavelength ranges) at predetermined emission timings. In some embodiments, the light source 11B sequentially outputs emitted light beams with different center wavelengths (wavelength ranges) each time it receives control from the main controller 110.
[0156] The configuration of the light receiving optical system 20B differs from the configuration of the light receiving optical system 20 in that the wavelength tunable filter 28 is omitted.
[0157] The configuration of the control system of the ophthalmic apparatus 1B is the same as that of the ophthalmic apparatus 1. The operation of the ophthalmic apparatus 1B is the same as that of the ophthalmic apparatus 1, except that the control of the tunable filter 28 is changed to the control of the light source 11B, and therefore a detailed description thereof will be omitted.
[0158] According to the ophthalmic apparatus 1B, similar to the first embodiment, it is possible to acquire a plurality of spectral fundus images within a predetermined analysis wavelength range with illumination light incident on the fundus Ef at a predetermined angle of incidence. Also, according to the ophthalmic apparatus 1B, similar to the first embodiment, it is possible to acquire a plurality of spectral fundus images within a predetermined analysis wavelength range with illumination light incident on the fundus Ef at a plurality of angles of incidence.
[0159] Second Embodiment The ophthalmologic apparatus according to the second embodiment performs polarized photography of the fundus of the subject's eye in each of a plurality of different wavelength ranges (e.g., 10 wavelength ranges) and acquires a plurality of spectral fundus images (hyperspectral images of the fundus or multispectral images of the fundus).
[0160] In the following embodiments, a case where polarization photography is performed by linear polarization will be described, but the present invention can also be applied to a case where circular polarization or elliptically polarization is performed.
[0161] The second embodiment will be described below, focusing mainly on the differences from the first embodiment.
[0162] Fig. 9 shows an example of the configuration of an optical system of an ophthalmic apparatus according to the second embodiment. In Fig. 9, the same parts as those in Fig. 1 are given the same reference numerals, and the description thereof will be omitted as appropriate.
[0163] The configuration of the ophthalmic device 1C of the second embodiment differs from the configuration of the ophthalmic device 1 of the first embodiment in that an illumination optical system 10C is provided instead of the illumination optical system 10, and a light receiving optical system 20C is provided instead of the light receiving optical system 20.
[0164] The configuration of illumination optical system 10C differs from the configuration of illumination optical system 10 in that a first polarizing plate (polarizing element, polarizing filter) 19 is provided instead of aperture diaphragm 14. The configuration of light-receiving optical system 20C differs from the configuration of light-receiving optical system 20 in that dark-field imaging diaphragm 21 is omitted and that a second polarizing plate (polarizing element, polarizing filter) 31 is provided between dichroic mirror 27 and wavelength-tunable filter 28.
[0165] The first polarizing plate 19 transmits light of a predetermined polarization state (polarization component) from the incident light. In some embodiments, the first polarizing plate 19 changes the polarization state of the incident light in response to a control signal from the main controller. Examples of polarization states include the polarization direction (polarization axis) of linearly polarized light and the rotation direction of circularly polarized light (or elliptically polarized light). Such a function of the first polarizing plate 19 is realized by a reflective polarizer, an absorptive polarizer, a wavelength plate, or the like. In some embodiments, the first polarizing plate 19 changes the polarization state of the incident light to a predetermined polarization state. For example, the first polarizing plate 19 aligns incident light of a random polarization state into a predetermined polarization state. Note that when the light source 11 is capable of emitting output light with polarization characteristics, the illumination optical system 10C has a configuration in which the first polarizing plate 19 is omitted from the configuration shown in FIG. 9.
[0166] In this embodiment, the first polarizing plate 19 transmits light of the first polarization direction from the incident light and outputs it as output light. As a result, the illumination light from the spectral characteristic correction filter 13 passes through the first polarizing plate 19 and becomes illumination light having a polarization component of the first polarization direction.
[0167] The second polarizer 31 transmits light of a predetermined polarization state (polarization component) from the incident light. In some embodiments, the second polarizer 31 changes the polarization state of the incident light in response to a control signal from the main controller. Examples of polarization states include the polarization direction (polarization axis) of linearly polarized light and the rotation direction of circularly polarized light (or elliptically polarized light). The function of the second polarizer 31 is realized by a reflective polarizer, an absorptive polarizer, a wavelength plate, or the like. Note that when the image sensor 30 is a polarization image sensor, the light receiving optical system 20C has a configuration in which the second polarizer 31 is omitted from the configuration shown in FIG. 9.
[0168] In this embodiment, the second polarizing plate 31 transmits light of the second polarization direction from the incident light and outputs it as output light. As a result, the reflected light reflected by the dichroic mirror 27 passes through the second polarizing plate 31 and becomes returned light having a polarization component of the second polarization direction.
[0169] Fig. 10 shows a block diagram of an example of the configuration of a control system of an ophthalmic apparatus 1C according to the second embodiment. In Fig. 10, the same components as those in Fig. 3 or 9 are denoted by the same reference numerals, and descriptions thereof will be omitted as appropriate. In Fig. 10, as in Fig. 3, some of the components included in the ophthalmic apparatus 1C are omitted.
[0170] The control unit 100C controls each unit of the ophthalmologic apparatus 1C in the same manner as the control unit 100. The control unit 100C includes a main control unit 110C and a storage unit 120C.
[0171] (Main control unit 110C) The main control unit 110C includes a processor and controls each unit of the ophthalmologic apparatus 1C. For example, the main control unit 110C controls each unit of the optical system 2C shown in Fig. 9, a moving mechanism 5C that moves the entire optical system 2C and the optical elements that make up the optical system 2C, an operation unit 150, a display unit 160, a communication unit 170, and a data processing unit 200C.
[0172] The control over the optical system 2C includes control over the illumination optical system 10C, control over the light receiving optical system 20C, control over the alignment optical system 40, control over the fixation optical system 50, and the like.
[0173] Control of the illumination optical system 10C includes control of the light source 11 and control of the first polarizing plate 19. Control of the first polarizing plate 19 includes control of changing the polarization state (polarization direction) of incident light.
[0174] Control of the light receiving optical system 20C includes control of the focusing lens 22, control of the wavelength tunable filter 28, control of the image sensor 30, and control of the second polarizer 31. Control of the second polarizer 31 includes control of changing the polarization state (polarization direction) of the incident light. In this embodiment, the polarization state of the incident light is changed by the second polarizer 31 while the polarization state of the first polarizer 19 is fixed.
[0175] The moving mechanism 5C moves the entire optical system 2C and the optical elements (for example, the focusing lens 22) that make up the optical system 2C. The moving mechanism 5C has the same mechanism as the moving mechanism 5 and moves the optical system 2C and the like under control of the main control unit 110C. Control of the moving mechanism 5C is also used for alignment and tracking.
[0176] (Storage unit 120C) The storage unit 120C stores various types of data, similar to the storage unit 120. Examples of data stored in the storage unit 120C include control parameters, spectral image data of a fundus image, spectral image data of an anterior eye image, and information about the eye to be examined. Examples of control parameters include hyperspectral imaging control data and polarized light imaging control data. The polarized light imaging control data is control data for performing polarized light imaging to obtain the results of receiving returned light having different polarization angles relative to the fundus Ef within a predetermined polarization angle range. Examples of polarized light imaging control data include the polarization angle range, the polarization angle at which imaging is performed, the polarization angle step for performing the next imaging, and control data for the second polarizer 31 (and / or the first polarizer 19) corresponding to the polarization angle.
[0177] The storage unit 120C also stores various programs and data for operating the ophthalmologic apparatus 1C.
[0178] (Data processing unit 200C) The data processing unit 200C performs data processing on the spectral fundus image of the subject's eye E, similar to the data processing unit 200. In some embodiments, the functions of the data processing unit 200C are realized by a processor. The data processing unit 200C includes an analysis unit 210C.
[0179] Similar to the analysis unit 210, the analysis unit 210C performs various image processing and analysis processes on the image obtained by the image sensor 30 or the image sensor .
[0180] The analyzer 210C also generates information representing the polarization angle dependence of the acquired spectral fundus images. For example, the main controller 110C controls the optical system 2C and other devices to perform multiple polarization photographs in which the fundus Ef receives return light with different polarization angles, and acquires multiple spectral fundus images within a predetermined analysis wavelength range in each polarization photograph. For example, the analyzer 210C generates information representing the polarization angle dependence of the spectral fundus images, associating multiple spectral fundus images corresponding to multiple wavelength ranges within the predetermined analysis wavelength range with the polarization angle. In some embodiments, the analyzer 210C generates information representing the polarization angle dependence of the spectral fundus images, associating analysis target areas in the multiple spectral fundus images with the polarization angle. This facilitates confirmation of the polarization angle dependence of the analysis target area. The main controller 110C, as a display controller, can display information representing the polarization angle dependence of the spectral fundus images on the display unit 160.
[0181] In some embodiments, the analyzer 210C generates information representing polarization angle dependency for each region of the spectral fundus image.
[0182] The first polarizing plate 19 is an example of a "first polarizing element" according to the embodiment. The second polarizing plate 31 is an example of a "second polarizing element" according to the embodiment. The data processing unit 200C (analysis unit 210C) is an example of a "spectral information acquisition unit" according to the embodiment.
[0183] [Example of operation] An example of the operation of the ophthalmologic apparatus 1C according to the second embodiment will be described.
[0184] 11 and 12 show an overview of an operation example of the ophthalmic apparatus 1C according to the second embodiment. Fig. 11 shows a flow diagram of an operation example of the ophthalmic apparatus 1C when receiving return light having a predetermined polarization angle from the fundus oculi Ef and acquiring multiple spectral fundus images within a predetermined analysis wavelength range. Fig. 12 shows a flow diagram of an operation example of the ophthalmic apparatus 1C when receiving return light having a plurality of polarization angles relative to the fundus oculi Ef and acquiring multiple spectral fundus images within a predetermined analysis wavelength range.
[0185] A computer program for realizing the processes shown in Figures 11 and 12 is stored in the storage unit 120C of the control unit 100C. A main control unit 110C of the control unit 100C operates in accordance with this computer program to execute the processes shown in Figures 11 and 12.
[0186] In the flow shown in FIG. 11, it is assumed that the polarization angle of the second polarizer 31 (and the first polarizer 19) is set so as to receive returned light having a predetermined polarization angle.
[0187] (S21: Alignment) First, main control unit 110C executes alignment in the same manner as in step S1.
[0188] (S22: Present the fixation target) Subsequently, the main controller 110C controls the fixation optical system 50 (fixation target presenting unit 51) to present a fixation target on the fundus Ef of the eye E to be examined, similarly to step S2.
[0189] (S23: Set the specified polarization angle) Next, the main controller 110C controls the second polarizer 31 (and the first polarizer 19) to set the relative polarization angle of the second polarizer 31 based on the polarization angle of the first polarizer 19. This makes it possible to receive the return light from the fundus oculi Ef at a predetermined polarization angle.
[0190] (S24: Illuminated by lighting) Next, the main controller 110C controls the illumination optical system 10 (light source 11) to illuminate the fundus Ef of the subject's eye E with illumination light, similar to step S3.
[0191] (S25: Set the wavelength tunable filter) Next, the main controller 110C controls the light receiving optical system 20 (tunable filter 28) to set the wavelength selection range of the transmitted light to a predetermined wavelength range, as in step S4. An example of the predetermined wavelength range is an initial wavelength range when wavelength range selection is repeated sequentially to cover the analysis wavelength range.
[0192] (S26: Polarized photography) Next, the main controller 110C performs polarization photography. The main controller 110C receives the return light of the illumination light obtained by the image sensor 30 at a predetermined polarization angle, and obtains a spectral fundus image.
[0193] (S27:Next?) Next, the main controller 110C determines whether or not to perform polarization imaging in the next wavelength range. For example, when wavelength selection is changed sequentially in predetermined wavelength range steps within the analysis wavelength range, the main controller 110C can determine whether or not to perform the next polarization imaging based on the number of times the wavelength range has been changed. For example, the main controller 110C can determine whether or not to perform the next polarization imaging by determining whether all of a plurality of predetermined wavelength ranges have been selected.
[0194] In step S27, when it is determined that the next polarized light photographing is to be performed (step S27: Y), the operation of the ophthalmic apparatus 1C proceeds to step S28. In step S27, when it is determined that the next polarized light photographing is not to be performed (step S27: N), the operation of the ophthalmic apparatus 1C ends (END).
[0195] (S28: Change wavelength range) When it is determined in step S27 that the next polarization image capturing is to be performed (step S27: Y), the main controller 110C controls the tunable filter 28 to change the selection range of the transmitted light to be selected next. Subsequently, the operation of the ophthalmologic apparatus 1C proceeds to step S26.
[0196] As described above, according to the flow shown in FIG. 11, it is possible to sequentially receive return light having a predetermined polarization angle with respect to the fundus oculi Ef and acquire a plurality of spectral fundus images within a predetermined analysis wavelength range.
[0197] When a plurality of spectral fundus images are acquired for each of a plurality of polarization angles, the ophthalmologic apparatus 1C operates according to the flow shown in FIG.
[0198] (S31: Alignment) First, main control unit 110C executes alignment in the same manner as in step S11.
[0199] (S32: Present the fixation target) Subsequently, the main controller 110C controls the fixation optical system 50 (fixation target presenting unit 51) to present a fixation target on the fundus Ef of the eye E to be examined, similarly to step S12.
[0200] (S33: Set the specified polarization angle) Next, the main control unit 110C controls the second polarizer 31 (and the first polarizer 19) to set the relative polarization angle of the second polarizer 31 based on the polarization angle of the first polarizer 19. In this embodiment, the polarization angle of the first polarizer 19 is fixed, and the main control unit 110C sets the polarization angle of the second polarizer 31 by controlling the second polarizer 31.
[0201] (S34: Fundus photography) Next, the main controller 110C photographs the fundus. The process of step S34 is the same as the processes of steps S24 to S28 in FIG.
[0202] (S35:Next?) Next, the main controller 110C determines whether to perform fundus photography at the next polarization angle (multiple polarization photography within the analysis wavelength range). For example, when the polarization angle is changed sequentially within the polarization angle range in predetermined polarization angle steps, the main controller 110C can determine whether to perform the next fundus photography based on the number of times the polarization angle is changed. For example, the main controller 110C can determine whether to perform the next fundus photography by determining whether all of a plurality of predetermined polarization angles have been selected.
[0203] In step S35, when it is determined that the next fundus photograph is to be taken (step S35: Y), the operation of the ophthalmologic apparatus 1C proceeds to step S36. In step S35, when it is determined that the next fundus photograph is not to be taken (step S35: N), the operation of the ophthalmologic apparatus 1C ends (END).
[0204] (S36: Change polarization angle) When it is determined in step S35 that the next fundus photographing is to be performed (step S35: Y), the main controller 110C controls the second polarizer 31 to change the polarization direction of the second polarizer 31 so as to receive the returning light having the next polarization angle. Subsequently, the operation of the ophthalmologic apparatus 1C proceeds to step S34.
[0205] As described above, according to the flow shown in FIG. 12, the results of receiving return light from the fundus oculi Ef at a plurality of polarization angles can be obtained, and a plurality of spectral fundus images within a predetermined analysis wavelength range can be obtained.
[0206] The analysis unit 210C can generate information representing the polarization angle dependency of the spectral fundus images using a plurality of spectral fundus images acquired according to the flow shown in FIG.
[0207] FIG. 13 shows an example of information representing the polarization angle dependence of a spectral fundus image according to an embodiment. FIG. 13 shows a plurality of spectral fundus images (information representing a plurality of spectral distributions corresponding to wavelength ranges) arranged corresponding to the polarization angle and the wavelength range. In some embodiments, the polarization angle is an angle determined by the polarization direction of the first polarizer 19 and the polarization direction of the second polarizer 31. In some embodiments, the polarization angle is the angle of the polarization direction of the second polarizer 31 relative to a predetermined reference polarization direction. Specifically, in FIG. 13, a plurality of spectral fundus images corresponding to a plurality of wavelength ranges within the analysis wavelength range are arranged in the horizontal direction, and a plurality of spectral fundus images corresponding to a plurality of polarization angles within the polarization angle range are arranged in the vertical direction.
[0208] The analysis unit 210C generates information indicating the polarization angle dependency of the spectral fundus images by associating the acquired spectral fundus images with each of the multiple polarization angles at which the spectral fundus images were acquired. The control unit 110C can display the generated information on the display unit 160.
[0209] For example, in Figure 13, spectral fundus images are displayed corresponding to each of multiple wavelength ranges between 400 nm and 700 nm when the polarization angle is 0 degrees (when the polarization direction of the first polarizer 19 and the polarization direction of the second polarizer 31 are approximately parallel).
[0210] Furthermore, when the polarization angle is 90 degrees (when the polarization direction of the first polarizer 19 and the polarization direction of the second polarizer 31 are approximately perpendicular to each other), spectral fundus images are displayed corresponding to each of a plurality of wavelength ranges between 400 nm and 700 nm.
[0211] Furthermore, spectral fundus images are displayed corresponding to each of a plurality of wavelength ranges between 400 nm and 700 nm of randomly polarized light (when the polarization of the first polarizer 19 and the second polarizer 31 is disabled).
[0212] As shown in FIG. 13, the contrast of the areas depicted in the spectral fundus image varies depending on the polarization angle and wavelength range, making it possible to observe the morphology of the fundus that cannot be grasped with conventional spectral fundus images.
[0213] <First Modification of Second Embodiment> In the second embodiment, a case has been described in which a wavelength-tunable filter 28 is placed between a dichroic mirror 27 and an imaging lens 29 in the light-receiving optical system 20C, and configured to select light in a desired wavelength range from the reflected light of illumination light, but the configuration of the embodiment is not limited to this.
[0214] In the first modified example of the second embodiment, light in a desired wavelength range is selected from the illumination light, and the illumination light returned from the fundus oculi Ef is configured to have wavelength components in the desired wavelength range.
[0215] The first modified example of the second embodiment will be described below, focusing mainly on the differences from the second embodiment.
[0216] Fig. 14 shows an example of the configuration of an optical system of an ophthalmic apparatus according to a first modified example of the second embodiment. In Fig. 14, the same parts as in Fig. 9 are given the same reference numerals, and the description thereof will be omitted as appropriate.
[0217] The configuration of the ophthalmic apparatus 1D according to the first variant of the second embodiment differs from the configuration of the ophthalmic apparatus 1C according to the second embodiment in that an illumination optical system 10D is provided instead of the illumination optical system 10C, and that a light receiving optical system 20D is provided instead of the light receiving optical system 20C.
[0218] The configuration of the illumination optical system 10D differs from the configuration of the illumination optical system 10C in that a tunable filter 28 is disposed between the first polarizing plate 19 and the reflecting mirror 15. In some embodiments, the tunable filter 28 is disposed between the condenser lens 12 and the spectral characteristic correction filter 13.
[0219] The configuration of the light receiving optical system 20D differs from the configuration of the light receiving optical system 20C in that the wavelength tunable filter 28 is omitted.
[0220] The configuration of the control system of the ophthalmic apparatus 1D is the same as that of the ophthalmic apparatus 1C. The operation of the ophthalmic apparatus 1D is the same as that of the ophthalmic apparatus 1C, and therefore a detailed description thereof will be omitted.
[0221] According to this ophthalmic apparatus 1D, like the second embodiment, it is possible to sequentially receive return light having a predetermined polarization angle with respect to the fundus oculi Ef to obtain a plurality of spectral fundus images within a predetermined analysis wavelength range. Furthermore, according to the ophthalmic apparatus 1D, it is possible to obtain the results of receiving return light from the fundus oculi Ef at a plurality of polarization angles to obtain a plurality of spectral fundus images within a predetermined analysis wavelength range.
[0222] <Second Modification of Second Embodiment> In the second embodiment or its first variant example, a configuration has been described in which a wavelength-tunable filter is used to select light in a desired wavelength range from reflected light of illumination light, but the configuration of the embodiment is not limited to this.
[0223] In a second modification of the second embodiment, the fundus oculi Ef is illuminated with illumination light emitted from a light source capable of changing the wavelength range of the emitted light.
[0224] The second modified example of the second embodiment will be described below, focusing mainly on the differences from the second embodiment.
[0225] Fig. 15 shows an example of the configuration of an optical system of an ophthalmic apparatus according to a second modified example of the second embodiment. In Fig. 15, the same parts as in Fig. 9 are given the same reference numerals, and the description thereof will be omitted as appropriate.
[0226] The configuration of the ophthalmic apparatus 1E according to the second variant of the second embodiment differs from the configuration of the ophthalmic apparatus 1C according to the second embodiment in that an illumination optical system 10E is provided instead of the illumination optical system 10C, and that a light receiving optical system 20E is provided instead of the light receiving optical system 20C.
[0227] The illumination optical system 10E differs from the illumination optical system 10C in that a light source 11E capable of changing the wavelength range of emitted light is provided instead of the light source 11. An example of such a light source 11E is a wavelength swept light source. The light source 11E can scan the center wavelength of emitted light within a predetermined analysis wavelength range and sequentially output emitted light beams with different center wavelengths (wavelength ranges). The light source 11E may be the same as the light source 11B shown in FIG. 8.
[0228] The light receiving optical system 20E differs from the light receiving optical system 20C in that the wavelength tunable filter 28 is omitted.
[0229] The configuration of the control system of the ophthalmic apparatus 1E is the same as that of the ophthalmic apparatus 1C. The operation of the ophthalmic apparatus 1E is the same as that of the ophthalmic apparatus 1C except that the control of the tunable filter 28 is changed to the control of the light source 11E, and therefore detailed description thereof will be omitted.
[0230] According to the ophthalmic apparatus 1E, like the second embodiment, it is possible to sequentially receive return light having a predetermined polarization angle with respect to the fundus oculi Ef to obtain a plurality of spectral fundus images within a predetermined analysis wavelength range. Furthermore, according to the ophthalmic apparatus 1E, it is possible to obtain the results of receiving return light from the fundus oculi Ef at a plurality of polarization angles to obtain a plurality of spectral fundus images within a predetermined analysis wavelength range.
[0231] Third Embodiment The ophthalmic apparatus according to the third embodiment can perform dark-field photography similar to that of the ophthalmic apparatus according to the first embodiment or its modification, and polarized light photography similar to that of the ophthalmic apparatus according to the second embodiment or its modification, thereby making it possible to obtain information representing the angle dependency of reflected light with respect to illumination light of a spectral fundus image similar to that of the first embodiment or its modification, and information representing the polarization angle dependency of a spectral fundus image similar to that of the second embodiment or its modification.
[0232] The following describes the third embodiment, focusing on differences from the first and second embodiments.
[0233] Fig. 16 shows an example of the configuration of an optical system of an ophthalmic apparatus according to the third embodiment. In Fig. 16, the same parts as those in Figs. 1 and 9 are denoted by the same reference numerals, and the description thereof will be omitted where appropriate.
[0234] The configuration of the ophthalmic apparatus 1F according to the third embodiment is obtained by applying the configuration of one of the ophthalmic apparatus 1 according to the first embodiment and the ophthalmic apparatus 1C according to the second embodiment to the configuration of the other. The first polarizing plate 19 is disposed between the aperture stop 14 and the reflecting mirror 15.
[0235] Fig. 17 shows a block diagram of a configuration example of a control system of an ophthalmic apparatus 1F according to the third embodiment. In Fig. 17, the same components as those in Fig. 3 and Fig. 10 are denoted by the same reference numerals, and descriptions thereof will be omitted where appropriate. In Fig. 17, as in Fig. 3 and Fig. 10, some of the components included in the ophthalmic apparatus 1F are omitted.
[0236] The control unit 100F controls each unit of the ophthalmologic apparatus 1F in the same manner as the control units 100 and 100C. The control unit 100F includes a main control unit 110F and a storage unit 120F.
[0237] (Main control unit 110F) The main control unit 110F includes a processor and controls each unit of the ophthalmologic apparatus 1F. For example, the main control unit 110F controls each unit of the optical system 2F shown in Fig. 16, a moving mechanism 5F that moves the entire optical system 2F and the optical elements that make up the optical system 2F, an operation unit 150, a display unit 160, a communication unit 170, and a data processing unit 200F.
[0238] The control over the optical system 2F includes control over the illumination optical system 10F, control over the light receiving optical system 20F, control over the alignment optical system 40, control over the fixation optical system 50, and the like.
[0239] The control of the illumination optical system 10F includes control of the light source 11, control of the aperture stop 14, control of the first polarizing plate 19, and the like.
[0240] Control of the light receiving optical system 20F includes control of the dark field imaging diaphragm 21, control of the focusing lens 22, control of the wavelength tunable filter 28, control of the image sensor 30, control of the second polarizer 31, and the like.
[0241] The moving mechanism 5F moves the entire optical system 2F and the optical elements that make up the optical system 2F (for example, the aperture stop 14, the dark field imaging stop 21, and the focusing lens 22). The moving mechanism 5F is a mechanism similar to the moving mechanism 5 or the moving mechanism 5C, and moves the optical system 2F and the like under the control of the main control unit 110F. In addition, the control of the moving mechanism 5F is used for alignment and tracking.
[0242] (Storage section 120F) The storage unit 120F stores various types of data, similar to the storage units 120 and 120C. Examples of the data stored in the storage unit 120F include control parameters, spectral image data of a fundus image, spectral image data of an anterior eye image, and information about the subject's eye. Examples of the control parameters include hyperspectral imaging control data, dark-field imaging control data, and polarized light imaging control data.
[0243] The storage unit 120F also stores various programs and data for operating the ophthalmologic apparatus 1F.
[0244] (Data processing unit 200F) The data processing unit 200F performs data processing on the spectral fundus image of the subject's eye E, similarly to the data processing units 200 and 200C. In some embodiments, the functions of the data processing unit 200F are realized by a processor. The data processing unit 200F includes an analysis unit 210F.
[0245] The analysis unit 210F has the functions of the analysis unit 210 and the analysis unit 210C, and generates information associating a plurality of spectral fundus images corresponding to a plurality of wavelength ranges in a predetermined analysis wavelength range with the incident angle of illumination light as information representing the angle dependence of reflected light of the spectral fundus images with the illumination light, and generates information associating a plurality of spectral fundus images corresponding to a plurality of wavelength ranges in a predetermined analysis wavelength range with the polarization angle as information representing the polarization angle dependence of the spectral fundus images. The main control unit 110F functions as a display control unit and can cause the display unit 160 to display the information representing the angle dependence of reflected light of the spectral fundus images with the illumination light and the information representing the polarization angle dependence of the spectral fundus images.
[0246] The ophthalmologic apparatus 1F according to the third embodiment operates in the same manner as the first and second embodiments, and therefore detailed description thereof will be omitted.
[0247] <First Modification of Third Embodiment> In the third embodiment, a case has been described in which a wavelength-tunable filter 28 is placed between a dichroic mirror 27 and an imaging lens 29 in the light-receiving optical system 20F, and is configured to select light in a desired wavelength range from the reflected light of the illumination light, but the configuration of the embodiment is not limited to this.
[0248] In the first modified example of the third embodiment, light in a desired wavelength range is selected from the illumination light, and the illumination light returned from the fundus oculi Ef is configured to have wavelength components in the desired wavelength range.
[0249] The first modified example of the third embodiment will be described below, focusing mainly on the differences from the third embodiment.
[0250] Fig. 18 shows an example of the configuration of an optical system of an ophthalmic apparatus according to a first modified example of the third embodiment. In Fig. 18, the same parts as in Fig. 16 are given the same reference numerals, and the description thereof will be omitted as appropriate.
[0251] The configuration of the ophthalmic apparatus 1G according to the first variant of the third embodiment differs from the configuration of the ophthalmic apparatus 1F according to the third embodiment in that an illumination optical system 10G is provided instead of the illumination optical system 10F, and that a light receiving optical system 20G is provided instead of the light receiving optical system 20F.
[0252] The configuration of the illumination optical system 10G differs from the configuration of the illumination optical system 10F in that a tunable filter 28 is disposed between the first polarizing plate 19 and the reflecting mirror 15. In some embodiments, the tunable filter 28 is disposed between the condenser lens 12 and the spectral characteristic correction filter 13.
[0253] The light receiving optical system 20G differs from the light receiving optical system 20F in that the wavelength tunable filter 28 is omitted.
[0254] The configuration of the control system of the ophthalmic apparatus 1G is the same as that of the ophthalmic apparatus 1F. The operation of the ophthalmic apparatus 1G is the same as that of the ophthalmic apparatus 1F, and therefore a detailed description thereof will be omitted.
[0255] <Second Modification of Third Embodiment> In the third embodiment or its first variant example, a configuration has been described in which a wavelength-tunable filter is used to select light in a desired wavelength range from reflected light of illumination light, but the configuration of the embodiment is not limited to this.
[0256] In a second modified example of the third embodiment, the fundus oculi Ef is illuminated with illumination light emitted from a light source capable of changing the wavelength range of the emitted light.
[0257] The second modified example of the third embodiment will be described below, focusing mainly on the differences from the third embodiment.
[0258] Fig. 19 shows an example of the configuration of an optical system of an ophthalmic apparatus according to a second modified example of the third embodiment. In Fig. 19, the same parts as in Fig. 16 are given the same reference numerals, and the description thereof will be omitted as appropriate.
[0259] The configuration of the ophthalmic apparatus 1H relating to the second variant of the third embodiment differs from the configuration of the ophthalmic apparatus 1F relating to the third embodiment in that an illumination optical system 10H is provided instead of the illumination optical system 10F, and that a light receiving optical system 20H is provided instead of the light receiving optical system 20F.
[0260] The illumination optical system 10H differs from the illumination optical system 10F in that a light source 11H capable of changing the wavelength range of emitted light is provided instead of the light source 11. An example of such a light source 11H is a wavelength swept light source. The light source 11H can scan the center wavelength of the emitted light within a predetermined analysis wavelength range and sequentially output emitted light beams having different center wavelengths (wavelength ranges). In some embodiments, the light source 11H is triggered by control from the main controller to sequentially output emitted light beams having different center wavelengths (wavelength ranges) at predetermined emission timings. In some embodiments, the light source 11H sequentially outputs emitted light beams having different center wavelengths (wavelength ranges) each time it receives control from the main controller.
[0261] The light receiving optical system 20H differs from the light receiving optical system 20F in that the wavelength tunable filter 28 is omitted.
[0262] The configuration of the control system of the ophthalmic apparatus 1H is the same as that of the ophthalmic apparatus 1F. The operation of the ophthalmic apparatus 1H is the same as that of the ophthalmic apparatus 1F except that the control of the tunable filter 28 is changed to the control of the light source 11H, and therefore detailed description thereof will be omitted.
[0263] <Fourth embodiment> In the first to third embodiments or their variations, a case has been described in which the fundus Ef is illuminated with illumination light and the return light from the fundus Ef is received all at once to obtain one spectral fundus image, but the configuration of the ophthalmologic apparatus according to the embodiments is not limited to this.
[0264] The ophthalmologic apparatus according to the fourth embodiment is a slit-scan type fundus imaging apparatus that scans the fundus Ef with slit-shaped illumination light to image the fundus Ef. That is, the ophthalmologic apparatus according to the fourth embodiment is configured to acquire one spectral fundus image by scanning the fundus Ef with slit-shaped illumination light using an optical scanner, and sequentially acquiring return light of the illumination light from the illumination area on the fundus Ef that is sequentially moved by the scanning.
[0265] The ophthalmologic apparatus according to the fourth embodiment can perform at least one of dark-field photography similar to that of the above-described embodiments and polarization photography similar to that of the above-described embodiments using a slit scan method, thereby making it possible to obtain at least one of information representing the angle dependency of reflected light on illumination light of a spectral fundus image similar to that of the above-described embodiments and information representing the polarization angle dependency of a spectral fundus image similar to that of the above-described embodiments.
[0266] Hereinafter, the configuration of the ophthalmologic apparatus according to the fourth embodiment will be described in the case where the slit scan method is applied to the ophthalmologic apparatus according to the third embodiment or its modified example. However, the ophthalmologic apparatus according to the embodiment may be one in which the slit scan method is applied to the first embodiment, the second embodiment, or their modified examples.
[0267] Fig. 20 shows an example of the configuration of an optical system of an ophthalmic apparatus according to the fourth embodiment. In Fig. 20, the same parts as those in Fig. 16 are given the same reference numerals, and the description thereof will be omitted as appropriate.
[0268] The configuration of the ophthalmic apparatus 1J according to the fourth embodiment differs from the configuration of the ophthalmic apparatus 1F according to the third embodiment in that an illumination optical system 10J is provided instead of the illumination optical system 10F, and that a light receiving optical system 20J is provided instead of the light receiving optical system 20F.
[0269] The configuration of the illumination optical system 10J differs from the configuration of the illumination optical system 10F in that a slit 70 as a field stop, an optical scanner 71, and relay lenses 72 and 73 are arranged instead of the reflecting mirror 15. A slit-shaped opening is formed in the slit 70. The opening formed in the slit 70 is arranged at a fundus conjugate position P. The deflection surface of the optical scanner 71 is arranged at a pupil conjugate position Q.
[0270] For example, an optical scanner 71 is disposed in place of the reflecting mirror 15. A slit 70 is disposed between the first polarizing plate 19 and the optical scanner 71. A relay lens 72 is disposed between the aperture stop 14 and the first polarizing plate 19. A relay lens 73 is disposed between the slit 70 and the optical scanner 71.
[0271] The configuration of the light receiving optical system 20J differs from the configuration of the light receiving optical system 20F in that an image sensor 32 is provided instead of the image sensor 30. The image sensor 32 is a line sensor or area sensor for capturing the light receiving results of the returning light by a slit scan method. The image sensor 32 reads out the light receiving results from the light receiving elements in the light receiving area of the returning light corresponding to the illumination light irradiation area in synchronization with the timing of movement of the illumination light irradiation area on the fundus Ef. In some embodiments, the image sensor 32 reads out the light receiving results by a rolling shutter method.
[0272] Fig. 21 shows a block diagram of a configuration example of a control system of an ophthalmic apparatus 1J according to the fourth embodiment. In Fig. 21, the same parts as in Fig. 17 are given the same reference numerals, and descriptions thereof will be omitted as appropriate. In Fig. 21, as in Fig. 17, some of the components included in the ophthalmic apparatus 1J are omitted.
[0273] The control unit 100J controls each unit of the ophthalmologic apparatus 1J in the same manner as the control unit 100F. The control unit 100J includes a main control unit 110J and a storage unit 120J.
[0274] (Main control unit 110J) The main control unit 110J includes a processor and controls each unit of the ophthalmologic apparatus 1J. For example, the main control unit 110J controls each unit of the optical system 2J shown in Fig. 20, a moving mechanism 5J that moves the entire optical system 2J and the optical elements that make up the optical system 2J, an operation unit 150, a display unit 160, a communication unit 170, and a data processing unit 200J.
[0275] The control of the optical system 2J includes control of the illumination optical system 10J, control of the light receiving optical system 20J, control of the alignment optical system 40, control of the fixation optical system 50, and the like.
[0276] Control of the illumination optical system 10J includes control of the light source 11, control of the aperture stop 14, control of the first polarizing plate 19, control of the slit 70, control of the optical scanner 71, and the like.
[0277] The control over the slit 70 includes control of changing at least one of the shape, position, size, and orientation of the opening formed in the slit 70. The control over the optical scanner 71 includes control of the deflection start position of the deflection surface, the deflection end position of the deflection surface, the deflection angle range, the deflection speed, and deflection synchronization control of the deflection surface.
[0278] Control of the light receiving optical system 20J includes control of the dark field imaging diaphragm 21, control of the focusing lens 22, control of the wavelength tunable filter 28, control of the image sensor 32, control of the second polarizer 31, and the like.
[0279] The moving mechanism 5J moves the entire optical system 2J and the optical elements that make up the optical system 2J (for example, the aperture stop 14, the dark field imaging stop 21, and the focusing lens 22). The moving mechanism 5J has a mechanism similar to that of the moving mechanism 5F, and moves the optical system 2J and the like under control of the main control unit 110J. Control over the moving mechanism 5J is also used for alignment and tracking.
[0280] (Storage section 120J) The storage unit 120J stores various types of data, similar to the storage unit 120F. Examples of the data stored in the storage unit 120J include control parameters, spectral image data of a fundus image, spectral image data of an anterior eye image, and information about the subject's eye. Examples of the control parameters include hyperspectral imaging control data, dark-field imaging control data, polarized light imaging control data, and slit imaging control data.
[0281] The storage unit 120J also stores various programs and data for operating the ophthalmologic apparatus 1J.
[0282] (Data processing unit 200J) The data processing unit 200J, like the data processing unit 200F, performs data processing on the spectral fundus image of the subject's eye E. In some embodiments, the functions of the data processing unit 200J are realized by a processor. The data processing unit 200J includes an analysis unit 210J.
[0283] The analysis unit 210J has the functions of the analysis unit 210F and the function of forming one spectral fundus image from multiple images acquired sequentially by the slit scan method, and generates information associating multiple spectral fundus images corresponding to multiple wavelength ranges in a predetermined analysis wavelength range with the incident angle of illumination light as information representing the angle dependence of reflected light of the spectral fundus images on the illumination light, and generates information associating multiple spectral fundus images corresponding to multiple wavelength ranges in the predetermined analysis wavelength range with the polarization angle as information representing the polarization angle dependence of the spectral fundus images. The main control unit 110J, as a display control unit, is capable of displaying the information representing the angle dependence of reflected light of the spectral fundus images on the illumination light and the information representing the polarization angle dependence of the spectral fundus images on the display unit 160.
[0284] The method for acquiring an image in the ophthalmologic apparatus 1J according to the fourth embodiment is well known, and therefore a detailed description thereof will be omitted.
[0285] <First Modification of Fourth Embodiment> In the fourth embodiment, a case has been described in which a wavelength-tunable filter 28 is placed between a dichroic mirror 27 and an imaging lens 29 in the light-receiving optical system 20J, and configured to select light in a desired wavelength range from the reflected light of illumination light, but the configuration of the embodiment is not limited to this.
[0286] In the first modified example of the fourth embodiment, light in a desired wavelength range is selected from the illumination light, and the illumination light returned from the fundus oculi Ef is configured to have wavelength components in the desired wavelength range.
[0287] The first modified example of the fourth embodiment will be described below, focusing mainly on the differences from the fourth embodiment.
[0288] Fig. 22 shows an example of the configuration of an optical system of an ophthalmic apparatus according to a first modified example of the fourth embodiment. In Fig. 22, the same parts as in Fig. 18 are given the same reference numerals, and the description thereof will be omitted as appropriate.
[0289] The configuration of the ophthalmic apparatus 1K according to the first variant of the fourth embodiment differs from the configuration of the ophthalmic apparatus 1J according to the fourth embodiment in that an illumination optical system 10K is provided instead of the illumination optical system 10J, and that a light receiving optical system 20K is provided instead of the light receiving optical system 20J.
[0290] The configuration of the illumination optical system 10K differs from the configuration of the illumination optical system 10J in that a tunable filter 28 is disposed between the relay lens 73 and the optical scanner 71. In some embodiments, the tunable filter 28 is disposed between the condenser lens 12 and the spectral characteristic correction filter 13.
[0291] The light receiving optical system 20K differs from the light receiving optical system 20J in that the wavelength tunable filter 28 is omitted.
[0292] The configuration of the control system of the ophthalmic apparatus 1K is the same as that of the ophthalmic apparatus 1J. The operation of the ophthalmic apparatus 1K is the same as that of the ophthalmic apparatus 1J, and therefore a detailed description thereof will be omitted.
[0293] <Second Modification of Fourth Embodiment> In the fourth embodiment or its first variant, a configuration has been described in which a wavelength-tunable filter is used to select light in a desired wavelength range from reflected light of illumination light, but the configuration of the embodiment is not limited to this.
[0294] In a second modified example of the fourth embodiment, the fundus oculi Ef is illuminated with illumination light emitted from a light source capable of changing the wavelength range of the emitted light.
[0295] The second modified example of the fourth embodiment will be described below, focusing mainly on the differences from the fourth embodiment.
[0296] Fig. 23 shows an example of the configuration of an optical system of an ophthalmic apparatus according to a second modified example of the fourth embodiment. In Fig. 23, the same parts as in Fig. 20 are given the same reference numerals, and the description thereof will be omitted as appropriate.
[0297] The configuration of the ophthalmic apparatus 1L according to the second variant of the fourth embodiment differs from the configuration of the ophthalmic apparatus 1J according to the fourth embodiment in that an illumination optical system 10L is provided instead of the illumination optical system 10J, and that a light receiving optical system 20L is provided instead of the light receiving optical system 20J.
[0298] The illumination optical system 10L differs from the illumination optical system 10J in that a light source 11L capable of changing the wavelength range of emitted light is provided instead of the light source 11. An example of such a light source 11L is a wavelength swept light source. The light source 11L scans the center wavelength of the emitted light within a predetermined analysis wavelength range and can sequentially output emitted light beams with different center wavelengths (wavelength ranges). In some embodiments, the light source 11L is triggered by control from a main controller to sequentially output emitted light beams with different center wavelengths (wavelength ranges) at predetermined emission timings. In some embodiments, the light source 11L sequentially outputs emitted light beams with different center wavelengths (wavelength ranges) each time it receives control from the main controller.
[0299] The configuration of the light receiving optical system 20L differs from the configuration of the light receiving optical system 20J in that the wavelength tunable filter 28 is omitted.
[0300] The configuration of the control system of the ophthalmic apparatus 1L is the same as that of the ophthalmic apparatus 1J. The operation of the ophthalmic apparatus 1L is the same as that of the ophthalmic apparatus 1J except that the control of the tunable filter 28 is changed to the control of the light source 11L, and therefore detailed description thereof will be omitted.
[0301] <effect> An ophthalmologic apparatus according to an embodiment will be described.
[0302] An ophthalmic apparatus (1, 1A to 1B, 1F to 1H, 1J to 1L) according to some embodiments includes an illumination optical system (10, 10A to 10B, 10F to 10H, 10J to 10L), a light-receiving optical system (20, 20A to 20B, 20F to 20H, 20J to 20L), and a spectral information acquisition unit (analysis unit 210, 210F, 210J). The illumination optical system illuminates an eye (E) with illumination light. The light-receiving optical system sequentially receives return light from the eye, which has different wavelength ranges and includes at least one of scattered light and diffracted light. The spectral information acquisition unit acquires information representing the angular dependency of reflected light with respect to the illumination light in a two-dimensional spectral distribution of the eye (spectral fundus image, spectral anterior segment image) based on the reception result of the return light obtained by the light-receiving optical system.
[0303] With this configuration, it is possible to grasp the angle dependency of the reflected light with respect to the illumination light in the spectral distribution of the eye to be examined, which makes it possible to observe the observation site in more detail, for example, by setting the angle of the reflected light with respect to the illumination light depending on the observation site.
[0304] In some embodiments, the light receiving optical system sequentially receives return light from the test eye, each of which has a predetermined polarization component and a different wavelength range, and the spectral information acquisition unit acquires information representing the polarization angle dependence of the two-dimensional spectral distribution of the test eye based on the reception results of the return light obtained by the light receiving optical system.
[0305] With this configuration, it is possible to grasp not only the angle dependency of the spectral distribution of the subject's eye with respect to the illumination light but also the polarization angle dependency of the spectral distribution of the subject's eye, which makes it possible to observe the observation site in more detail by, for example, setting the angle and polarization angle of the reflected light with respect to the illumination light according to the observation site.
[0306] An ophthalmic apparatus (1C to 1L) according to some embodiments includes an illumination optical system (10C to 10L), a light-receiving optical system (20C to 20L0L), and a spectral information acquisition unit (analysis unit 210, 210F, 210J). The illumination optical system illuminates an eye (E) with illumination light. The light-receiving optical system sequentially receives return light from the eye, which has predetermined polarization components and different wavelength ranges. The spectral information acquisition unit acquires information representing the polarization angle dependency of the two-dimensional spectral distribution of the eye, based on the result of receiving the return light obtained by the light-receiving optical system.
[0307] This configuration makes it possible to grasp the polarization angle dependency of the spectral distribution in the subject's eye, which in turn makes it possible to observe the observation site in more detail by, for example, setting the polarization angle according to the observation site.
[0308] In some embodiments, the illumination optical system includes a first polarizing element (first polarizing plate 19) disposed in the optical path of the illumination light and transmitting the illumination light in a first polarization state, and the receiving optical system includes a second polarizing element (second polarizing plate 31) disposed in the optical path of the returned light and transmitting the returned light in a second polarization state.
[0309] According to this configuration, it is possible to set the polarization angle with a simple configuration.
[0310] In some embodiments, at least one of the first polarization state and the second polarization state is changeable.
[0311] According to this configuration, it is possible to acquire information that indicates the polarization angle dependency of the spectral distribution in the subject's eye with a simple configuration.
[0312] Some embodiments include a control unit (100, 100C, 100F, 100J) that causes a display unit (display unit 160) to display information representing a plurality of spectral distributions corresponding to wavelength ranges in accordance with the polarization state.
[0313] According to this configuration, by displaying information representing a plurality of spectral distributions corresponding to wavelength ranges in accordance with the polarization state on the display means, it becomes possible to easily grasp the change dependency of the spectral characteristics.
[0314] In some embodiments, the illumination optical system includes an aperture stop (14) arranged in the optical path of the illumination light, and the receiving optical system includes an imaging stop (dark field imaging stop 21) arranged in the optical path of the return light.
[0315] According to this configuration, dark-field photography can be performed with a simple configuration, receiving return light of illumination light that includes at least one of scattered light and diffracted light.
[0316] In some embodiments, the aperture stop has an opening (14a) formed at a position eccentric to the optical axis (O1), and the imaging stop has an opening (21a) formed at the position of the optical axis (O2).
[0317] According to this configuration, dark-field photography can be performed with a simple configuration, receiving return light of illumination light that includes at least one of scattered light and diffracted light.
[0318] In some embodiments, the aperture stop is a ring stop and the imaging stop is a central stop.
[0319] According to this configuration, it becomes possible to perform dark-field photography by receiving return light of illumination light that includes at least one of scattered light and diffracted light, using a known ring diaphragm and central diaphragm.
[0320] In some embodiments, the photographic diaphragm has an opening (21b) formed at a position eccentric to the optical axis (O3) and is rotatable about the optical axis.
[0321] With this configuration, by aligning the opening with the running state of the tissue in the observation region or the direction in which the contrast is increased, it becomes possible to observe the observation region in more detail.
[0322] In some embodiments, the aperture formed in the aperture stop is configured to be movable relative to the aperture formed in the imaging stop in a direction perpendicular to the optical axis.
[0323] According to this configuration, dark field photography can be performed while changing the angle of the reflected light relative to the illumination light with a simple configuration.
[0324] In some embodiments, the light receiving optical system includes a first wavelength range selection member (tunable filter 28) that selects the wavelength range of the returned light.
[0325] According to this configuration, it is possible to simplify the configuration of the ophthalmic apparatus that can receive returned light in a desired wavelength range on the light receiving side and obtain a plurality of spectral distributions.
[0326] In some embodiments, the illumination optical system includes a second wavelength range selection member (tunable filter 28) that selects a wavelength range of the illumination light.
[0327] According to this configuration, it is possible to simplify the configuration of an ophthalmic apparatus that can receive returned light in a desired wavelength range on the illumination side and obtain a plurality of spectral distributions.
[0328] In some embodiments, the illumination optics includes a light source (11B, 11E, 11H, 11L) that can change the wavelength range of the emitted light.
[0329] With this configuration, it is possible to provide an ophthalmic device that can acquire multiple spectral distributions with a simple configuration without providing wavelength range selection members on both the illumination side and the light receiving side.
[0330] The embodiment described above is merely one example for carrying out the present invention, and those who wish to carry out the present invention may make any modifications, omissions, additions, etc. within the scope of the gist of the present invention. [Explanation of symbols]
[0331] 1, 1A~1H, 1J~1L ophthalmological equipment 2, 2A~2H, 2J~2L optical system 5, 5C, 5F, 5J movement mechanism 10, 10A~10H, 10J~10L illumination optical system 11, 11B, 11E, 11H, 11L light source 14 Aperture diaphragm 19 First polarizing plate 20, 20A~20H, 20J~20L Receiving optical system 21 Dark field aperture 28 Tunable wavelength filter 30, 32, 44 image sensors 31 Second polarizing plate 40 Alignment Optical System 50 Fixation optical system 60 Viewfinder optical system 70 slit 71 Optical Scanner 100, 100C, 100F, 100J control unit 110, 110C, 110F, 110J Main control unit 120, 120C, 120F, 120J storage section 200, 200C, 200F, 200J Data processing unit 210, 210C, 210F, 210J analysis section E. Examined eye Ef fundus P fundus conjugate position Q Pupil conjugate position
Claims
1. an illumination optical system that illuminates the subject's eye with illumination light; a light-receiving optical system that sequentially receives return light of the illumination light from the subject's eye, the return light having different wavelength ranges and including at least one of scattered light and diffracted light; a spectral information acquiring unit that acquires information representing an angle dependency of reflected light with respect to the illumination light in a two-dimensional spectral distribution of the subject's eye based on a light receiving result of the returned light obtained by the light receiving optical system; 1. An ophthalmic device comprising:
2. the light receiving optical system sequentially receives the return light from the subject's eye, the return light having predetermined polarization components and different wavelength ranges; The spectral information acquiring unit acquires information representing the polarization angle dependency of the two-dimensional spectral distribution of the subject's eye based on a light receiving result of the returned light obtained by the light receiving optical system.
2. An ophthalmic apparatus according to claim 1.
3. an illumination optical system that illuminates the subject's eye with illumination light; a light receiving optical system that sequentially receives return light of the illumination light from the subject's eye, the return light having predetermined polarization components and different wavelength ranges; a spectral information acquiring unit that acquires information representing a polarization angle dependency of a two-dimensional spectral distribution of the subject's eye based on a light receiving result of the returned light obtained by the light receiving optical system; Including, The illumination optical system includes: a first polarizing element disposed in an optical path of the illumination light and transmitting the illumination light in a first polarization state; an aperture stop disposed in an optical path of the illumination light, the aperture being formed at a position eccentric to the optical axis; Including, The light receiving optical system includes: a second polarizing element disposed in an optical path of the returned light and transmitting the returned light in a second polarization state; a photographic diaphragm disposed in an optical path of the returned light and having an opening formed at the position of the optical axis; 1. An ophthalmic device comprising:
4. the illumination optical system includes a first polarizing element disposed in an optical path of the illumination light and transmitting the illumination light in a first polarization state; the light receiving optical system includes a second polarizing element disposed in an optical path of the returned light and transmitting the returned light in a second polarization state; 3. An ophthalmic apparatus according to claim 2.
5. At least one of the first polarization state and the second polarization state is changeable.
5. An ophthalmic apparatus according to claim 4.
6. a control unit that displays information representing the plurality of spectral distributions corresponding to the wavelength ranges on a display means in accordance with a polarization state; The ophthalmic apparatus according to any one of claims 2 to 5.
7. the illumination optical system includes an aperture stop disposed in an optical path of the illumination light; The light receiving optical system includes a photographic diaphragm disposed in the optical path of the returned light.
6. An ophthalmic apparatus according to claim 1, claim 2, claim 4, or claim 5.
8. an aperture formed in the aperture stop at a position eccentric to the optical axis; The photographic diaphragm has an opening formed at the position of the optical axis.
8. An ophthalmic apparatus according to claim 7.
9. the aperture stop is a ring stop, The photographic aperture is a central aperture.
9. An ophthalmic apparatus according to claim 3 or claim 8.
10. The photographic diaphragm has an opening formed at a position eccentric to the optical axis and is rotatable about the optical axis.
8. An ophthalmic apparatus according to claim 7.
11. An illumination optical system that illuminates the subject's eye with illumination light; a light receiving optical system that sequentially receives return light of the illumination light from the subject's eye, the return light having predetermined polarization components and different wavelength ranges; a spectral information acquiring unit that acquires information representing a polarization angle dependency of a two-dimensional spectral distribution of the subject's eye based on a light receiving result of the returned light obtained by the light receiving optical system; Including, The illumination optical system includes: a first polarizing element disposed in an optical path of the illumination light and transmitting the illumination light in a first polarization state; an aperture stop disposed in an optical path of the illumination light; Including, The light receiving optical system includes: a second polarizing element disposed in an optical path of the returned light and transmitting the returned light in a second polarization state; an imaging diaphragm that is disposed in an optical path of the returned light, has an opening formed at a position eccentric to an optical axis, and is configured to be rotatable about the optical axis; 1. An ophthalmic device comprising:
12. The aperture formed in the aperture stop is configured to be movable relative to the aperture formed in the photographing stop in a direction perpendicular to the optical axis. The ophthalmic apparatus according to any one of claims 7 to 11.
13. The light receiving optical system includes a first wavelength range selection member that selects a wavelength range of the returned light. The ophthalmic apparatus according to any one of claims 1 to 12.
14. The illumination optical system includes a second wavelength range selection member that selects a wavelength range of the illumination light. The ophthalmic apparatus according to any one of claims 1 to 12.
15. The illumination optical system includes a light source capable of changing the wavelength range of emitted light. The ophthalmic apparatus according to any one of claims 1 to 12.
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