Objective Phoropter System Wavefront Analysis

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Solution Overview

Problem

Existing combination optical refraction measurement systems face challenges such as increased laser reflection from phoropter elements, degrading the laser beam mode, and difficulty in accurately measuring residual aberrations, especially with higher order aberrations, due to subjective phoropter measurements and superfluous reflections.

Innovation Solution

A system combining phoropter measurements with wavefront analysis using a Shack-Hartmann array, where the wavefront analyzer measures residual aberrations after initial phoropter correction, with adjustments to prevent corneal reflections from overwhelming retinal reflections, and includes features like lateral pupil distance adjustment, angular tilt mechanisms, and automatic pupil distance measurement.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If the laser illumination source is deflected into the measurement beam path through the phoropter elements, then the wavefront analysis can be performed, but the laser reflection from phoropter elements increases and degrades the laser beam mode

Engineering Contradiction:
Improvewavefront analysis accuracyVSAvoidlaser reflection and beam mode degradation
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The system separates the illumination function from the measurement function by using two distinct beam paths. The illumination beam enters the eye through one path while the measurement beam enters through a different path, avoiding interference between the two functions and preventing laser reflection from phoropter elements

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

A beam splitter is introduced as an intermediary component to direct the illumination beam into the eye without passing it through the phoropter elements. The beam splitter enables the illumination path to be independent from the measurement path, eliminating the harmful reflections while maintaining measurement capability

Inventive Principle:
Principle #24Intermediary (Mediator)

2Ease of operation

If subjective phoropter measurement is used to correct refractive errors, then initial correction can be achieved, but accurate measurement of residual aberrations is difficult due to subjective response limitations

Engineering Contradiction:
Improveinitial refraction correctionVSAvoidresidual aberration measurement accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The system uses objective wavefront measurement as feedback to verify and refine the subjective phoropter measurement. The wavefront analyzer provides quantitative data on residual aberrations, allowing the system to objectively assess whether the subjective correction is adequate and make precise adjustments

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system uses the patient's own eye as the measurement target for wavefront analysis, eliminating the need for external calibration standards. The eye itself provides the reference for measuring residual aberrations after phoropter correction

Inventive Principle:
Principle #25Self-service

3Adaptability or versatility

If the phoropter and wavefront analyzer are combined in a single system, then both measurements can be performed, but the system complexity increases and alignment becomes more difficult

Engineering Contradiction:
Improvecombined measurement capabilityVSAvoidsystem alignment and configuration
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The combined system is designed with separate, independent optical paths for illumination and measurement that diverge early in the beam trajectory. This segmentation allows each subsystem to be optimized independently while maintaining overall system integration, reducing alignment complexity

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system uses spatial separation in different dimensions to resolve path interference. By directing beams at different angles and using separate entry points to the eye, the system accommodates multiple measurement functions without requiring precise co-alignment of all optical components

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach allows for more accurate and objective determination of refractive errors, reducing the need for precise subjective phoropter measurements and enabling better correction of higher order aberrations, while minimizing reflections and optimizing beam alignment for improved measurement accuracy.

Implementation Method 1

The difference between the aberrated wavefront emitted from the eye and a planar undistorted wavefront is measured using a wavefront analysis system, such as that based on a Shack-Hartmann array

Methodology Applied
Scientific EffectWavefront analysis:

Implementation Method 2

The output of such an instrument is a map of the refractive properties across the eye, which can be used to determine the form and strength of spectacle lenses for correction of the aberration measured

Methodology Applied
Scientific EffectShack-Hartmann effect:

Implementation Method 3

part of the incident laser light may be reflected back towards the Shack-Hartmann detection array, and the intensity of this reflected light may be substantially larger than that of the weak reflection from the retina

Methodology Applied
Scientific EffectReflection: Reflection

Data Source

PatentEP2833778B1Objective phoropter system
Publication Date: 2022.05.18 VISIONIX LTD
  • EP2833778B1 patent drawingFigure 1
  • EP2833778B1 patent drawingFigure 2~5
  • EP2833778B1 patent drawingFigure 6

AI summary

Systems for performing combined phoropter and refractive measurements to ascertain the aberrations present in the eye of a subject. The systems use a pair of phoropter wheel assemblies, one for each eye, each assembly comprising a number of lens wheels incorporating the series of lenses and wedges required to compensate for a range of refractive vision aberrations. The vision of each eye is corrected by a combination of a subjective phoropter measurement, iteratively performed with an objective wavefront analysis measurement to determine the residual aberrations existing after the initial phoropter correction. The system is able to automatically align the axes of each wavefront analyzer with is corresponding eye, by means of centering the pupil image in the wavefront analyzer camera, and to determine the pupil distance. By changing the focusing point on the wavefront analyzer of the light reflected from the eye, the corneal profile can be measured.