Patent Document

This is a continuation of application Ser. No. 08/880,076, filed Jun. 20, 1997 now U.S. Pat. No. 6,149,272. 
    
    
     BACKGROUND OF THE INVENTION 
     a) Field of the Invention 
     The invention relates to an arrangement for examination of vision functions, and, in particular, an arrangement for the subjective determination of refraction in the eye. 
     b) Description of the Related Art 
     There are various known spectacle type or helmet type frames which arrange screens in front of the eye of the observer or which reflect the image generated by screens or displays in front of the eye of the observer: U.S. Pat. Nos. 5,076,275, 4,361,384, 5,162,828, U.S. 4,869,575, Enhanced Vision. “V-max”, brochure 800-440-9476, 1996. “Virtual displays” of this kind are sold by Virtual Research Systems, Inc. (FAG), for example. 
     U.S. Pat. No. 5,369,415 and EP 562,742 describe “direct retinal scan displays” in which only very low outputs (not more than 20 micro watts) are required owing to direct “writing” of the image information on the fundus oculi of the observer. Video information (e.g., RGB signals) is modulated on one or more laser beams and the latter is/are deflected in the x-direction and y-direction via scanners (e.g., piezo-crystals) and reflected into the observer&#39;s eye via a plane surface which can be spectacle glass. Variable optics serve to focus the beams on the retina. 
     U.S. Pat. No. 5,467,104 and WO 94/09472 describe a “virtual retina display” with high resolution and color representation. Light from lasers or LEDs is modulated, transmitted via light guides, and projected directly onto the retina by means of microscanners and projection optics. The reflecting element can also be a splitter mirror, so that the projected image is superimposed on the surroundings. 
     In WO 96/17562, a scanning unit is provided on a spectacle type frame and projects an image onto the retina via the reflecting spectacle lenses or glasses. 
     A “pupil tracking system” monitors the position of the eyes and displaces the projection direction so as always to strike the pupil of the observer. In DE 4091126, the patient views a screen through spectacles with liquid crystal shutters, on which screen are displayed symbols for binocular vision testing. 
     DE 4326760 C2 describes a device for testing central vision functions, preferably for perimetric examinations, wherein a light-proof or light-tight spectacle type carrier contains image-generating display screens for generating test marks or optotypes and an optical imaging system for compensation of refractive anomalies. The natural visual impression is impaired by the part of the spectacles arranged in front of the eyes which has screens in the viewing direction. 
     Examination instruments such as phoropters in which, e.g., spherical or cylindrical test glasses are swiveled in front of the eye to determine defective eyesight based on information from the test subject are known for determining subjective refraction and for determining other functions of the human eye. A disadvantage herein is that the test subject does not assume a relaxed posture and the natural visual impression is corrupted. 
     Therefore, arrangements have been developed to enable so-called “free-vision” refractive testing (U.S. Pat. No. 3,927,933, DE 2647848 A1, DD 293045 B5, DD 282851 B5, DD 273771 A1). 
     Further, test equipment for determining other functions of the human eye are known (OCULU.S.-Binoptometer, Binotest) to acquire information on the visual performance (e.g., color vision, stereo vision, driving vision) of the patient&#39;s eyes based on information given by the patient. These arrangements also have the disadvantage that they take up a relatively large amount of space and are poorly suited for mobile use, e.g., in developing countries. When used for testing defective vision of persons, especially for the first time, the test subject will often exhibit objective shyness of the medical equipment, which makes the examination difficult or even impossible. 
     OBJECT AND SUMMARY OF THE INVENTION 
     The primary object of the invention is therefore to improve and facilitate examination of defective vision and other visual functions. 
     In accordance with the invention, an arrangement for determining subjective refraction and/or for determining other visual functions, comprises at least one light source, at least one light modulator which follows the light source, a driving unit for controlling the modulator for modulating video information, two dimensional deflecting means for the light for generating an image, optical transmission means for transmitting the light of the light source and optical projection means for projecting the image onto the retina of the eye to be examined. 
     The invention can be used for testing the most important vision functions and for refractive determination in humans. 
     The very compact construction and wearing of light spectacles eliminates the need to look into a device. There is no more swiveling of large examination units (phoropters) in front of the eye. It is possible to superpose generated images on the surroundings in combination with a comfortable, relaxed sitting posture. The very high resolution which is made possible is coupled with low power consumption. There can be separate displays for the right eye and left eye, which is important for all binocular tests, wherein the disadvantages of other image-separating methods which partially determine function (color separation, polar separation, shutter principle, mechanical separators) can be eliminated. 
     In particular, the following functions can be tested according to the invention: 
     I. 
     Visual acuity (far, near, monocular, binocular), e.g., by means of the reflector (spectacle glass) with two zones: 
     a) the far part (image from infinity—e.g., plane mirror) and 
     b) the near part (image from defined distance, e.g., 40 cm—e.g., concave mirror). All other test symbols can be generated; thus, a large selection is possible. Binocular testing is effected by a unit for each eye using the known adjustment possibilities of test spectacles and of eye tracking. 
     II. 
     Driving-related Eye Test 
     In this case, special testing processes are possible in accordance with the specifics of different nations. 
     III. 
     Stereopsis Examination 
     Display of test images (different lateral disparity possible) which are offset laterally relative to one another by displacement of the scanned images. The lateral displacement path is calibrated in angle minutes stereopsis. 
     IV. 
     Phoria (angular vision deficiency) 
     Display of two separate images of different content. A displacement of these images on the retina of the test subject is made possible by displacement at the scanner or screen, wherein the displacement path can be calibrated in angular vision deficiency (prism diopters). 
     V. 
     Color Vision Test 
     When three light sources (RGB or RGY) are used, different color tests are possible (e.g., color charts; two fields analogous to the anomaloscope). 
     VI. 
     Visual Field Test 
     This test can be conducted in a manner analogous to the perimeter (full vision field or screening—central field, e.g., 30°). The point of fixation is made in the center by a (blinking) dot. The vision field test is carried out by dot display corresponding to preselectable program sequences. 
     VII. 
     Sensitivity to Glare, Dark Adaptation 
     The blinding or dazzling of the eye is simulated by means of laterally disposed light sources; at the same time tests are performed which, in addition, can also be varied in contrast. 
     VIII. 
     Contrast-dependent Visual Acuity 
     Tests can be carried out with different gray steps by modulating the intensity of the beams. The contrast ratios of the performed tests can accordingly be changed and a dependency of the detected visual acuity step upon contrast can be determined. 
     IX. 
     Objective Refraction 
     Evaluation of the (preferably infrared) light reflected by the retina in a generally known autorefractor system. In cooperation with a retinal scan display, an alternative to the conventional phoropter/acuity projector/autorefractometer. 
     X. 
     Subjective Refraction 
     A sharp imaging of the displayed images on the retina can be achieved through the intermediary of variable spherical and cylindrical optics. The adjustments of the optics can be calibrated and the refractive deficiency can accordingly be determined. 
     Testing prerequisites for the methods mentioned above in I-X when using a retinal scan display are particularly the adjustment of the spectacles relative to the pair of eyes (pupil distance, height difference, corneal vertex difference) 
     a) automatic detection of the viewing direction of the eyes (tracking) and electrical tracking of the image 
     b) manual or motor-driven adjusting possibility for test spectacles to ensure a defined display of the image on the respective optical axis of the eye of the test subject. 
     The reflector (spectacle glass) is constructed from different transparent materials depending on the kind of test: 
     a) full mirror (only image display) 
     b) partial mirror (superposition of image on surroundings). 
     The arrangements according to the invention can be used in different ways: 
     1. Use without additional optics—screening (mass screening) 
     The image will not be sharply imaged on the retina of a test subject with defective vision and test criteria are given without additional correction (e.g., detection of visual acuity 0.7), with reference to which a number of test subjects can be classed as “fail” or “pass”. Those in the “fail” category must be examined further by a specialist. 
     2. Use with variable or exchangeable optics—determination of refraction, extensive examinations possible in that the image is sharply imaged on the retina when corrective optics are switched on or changed. 
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS 
     In the following, the invention is explained further with reference to schematic drawings. 
     FIGS. 1 a, b  are schematic drawings of arrangements according to the invention; 
     FIGS. 2 a, b  show a spectacle type frame for testing far vision and near vision; 
     FIGS. 3 a, b  show a spectacle type frame with test glasses arranged in font of the eye; 
     FIGS. 4 a, b  show the integration of the arrangement according to the invention in a trial frame or refraction spectacles; 
     FIGS. 5 a, b  show an arrangement with a scanner arranged in front of the light guide; 
     FIGS. 6 a, b  show a binocular test and a stereoscopic vision test; 
     FIGS. 7 a  and  7   b  show a display for carrying out the invention attached to the head of the observer. 
    
    
     DESCRIPTION OF THE PREFERRED EMBODIMENTS 
     In FIGS. 1 a, b , the light from one or more laser light sources  11  is brightness-modulated by a modulator  12  which is driven by driving electronics  13  which drive the modulator  12  and scanning unit  15  in accordance with the video signal  14  (e.g., RGB/RGY) present at their input. The brightness-modulated laser light reaches a two-dimensional scanning unit  15  either via a light-conducting fiber  16  according to FIG. 1 a  or directly as is shown in FIG. 1 b . By means of two-dimensional deflection, the scanning unit  15  generates a video picture which is projected onto the retina, according to FIG. 1 a , via variable optics  17  either via a reflector in accordance with FIGS. 2 a  and  2   b  or by the optical system of the human eye  18  (cornea and lens) by means of direct projection which is not shown but is known per se from cited references. A signal train from the driver to the scanner ensures the required one-to-one geometrical correspondence of the image points of the video picture to the generated brightness steps of the modulator. 
     In FIG. 1 b , the image generated by the scanning unit is advantageously fed into an image-carrying fiber bundle  19  via variable optics. The image formed at the output location of the image-carrying fiber bundle  19  is projected onto the retina via the eye lens. The sequence of scanning unit  15  and variable optics  17  in the beam path of the optical imaging can also be switched or exchanged. 
     FIGS. 2 a  and  2   b  show laser light source  21 , light guide  22 , spectacle frame  23  and scanner  24  which is fastened to the spectacle frame  23 , as well as a variable optical system  25 , wherein the sequence of scanner  24  and optical system  25  can also be switched. The spectacle glasses  26  are advantageously semitransparent, i.e., the light distribution coming from the scanner  24  attached to the spectacle frame  23  is reflected by the spectacle glasses  26  but the surroundings can still be perceived. The reflective coating can also be wavelength-selective under certain circumstances. 
     In a particularly advantageous manner according to the invention, the spectacle glasses  26  are divided into at least a first, preferably flat, zone Z 1  for far vision testing and at least a second zone Z 2  for near vision testing which is preferably constructed as a concave mirror. The two zones Z 1 , Z 2  can be constructed to be semitransparent. 
     The first zone Z 1  projects the light distribution of the scanner  24  in the direction of the eye  27  without influencing it, while the second zone for the eye  27  effects a projection of the scanner image from a defined, non-infinite distance, e.g., from a distance of 40 cm. In this way, near vision testing can be performed according to the invention, wherein a viewing direction of the eye which is adapted to the natural near vision process is achieved by forming the second zone. 
     In order to change from the far vision area to the near vision area, the generated scan image is displaced downward by an angle α from the first zone to the second zone. This is effected either in that the scanning unit  24  is constructed such that it may be operated manually or by motor so as to be tiltable by the above angle or by means of a purposely controlled deflection of the scanner  24  within the projection area by darkening parts of the image or altered deflection of the vertical scanning element. 
     FIG. 2 a  contains a two-fold arrangement of light sources  21 , light guides  22 , scanners  24  and optics  25  in order to present images to both eyes  27  of the test subject simultaneously or alternately. 
     Particularly advantageous possibilities for determining subjective refraction are discussed hereinafter. By means of the system  25  constructed as variable optics, it is possible to purposely generate a convergence or divergence of the light projected onto the eye in an advantageous manner so that the far vision deficiency of the eye is compensated for based on information given by the patient in a reproducible and measurable manner, so that the test subject sees the image sharply. 
     As was already mentioned, both zones Z 1 , Z 2  can be coated so as to be semitransparent so that a natural spatial impression and a relaxed viewing direction are made possible for the test subject. However, zones Z 1  and Z 2  can also be formed as a fully reflecting mirror. 
     Further examination methods for deficient vision are explained hereinafter with reference to the schematic drawings shown in FIGS. 3 a  and  3   b  in that variable optical elements are arranged in front of the eye. In this case, light sources  31 , light guides  32 , a scanning unit  34  fastened to the spectacle frame  33 , and exchangeable or variable elements  35  such as spherical lenses, cylindrical lenses, Stokes lenses, prismatic lenses, and prism compensators are arranged between zones Z 1 , Z 2  of the spectacles and the eye  27  of the test subject. In FIG.  3   a , for example, an optical element  35  of defined spherical and cylindrical effect is used in conjunction with zone Z 1  and is supplemented in FIG. 3 b  by an add-on, not shown, with a positive action for near-vision testing in conjunction with zone Z 2 . 
     FIGS. 4 a  and  4   b  show the connection of the arrangement according to the invention in a schematic view with light source  41  (with scanner and optics), light guides  42 , spectacle glass with reflector  46  with known refraction spectacles  44  on a common frame  43 , wherein the refractive spectacles have holders for the use and exchange of test glasses  45 . 
     Instead of the test spectacles  44 , the invention can also work with the swivelable test glasses of a known phoropter arranged in front of the eye. In view of the fact that in such test spectacles or phoropters, the advantageous viewing direction of the test subject passes through the center of the test glasses, the spectacle glass  46 , when divided into zones Z 1 , Z 2  as in FIG. 4 b , is advantageously put into different vertical positions as is shown schematically by the arrow in order to maintain this viewing direction for the different zones in far vision testing and near vision testing. 
     When using a spectacle glass  46  which is not divided into zones in arrangements according to FIGS. 2 to  5 , a plane reflector can be used as spectacle glass and, as was mentioned above, an adjustment of the far vision area and near vision area can be effected by means of the variable optics arranged before or after the scanner. 
     FIGS. 5 a  and  5   b  show the arrangement of the scanner  54  not on the spectacle frame  53 , but rather following the light source  51  and prior to a flexible light guide  52 , e.g., an image-carrying fiber bundle, leading to the spectacle frame  53 , which arrangement is advantageous because it is lighter for the patient. The image generated by the scanner  54  is coupled into this flexible light guide  52 , preferably in a known manner by means of optics, not shown, wherein projection is effected on the retina via alternating optical components  55 , zones Z 1 , Z 2 , and the optical system of the eye  56  via the light guide end  521  fastened to the spectacle frame, optionally with variable optics following the latter. In a manner analogous to that described above, vision deficiency and other visual functions can also be determined with this system. 
     Further, the technical effect of the variable optics according to FIGS. 2 a ,  2   b  can also be transmitted into the area in front of the light guide input by arranging a variable optical system there. 
     FIG. 6 a  shows a binocular test such as that which can be realized with an arrangement according to the invention in that the partial images are displaced relative to one another in a defined manner corresponding to the information given by the test subject by suitably controlling the modulator or the horizontal and/or vertical scanning elements. 
     FIG. 6 b  shows a stereoscopic vision test, wherein the stereoscopic impression is altered by displaceable partial images. 
     The different advantageous possibilities for determining vision functions were explained in the preceding with particular reference to an optical electronic system for direct projection on the retina. However, the described vision function tests can also be advantageously carried out by means of the spectacle type or helmet type frames mentioned in the beginning for monocular or binocular imaging of test images generated by screens via semitransparent or preferably relatively small full mirrors. In so doing, refraction can also be determined based on the information of the patent by means of intermediate optics which can be adjusted in a defined manner or exchanged. FIGS. 7 a  and  7   b  show a display  7 . 2  attached to the head of the observer, e.g., by means of a strap  7 . 1 , wherein the image of two screens  7 . 3  is seen by the observer via suitable semitransparent or fully reflective deflecting elements  7 . 4 . 
     While the foregoing description and drawings represent the present invention, it will be obvious to those skilled in the art that various changes may be made therein without departing from the true spirit and scope of the present invention.

Technology Category: 1