Full-eye illumination ocular surface imaging of an ocular tear film for determining tear film thickness and/or providing ocular topography

• US 10,582,849 B2
• Filed: 01/18/2019
• Issued: 03/10/2020
• Est. Priority Date: 12/21/2012
• Status: Active Grant

• Current Assignee: TearScience Inc. (Johnson & Johnson)
• Original Assignee: TearScience Inc. (Johnson & Johnson)
• Inventors: Grenon, Stephen M., Korb, Donald R.
• Primary Examiner(s): Pinkney, Dawayne
• Application Number:
  US16/251,332
• Publication Number:
  US 20190150728A1
• Time in Patent Office: 417 Days
• Field of Search: 351206, 351200, 351205, 351209-210, 351221-223, 351245-246, 351212, 351208, 351160 R, 351159, 600247, 600356, 600346, 600476, 600425
• CPC Class Codes: A61B 3/0008 provided with illuminating means A61B3/117 takes precedence; goniolenses used for laser treatment A61F9/009; illuminating means for optical instruments G02B27/00
• CPC Class Codes: A61B 3/0025 characterised by electronic signal processing, e.g. eye models
• CPC Class Codes: A61B 3/0058 for multiple images
• CPC Class Codes: A61B 3/1005 for measuring distances inside the eye, e.g. thickness of the cornea A61B3/11 takes precedence
• CPC Class Codes: A61B 3/101 for examining the tear film
• CPC Class Codes: A61B 3/107 for determining the shape or measuring the curvature of the cornea
• CPC Class Codes: A61B 3/14 Arrangements specially adapted for eye photography apparatus or arrangements for taking photographs per se G03B
• CPC Class Codes: G02B 26/023 comprising movable attenuating elements, e.g. neutral density filters

Abstract

Ocular surface interferometry (OSI) devices, systems, and methods are disclosed for measuring a tear film layer thickness (TFLT) of the ocular tear film, including the lipid layer thickness (LLT) and/or the aqueous layer thickness (ALT). The TFLT can be used to diagnose dry eye syndrome (DES). Certain embodiments also include ocular topography devices, systems and methods for deducing corneal shape by capturing an image of a target reflecting from the surface of the cornea. The image of the target contains topography information that is reviewable by a clinician to diagnose the health of the patient'"'"'s eye by detecting corneal aberrations and/or abnormalities in corneal shape. Certain embodiments also include a combination of the OSI and ocular topography devices, systems and methods to provide imaging that can be used to yield a combined diagnosis of the patient'"'"'s tear film and corneal shape.

Claims

1. A method of imaging an eye, comprising:

modulating light from a multi-wavelength light source to project the light onto the eye;

receiving at an imaging device, at least one first image comprising at least one first signal associated with an ocular property of the eye comprising a first pattern of optical wave interference of specularly reflected light and at least one background signal from at least one first portion of an ocular tear film of the eye, and a second pattern of optical wave interference of specularly reflected light and the at least one background signal from at least one second portion of the ocular tear film different from the at least one first portion;

modulating light from the multi-wavelength light source to project a second light onto the eye; and

receiving at the imaging device, at least one second image containing at least one second signal associated with the ocular property of the eye comprising optical wave interference of specularly reflected second light including at least one second background signal reflected from the at least one second portion of the eye different from the at least one first portion of the eye.

2. The method of claim 1, wherein modulating the light from the multi-wavelength light source to project the light onto the eye comprises modulating the light from the multi-wavelength light source to project the first pattern of the light onto the eye thereby generating the at least one first signal.

3. The method of claim 2, wherein modulating the light from the multi-wavelength light source to project the second light onto the eye comprises modulating the light from the multi-wavelength light source to project the second pattern of the second light onto the eye thereby generating the at least one second signal.

4. The method of claim 1, comprising alternating modulating the light from the multi-wavelength light source to project the light onto the eye and modulating the light from the multi-wavelength light source to project the second light onto the eye.

5. The method of claim 1, wherein the multi-wavelength light source is comprised of a multi-wavelength Lambertian light source configured to uniformly or substantially uniformly illuminate the eye.

6. The method of claim 1, further comprising displaying at least one of the at least one first image and the at least one second image on a visual display.

7. The method of claim 6, further comprising displaying the at least one of the at least one first image and the at least one second image overlaid onto the at least one of the at least one first image and the at least one second image on the visual display.

8. The method of claim 1, wherein the ocular property is comprised of a thickness of the ocular tear film.

9. The method of claim 1, comprising receiving the at least one first image when not modulating the light from the multi-wavelength light source to project the second light onto the eye.

10. The method of claim 1, comprising receiving the at least one second image when not modulating the light from the multi-wavelength light source to project the light onto the eye.

11. The method of claim 1, wherein the at least one second signal comprises a first pattern of the optical wave interference of the specularly reflected second light and the at least one second background signal from the at least one second portion of the ocular tear film of the eye, and a second pattern of the optical wave interference of the specularly reflected second light and the at least one second background signal from the at least one first portion of the ocular tear film.

12. The method of claim 11, further comprising combining the at least one first image to the at least one second image to form at least one resulting image in a pattern containing the optical wave interference of the specularly reflected light from the ocular tear film with the at least one background signal removed or reduced.

13. The method of claim 11, wherein receiving the at least one second image further comprises:

receiving the at least one second background signal from the at least one second portion in the first pattern in the at least one first image; and

receiving the at least one second background signal from the at least one first portion of the second pattern in the at least one second image.

14. The method of claim 13, further comprising combining the at least one first image to the at least one second image to form at least one resulting image in a pattern containing the optical wave interference of the specularly reflected light from the ocular tear film with the at least one background signal removed or reduced.

15. The method of claim 12, further comprising:

converting at least a portion of the at least one resulting image representing the optical wave interference of the specularly reflected light from at least a portion of the ocular tear film into at least one color-based value;

comparing the at least one color-based value to a tear film layer optical wave interference model; and

measuring a tear film layer thickness (TFLT) of the at least a portion of the ocular tear film based on the comparison of the at least one color-based value to the tear film layer optical wave interference model.

16. The method of claim 15, wherein measuring the TFLT of the at least a portion of the ocular tear film based on the comparison of the at least one color-based value to the tear film layer optical wave interference model further comprises measuring at least one of a lipid layer thickness (LLT) and an aqueous layer thickness (ALT).

17. The method of claim 1, wherein the at least one first signal and the at least one second signal are also associated with a second ocular property of the eye that is a corneal shape.

18. The method of claim 17, further comprising subtracting the at least one second image from the at least one first image to generate at least one resulting image.

19. The method of claim 1, wherein the ocular property is a corneal shape and the at least one first signal is associated with a corneal shape for the at least one first portion of the eye, and the at least one second signal is associated with a corneal shape for the at least one second portion of the eye.

20. The method of claim 1, wherein the at least one first portion of the eye and the at least one second portion of the eye are comprised of equal or approximately equal areas.