Measuring apparatus for intraocular substance employing light from eyeball

• US 5,882,301 A
• Filed: 12/12/1996
• Issued: 03/16/1999
• Est. Priority Date: 12/13/1995
• Status: Expired due to Term

• Current Assignee: Akitoshi Yoshida
• Original Assignee: Akitoshi Yoshida
• Inventors: Yoshida, Akitoshi
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): YARNELL, BRYAN KEITH
• Application Number:
  US08/766,222
• Time in Patent Office: 824 Days
• Field of Search: 600/310, 600/318, 600/319, 600/320, 600/321, 600/473, 600/476
• US Class Current: 600/318
• CPC Class Codes: A61B 3/10 Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters

Abstract

Relative directions of excitation and photoreceiving optical systems are so set that an angle formed by optical axes thereof in the air is 14°, and an eyeball is fixed in such a direction that its ocular axis divides the angle formed by the optical axes into two equal parts. On a light incidence side of a one-dimensional solid-state image pickup device of the photoreceiving optical system, a slit is arranged for inputting measuring light components generated from portions of the eyeball having different depth positions on an excitation light beam in photoelectric conversion elements of different positions of the image pickup device. The measuring light components generated from the respective portions of the eyeball parallel to the optical axis are incident upon the one-dimensional solid-state image pickup device through the slit and simultaneously detected, so that the positions of the photoelectric conversion elements and measuring light component generating positions at the eyeball correspond to each other.

Claims

1. Apparatus for determining concentration of an intraocular substance in an eyeball, comprising:

an excitation optical system having a monochromated or single-wavelength excitation light beam, wherein said excitation light system is positioned relative to said eyeball so that said excitation light beam is not incident upon an iris in the eyeball, and

a photoreceiving optical system having an optical element and a photodetector, wherein the optical element guides a plurality of measuring light components being emitted simultaneously from a plurality of locations within the eyeball, wherein the photodetector is selective for said plurality of measuring light components, wherein each of said measuring light components has spectral intensities, and wherein said concentration ofihe intraocular substance is afinction of said spectral intensities detected by said photodetector.

2. The apparatus in accordance with claim 1, wherein said photoreceiving optical system further comprises a spectroscope to separate said measuring light components being emitted from said eyeball into spectral components, and wherein said photodetector detects said spectral components.

3. The apparatus in accordance with claim 2, wherein

said photodetector is a one-dinensional or atwo-dimensional solid-state image pickup device having a plurality of photoelectric conversion elements being arranged along a straight line and forming an angle with an optical axis of said photoreceiving optical system in a plane comprising an optical axis of said excitation optical system and an ocular axis of said photoreceiving optical system, wherein said spectscope is a Fourier transform spectroscope and a filter or an acousto-optic tlmable filter, and wherein said optical element associates positions of said photoelectric conversion elements of said one-dimensional ortwo-dimensional solid-state image pickup device with said plurality of locations within said eyeball.

4. The apparatus in accordance with claim 3, wherein

said photodetector is a two-dimensional solid-state image pickup device, and said excitation optical system further comprises a beam sweep mechanism for moving said excitation light beam in a direction being perpendicular to said plane including said optical axes of said excitation and photoreceiving optical systems.

5. The apparatus in accordance with claim 2, wherein

said photodetector is a two-dimensional solid-state image pickup device and said spectroscope is a diffraction grating, wherein said optical element associates positions of said photoelectric conversion elements in a series of photoelectric conversion elements in said two-dimensional solid-state image pickup device with said plurality of locations within said eyeball, and said photoreceiving optical system comprises a multi-channel spectroscope to disperse said measuring light components in a direction perpendicular to said photoelectric conversion elements in said two-dimensional solid-state image pickup device.

6. The apparatus in accordance with claim 1, being further provided with an ocular axis fixing optical system comprising an ocular axis fixing light source being different from a light source of said excitation optical system, for generating visible light and introducing a light beam from said light source into said eyeball for measent or another eyeball, in order to fix the ocular axis.

7. The apparatus in accordance with claim 1, wherein said photoreceiving optical system comprises

a two-dimensional solid-state image pickup device to determine a direction of said eyeball and a position of incidence of said excitation light beam on said eyeball.

8. The apparatus in accordance with claim 1, wherein

said photodetector of said photoreceiving optical system is a two-dimensional solid-state image pickup element, being employed also as a monitor for monitoring a direction of said eyeball.

9. The apparatus in accordance with claim 1, wherein

said excitation optical system has an optical axis and said photoreceiving optical system has an ocular axis, and wherein the optical axis and the ocular axis intersect on or near a retina of the eyeball.

10. The apparatus in accordance with claim 9, wherein

an angle is formed by said optical axis and the ocular axis, and wherein said angle is less than or equal to about 15 degrees.

11. The apparatus in accordance with claim 1, wherein

said excitation and photoreceiving optical systems are so arranged that measuring light components that are parallel to said optical axis of said photoreceiving optical system are incident upon said optical element without being blocked by the iris, said measuring light components being generated from said locations of said eyeball having different depths along said excitation light beam from said excitation optical system.

12. The apparatus inaccordancewith claim 1, wherein

said optical element is a slit or an optical fiber lens array.

13. The apparatus in accordance with claim 1, wherein

said optical element is a conjugate optical system comprising a lens for imaging a set of said measuring light components being emitted from said plurality of locations in said eyeball on said photodetector or said spectroscope.

14. The apparatus in accordance with claim 1, wherein

said photodetector is aone dimensional or atwo-dimensional solid-state image pickup device having a plurality of photoelectric conversion elements being arranged along a straight line and forming an angle with an optical axis of said photoreceiving optical system in a plane including optical axes of said excitation and photoreceiving optical systems, and wherein said optical element associates positions of said photoelectric conversion elements of said one-dimensional or two-dimensional solid-state image pickup device with said plurality of locations within said eyeball.

15. The measuring apparatus in accordance with claim 14, wherein

said photodetector is a two-dimensional solid-state image pickup device, and said excitation optical system further comprises a beam sweep mechanism for moving said excitation light beam in a direction being perpendicular to said plane including said optical axes of said excitation and photoreceiving optical systems.

16. The apparatus in accordance with claim 1, wherein

said excitation optical system comprises a beam splitter, said beam splitter being positioned on an optical axis of said excitation light beam, wherein said beam splitter separates a first portion of said excitation light and wherein said first portion of said excitation light is incident upon a first portion of said photoelectric conversion elements of said photodetector to produce a first output from said photodetector, and wherein an output of a remaining portion of said photoelectric conversion elements receiving said measuring light components from said eyeball is compared to said first output of said photodetector.

17. The apparatus in accordance with claim 1, wherein

said excitation and photoreceiving optical systems are housed in a goggle structure being attachable to a face.

18. The apparatus in accordance with claim 17, wherein

said goggle structure comprises a transmission circuit for outputting information to an external data processor.

19. The apparatus in accordance with claim 1, wherein

said intraocular substance is a sugar, wherein said sugar is glucose, inositol fructose, galactose, or sorbitol and wherein

determination is performed with respect to glucose through a Raman scattering peak at 420 to 1500 cm^-1 or 2850 to 3000 cm^-1 in a shift wavenumber from an excitation wavelength;

determination is performed with respect to inositol through a Raman scattering peak at 400 to 1500 cm^-1 or 2900 to 3050 cm^-1 in a shift wavenumber from said excitation wavelength;

determination is performed with respect to fructose through a Raman scattering peak at 550 to 1500 cm^-1 or 2900 to 3050 cm^-1 in a shift wavenumber from said excitation wavelength;

determination is performed with respect to galactose through a Raman scattering peak at 400 to 1500 or 2850 to 3050 cm^-1 in a shift wavenumber from said excitation wavelength;

determination is performed with respect to sorbitol through a Raman scattering peak at 380 to 1500 cm^-1 or 2700 to 2960 cm^-1 in a shift wavenumber from said excitation wavelength.

20. The apparatus in accordance with claim 1, wherein

said intraocular substance is a lipid, and

determination is performed with respect to lecithin through a spectral intensity of a fluorescence spectrum in a wavelength range of 450 to 650 nm or an integrated value of a spectrum of a proper wavelength range within the range.

21. The apparatus in accordance with claim 1, wherein

said intraocular substance is bilirubin, and determination is performed through a Raman scattering peak at 500 to 540 cm^-1, 670 to 710 cm^-1, 900 to 980 cm^-1, 1220 to 1300 cm^-1, 1310 to 1330 cm^-1, 1400 to 1500 cm^-1 or 1550 to 1670 cm^-1 in a shift wavenumber from an excitation wavelength.

22. The apparatus in accordance with claim 1, wherein

said intraocular substance is a glycated protein, and wherein

determination is performed with respect to a glycated albumin through a spectral intensity of a fluorescence spectrum in a wavelength range of 640 or 850 nm or an integrated value of a spectrum of a proper wavelength range within the range.

23. The apparatus in accordance with claim 1, wherein

said intraocular substance is an advanced glycated end product.

24. The apparatus in accordance with claim 1, wherein said intraocular substance is a glycated crystallin.

25. The apparatus in accordance with claim 1, wherein

concentrations of at least two intraocular subtances are measured said substances being a sugar, a lipid, bilirubin or a glycated protein, wherein peak intensities or peak areas of Raman scattered light of shift wavenumbers are selected for said intraocular substances, and wherein spectral intensities of fluorescence or integrated values of wavelength ranges are employed, so that measured values of said substances are obtained from a plurality of values by multivariate regression analysis.

26. The apparatus in accordance with claim 1, wherein

said intraocular substance is an exogenous fluorescent substance.

27. The apparatus in accordance with claim 1, wherein

said intraocular substance is a sugar, said sugar being glucose, inositol, fructose, galactose, or sorbitol, and wherein

determination is performed with respect to glucose through a Raman scattering peak at 420 to 450 cm^-1, 460 to 550 cm^-1, 750 to 800 cm^-1, 850 to 940 cm^-1, 1000 to 1090 cm^-1, 1090 to 1170 cm^-1, 1200 to 1300 cm^-1, 1300 to 1390 cm^-1, 1450 to 1500 cm^-1 or 2850 to 3000 cm^-1 in a shift wavenumber from an excitation wavelength;

determination is performed with respect to inositol through a Raman scattering peak at 400 to 500 cm^-1, 700 to 900 cm^-1, 1000 to 1100 cm^-1, 1200 to 1500 cm^-1 or 2900 to 3050 cm^-1 in a shift wavenumber from said excitation wavelength;

determination is performed with respect to fructose through a Raman scattering peak at 550 to 620 cm^-1, 650 to 700 cm^-1, 780 to 870 cm^-1, 900 to 980cm^-1, 1000 to 1150 cm^-1, 1200 to 1300 cm^-1, 1400 to 1480 cm^-1 or 2900 to 3050 cm^-1 in a shift wavenumber from said excitation wavelength;

determination is performed with respect to galactose through a Rarnan scattering peak at 450 to 550 cm^-1, 630 to 900 cm^-1, 1000 to 1180 cm^-1, 1200 to 1290 cm^-1, 1300 to 1380 cm^-1, 1400 to 1500 cm^-1 or 2850 to 3050 cm^-1 in a shift wavenumber from said excitation wavelength;

or

determination is performed with respect to sorbitol through a Raman scattering peak at 388 to 488 cm^-1, 749 to 862 cm^-1, 933 to 1120 cm^-1, 1380 to 1464 cm^-1 or 2731 to 2960 cm^-1 in a shift wavenumber from said excitation wavelength.

28. Apparatus for determining concentration of an intraocular substance in an eyeball that has an ocular as a function of intensities of spectral components of light emanating from the eyeball, said apparatus comprising:

a monochronated light source that is positionable adjacent an eyeball in a manner that propagates a monochromatic light beam into the eyeball along a first optical axis that is oriented at an angle to said ocular axis such that said first optical axis and said ocular axis are not congruent with each other,

a photodectorpositionable adjacent the eyeball and having a plurality of photoelectric elements that are capable of producing singal indicatives of intensity of light that is incident on said photoelectric elements, said photoelectric elements being positioned in a spaced array extending perpendicular to a second optical axis such that said second optical axis extends into the eyeball to intersect said first optical axis, said second optical axis also being at an angle to said ocular axis and in a common plane that includes said first optical axis and said ocular axis such that said ocular axis is positioned between said first optical axis and said second optical axis, said array of photoelectric elements also being positioned in said plane and having a pitch;

a plurality of optical guiide elements positionable in a spaced array between the photodetector and the eyeball on said second optical axis, parallel to said array of photoelectric elements, and with a pitch that matches the pitch of the photoelectric elements such that each optical guide element is positioned to direct light emanating from the eyeball parallel to the second optical axis into one of said photoelectric elements; and

a spectroscope positionable on said second optical axis between the photodetector and the eyeball said spectroscope being capable of separating said light emanating from the eyeball into spectral components such that signals produced by said photoelectric elements are indicative of intensities of spectral components of light emanating from the eyeball.

29. A method for determining concentration of a substance in a body of a subject, said method comprising:

(a) irradiating an eye of the subject with an excitation light beam, said excitation light beam being incident upon a plurality of locations within an anterior portion of the eye and reemerging from the eye as a plurality of measuring light components;

(b) passing said plurity of measuring light components through an optical element to guide each of said measuring light components to a corresponding position on a photodetector;

(c) measuring a spectral intensity of each of the measuring light components passing through the optical element and producing electrical signals representative of said measured intensity; and

(d) calculating the concentration of the substance based on the measured electrical signals.

30. The method of claim 29, wherein said excitation light beam is a monochromated or single-wavelength light beam.

31. The method of claim 29, wherein said excitation light beam comprises visible or near infrared light.

32. The method of claim 29, wherein said irradiating includes

focusing the excitation light beam on the plurality of locations within the eye, wherein the plurality of locations are positioned on an optical axis through the anterior portion of the eye, and wherein the optical axis is not incident upon an iris.

33. The method of claim 29, wherein said optical element is a slit or an optical fiber lens array.

34. The method of claim 29, wherein said passing includes the step of

traversing a plurality of thin plates, wherein each of said plates is positioned in an orientation parallel to an optical axis of said plurality of measuring light components.

35. The method of claim 29, wherein said passing includes the step of

traversing an array of optical fiber lens, wherein each of said optical fiber lens is positioned in an orientation parallel to an optical axis of said plurality of measuring light components.

36. The method of claim 29, wherein said optical element is a conjugate optical system comprising a lens, wherein said lens images said measuring light components being emitted from said plurality of locations with said eye onto a photodetector.

37. The method of claim 29, wherein said measuring light components are scattered light or fluorescence.

38. The method of claim 29, further comprising

separating said measuring light components into spectral components before measuring a special intensity.

39. The method of claim 38, wherein said step of separating includes the step of

passing said measuring light components through a spectroscope.

40. The method of claim 39, wherein said spectroscope is a courier transform spectroscope, a filter, or an acousto-optic tunable filter.

41. The method of claim 29, wherein said irradiating includes

splitting the excitation light beam into a first portion and a second portion, said first portion being incident upon a photodetector and said second portion being incident upon the eye.

42. The method of claim 41, wherein said step of splitting the excitation light beam is performed using a half mirror positioned between an excitation light source and the eye.

43. The method of claim 29, further comprising

stabilizing an ocular axis of a photoreceiving optical system, said photoreceiving optical system comprising the optical element and the photodetector.

44. The method of claim 43, wherein the stabilizing includes

exposing the eye to visible light to stabilize the ocular axis between the eye and the photodetector by generating a beam of visible light, passing the beam of visible light through a slit to produce a narrow beam of light, focusing the narrow beam of light on a half mirror, and reflecting a portion of the narrow beam of light into the eye.

45. The method of claim 29, wherein said substance is a sugar, a lipid, bilirubin or a glycated protein.

46. The method of claim 29, wherein said photodetector is a one-dimensional or a two-dimensional solid-state image pickup device having aplurality of photoelectric conversion elements.