Ophthalmoscope with uniform illumination

• US 4,200,362 A
• Filed: 06/20/1977
• Issued: 04/29/1980
• Est. Priority Date: 09/25/1972
• Status: Expired due to Term

• Current Assignee: The Schepens Eye Research Institute Inc (Mass General Brigham, Inc.)
• Original Assignee: Retina Foundation
• Inventors: Pomerantzeff, Oleg
• Primary Examiner(s): Sacher, Paul A.
• Application Number:
  US05/808,181
• Time in Patent Office: 1,044 Days
• Field of Search: 351/6, 351/7, 351/16
• US Class Current: 351/221
• 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 3/12 for looking at the eye fundus, e.g. ophthalmoscopes A61B3/13 takes precedence
• CPC Class Codes: A61B 3/125 with contact lenses contact lenses per se G02C7/04
• CPC Class Codes: A61B 5/14555 specially adapted for the eye fundus

Abstract

Apparatus for viewing an eye fundus through a contact lens has an illuminating element that illuminates the fundus through the sclera. The illuminating element includes at least one fiber optic bundle with an exit facet for placement contiguous with the sclera, generally through whatever thickness of occular conjunctiva is present. The apparatus also has an optical mask system which masks the image of the fundus portion most intensely illuminated by the fiber optic exit facet to control over-illumination of that fundus portion.

Claims

1. In a device for examining an eye fundus under applied illumination, said device having

lamp means for illuminating the fundus and

means for imaging the fundus through the lens of the eye and along an optical axis for viewing,

said lamp means directing light onto the sclera of the eye to illuminate the fundus,

the improvement comprising

optical image masking means for rendering the optical brightness of the image of the fundus more uniform as a function of location relative to the fundus than is the brightness of such illuminated light transmitted through the sclera onto the fundus.

2. In a device according to claim 1, the further improvement wherein the masking means includes at least one mask member movable to provide selective masking of image brightness.

3. In a device according to claim 1, the further improvement wherein the masking means includes a mask member having a contoured periphery and movable to interpose the contoured periphery selectively into a portion of the image of the fundus for providing selective masking of image brightness.

4. In a device according to claim 1, the further improvement wherein the masking means includes a mask member having prescribed movement in at least a portion of the image of the fundus for providing selective masking of image brightness.

5. In a device according to claim 1, the further improvement wherein the masking means includes a mask member movable in at least a portion of the image of the fundus which corresponds to a location where such illuminating light passes through the sclera.

6. In a device according to claim 1, the improvement wherein the masking means includes a mask member movable in a plane transverse to said optical axis and for selectively blocking light from a location on the fundus where such illuminating light is transmitted through the sclera.

7. In a device according to claim 6, the further improvement wherein the plane in which said mask member is movable is removed from the location at which said viewing means images the fundus.

8. In a device according to claim 2, the further improvement comprising means for providing such movement of the mask member in a plane transverse to said optical axis.

9. In a device according to claim 1, the further improvement wherein the masking means includes a mask member for projecting a selectively-graduated optical opacity.

10. In a device for examining an eye fundus under applied illumination, said device having lamp means for illuminating the fundus and a contact lens for viewing the fundus, said contact lens having an optical axis, said lamp means comprising means for directing light onto the sclera of the eye being examined for transmission through the sclera to illuminate the fundus, the improvement wherein mask means are provided for movement with respect to said optical axis, and wherein mask driving means are provided for moving said mask means, said mask means being movable for masking the image of the fundus portion most intensely illuminated by said means for directing light onto the sclera.

11. In a device according to claim 10, the further improvement wherein said light-directing means includes first and second fiber optic bundles, each of which has an exit facet for placement on an exterior surface of the eye at a region of the sclera having relatively high optical transmission to the eye fundus, and wherein said mask means comprises first and second opaque mask members each movable between a respective second position in which it masks the image of the fundus portion most intensely illuminated, and a respective first position in which it intercepts less of the light transmitted by said contact lens.

12. In a device according to claim 11, the further improvement wherein the portion of each said mask member that masks a portion of the fundus image is substantially in the shape of a segment of a circle.

13. In a device according to claim 11, the further improvement wherein a linkage is provided between said first and second mask members, thereby enabling a single mask driving means to drive both mask members simultaneously.

14. In a device according to claim 13 wherein said lamp means includes a single light source, the further improvement wherein said lamp means also includes a shuttle member that receives a light-receiving end of each said fiber optic bundle and means for moving said shuttle member between a first position in which the light-receiving end of said first fiber optic bundle is exposed to light emitted from said light source and a second position in which the light-receiving end of said second fiber optic bundle is exposed to light emitted from said light source.

15. In a device according to claim 14, the further improvement wherein said mask driving means is arranged for driving said mask means through a full cycle between said first position and said second position while each said fiber optic bundle is exposed via said shuttle member to light from said light source.

16. In a device according to claim 14, the further improvement wherein shuttle position sensor means are provided for sensing the shuttle position of the shuttle member for synchronizing the movement of said mask means relative to the movement of said shuttle member.

17. In a device according to claim 10, the further improvement wherein the movement of said mask means is a displacement transverse to said optical axis and said driving means moves said mask means between said first and second positions with a non-linear rate, thereby providing compensation for the varying intensity of light on the region of the fundus corresponding to the portion of the fundus image occluded by the mask means.

18. In a device according to claim 17, the further improvement wherein said driving means moves said mask means such that, as the mask means moves from said first position to said second position, an initial portion of the movement is at a faster rate than subsequent portions of the movement.

19. In a device according to claim 18, the further improvement wherein said mask means is driven from said second position to said first position with, an initial portion of that movement slower than subsequent portions of that movement.

20. In a device according to claim 18, the further improvement wherein said mask driving means includes a motor element driving a rotary cam member, said cam member having a curvilinear slot for receiving a cam follower that is linked to said mask means for said driving of said mask means.

21. In a device for examining an eye fundus under applied illumination, said device having lamp means for illuminating the fundus and a lens for viewing the fundus along an optical axis, said lamp means including means for directing light onto the sclera of the eye being examined for transmission through the sclera to illuminate the fundus, the improvement comprising optical masking means in optical alignment with said lens for rendering the optical brightness of the image of the fundus more uniform as a function of location relative to the fundus than is the brightness of such illuminating light transmitted through the sclera onto the fundus.

22. In a device according to claim 21, the further improvement wherein said optical masking means selectively masks the image of the fundus at a region corresponding to a location on the fundus where such illuminating light is transmitted through the sclera.

23. In a device for viewing an eye fundus under applied illumination and having lamp means for illuminating the fundus through the eye sclera and lens means for viewing the fundus through the lens of the eye and along an optical axis, the improvement comprising

optical mask means disposed in selected optical alignment with the lens means for reducing the optical intensity of the fundus image at regions of the image corresponding to locations on the fundus where illuminating light enters the eye through the sclera, thereby to diminish significant differences in the optical intensity of the fundus image at different regions thereof.

24. In a device according to claim 23, the further improvement in which said optical mask means includes at least one mask member of selected optical opaqueness within a contoured periphery.

25. In a device according to claim 24, the further improvement comprising means for mounting said mask member relative to said lens means and lamp means for selected rotation about a second axis parallel to said optical axis.

26. In a device according to claim 25, the further improvement in which said mounting means provides selected rotatable adjustment of said mask member about said second axis.

27. In a device according to claim 26, the further improvement comprising motor means for drivingly rotating said mask member about said second axis.

28. In a device according to claim 25, the further improvement comprising transverse adjustment means for adjustably positioning said mask member and thereby said second axis relative to said optical axis.

29. In a device according to claim 24, the further improvement comprising means for mounting said mask member relative to said lamp means and to said lens means for adjustable movement relative to said optical axis selectively to interpose the mask member partially over the fundus image which said lens means provides.

30. An ophthalmic instrument for viewing an eye fundus under applied illumination and having lamp means for illuminating the eye fundus through the eye sclera and lens means for viewing the fundus through the lens of the eye and along an optical axis, and further comprising

at least one optical mask member disposed in selected optical alignment with said lens means and with said optical axis and movable relative to said optical axis for reducing the optical intensity of the fundus image from said lens means at at least one region of the image corresponding to at least one location on the fundus where light enters the eye through the sclera.

31. An instrument as defined in claim 30, further comprising means mounting said mask member relative to said lens means and said lamp means substantially in a plane transverse to said optical axis and for movement substantially within said plane.

32. Apparatus as defined in claim 30 in which said mask member includes an optically-opaque disk-like element having a selectively-contoured periphery.

33. In a device according to claim 32, the further improvement in which said opaque mask element has a peripheral contour comprising regions of different roundnesses.

34. A device according to claim 32 in which said opaque mask element has a contoured periphery comprising regions of different curvatures corresponding generally to the curvatures of different eyes.

35. A device according to claim 30 in which said mask member has a first central region of significant optical opacity and bordered by a second region of lesser optical opacity, said different opacities of said mask member being selected for imparting a substantially uniform level of optical brightness to the fundus image at the image region corresponding to the fundus location where light enters through the sclera.

36. A method for ophthalmic examination of an eye fundus under illumination applied at least in part through the eye sclera, said method comprising the improvement of optically masking the image of the eye fundus at the image region corresponding to the fundus location where the applied illumination enters through the sclera, for imparting a substantially uniform level of optical brightness to the fundus image including at the aforesaid region.

37. A method as defined in claim 36 in which said masking step includes the further step of adjusting the masking in accordance with parameters of the eye being examined.

38. A method as defined in claim 36 in which said masking step includes the step of selectively applying said optical masking for diminishing the visibility in the fundus image of the means for introducing said optical masking.