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APPARATUS AND METHOD FOR
MEASURING VISION DEFECTS OF A
HUMAN EYE
CROSS-REFERENCE TO RELATED
APPLICATION
This Application is a continuation of and hereby incorporates by reference application Serial No. 09/,274,672, filed Mar. 24, 1999 now abandoned, which itself claims priority to Provisional Application having Ser. No. 60/097, 086, filed on Aug. 19, 1998 for "Apparatus and Method for Measuring Vision Defects of a Human Eye" all of which are commonly owned with the instant application.
BACKGROUND OF INVENTION
1. Field of Invention
The invention relates generally to optical aberration measurements and correction, and in particular to projection techniques in the objective measurement and correction of the human eye using a wavefront sensor.
2. Description of Background Art
There has been and continues to be a need to provide a person with improved visual acuity. Remodeling of the cornea using refractive laser surgery or intra-corneal implants, adding synthetic lenses using intra-ocular lens implants or precision ground contact lenses or eye glasses provide known solutions. Further, it is known to correct vision astigmatically by surgical modification of myopic or hyperopic astigmatism through laser keratoplasty, keratomileusis or photorefractive keratectomy. Laser sources are used to erode or ablate surfaces of the eye, typically reshaping the cornea. Prior to and during such surgery, precise measurements must be made to determine required surgical corrections.
The imprecise measurement technique of placing lenses of known refractive power anterior to the cornea and asking a patient which lens or lens combination provides the clearest vision has been improved with the use of autorefractometers, as described in U.S. Pat. No. 5,258,791 to Penny et al., or with the use of wavefront sensors as described by Liang et al. in "Objective Measurement of Wave Aberrations of the Human Eye with the Use of a Hartmann-Shack Wave-Front Sensor," Journal of the Optical Society of America, Vol. 1, No. 7, July 1994, p.p 1949-1957, by way of examples. Penny '791 discloses the use of autorefractometer measurements for determining the appropriate corneal surface reshaping to provide emmetropia, a condition of a normal eye when parallel rays are focused exactly on the retina and vision is optimum. Spatially resolved refraction data, in combination with measured existing surface contour of the anterior surface of the eye, enable a calculation of a detailed spatially resolved new contour which provides corrected vision. It would be an improvement in this art if such vision correction could be made without the need for this contour data, and further without the need for feedback from the patient regarding an appropriate lens. Liang et al. disclose the use of a HartmannShack wavefront sensor to measure ocular aberrations by measuring the wavefront emerging from the eye by retinal reflection of a focused laser light spot on the retina's fovea. A parallel beam of laser light passes through beam splitters and a lens pair which brings the beam to a focus point on the retina by the optics of the eye. Possible myopia or hyperopia of the tested eye is corrected by movement of a lens within the lens pair. The focused light on the fovea is then assumed to be diffusely reflected and acts as a point source located on
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the retina. The reflected light passes through the eye and forms a distorted wavefront in front of the eye that results from the ocular aberrations. The aberrated wavefront is then directed to the wavefront sensor.
5 Apoint source of radiation on the retina would be ideal for such measurements. However, when the perfect eye receives a collimated beam of light, the best possible image on the retina is a diffraction limited spot. As illustrated by way of example, with Penny et al. and Liang et al., discussed above,
1° and typical for those of skill in the art, parallel or collimated beams are used with the optics of the eye being measured to achieve this diffraction limited spot for such objective measurements. To do so requires that a setup for each patient include a corrective lens or lens combination and adjust
15 ments thereto for accommodating that patient's specific visual acuity. Providing a corrective or lens combination, as well as setting up for their use becomes cumbersome, time consuming, and requires additional expense. Eliminating the need for such corrective optics is desirable and eliminates a
20 variable within optical measurement systems that typically include many variables. Further, there is a need for providing optical characteristics of an eye without requiring feedback from the patient. By way of example, the patient may be a wild or domestic animal, living or dead.
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SUMMARY OF INVENTION
In view of the foregoing background, it is therefore an object of the present invention to provide a refraction
30 measurement system that easily accommodates the measurement of vision characteristics of the eye, even in the presence of finite refractive errors. It is another object to improve upon the time required for a patient to be in a fixed position during examination, while at the same time providing a
35 useful source of light on the retina of the eye to be measured regardless of the characteristics of the eye of that patient or other patients to be examined. It is further an object to measure such characteristics without requiring patient or operator feedback.
40 These and other objects, advantages and features of the present invention are provided by a method aspect of the invention for measuring optical characteristics of an optical system including the focusing of an optical beam proximate an anterior surface of the optical system for placing a finite
45 source of secondary radiation on a focal surface of the optical system, which secondary radiation is emitted from the focal surface as a reflected wavefront of radiation that passes through the optical system, projecting the reflected wavefront onto a wavefront analyzer, and measuring char
50 acteristics of the optical system associated with the reflected wavefront. In a preferred embodiment, the method includes measuring defects of the eye which includes the steps of focusing an optical beam onto an anterior surface of the eye for providing a finite source of secondary radiation on the
55 retina of the eye, which secondary radiation is emitted from the retina as a reflected wavefront of radiation that passes through the eye; directing the reflected wavefront onto a wavefront analyzer; and measuring distortions associated with the reflected wavefront. A preferred embodiment of the
go invention includes the step of focusing the projected optical beam on the anterior surface of the cornea.
An apparatus for effectively performing such measurements includes focusing means for focusing an optical beam onto an anterior surface of the optical system or eye for
65 providing a finite secondary radiation source on the focal surface, or retina of the eye, which finite secondary radiation source is emitted from the retina as a reflected wavefront of
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radiation that passes through the eye, directing means for directing the reflected wavefront onto a wavefront analyzer, and a wavefront analyzer for measuring distortions associated with the reflected wavefront. In one preferred embodiment of the present invention, a laser beam is focused onto 5 the surface of the cornea with a long focal length lens which converges the beam through a small angle for passing through the iris of the eye and providing a finite secondary radiation source on the retina of the eye, which finite secondary radiation source is emitted from the retina 10 through the optics of the eye as the wavefront to be measured.
BRIEF DESCRIPTION OF DRAWINGS
A preferred embodiment of the invention as well as 15 alternate embodiments are described by way of example with reference to the accompanying drawings in which:
FIG. 1 is a diagrammatic illustration of an apparatus for measuring visual defects of an eye, according to the present 2Q invention;
FIG. 2 is a diagrammatic illustration of a eye to be measured by the apparatus of the present invention;
FIGS. 3A and 3B are diagrammatic illustrations of an ideal eye with perfect vision and an aberrated ideal eye, 25 respectively;
FIG. 4 is a diagrammatic illustration of an eye being measure with collimated light focused on the retina to a diffraction limited spot; and
FIG. 5 is a partial perspective view of a pinhole imaging 30 plate and detector plane of a wavefront sensor used in a preferred embodiment of the present invention.
DETAILED DESCRIPTION OF PREFERRED
EMBODIMENTS 35
The present invention will be described more fully hereinafter with reference to the accompanying drawings, in which preferred embodiments of the invention are shown. This invention may, however, be embodied in many different 40 forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. Like numbers refer to like elements 45 throughout.
A preferred embodiment of a measurement apparatus 10 of the present invention is herein initially described with reference to the schematic diagram of FIG. 1. A projected beam 12 of optical radiation is directed into an eye 14 to be 50 measured, so that a small area or measurable spot 16 is formed as a secondary radiation source in the foveal region of the retina 18 as illuminated with reference to FIG. 2. Specifically, the beam 12 is focused through a small angle 13 onto an anterior surface 20 of the eye 14, and in a preferred 55 embodiment of the present invention, focused on an anterior corneal surface 22 of the cornea 24 for further projection through the iris 26 and lens 28 and onto the retina 18.
By way of further background, consider an "ideal" eye 14; with ideal vision, as illustrated with reference to FIG. 3A. 60 The ideal eye 14;, having the ideal cornea 24; and ideal lens 28; will focus a collimated beam of light, illustrated with arrows 30 to a point 32, as the secondary radiation source, on the ideal retina 18;'. This point 32 would then be a point source of light which would be diffusely reflected back 65 through the optics of the ideal eye 14; as a sequence of plane waves 34. In actual fact, even an eye having perfect vision,
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as illustrated by way of example with reference to FIG. 4, will produce a diffraction limited illuminated area or spot 36, as the secondary radiation source, on the retina of the eye, under the best possible circumstances. In a typical eye, as illustrated with reference to FIG. 4, such a spot 36 is even larger, where most of the blurring will be due to finite aberrations found in typical eyes. By way of further example, in an aberrated eye 14a, if the point source 32 could be realized, distorted wavefronts 38 result as illustrated with reference to FIG. 3B. Having to deal with a series of distorted wavefronts 38 resulting from aberrations, and further dealing with a blurring of such distorted wavefronts 38 resulting from diffraction effects and the finite aberrations of the eye, results in a spot 36 source of light rather than a point 32 source. Such provides one of the challenges in measuring the visual defects or an eye.
It is typical in the art of eye measurements to form a collimated beam and attempt to focus the collimated beam onto the retina, using lenses and lens combinations with the optics of the eye to produce the smallest possible spot 36, as earlier described with reference to FIG. 4. Lenses and focusing techniques typically take valuable time and include multiple attempts to focus a spot on the retina using various lenses and lens combinations to accommodate each unique vision of each patient being measured. With the present invention, and the understanding that most of the blurring results from the curvature of the cornea, the present invention eliminates the need to find lenses or lens combinations to minimize the size of the spot on the retina that is used as the secondary source of radiation.
With reference again to the embodiment described in FIGS. 1 and 2, the optical wavefronts 40 scattered from the retina 18 are transferred by a series of optical elements, which will be described in further detail later in this section, to a wavefront sensor 42, which wavefront sensor divides each incident wavefront into a group of "wavelets", referred to herein with numeral 50, using an opaque plate 44 having a planar array of apertures 46 as illustrated with reference to FIG. 5. Further, the wavefront sensor 42 records the position 48 at which each wavelet 50 passing through the aperture 46 strikes a detector plane 54 such as a charged coupled device (CCD) herein provided as one preferred embodiment, which plane is held a fixed small distance 56 behind the plate 44. The transverse displacement 58 of each wavelet 50 at the CCD detector plane 54 from a collimated light reference position 60 is then used to calculate a wavefront slope at each position of the apertures 46 within the planar aperture array. Alternate methods exist for using partial derivative data resulting from the measurements of the slope to calculate the wavefront 40. One acceptable approach is that used by Liang et al. in the aforementioned paper where the wavefront is closely approximated using Zernike polynomials.
At each position 48, a spot 62 typically extending beyond the light measurement area of one CCD element 64 is produced. As earlier discussed, blurring and a large diffraction limited spot make it difficult to make measurements. Thus, reducing blurring improves measurement at the detector plane 54.
With reference again to FIG. 1, in one preferred embodiment of the present invention, the apparatus 10 includes the projected beam 12 of linearly polarized light (S-component) emitted from a diode laser 66 (670 nm, 3 mW by way of example), which beam of light passes through an electromechanical shutter 68, which controls the duration of light exposure on the eye 14 of the patient, and in particular, the exposure of the retina 18 of the eye 14 illustrated with
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reference again to FIG. 2. It is expected that alternate sources of light, for example, non-coherent and nonpolarized, as well as alternate light transmitting techniques will come to the mind of those skilled in the art without deviating from the teaching of the present invention. As 5 herein described, the use of coherent light from a laser and polarization techniques are presently preferred. When the shutter 68 is open, the projected beam 12, collimated light from the diode laser 66, is directed by a long focal length lens 70 for focusing on the anterior surface 22 of the cornea 24 of the eye 14, as illustrated with reference yet again to FIG. 2, passing through the pupil 72 and lens 28 of the eye 14, and onto the retina 18 as the small measurable spot 16. In an alternate embodiment, lens 70 comprises a zoom lens for varying the focus and moving the focus location as desired. By focusing on the cornea 24, the measurement is minimally dependent on the curvature of the cornea. However, other locations proximate the corneal surface are acceptable.
While diffraction and various aberrations are present, the 20 present invention avoids the aberration effects from the cornea which typically dominate. The lens 28 of the eye 14 contributes a relatively small aberration effect when compared to that of the cornea 24. Further, and with regard to the selection of lens 70, selecting a lens with a short focal length 25 would provide a large angle 13, a well focused point 78 on the surface of the cornea 24, and less aberration effects from the cornea . However, a large angle 13 results in an undesirably larger retinal spot 16. The small angle 13 herein described provides a larger focus point 78 on the cornea 24 30 but the more desirable smaller spot 16 on the retina 18. The spot 16 will depend on the wavelength and starting point size and focal length of the lens 70 selected. In preferred embodiments of the present invention, lenses of approximate one half meter are selected for the lens 70. A100 mm lens 70 has been effectively used.
In one preferred embodiment herein described, a mirror 74 and polarization beam splitter 76 direct the projected beam 12 to a focus 78 on the anterior surface 20 of the cornea 24. The projected beam 12, focused on the anterior 40 surface 22 of the cornea 24, provides the measurable spot 16 as a light source (about 1.5 milliradians in visual space, by way of example) on the retina 18 of the eye 14 being measured, as illustrated with reference again to FIG. 2. Such a spot 16 provides an acceptable substitute for a diffraction 45 limited spot typically sought.
By way of one preferred example of use, a method for measuring vision characteristics of the eye 14 includes directing the beam 12 through the long focal length lens 70 for providing the small angle 13, as illustrated with reference 50 again to FIG. 2, about an optical path for passing the beam 12 through the pupil 72 of the eye 14. The beam 12 is first focused at a fixed location 78, without the eye or patient in place. All measuring equipment, the apparatus 10, is arranged without the patient in place and a convenient time 55 prior to measuring. Then, the patient is positioned such that the anterior surface of the eye 14 of a patient is located at the fixed location 78 which in a preferred embodiment is the anterior surface of the cornea. This places a finite source of secondary radiation, the spot 16, as herein described, on the 60 retina 18 of the eye 14, which provides light emitted from the retina 18 and through the pupil 72 as a reflected wavefront, the wavefront 38, described with reference to FIG. 3B. This wavefront 38 is directed onto the wavefront analyzer 42 for measurement. 65
In a preferred embodiment, the laser power reaching the eye is physically limited to a maximum of 7 fiW. In
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measurements on human eyes using the apparatus 10, a laser pulse duration of 700 ms was used so that the total energy entering the eye would not exceed 4.9 fJ. For comparison, according to the ANSI standard for direct "intrabeam" viewing, the maximum permissible exposure to a laser at the wavelength used is 530 fiS. Thus, the probing laser energies effectively used in the present invention are two orders of magnitude below an "eye-safe" limit.
With reference again to FIG. 2, the light diffusely reflected by the retina 18 produces the wavefront 40, a distorted wavefront at the pupil plane due to the eye's aberrations. Diffuse reflection makes the returning light from the retina depolarized, containing not only an S-component but also a P-component of polarization light. The polarization beam splitter 76 in front of the eye 14 will only let the P-component pass through it and downstream to the wavefront sensor 42. The S-component is essentially totally reflected towards the diode laser 66. Because the light reflected by corneal surfaces preserves the polarization of the incoming beam (S-polarized), the corneal reflection is reflected by the beam splitter 76, and is thus rejected from the path 80 heading toward the wavefront sensor 42. The P-component of the aberrated wavefront 40 at the subject's pupil plane is then recreated by the combination of lens 82 and lens 84, at a trial lens plane 86 indicated as "Trial Lens" in FIG. 2. In one preferred embodiment, the diameter and the aperture of the lens 82 and lens 84 are 40 mm and 120 mm, respectively. The combination of lens 82 and lens 84 form an afocal image system with the eye's pupil 72 (the object plane) at the focal plane of the lens 82, and the image plane, trial lens 86, at the focal plane of the lens 84. Similarly, lens 88 and lens 90 also form an afocal image system with the possible trial lens 86 at the focal plane of the lens 88 and the lens combination at the image plane at the focal plane of the lens 90. The focal plane of the lens 90 is located at the plate 44 of the wavefront sensor 42, earlier described with reference to FIG. 5. In a preferred embodiment, Lens 4 has a diameter of 30 mm and a focal length of 80 mm. Lens 5 has a diameter of 40 mm and a focal length of 120 mm. With the apparatus 10, measured wavefront slopes leaving the eye 14 are recreated at the aperture plane 44, and magnified by a factor of 1.5. Magnification of the wavefront 40 at the detector plane 54 reduces the wavefront slopes by the same degree. This extends the dynamic range of eye aberrations over which the device can measure.
By way of further explanation about the trial lens location or plane 86, because the wavefront 40 leaving the eye 14 is recreated at this location 86 with unity magnification, a trial lens of known refractive power inserted at this point should exactly compensate for a prescribed refractive error. For example, a perfect five diopter spherical lens placed at this location should remove five diopters of spherical curvature from an incident wavefront, without altering other aberrations that may exist in the wavefront. The capability of inserting trial lenses at this location 86 extends the dynamic measurement range of the apparatus 10, without affecting wavefront analyzing capability.
In a preferred embodiment, and with reference again to FIG. 5, the aperture array 46 of the wavefront sensor 42 samples the incident wavefront 40 which forms focus spots 62 on the detector plane 54 This is repeated at the detector plane 54 for each aperture within the array 46. As a result, a localized direction of the wavefront 40 is determined for each of a plurality of wavelets 50 within the array. By way of example, the use of lenslets 92 (as an alternate embodiment of apertures 46 alone), with a focal length of 87 mm and a dimension of 0.768 mm, forms an aerial image of the
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