CN106291977A - A kind of Ortho-K - Google Patents
A kind of Ortho-K Download PDFInfo
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- CN106291977A CN106291977A CN201510441201.XA CN201510441201A CN106291977A CN 106291977 A CN106291977 A CN 106291977A CN 201510441201 A CN201510441201 A CN 201510441201A CN 106291977 A CN106291977 A CN 106291977A
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Abstract
It is an object of the invention to open a kind of Ortho-K, the base curve district of described eyeglass is aspheric surface, and described aspheric surface is the absolute value absolute value less than the radius of curvature of eyeglass base curve district center of the equivalent radius of curvature of eyeglass base curve district periphery;Compared with prior art, aspheric surface is utilized to control face shape and the radius of curvature in eyeglass base curve district, make it less than center at the equivalent radius of curvature absolute value of periphery, peripheral surface shape is more precipitous than sphere, by wearing of a whole night, eye cornea front surface is modelled as the shape in Ortho-K base curve district, thus provide degree controlled myopiaization out of focus for human eye, preventing axis oculi from increasing, retarding myopia is deepened, it is achieved the purpose of the present invention.
Description
Technical field
The present invention relates to a kind of eyesight correcting glasses, utilize periphery out of focus to control closely particularly to one
Regard the base curve district of development as aspheric Ortho-K.
Background technology
Out of focus (Defocus, out-of-focus) is to focus on the corresponding word of (focus), out of focus
Refer to that image planes, not in focus, are divided into front out of focus (before Jiao) and rear out of focus (defocused) two states.
The main cause that the myopia number of degrees increase is that axiallength extends, and often extends 1mm and increases the number of degrees
3.00 degree.Up-to-date medical research confirms, eyeball extends dependence retina (as shown at 10 in figure 1)
Periphery out of focus, according to dioptrics concept, focus fall person before retina be referred to as Myopia out of focus (as
In Fig. 1 shown in 30), the person after retina that falls is referred to as hypermetropia out of focus (as shown in Fig. 1 20).
Bathomorphic retinal centre is Myopia out of focus, and retinal periphery is hypermetropia out of focus, this regards
Nethike embrane peripheral hyperopia out of focus is to promote the ever-increasing main cause of the myopia number of degrees.
Eyeball have rely on retinal periphery imaging induction eyeball development feature, especially 18 years old with
Lower juvenile myopia, if retinal periphery is imaged as hypermetropia out of focus, retina can tend to
Picture point grows, and bulbous length just will extend, if retinal periphery is imaged as Myopia out of focus, and eyeball
Just stopping is extended.If by modern medical service method, correct retinal periphery hypermetropia out of focus or
It is artificially formed retinal periphery Myopia out of focus, it is possible to stop being continuously increased of the myopia number of degrees, with
Time find out and cause retinal peripheral defocusing reason, it is also possible to effectively prevent bathomorphic generation and progress.
Ortho-K uses " reversion geometry " design principle, by the face of whole eyeglass Yu Corneal Contact
(inner surface) is designed as several segmental arc being mutually linked, and the special shape wearing rear lens inner surface is led
Cause to clip one layer of tear pockety between eyeglass and outer corneal surface, the hydrodynamics effect of tear
The epithelial cell of Central corneal should be drawn to middle perimembranous (peripheral);Meanwhile, during eye closing, the work of eyelid
With making eyeglass central authorities, inferior cornea is imposed certain pressure.Both effects cause Central corneal bent
Rate flattens, and cornea shape tends to the shape in Ortho-K inner surface base curve district, and after plucking mirror, human eye is bent
Light state changes, and moves near retina direction depending on thing imaging point, myopia correction.
" reversion geometry " design of Ortho-K was proposed (US by Stoyan in 1989
4952045), Ortho-K is divided into three Ge Hu districts by initial reversion geometry designs, including base curve district,
Reversion arc district and circumference arc district, owing to the reversion arc district of this design is the widest, edge tilts the biggest,
Easily cause the random movement of eyeglass, there is bigger limitation clinically.
Reversion geometric areas is improved, typically by the Ortho-K that modern " reversion geometry " designs
It is divided into four regions.As shown in Figure 2, base curve district 11 contacts cornea middle section, and face shape is more
Smooth, it is used for flattening anterior corneal surface;Reversion arc district 12 is the most precipitous, is used for consolidating base curve district 11
Pressing effect, and ensure certain tear storage capacity;Pei Shihu district is named again in arc district 13, location, main
Stabilized lenses to be used for;Circumference arc district 14 ensures the circulation of cornea and Ortho-K periphery tear.
The inner surface of Ortho-K is moulding functional realiey region, and most design is for this district
Territory is carried out, and method is the radius of curvature for four Ge Hu districts and two variablees of width, according to patient's cornea
Shape and dioptric requirement are designed respectively.
At present, the design being widely used in producing typically uses 4-7 or 5-7 different curvature radius
Circular arc dovetail form.As shown in Figure 2, four arc districts are most basic designs, and four Ge Hu districts use
The sphere of four different radius of curvature, in Ge Hu district, joining place carries out chamfering, makes each segmental arc naturally hold in the mouth
Connect.5-7 circular arc dovetail refers at the multiple circular arcs in reversion arc district 12 and arc district 13, location (as instead
Zhuan Hu district uses two circular arcs, arc district, location to use three circular arcs) so that base curve district 11 and reversion arc
District 12 linking is easier to, and makes arc district, location 13 and cornea shape more agree with (owing to cornea is aspheric
Face, uses multiple sphere to carry out the form of fitting aspherical).Existing design also has employing aspheric surface
The design of location arc.
Due to the activity of keratocyte, the change of the cornea shape that Ortho-K brings is the most temporarily
, after stopping wearing Ortho-K, cornea can return to original form, and the most initial cornea is moulding
Mirror is only considered a kind for the treatment of means for temporary transient myopia correction.But follow-up clinical research for many years
Find, wear Ortho-K and a part of teenager axis oculi growth rate can be made to slow down, and then to myopia
Control action is played in development, and clinical research is pointed to, and wears Ortho-K descendant's eye-shaped and becomes myopiaization
Periphery out of focus is the mechanism that Ortho-K works.
The cornea of normal eye is usually aspheric surface, and periphery is more smooth than center, after cornea is moulding, and angle
Film front surface becomes sphere, i.e. the shape of Ortho-K rear surface.Fig. 3 is same curvature radius
The refractive power (as shown in B in figure) of sphere cornea (as shown in A in figure) and aspheric cornea is with hole
The schematic diagram of footpath change, it is seen then that sphere cornea, compared with aspheric cornea, can be that people's sideband near the eyes comes
Bigger refractive power.Therefore, the real mechanism that Ortho-K control myopia increases is to pass through night
Wear eyeglass, Ortho-K cornea has been fashioned into sphere (Ortho-K light school district inner surface
Shape) so that human eye refractive power of periphery when regarding thing is bigger than before moulding, make part wearer
Form myopiaization periphery out of focus, and then slow down axis oculi growth, control myopia progression.
Existing Ortho-K base curve district is sphere, and anterior surface of cornea can be moulded by the base curve district of sphere
Making as sphere, the power profile making cornea provide meets spheroid character, and it is not disadvantageously, for
For patient, amphiblestroid degree of crook is different, and existing Ortho-K is by cornea
Outer surface is modelled as the spherical shape in its base curve district, and its power profile only observes the refractive power of this sphere
The regularity of distribution, i.e. for identical moulding rear anterior surface of cornea radius of curvature, its power profile
Only a kind of form.Such as, being the cornea of 42.25D for moulding rear corneal curvature radius, it is bent
Luminous power distribution can only be a kind of situation as shown in A in Fig. 3, when the flexibility of human eye retina is more than
During the power profile flexibility that the cornea of diagram is formed, will be unable to form Myopia periphery out of focus, enter
And cannot play and control the purpose that myopia increases.Therefore, base curve is that the Ortho-K of sphere cannot shape
One-tenth degree controlled, effective peripheral refraction power control, be therefore only capable of making some patients be benefited control near
Depending on increasing, and the effective control making every patient all realize myopia cannot be accomplished.
Existing Ortho-K also has some to use aspheric design, if Berke is at US
In 7984988B2, the base curve district of Ortho-K is designed as ellipsoid;Sami G.EI Hage
US 5695509 advises, according to cornea shape and tear thickness, determine key coordinate point, with seat
Punctuate carries out aspheric surface matching, determines Ortho-K inner surface face shape;Patent 201420052256.2
It is aspheric surface by the front surface design of Ortho-K, for making human eye wear rear night from spherical aberration
Interference, improves visual quality.The target of these designs is all to enable cornea to reach at moulding rear human eye
More excellent visual quality, makes the distribution of full eye ametropia force keep consistent in each aperture as far as possible, and then leads
Causing the periphery out of focus of hypermetropia, this controls near-sighted purpose with periphery out of focus and method all runs in the opposite direction
's.
It is accordingly required in particular to a kind of base curve district is special aspheric Ortho-K, it is achieved degree can
The myopiaization periphery out of focus of control, with the problem solving above-mentioned existing existence.
Summary of the invention
It is an object of the invention to provide a kind of Ortho-K, for the deficiencies in the prior art, utilize
Aspheric surface controls face shape and the radius of curvature in lens optical district so that it is exhausted in the equivalent radius of curvature of periphery
Less to Zhi Bi center, peripheral surface shape is more precipitous than sphere, so that it is radially being bent by set
Luminous power distribution mode even variation, eyeglass refractive power increases with aperture and increases, and provides degree for human eye
Controlled myopiaization out of focus, prevents axis oculi from increasing, and retarding myopia is deepened.
Technical problem solved by the invention can realize by the following technical solutions:
A kind of Ortho-K, it includes eyeglass, and the base curve district of described eyeglass is aspheric surface, described non-
Sphere is that the absolute value of the equivalent radius of curvature of eyeglass base curve district periphery is less than eyeglass base curve district center
The absolute value of radius of curvature.
In one embodiment of the invention, the aspheric expression formula in described eyeglass base curve district is:
Wherein, c is the inverse of optic basis sphere surface curvature radius, and y is that described curve is taken up an official post
What some vertical dimension away from axis of abscissas (Z), Q is aspheric coefficient, A2iFor aspheric surface high-order term
Coefficient, and described aspheric surface by described aspheric curve by rotating around axis of abscissas (Z)
Symmetry changes and obtains.
In one embodiment of the invention, aspheric the shape in described eyeglass base curve district is by equivalence
The scale factor η of radius of curvature limits, the scale factor η < of described aspheric equivalence radius of curvature
1;
Scale factor η is eyeglass different-diameter dm、dnUnder the ratio of r, m > n, then have:
The computational methods of the equivalent radius of curvature in described eyeglass base curve district are as follows:
Wherein, wherein dmFor measuring aperture, M is aperture dmThe point at place, hmFor the rise of M point, i.e.
Aspheric surface difference in height between M point and summit, rmEquivalent radius of curvature for M point.
Further, it is preferable that the aspheric surface in described eyeglass base curve district is under 5mm aperture and 3mm aperture
The scale factor η of equivalent radius of curvature of face shape be 0.67≤η53< 1.
Further, it is preferable that the aspheric surface in described eyeglass base curve district is under 5mm aperture and 3mm aperture
The scale factor η of equivalent radius of curvature of face shape be 0.67≤η53≤0.998。
Further, it is preferable that the aspheric surface in described eyeglass base curve district is under 5mm aperture and 3mm aperture
The scale factor η of equivalent radius of curvature of face shape be 0.67≤η53≤0.991。
The Ortho-K of the present invention, compared with prior art, utilizes aspheric surface to control eyeglass base curve district
Face shape and radius of curvature so that it is less than center at the equivalent radius of curvature absolute value of periphery, periphery
Face shape is more precipitous than sphere, by wearing of a whole night, eye cornea front surface is modelled as cornea and moulds
The shape in Xing Jing base curve district, thus provide degree controlled myopiaization out of focus for human eye, prevent axis oculi from increasing
Long, retarding myopia is deepened, it is achieved the purpose of the present invention.
The feature of the present invention see graphic and the most preferably embodiment the detailed description of this case and obtains
Must be well understood to.
Accompanying drawing explanation
Fig. 1 is retina, Myopia out of focus and the schematic diagram of hypermetropia out of focus;
Fig. 2 be inner surface be the showing of longitudinal center's section of the existing Ortho-K of four arc districts design
It is intended to;
Fig. 3 be the sphere cornea of existing refractive power 42.25D and asphericity coefficient Q-value be-0.25,
Refractive power is the signal of the aspheric cornea of 42.25D power profile situation under different pore size
Figure;
Fig. 4 is the structural representation of the Ortho-K of the present invention;
Fig. 5 be the Ortho-K base curve district of the present invention aspheric surface with basis sphere in YZ plane
Curve synoptic diagram;
Fig. 6 is the schematic diagram that the scale factor η of the present invention relates to parameter.
Detailed description of the invention
For the technological means making the present invention realize, creation characteristic, reach purpose and be readily apparent from effect
Understand, below in conjunction with being specifically illustrating, the present invention is expanded on further.
Term defines:
What the term " light school district " used in this application referred to be positioned at center of lens region has light
Learn characteristic it is thus possible to realize the part of the major function of regulation lens refractive power.
The term " radially " used in this application refers to from straight along radius or diameter of center of lens
Line direction.
The term " aperture " used in this application refers to lens surface diameter radially.
Being used the term such as "front", "rear" representing position relation in this application is relative to eye
For the distance of eyeball anterior corneal surface.Such as, for the eyeglass of the application, " table after optic
Face " be than " anterior optic surface " distance cornea eye closer to optical surface.
The term " basis sphere " used in this application refers to the forward and backward of the optic with eyeglass
The ideal spherical face with same curvature radial design value that various shapes that surface is used are corresponding.
In this application, in order to unify term, by this ideal spherical face collectively referred to as " basis sphere ".
The term " precipitous " used in this application and " smooth " refer to the equivalent curvature to lens
The description of radius size degree, such as, for the application, " more precipitous than sphere " refers to eyeglass
Equivalent radius of curvature absolute value comparative basis sphere radius of curvature absolute value for less, " ratio
Sphere is more smooth " refer to that the radius of curvature of the equivalent radius of curvature absolute value comparative basis sphere of eyeglass is absolute
For value bigger.
As shown in Figure 4, the Ortho-K of the present invention, it includes eyeglass 100, the base of eyeglass 100
Arc district 101 (with the light school district in the face of Corneal Contact) is aspheric surface, and described aspheric surface is eyeglass 100
The absolute value of equivalent radius of curvature of base curve district 101 periphery less than the base curve district 101 of eyeglass 100
The absolute value of the radius of curvature at center.
As it is shown in figure 5, the aspheric expression formula in the base curve district 101 of eyeglass 100 is:
Wherein, c is the inverse of optic basis sphere surface curvature radius, and y is that described curve is taken up an official post
What some vertical dimension away from axis of abscissas (Z), Q is aspheric coefficient, A2iFor aspheric surface high-order term
Coefficient, and described aspheric surface by described aspheric curve by rotating around axis of abscissas (Z)
Symmetry changes and obtains.
As shown in Figure 6, aspheric the shape in the base curve district 101 of eyeglass 100 is by equivalence curvature half
The scale factor η in footpath limits, the scale factor η < 1 of described aspheric equivalence radius of curvature;
Scale factor η is eyeglass different-diameter dm、dnUnder the ratio of r, m > n, then have:
For sphere, then η=1;For periphery than the aspheric surface of central flat, then η > 1;For
The aspheric surface that periphery is more precipitous than center, then η < 1.
Aspheric radius of curvature can not represent by the radius of curvature of tradition sphere, but by equivalence
Radius of curvature.The computational methods of the equivalent radius of curvature in the base curve district 101 of eyeglass 100 are as follows:
Wherein, wherein dmFor measuring aperture, M is aperture dmThe point at place, hmFor the rise of M point, i.e.
Aspheric surface difference in height between M point and summit, rmEquivalent radius of curvature for M point.
Preferably, the aspheric surface in the base curve district 101 of described eyeglass 100 is in 5mm aperture and 3mm aperture
Under the scale factor η of equivalent radius of curvature of face shape be 0.67≤η53< 1.
It is highly preferred that the aspheric surface in the base curve district 101 of described eyeglass 100 is at 5mm aperture and 3mm
The scale factor η of the equivalent radius of curvature of the face shape under aperture is 0.67≤η53≤0.998。
It is highly preferred that the aspheric surface in the base curve district 101 of described eyeglass 100 is at 5mm aperture and 3mm
The scale factor η of the equivalent radius of curvature of the face shape under aperture is 0.67≤η53≤0.991。
The specific embodiment that the present invention relates to sees Tables 1 and 2, Q, A4, A6, A8 in table
For asphericity coefficient;η53Ratio for the eyeglass equivalent radius of curvature under 5mm aperture and 3mm aperture
The example factor
Table 1 Ortho-K base curve district face shape embodiment
Radius of curvature | Q | η53 | Radius of curvature | Q | η53 |
9.643 | 0.2 | 0.998 | 5.000 | 2.5 | 0.820 |
9.643 | 0.5 | 0.994 | 10.000 | 5.0 | 0.940 |
9.643 | 1.0 | 0.989 | 7.000 | 0.5 | 0.989 |
6.136 | 0.2 | 0.994 | 7.000 | 3.0 | 0.921 |
6.136 | 1.0 | 0.969 | 8.000 | 3.0 | 0.944 |
6.136 | 3.0 | 0.885 | 5.000 | 0.2 | 0.991 |
6.136 | 5.0 | 0.665 | 5.000 | 0.5 | 0.976 |
6.136 | 4.0 | 0.818 | 5.000 | 0.7 | 0.966 |
5.000 | 1.0 | 0.949 | 5.000 | 2.0 | 0.876 |
5.000 | 1.2 | 0.937 | 5.000 | 2.5 | 0.820 |
5.000 | 1.5 | 0.917 | 5.000 | 2.9 | 0.741 |
Table 2 Ortho-K base curve district face shape embodiment
Radius of curvature | Q | A4 | A6 | A8 | η53 |
5.946 | 9.400E-02 | 1.604E-04 | 1.695E-06 | 2.829E-07 | 0.990 |
4.935 | 1.385E-01 | 4.806E-04 | 4.146E-06 | 9.006E-07 | 0.978 |
4.934 | 1.385E-01 | 4.702E-04 | 4.087E-06 | 8.892E-07 | 0.978 |
4.939 | 1.618E-01 | 6.567E-04 | 1.322E-05 | 8.648E-07 | 0.970 |
5.068 | 8.048E-03 | 6.610E-05 | 6.408E-07 | 2.590E-09 | 0.997 |
Those skilled in the art is it is readily conceivable that can use different asphericity coefficient combinations to come real
Now identical with present invention non-spherical structure.
Control myopia in Myopia periphery out of focus of the present invention to increase and the aspheric design thinking of eyeglass
Under, those skilled in the art are it is also contemplated that the deformation control that eyeglass base curve district is contrary with the present invention can be passed through
System, makes the eyeglass equivalent radius of curvature absolute value under large aperture more than the equivalent curvature under small-bore
Radius absolute value, makes human eye reach hypermetropia periphery out of focus, thus increases by actively promoting axis oculi,
Treatment hypermetropia.
The ultimate principle of the present invention and principal character and advantages of the present invention have more than been shown and described.This
Skilled person will appreciate that of industry, the present invention is not restricted to the described embodiments, above-described embodiment and
The principle that the present invention is simply described described in description, before without departing from spirit and scope of the invention
Putting, the present invention also has various changes and modifications, and these changes and improvements both fall within claimed
In the scope of the invention, claimed scope is by appending claims and equivalent circle thereof
Fixed.
Claims (6)
1. an Ortho-K, it includes eyeglass, it is characterised in that the base curve district of described eyeglass is
Aspheric surface, described aspheric surface is that the absolute value of the equivalent radius of curvature of eyeglass base curve district periphery is less than eyeglass
The absolute value of the radius of curvature of base curve district center.
2. Ortho-K as claimed in claim 1, it is characterised in that described eyeglass base curve district
Aspheric expression formula be:
Wherein, c is the inverse of optic basis sphere surface curvature radius, and y is that described curve is taken up an official post
What some vertical dimension away from axis of abscissas (Z), Q is aspheric coefficient, A2iFor aspheric surface high-order term
Coefficient, and described aspheric surface by described aspheric curve by rotating around axis of abscissas (Z)
Symmetry changes and obtains.
3. Ortho-K as claimed in claim 1, it is characterised in that described eyeglass base curve district
Aspheric shape by equivalence radius of curvature scale factor η limit, described aspheric equivalence
The scale factor η < 1 of radius of curvature;
Scale factor η is eyeglass different-diameter dm、dnUnder the ratio of r, m > n, then have:
The computational methods of the equivalent radius of curvature in described eyeglass base curve district are as follows:
Wherein, wherein dmFor measuring aperture, M is aperture dmThe point at place, hmFor the rise of M point, i.e.
Aspheric surface difference in height between M point and summit, rmEquivalent radius of curvature for M point.
4. Ortho-K as claimed in claim 3, it is characterised in that preferably, described mirror
The ratio of the equivalent radius of curvature of the aspheric surface in sheet base curve district face shape under 5mm aperture and 3mm aperture
Factor η is 0.67≤η53< 1.
5. Ortho-K as claimed in claim 3, it is characterised in that preferably, described eyeglass
The ratio of the equivalent radius of curvature of the aspheric surface in base curve district face shape under 5mm aperture and 3mm aperture because of
Sub-η is 0.67≤η53≤0.998。
6. Ortho-K as claimed in claim 3, it is characterised in that preferably, described mirror
The ratio of the equivalent radius of curvature of the aspheric surface in sheet base curve district face shape under 5mm aperture and 3mm aperture
Factor η is 0.67≤η53≤0.991。
Priority Applications (11)
Application Number | Priority Date | Filing Date | Title |
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CN201510441201.XA CN106291977B (en) | 2015-07-24 | 2015-07-24 | Cornea shaping mirror |
JP2018522844A JP6931349B2 (en) | 2015-07-24 | 2016-07-22 | How to make a vision correction lens and a vision correction lens |
US15/746,748 US10551636B2 (en) | 2015-07-24 | 2016-07-22 | Vision correction lens and method for preparation of the same |
PCT/CN2016/090955 WO2017016440A1 (en) | 2015-07-24 | 2016-07-22 | Vision correction lenses and preparation method therefor |
EP16829806.5A EP3349055A4 (en) | 2015-07-24 | 2016-07-22 | Vision correction lenses and preparation method therefor |
KR1020187005094A KR102226668B1 (en) | 2015-07-24 | 2016-07-22 | Vision correction lenses and methods of making such lenses |
SG11201800595QA SG11201800595QA (en) | 2015-07-24 | 2016-07-22 | Vision correction lens and method for preparation of the same |
HK18109669.1A HK1250262A1 (en) | 2015-07-24 | 2018-07-26 | Vision correction lenses and preparation method therefor |
US16/712,377 US11385479B2 (en) | 2015-07-24 | 2019-12-12 | Vision correction lens and method for preparation of the same |
JP2021017580A JP2021099493A (en) | 2015-07-24 | 2021-02-05 | Vision correction lens and production method for vision correction lens |
US17/834,139 US20220317478A1 (en) | 2015-07-24 | 2022-06-07 | Vision correction lens and method for preparation of the same |
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CN111708183A (en) * | 2018-12-25 | 2020-09-25 | 天津医科大学眼科医院 | Lens of cornea shaping mirror |
CN112147796A (en) * | 2019-06-28 | 2020-12-29 | 爱博诺德(北京)医疗科技股份有限公司 | Cornea shaping mirror and cornea shaping mirror design method |
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CN113934016A (en) * | 2021-08-24 | 2022-01-14 | 天津世纪康泰生物医学工程有限公司 | Orthokeratology mirror based on artificial intelligence optimization algorithm |
CN114077069A (en) * | 2020-08-14 | 2022-02-22 | 亨泰光学股份有限公司 | Multi-arc multi-segment cornea molding contact lens positioning structure and method |
CN114545659A (en) * | 2022-03-03 | 2022-05-27 | 上海艾康特医疗科技有限公司 | Corneal contact lens and design method thereof |
CN114545656A (en) * | 2020-11-25 | 2022-05-27 | 上海艾康特医疗科技有限公司 | Cornea shaping mirror |
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