U.S. patent number 3,903,870 [Application Number 05/439,067] was granted by the patent office on 1975-09-09 for method and apparatus for ocular self-examination.
This patent grant is currently assigned to Applied Optics Corporation. Invention is credited to Wolf-Dieter Berndt.
United States Patent |
3,903,870 |
Berndt |
September 9, 1975 |
Method and apparatus for ocular self-examination
Abstract
An inexpensive, hand-held device to permit a patient to perform
a self-examination of the eye and thereby determine if he should
seek professional help. The device comprises what is almost a
perfect point source of light, to wit, a bulb, and a short length
of fiber optic. Means are provided to position the fiber end
precisely at the anterior focus of the eye.
Inventors: |
Berndt; Wolf-Dieter (Neptune,
NJ) |
Assignee: |
Applied Optics Corporation
(Neptune, NJ)
|
Family
ID: |
23743154 |
Appl.
No.: |
05/439,067 |
Filed: |
February 4, 1974 |
Current U.S.
Class: |
351/223; 351/205;
351/218; 362/572 |
Current CPC
Class: |
A61B
3/0008 (20130101) |
Current International
Class: |
A61B
3/00 (20060101); A61B 003/00 () |
Field of
Search: |
;128/2T,2V,2A
;351/17,18,39 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
|
|
|
|
|
|
|
1,535,696 |
|
Jul 1968 |
|
FR |
|
170,870 |
|
Oct 1934 |
|
CH |
|
Primary Examiner: Howell; Kyle L.
Claims
What is claimed is:
1. A method of detecting disease in the human eye comprising
positioning an illuminated optical fiber of 10 mm diameter, or
less, at the anterior focus of the eye, thereby to cause the eye to
focus a parallel beam of light on the retina of the eye, the
uniform retinal illumination caused by said point source permitting
the user to see an image on his own retina.
2. Apparatus for detecting the presence of disease in the human
eye, comprising
means for supplying a source of light;
means for supplying electrical power to said light supplying means
to energize the same;
a flexible cup having a concave surface such that the user's
eye-ball is adapted to be received therein; and
an optical fiber of 10 mils diameter, or less, said fiber having
one end positioned proximate said light supplying means and the
other end positioned in said cup such that the light from said
light supplying means is transmitted along said fiber to a point
within said cup where the anterior focus of the user's eye is
located.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
Broadly speaking, this invention relates to methods and apparatus
for detecting disease in the human body. More particularly, in a
preferred embodiment, this invention relates to methods and
apparatus for performing a self-examination of the eye, the pattern
thereby detected serving to warn the user to consult qualified
professional advice if abnormalities are noted.
2. Discussion of the Prior Art
As is well known, in any general physical examination, the
examining physician always examines the interior of the patient's
eye with an ophthalmoscope. This is done because the condition of
the eye, and its ability to respond to rapid light changes, is a
barometer of the general health of the patient. Among the diseases
that can be detected in this manner are cerebral syphilis, tabes,
diabetes, prodromal chronic gloucoma, encephalitis lethargica,
hypertension, cateracts, burns and lesions, ptomaine poisoning,
botulism, etc., etc.
Unfortunately, millions of Americans never have a routine medical
examination because they are either "too busy" or because they
"cannot afford it". Thus, in many cases, these serious diseases are
not detected until it is too late to take effective corrective
action, whereas had they been detected earlier, they could have
been arrested or completely cured.
SUMMARY OF THE INVENTION
What I propose, therefore, is a simple, inexpensive technique for
self-examination of the interior of the eye and an apparatus for
performing the same. It is specifically not intended that the user
diagnose the conditions that he observes in his eye. Rather, he is
given with the self-examining instrument charts which give him just
enough information to realize that a potentially serious condition
may exist. He is then urged to seek professional diagnosis and in
this regard the invention is not unlike a thermometer which will
indicate to the user that he has an abnormal condition (i.e., a
high or low temperature) without attempting to indicate any of the
hundreds of medical factors or diseases that might be responsible
for that condition.
DESCRIPTION OF THE DRAWING
FIG. 1 is a cross-sectional view of a preferred embodiment of the
invention; and
FIG. 2 is an isometric view of another embodiment of the
invention.
DETAILED DESCRIPTION OF THE INVENTION
Of interest to an examining physician is the condition of the
patient's retina, the spherical rear surface of the eye containing
the optic nerve and the light receptors, the iris, and the lens.
Disease may affect any or all of these elements. The retina may be
observed directly, but the iris and lens are checked by observing
the degree of accommodation that the patient has. Accommodation, of
course, is the power of the eye to change focus as an object of
interest is brought closer to or further from the eye lens.
It is well known that a human eye has an anterior focus such that
if a point source of light is placed at the anterior focus the eye
lens will form a parallel beam of light within the eye. Put another
way, if a point source of light is placed at the anterior focus of
the human eye, the light rays correspond to a uniform diffuse
radiator of energy which is refracted and collimated in parallel
rays by the eye's optics.
I have discovered that this phenomenon enables the viewer to "see"
his own visual system. That is, he can "see" the condition of his
retina and readily observe scar tissue, shadows suggestive of
tumors, etc. Further, because a point source of light is employed,
the size of the image seen is controlled by the pupil opening and
the particular state of the observed occular accommodation.
Hence, when the device to be described below is switched on, the
observers accommodation will change and he can observe the motion
of his iris and the pupil opening. The spot size covers the macular
region of the human retina, the centroid of human vision. It is,
thus, possible for the observer to detect physiological changes
such as cataracts, tumors, burns, etc., anywhere in the eye from
the cornea to the retina. Also, if any paralysis of accommodation
is present, e.g., from syphilis, food poisoning, diabetes,
gloucoma, etc., this will also be detected.
As previously discussed, it is not necessary, and indeed not
desirable, that the user be able to associate any particular image
or pattern with a particular defect or disease. It is sufficient if
he is merely alerted to the fact that professional help should be
sought.
FIG. 1 depicts an illustrative apparatus for practicing the methods
of this invention. As shown, this embodiment comprises a hand-held
instrument 10 comprising an outer casing 11 which is not unlike a
conventional flashlight in construction. The casing includes a
plurality of batteries 12 which are forced into engagement with a
bulb 13 by a spring 14. A simple slide switch 16 completes the
electrical circuit to lamp 13. An optical fiber 17 is passed
through an aperture in an opaque end piece 18 so that one end
thereof is proximate the bulb 13. A flexible rubber cup 19 is
fastened to the end of the casing 11 to limit how closely the other
end of fiber 17 may be brought to the eye and to exclude extraneous
light.
Fiber 17 may be clad or unclad and will typically be in the order
of 10 mils diameter, or less. For most individuals, the anterior
focus is about 16 mm from the cornea, so fiber 17 extends from
opaque end piece 18 such that when the flexible rubber cup is
pressed into engagement with a human eye 20, the distance d will be
about 16 mm. Of course, if the anterior focus of the user is less
or greater than 16 mm, the flexibility of the cup will enable the
user to adjust the fiber-to-cornea spacing d to the exact anterior
focus, which is easily found. The flexibility of cup 19 should not
be so great, however, as to permit the end of fiber 17 to touch the
cornea of eye 20.
FIG. 2 illustrates another embodiment of the invention for use
where portability or expense are not so important. This latter
embodiment may be used, for example, in the examining room of a
doctor's office, etc.
As shown, in this embodiment a flexible optical fiber 26 is
connected at one end to a flexible cup 19' and at the other end to
a box 27 including a bulb 13', an a.c. transformer 27 and a line
cord 28. In this embodiment, the batteries 12 are eliminated and a
more powerful bulb may be employed, if desired.
In use, with either embodiment, the flexible cup is brought into
engagement with the user's eye and positioned until the end of the
illuminated fiber is precisely at the anterior focus. The retinal
pattern is then observed and compared with typical patterns
furnished on cards to the user. Next, the light is switched on and
off and the action of the retina noted. Finally, the size of the
observed image is compared to typical images furnished to the user,
as a check on accommodation. The other eye is then checked in the
same manner.
One skilled in the art may make various changes and substitutions
to the arrangement of parts shown without departing from the spirit
and scope of the invention. For example, although more expensive
and less convenient, other point sources of light could be used,
for example, a low-power laser or a high-intensity source and a
pin-hole, etc.
* * * * *