Disclosure of Invention
The invention aims to provide an ophthalmic lens and a therapeutic apparatus for preventing the deterioration of refractive power and the asthenopia caused by the dissymmetry of visual field, which can solve the defects existing in the prior art and effectively prevent and treat the problems of refractive deterioration and the asthenopia caused by the dissymmetry of the upper and lower distances of near objects in the peripheral area of the visual field, and have good effect.
In order to solve the problems, the main technical scheme of the invention is that an eyeglass lens for preventing refractive deterioration and visual fatigue caused by visual field asymmetry is provided with a visual area S1 and a peripheral visual area S2, and the eyeglass lens is characterized in that the visual area S1 is positioned on the central deflection of the eyeglass lens, the horizontal line distance from the geometric center or the theoretical geometric center of the visual area S1 to the lower edge of the peripheral visual area S2 is larger than the horizontal line distance from the geometric center or the theoretical geometric center of the visual area S1 to the upper edge of the peripheral visual area S2, the peripheral visual area S2 is provided with a defocus lens, the 5DS > defocus lens diopter is more than 0.25DS, the visual area S1 is a hole or is provided with a non-defocus correction lens for myopia or hyperopia, the non-defocus correction lens is included, the peripheral visual area S2 is also compounded with the same or basically the same (namely basically the same refers to that the difference of 20% of the two is not more than the former), and the square area S1 <700 mm.
The geometric center refers to the center of a regular geometric shape, and the theoretical geometric center refers to the intersection point of a parallel line of the midpoint of the distance between two horizontal lines of the upper and lower outermost edges of the irregular geometric shape and a vertical line of the midpoint of the distance between two vertical lines of the left and right outermost edges.
Preferably, the total lens area is >900 square millimeters.
Preferably, the distance from the geometric center or theoretical geometric center of the viewing area S1 to the horizontal line of the lower edge of the peripheral viewing area S2 is greater than or equal to 1mm from the geometric center or theoretical geometric center of the viewing area S1 to the horizontal line of the upper edge of the peripheral viewing area S2.
Preferably, the distance from the geometric center or theoretical geometric center of the view region S1 to the lower edge horizontal line of the peripheral view region S2 is greater than the distance from the geometric center or theoretical geometric center of the view region S1 to the upper edge horizontal line of the peripheral view region S2 by 3-40 mm.
Preferably, the distance from the geometric center or theoretical geometric center of the view region S1 to the horizontal line of the lower edge of the peripheral view region S2 is greater than the distance from the horizontal line of the geometric center of the view region S1 to the horizontal line of the upper edge of the peripheral view region S2 by 4-24 mm.
Preferably, the distance from the geometric center or theoretical geometric center of the view region S1 to the lower edge of the peripheral view region S2 is greater than the distance from the geometric center or theoretical geometric center of the view region S1 to the upper edge horizontal line of the peripheral view region S2 by 6-14 mm.
Preferably, the viewing zone S1 is circular, has a diameter of 5-25mm and a diameter of 10-20mm.
The glasses for preventing the visual field asymmetry from causing the refraction deterioration and the visual fatigue are characterized by comprising the glasses lens for preventing the visual field asymmetry from causing the refraction deterioration and the visual fatigue, wherein the glasses are common frame-type glasses or clip-type hanging glasses.
A pair of glasses for preventing refractive deterioration and asthenopia due to visual field asymmetry, comprising the glasses for preventing refractive deterioration and asthenopia of eyes due to visual field asymmetry as described in the above item 1 or 2, wherein the glasses are contact lenses.
A therapeutic apparatus for preventing refractive deterioration and asthenopia caused by visual field asymmetry, comprising an ophthalmic lens for preventing refractive deterioration and asthenopia caused by visual field asymmetry as described in any one of the above, the therapeutic apparatus comprising a desk-top read-write mirror, a read-write control instrument, and a control instrument mounted on a desk.
The principle of the invention is that according to the research of defocusing animal experiments, 48 pages 8 to 12 lines in Xu Andi (teenager myopia prevention) are research defocusing experimental analysis and the experimental observation of the Beijing university medical department Zhu Xiaosong, the eye cover with different shapes can selectively cover partial retina to enlarge the symmetrical sclera, so that the eyeball shape is asymmetric and partial myopia is formed. This confirms that the response to form deprivation myopia is local to the eyeball, primarily through the retina to regulate scleral growth. The inventor carries out similar experiments, negates the misunderstanding of form deprivation in the original experiments, and obtains new important results. The study of the inventor finds that the eye shield in our experiment is an object which is in the super-near position in front of eyes, and the optical imaging of the eye shield falls on the corresponding retina to generate optical defocus at the retina, so that abnormal changes of sclera at the retina are caused, and the situation that the optical defocus at different parts of the retina affects the morphology of the part is indicated. Therefore, in order to prevent such a situation, the design of the defocus lens should be performed in accordance with the needs of the specific situation of the field of view, so that the shape of the field of view must be considered, the size of the area and defocus of the defocus lens should be designed in accordance with the design, and the problem of abnormal diopter deterioration such as asymmetry of the eyeball shape due to asymmetric bad defocus can be prevented by the correct design.
Further, the present inventors have studied and counted further, and found that the central visual field corresponds to a near object when looking near, and the upper and lower peripheral visual fields correspond to objects in the visual field at different distances, and generally the upper area corresponds to a bright distant object and the lower area corresponds to a relatively dim near object, so that the conditions are greatly different, i.e., the upper and lower visual field states are asymmetric. In order to solve the myopia problem caused by near vision, an asymmetric upper and lower vision zone structure must be designed on the lens, so that a central vision must be designed at the position of the center of the lens, so that the central vision is relatively bright, interference is avoided, and the lens cannot be positioned at the position of the center or the position of the center. Thus increasing the near-sightedness defocus range of the lower zone and reducing near-sightedness defocus disturbance of the upper zone. Thereby effectively solving the problems existing in the prior art.
The invention has the beneficial effects of solving the defects in the prior art, effectively preventing and treating the problems of eye refraction deterioration and asthenopia caused by the up-down far-near asymmetry of near objects in the peripheral area of the visual field, and having good effect.
Detailed Description
In order to make the technical problems, technical schemes and beneficial effects to be solved more clear, the invention is further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.
Referring to fig. 1 together, the present invention will now be described. The invention provides an ophthalmic lens for preventing refractive deterioration and visual fatigue caused by visual field asymmetry, which is provided with a visual area S1 and a peripheral visual area S2, and is characterized in that the visual area S1 is positioned on the central deflection of the ophthalmic lens, the horizontal line distance from the geometric center or the theoretical geometric center of the visual area S1 to the lower edge of the peripheral visual area S2 is larger than the horizontal line distance from the geometric center or the theoretical geometric center of the visual area S1 to the upper edge of the peripheral visual area S2, the peripheral visual area S2 is provided with an out-of-focus lens, the diopter of the 5DS > out-of-focus lens is more than 0.25DS, the visual area S1 is an aperture or is provided with a non-out-of-focus correction lens, including a near-sightedness non-out-of-focus correction lens or a far-sightedness non-out-focus correction lens, and the astigmatic non-out-of-focus correction lens is further compounded on the peripheral visual area S2, and the astigmatic non-out-focus correction lens is identical or basically identical to the astigmatic non-out-focus correction lens, and the area S1 is less than 700 square mm.
The invention can solve the defects in the prior art, and can effectively prevent and treat the problems of eye refraction deterioration and asthenopia caused by the up-down far-near asymmetry of near objects in the peripheral area of the visual field.
As a specific embodiment of the present invention. See fig. 1. Preferably, the total lens area is >900 square millimeters. The effect of preventing the refraction deterioration and the asthenopia caused by the dissymmetry of the visual field is better.
As a specific embodiment of the present invention. The lens for preventing the vision asymmetry from causing the refraction deterioration and the asthenopia has the astigmatism degree of other than 0 degree. The myopia range is-25 DS-0DS, the hyperopia range is 0DS-10DS, and the astigmatism range is-8 DC.
As a specific embodiment of the present invention. See fig. 1. Preferably, the distance from the geometric center or theoretical geometric center of the viewing area S1 to the horizontal line of the lower edge of the peripheral viewing area S2 is greater than or equal to 1mm from the geometric center or theoretical geometric center of the viewing area S1 to the horizontal line of the upper edge of the peripheral viewing area S2.
As a specific embodiment of the present invention. Preferably, the distance from the geometric center or theoretical geometric center of the view region S1 to the lower edge horizontal line of the peripheral view region S2 is greater than the distance from the geometric center or theoretical geometric center of the view region S1 to the upper edge horizontal line of the peripheral view region S2 by 3-40 mm. The effect of preventing the refraction deterioration and the asthenopia caused by the dissymmetry of the visual field is better.
As a specific embodiment of the present invention. Preferably, the distance from the geometric center or theoretical geometric center of the view region S1 to the horizontal line of the lower edge of the peripheral view region S2 is greater than the distance from the horizontal line of the geometric center of the view region S1 to the horizontal line of the upper edge of the peripheral view region S2 by 4-24 mm. The effect of preventing the refraction deterioration and the asthenopia caused by the dissymmetry of the visual field is better.
As a specific embodiment of the present invention. Preferably, the distance from the geometric center or theoretical geometric center of the view region S1 to the lower edge of the peripheral view region S2 is greater than the distance from the geometric center or theoretical geometric center of the view region S1 to the upper edge horizontal line of the peripheral view region S2 by 6-14 mm. The best effect is to prevent refractive deterioration and asthenopia caused by visual field asymmetry.
As a specific embodiment of the present invention. See fig. 1. Preferably, the viewing zone S1 is circular and has a diameter of 5-25mm, preferably 10-20mm. The effect of preventing the refraction deterioration and the asthenopia caused by the dissymmetry of the visual field is better.
As a specific embodiment of the present invention. See fig. 3. The glasses for preventing the visual field asymmetry from causing the refraction deterioration and the visual fatigue are characterized by comprising the glasses lens for preventing the visual field asymmetry from causing the refraction deterioration and the visual fatigue, wherein the glasses are common frame-type glasses or clip-type hanging glasses.
As a specific embodiment of the present invention. See fig. 4. A pair of glasses for preventing refractive deterioration and asthenopia due to visual field asymmetry, comprising the glasses for preventing refractive deterioration and asthenopia of eyes due to visual field asymmetry as described in the above item 1 or 2, wherein the glasses are contact lenses.
As a specific embodiment of the present invention. See fig. 5. Desk-top read-write mirror. A therapeutic apparatus for preventing refractive deterioration and asthenopia caused by visual field asymmetry, comprising an ophthalmic lens for preventing refractive deterioration and asthenopia caused by visual field asymmetry as described in any one of the above, the therapeutic apparatus comprising a desk-top read-write mirror, a read-write prevention apparatus, a prevention apparatus mounted on a desk.
Examples of the invention are shown in Table 1.
TABLE 1
Table 1 illustrates:
1. Examples are given in table 1, for example, for the case of 6 ocular diopters. H is the difference between the geometric center or theoretical geometric center of the visual area S1 and the horizontal line distance L1 from the lower edge of the peripheral visual area S2, which is greater than the horizontal line distance L2 from the geometric center or theoretical geometric center of the visual area S1 to the upper edge of the peripheral visual area S2, and is simply called the height difference, and L1-L2 is more than 0.
2. Checking diopter of eyes according to scientific optometry and optometry, strictly executing the principle of no under correction and no over correction, requiring making an optometry prescription,
3. The prescription is used as the prescription parameter for the S1 upper diopter in the lens of the invention. The diopter at S2 is the value required by the invention.
4. Different 6 sets of parameter values for H and S1 diameters were selected, respectively.
5. The area of the viewing zone S1 is <700 square millimeters and the total lens area >900 square millimeters.
The clinical experiments of the present invention are reported as follows:
Experimental grouping:
The invention is compared with the prior art of the invention which uses ZL201210196959.8 to control defocus and eye diopter. The invention was divided into experimental and comparative groups.
1) The first control group, 6-17 year old adolescent myopia or astigmatism-associated patients, the experimental group of the invention was 100, the control group was 100.
2) Second control group 6-12 years old adolescent hyperopia or concomitant astigmatism patients, experimental group 50 of the invention, control group 50.
3) Third control group 6-13 teenager with normal eyes, 25 of the subject invention, control group 25.
The experiment method comprises preparing glasses according to respective regulations, and wearing all the day. The experimental time is 1 month after two years, and the results are checked for comparison.
In1 month of two years, the examination is carried out once a month, namely the eye axis, B ultrasonic and other conventional optometry projects.
Experimental results:
A) efficacy standard:
The visual acuity is improved, the objective optometry degree is not increased, the vision chart is seen by correcting the vision at the speed of 1 second, the vision is not reduced, the eye axis speed is lower than the average experience increasing value of the same age, and the B ultrasonic result is not changed abnormally.
The effective-objective optometry degree is increased to be lower than the average increment value of the same age, the corrected vision looks at the vision at the speed of 1 second, the visual acuity of the chart is not reduced, the eye axis speed is increased to be lower than the average experience increment value of the same age, and the B ultrasonic result is not changed abnormally.
The ineffective-objective optometry degree is increased to reach the average increase value of the same age, the vision correction is carried out to see the visual chart at the speed of 1 second, the vision is reduced, the eye axis speed is increased to be equal to the average experience increase value of the same age, and the B ultrasonic result is changed abnormally or not.
Second) checking results:
1) The first comparison group is an experimental group, has 83 persons with obvious effect, 14 persons with effective effect and 3 persons with ineffective effect.
The comparison group shows 48 persons with effectiveness, 46 persons with effectiveness and 6 persons with ineffectiveness.
2) The second comparison group is an experimental group, 46 people are effective, 3 people are effective, and 1 person is ineffective.
22 Persons with obvious effect, 25 persons with effective effect and 3 persons with ineffective effect.
3) And the third comparison group is an experimental group, 25 persons are effective, 0 person is effective, and 0 person is ineffective.
The comparison group shows 8 persons with effectiveness, 13 persons with effectiveness and 4 persons with ineffectiveness.
Third), analysis of results:
The statistics conclusion is that all 175 persons in the experimental group have remarkable effect of completely preventing teenagers with diopter increase, reach 154 persons, and account for 88% of the total number of the experiment. While the control group was all 175, the teenagers who completely prevented the increase in diopter with the comparative prior art were 78, accounting for 44.6% of the total population in the control group. In the experiment, the visual fatigue improvement phenomenon of the experimental group is common, the effective rate is 90%, the visual fatigue improvement effect of the comparison group is not improved, and the effective rate is 0%. (note: for presbyopia, stabilizing diopters, maintaining healthy eye vision is the goal, reducing distance vision is detrimental to vision health, so preventing abnormal reduction of distance vision is a good evaluation criterion).
Conclusion the experimental group of the invention has remarkable effect compared with the comparative group.
Those skilled in the art will be able to implement the above-described details.
The foregoing description of the preferred embodiments of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, and alternatives falling within the spirit and principles of the invention.