Fundus imaging apparatus with trans-pars-planar illumination
Methods and apparatus are described for illuminating the fundus of an eye for wide-angle fundus photography. The present disclosure delivers light through a pars planar area of the eye for illuminating the interior of the eye, or through an eyelid and a pars plana of the eye. Trans-pars-planar illumination frees the entire pupil for imaging and therefore eliminates need for pupil dilation or complex balancing between illumination and imaging in previous wide-angle fundus photography based on trans-pupillary illumination. Additionally, the present disclosure discloses, when an optical fiber bundle multiple-channel trans-pars-planar illuminator placed adjacent to the pars plana, at least one optical fiber in the optical fiber bundle aligns with the pars plana to deliver light through the pars plana into the fundus of the eye, thus eliminating the previous problem of having to move an optical fiber to search a location of the pars plana.
1. An apparatus for performing fundus imaging, the apparatus comprising:
a trans-pars-planar illuminator comprising a light source and a multiple-channel light delivery element, for delivering light into a fundus of an eye through a pars plana and an adjacent area of the eye;
an optical imaging system comprising optical elements and an optical image sensor, for collecting scattered and reflected light from the fundus illuminated by the trans-pars-planar illuminator and forming an image of the fundus through a pupil of the eye;
a control unit comprising a light switch device and a digital processor, for controlling the trans-pars-planar illuminator and the optical imaging system, and for processing fundus images to optimize trans-pars-planar illumination and image formation; and
a capability of sequential scanning of multiple illumination channels to optimize fundus imaging, wherein the control unit is configured to perform:
delivering, by the light switch device in the control unit, illumination light emitted from the light source into a first channel of the trans-pars-planar illuminator,
obtaining, from optical image sensor in the optical imaging system, first image data corresponding the first channel illumination, wherein the illumination light enters a first location relative to the pars plana,
delivering, by the light switch device in the control unit, the illumination light emitted from the light source into a second channel of the trans-pars-planar illuminator,
obtaining, from optical image sensor in the optical imaging system, second image data corresponding the second channel illumination, wherein the illumination light enters a second location relative to the pars plana,
determining, by the processor in the control unit, a ranking score for each of the first image data and the second image data based on a ranking algorithm,
selecting, by the processor in the control unit, image data with a higher ranking score between the first image data and the second image data as a high-ranking image data, and
outputting, by the processor in the control unit, the high-ranking image data corresponding to an illumination location through the pars plana.
2. The apparatus according to claim 1 , wherein the trans-pars-planar illuminator comprises:
a light source;
an optical fiber bundle as the multiple-channel light delivery element capable of performing:
delivering illumination light emitted from a light source into an input end of the optical fiber bundle comprising at least a first optical fiber and a second optical fiber;
transmitting, by the optical fiber bundle, the light from the input end of the optical fiber bundle to an output end of the optical fiber bundle;
delivering, for the output end of the optical fiber bundle, illuminating light to the fundus of the eye through the pars plana and the adjacent area of the eye.
3. The apparatus according to claim 2 , wherein the light source comprises at least one of:
a white light source;
a color light source configured to emit one or more colors;
a near infrared light source; or
an infrared light source.
4. The apparatus according to claim 1 , wherein the trans-pars-planar illuminator comprises:
a light source array with a predefined distance as the multiple-channel light delivery element to delivery illuminating light to the fundus of the eye through the pars planar and the adjacent area.
5. The apparatus according to claim 1 , wherein the trans-pars-planar illuminator is configured to be contacted with a sclera of the eye to delivery light into the fundus of the eye through the pars plana and an adjacent scleral area of the eye.
6. The apparatus according to claim 1 , wherein the trans-pars-planar illuminator is configured to be contacted with an eyelid of the eye to delivery light into the fundus of the eye through the eyelid and a sclera of the eye.
7. The apparatus according to claim 1 , wherein the trans-pars-planar illuminator is configured to be a separate illumination device.
8. The apparatus according to claim 1 , wherein the trans-pars-planar illuminator is configured to be attached to a fork of an eye speculum.
9. The apparatus according to claim 1 , wherein the trans-pars-planar illuminator is configured to be integrated to a fundus imaging system.
10. The apparatus according to claim 1 , wherein the trans-pars-planar illuminator is configured to adapt to existing fundus imaging system.
11. The apparatus according to claim 1 , wherein the apparatus is configured to be a portable fundus camera.
12. The apparatus according to claim 1 , wherein the apparatus is configured to be a stand-alone fundus camera.
13. The apparatus according to claim 1 , wherein the apparatus is configured to be a non-mydriatic imaging device.
14. The apparatus according to claim 1 , wherein the apparatus is configured to be a mydriatic imaging device.
15. An apparatus for performing fundus imaging, the apparatus comprising:
a trans-pars-planar illuminator comprising a light source and a multiple-channel light delivery element, for delivering light into a fundus of an eye through a pars plana and an adjacent area of the eye;
an optical imaging system comprising optical elements and an optical image sensor, for collecting scattered and reflected light from the fundus illuminated by the trans-pars-planar illuminator and forming an image of the fundus through a pupil of the eye;
a control unit comprising a light switch device and a digital processor, for controlling the trans-pars-planar illuminator and the optical imaging system, and for processing fundus images to optimize trans-pars-planar illumination and image formation; and
a capability of true color imaging, wherein:
illumination light emitted from a light source in the trans-pars-planar illuminator comprises at least a first light color and a second light color; and
the control unit is configured to perform:
delivering, by the light switch device in the trans-pars-planar illuminator, the first light color with predefined light intensity, into the fundus of an eye;
obtaining, from optical image sensor in the optical imaging system, first image data corresponding the first color illumination;
delivering, by the light switch device in the trans-pars-planar illuminator, the second light color with predefined light intensity, into the fundus of an eye;
obtaining, from optical image sensor in the optical imaging system, second image data corresponding the second color illumination;
overlaying, by the processor in the control unit, the first image data and the second image data based on an overlay algorithm to generate a true color image to balance efficiency difference of different light colors; and
outputting, by the processor in the control unit, the true color image.
16. An apparatus for performing fundus imaging, the apparatus comprising:
a trans-pars-planar illuminator comprising a light source and a multiple-channel light delivery element, for delivering light into a fundus of an eye through a pars plana and an adjacent area of the eye;
an optical imaging system comprising optical elements and an optical image sensor, for collecting scattered and reflected light from the fundus illuminated by the trans-pars-planar illuminator and forming an image of the fundus through a pupil of the eye;
a control unit comprising a light switch device and a digital processor, for controlling the trans-pars-planar illuminator and the optical imaging system, and for processing fundus images to optimize trans-pars-planar illumination and image formation; and
a capability of selective imaging of choroidal and retinal structures, wherein:
illumination light emitted from a light source in the trans-pars-planar illuminator comprises at least a first light and a second light, wherein the first light is a near infrared light and the second light is a visible light; and
the control unit is configured to perform:
delivering, by the light switch device in the trans-pars-planar illuminator, the near infrared light, into the fundus of an eye;
obtaining, from optical image sensor in the optical imaging system, first image data of choroidal structure corresponding first near infrared illumination;
delivering, by the light switch device in the trans-pars-planar illuminator, the visible light, into the fundus of the eye; and
obtaining, from optical image sensor in the optical imaging system, second image data of retinal structure corresponding second visible light illumination.
17. An apparatus for performing fundus imaging, the apparatus comprising:
a trans-pars-planar illuminator comprising a light source and a multiple-channel light delivery element, for delivering light into a fundus of an eye through a pars plana and an adjacent area of the eye;
an optical imaging system comprising optical elements and an optical image sensor, for collecting scattered and reflected light from the fundus illuminated by the trans-pars-planar illuminator and forming an image of the fundus through a pupil of the eye;
a control unit comprising a light switch device and a digital processor, for controlling the trans-pars-planar illuminator and the optical imaging system, and for processing fundus images to optimize trans-pars-planar illumination and image formation; and
a capability of pars-planar-identification and illumination guidance, wherein:
illumination light comprises at least a first light color and a second light color; and
the control unit is configured to perform:
delivering, by the light switch device in the trans-pars-planar illuminator, the first light color into each channel of the multiple-channel light delivery element of the trans-pars-planar illuminator sequentially;
obtaining, from optical image sensor in the optical imaging system, fundus images corresponding to each channel illumination of the multiple-channel light delivery element of the trans-pars-planar illuminator sequentially;
determining, by the processor in the control unit, a ranking score for each of the fundus images based on a ranking algorithm to identify a high ranking image which corresponding to an illumination location through the pars plana;
registering, by the processor in the control unit, an illumination location of the pars plana;
delivering, by the light switch device in the trans-pars-planar illuminator, the second light color to the illumination location of the pars plana; and
obtaining, from optical image sensor in the optical imaging system, fundus images with second light color illumination through the pars plana.