METHOD FOR DETERMINING A FILTER FOR AN OPHTHALMIC LENS AND OPHTHALMIC LENS COMPRISING SUCH A FILTER

专利摘要:
The invention relates to a method for determining a filter for an ophthalmic lens intended to be placed in front of the eye of a wearer, said filter being able to improve or maintain the visual comfort and / or the visual performance of said wearer. According to the invention, the determination method comprises: a step of measuring a magnitude representative of a sensitivity of the wearer's eye or both eyes to a characteristic luminous flux, and a step of determining the minus an optical characteristic of said filter as a function of the representative magnitude measured.
公开号:FR3031816A1
申请号:FR1550383
申请日:2015-01-16
公开日:2016-07-22
发明作者:Anne-Catherine Scherlen；Adele Longo
申请人:Essilor International Compagnie Generale dOptique SA；
IPC主号:

专利说明:

[0001] TECHNICAL FIELD TO WHICH THE INVENTION RELATES The present invention relates generally to the field of ophthalmic optics. It relates more particularly to a method of determining a filter for an ophthalmic lens intended to be placed in front of the eye of a wearer, said filter being able to improve or maintain the visual comfort and / or the visual performance of said wearer. It also relates to a filter for an ophthalmic lens determined by this method.
[0002] It finally relates to an ophthalmic lens provided with such a filter. BACKGROUND ART There are solutions for prescribing to an eyeglass wearer one or more ophthalmic lenses equipped with filters. For example, in the field of therapeutic filters, it is possible to propose to a carrier different filters or types of filter depending on its pathology (cataract, macular degeneration,). The determination of the filter (s) is generally done in a very empirical manner, by subjective tests by trying on the wearer different ophthalmic lenses equipped with filters and retaining only the filter or filters providing the most improvement (see for example Rosenblum and al., "Spectral Filters in Low Vision Correction," Ophthalmic Physiol, Opt. 20 (4), pp. 335-341, 2000). Such filters making it possible to improve contrast vision and / or to reduce glare depending on the pathologies are for example proposed by the Verbal Ophthalmic Laboratory in the CPF 25 lens range (http://www.verbal.fer/). optical-low-vision). There are also solutions to correct a deficiency of color vision by the wearer. Document No. 2001/057583 describes, for example, a method according to which the spectral response of the wearer is determined and a filter is made which restores a vision of colors close to the vision of a normal eye. The methods for determining the filters are based on methods which are: - either subjective and do not make it possible to optimize the choice of the characteristics of the filter, - or objective but limited to the restoration of a vision of the colors. When determining a filter, the wearer is often faced with compromises between several criteria that he must consider: varieties of light environment, associated visual requirement, etc .... The known determination methods do not then make it possible to objectively take into account the sensitivity of the subject to the characteristics of a light environment in order to determine the filter intended to be placed in front of the wearer's eye.
[0003] OBJECT OF THE INVENTION In order to overcome the above-mentioned drawback of the state of the art, the present invention proposes a method of determination as defined in the introduction, which comprises: a step of measuring a magnitude representative of a sensitivity of the eye of the wearer to said characteristic light flux, and a step of determining at least one optical characteristic of said filter as a function of the measured representative magnitude. Thus, thanks to the method according to the invention, the sensitivity of the wearer to the characteristics of the light environment is determined objectively, in order to parameterize at least one optical characteristic of the filter to optimize the visual performance or the visual comfort of the wearer in a given task. . These visual performances and visual comfort can be limited both by the sensitivity of the wearer to the characteristic luminous flux, and both by the very characteristics of the filter.
[0004] According to the visual precision required by the wearer and his ability to manage the characteristics of the luminous flux, the parameters of the filter will be specifically adapted. The sensitivity of the wearer's eye may depend on the characteristic luminous flux, the physiology of the wearer's visual system, and the functional impact of a given luminous flux on the visual performance. The complexity of the determination of the filter lies in the fact that this sensitivity to the light of the eye of the wearer is dependent at the same time on: - characteristic characteristics of the luminous flux, - the physiology of the visual system of the wearer, and - of the functional impact of an annoying luminous flux on the visual performance or the visual comfort of the wearer in a given visual task. According to one aspect of the invention, the characteristic luminous flux 5 corresponds to: either a "real" luminous flux to which the wearer is subjected in the given task; in other words the characteristic luminous flux is characteristic of the ambient luminous environment in which the wearer will find himself for the realization of the visual task; Or at an "artificial" luminous flux in that it at least partially reproduces the luminous flux to which the wearer will be subjected, and is representative of at least one light source of visual discomfort or loss of visual performance for the wearer. According to another aspect of the invention, the characteristic luminous flux is determined from a questionnaire comprising one or more questions put to the wearer on the different characteristics of the luminous fluxes to which he is or will be confronted, and for which a visual discomfort or a loss of visual performance is reported. According to a particular implementation of the determination method, said step of measuring the magnitude representative of the sensitivity of the wearer's eye to the characteristic luminous flux comprises: a step of submitting the wearer to said characteristic luminous flux, and a step of characterizing said characteristic luminous flux, the measurement of said representative quantity being carried out on the carrier subjected to said characteristic luminous flux. Thus, the step of submitting the carrier corresponds either to the situation of the wearer in the light environment in which it will be able to perform a certain visual task, or at least a partial reproduction of this luminous environment by a characteristic luminous flux controlled so as to be closer to the actual situation of the wearer. According to the invention, it is then expected, during the process characterization step, to characterize the characteristic luminous flux. When the characteristic luminous flux is representative of the real luminous environment in which the carrier is, the characterization may comprise the determination of the source or the main sources of light disturbance to which the wearer is subjected. According to another implementation of the determination method, said step of measuring the magnitude representative of the sensitivity of the wearer's eye to the characteristic luminous flux comprises: a step of submitting the wearer to a questionnaire making it possible to assess the sensitivity of the carrier to said characteristic luminous flux, - a step of collecting the responses of the carrier to said questionnaire, the measurement of said representative quantity being made from said responses of the carrier to the questionnaire, Advantageously, the step of characterizing the characteristic luminous flux consists in the measurement of at least one of the following quantities: - the spatial distribution of said characteristic luminous flux, - the angular distribution of said characteristic luminous flux, - the spectrum of said characteristic luminous flux, and - the intensity of said characteristic luminous flux, When the characteristic luminous flux comes from one or more In light sources, the spatial distribution of said characteristic luminous flux corresponds, for example, to the datum of the spatial extent of the source or sources (point source, extended source). The angular distribution corresponds, for example, to the data of the angular emission diagram (directive / collimated source, non-directive source, etc.). Anatomically and physiologically, several components of the wearer's eye interact in the management of the characteristic luminous flux. In order to determine the appropriate filter, it is useful to take into account all the physiological characteristics of the eye of the wearer and / or the associated structures of the eyes supporting this luminous flux (multiparametric analysis). Depending on the capacity or the fragility of this eye, the determined filter will have to relieve said eye from the unmanaged luminous component in an optimal or adequate manner for a given state of the art. It will further be understood that to characterize said characteristic luminous flux it is possible to to provide a set of sensors, such as spectrometers, luxmeters, etc., for measuring the optical and photometric properties of the light sources in the wearer's environment. It is also possible to determine by simulation or optical calculation the characteristics of said characteristic light flux, for example via the knowledge of the theoretical response curves of the light sources.
[0005] In another step of the method, measurements are made relating to one or both eyes of the wearer subjected to the characteristic light flux. More precisely, a magnitude representative of a sensitivity of the wearer's eye to said characteristic luminous flux is measured. Advantageously, said magnitude representative of the sensitivity of the eye of the wearer to said characteristic light flux corresponds to a sensitivity to light of said wearer. By "light sensitivity" of the wearer is meant any reaction or modification of comfort or visual performance more or less intense and prolonged related to a stream or temporary or continuous light stimuli.
[0006] In some embodiments, the magnitude representative of the sensitivity of the eye of the wearer to said characteristic light flux is chosen from at least one of the following quantities: a physiological objective measurement quantity of the wearer, an objective measurement quantity physical of the wearer, - a subjective quantity of measurement related to the perception or expression of the wearer. The term "physiological objective measurement quantity" of the carrier means all values relating to the measurement of at least one parameter or at least one characteristic related to the integrity and the functioning of a component of the ocular system or of the structures related to this system. The choice of such a representative quantity makes it possible to evaluate the physiological capacities of the eye or of the related elements to treat a whole or a part of the characteristics of the characteristic luminous flux. This analysis makes it possible to identify the conditions or situations from which the wearer can not naturally manage the luminous flux. The prescription of a filter will then compensate for the loss of vision and / or associated visual comfort. The term "physical objective measurement quantity" of the carrier means any value relating to the measurement of at least one characteristic parameter of a state of the structure and of the ocular functions or related structures by an optical and / or photometric measurement. The addition of physical instrumentation makes it possible to inferentially characterize and quantify a component of the ocular or related structure. The choice of such a representative quantity makes it possible to quantify, by a physical measurement, the capacities and the performances of one or more ocular or related structures in connection with the dazzling processes. According to the structure studied and the results obtained, the characteristics of the filter will be oriented differently to optimize the comfort and / or the visual performances according to the fragility or fragility of the ocular and related structure considered.
[0007] By "subjective measurement quantity related to the perception or expression" of the wearer, we mean all the verbal responses expressed by the wearer through either a questionnaire or questions related to tests carried out in which the wearer must express what he perceived or felt visually. The choice of such a representative quantity makes it possible to subjectively determine visual performances and or visual discomforts felt and expressed by the wearer. This evaluation makes it possible to define the conditions or situations in which the wearer obtains optimal visual performance / or optimal comfort and also the conditions of discomfort and loss of visual performance.
[0008] Advantageously, the magnitude representative of the sensitivity of the eye of the wearer to the characteristic light flux is chosen from at least one of the following quantities: the intraocular diffusion coefficient of the eye of the wearer, the density of the macular pigment of the eye of the wearer, the threshold for modifying the visual comfort and / or the visual performance expressed or measured. The intraocular diffusion coefficient of the wearer's eye corresponds to the property of light to disperse in all directions of a physical structure. Diffusion effects can be caused in the eye by all optical surfaces (tears, cornea, aqueous humor, iris, lens and even vitreous). According to the structure of the eye of the wearer and according to the place of the light used to characterize this measurement, the value of the diffusion coefficient will be more or less important. This diffusion or intraocular absorption is related to the loss of transparency of the ocular structure, causing a diffusion of light in the eye of the wearer. This diffusion increases with age and is dependent on the wavelength and orientation of the light target. It induces a veil, a spread of light arriving on the retina involving among other dazzling visual impairment (loss of vision) and greater discomfort. Indeed, the image formed on the retina is not punctual. Spreading and scattering of the luminous flux implies a fuzzy and diffuse image impacting several visual functions, such as color vision, contrast sensitivity, or visual acuity.
[0009] The density of the macular pigment of the wearer's eye corresponds to the optical density of three carotenoids constituting the macular pigment: lutein, zeaxanthin and mesozeaxanthin. These molecules are not synthesized by the body so their contributions come only from the diet. These carotenoids are located locally on the macular part of the retina, and more precisely at the level of the photoreceptor axons and in the inner plexiform layer. At the cellular level, lutein is more related to rods and zeaxanthin to cones. This macular pigment, which is located at the macular zone of the eye of the wearer, has a protective function against the blue photo-toxic light between 430 and 480 nanometers. It also has a role in reducing light discomfort (recovery time). The concentration of this macular pigment decreases with age and in the presence of retinal pathology. A more precise description of the role of this pigment is described in Example 2 below. By "expressed or measured threshold of change in visual comfort and / or visual performance", it is understood any evolution or decrease in the optimal visual performance that can be experienced by the wearer in all conditions, whether it relates to visual ability or comfort. subjective of a carrier. The threshold expressed depends on each subject (of his initial performance) 30 and is weighted with the wearer's activities, namely the desired vision and comfort requirements. Indeed, an excess of retinal illumination saturates the retinal functioning. This saturation causes visual discomfort, even pain, and also a visual disability in the case of photoreceptor whitening (blinding glare). A recovery time is necessary to regain comfort and / or performance corresponding to the regeneration of the photoreceptor pigments. The parameters influencing this glare depend on the characteristics of the luminous flux present in the light environment of the wearer and the characteristics of the eye of the wearer, such as, for example, the pupil diameter, or the diffusion of the ocular structures (cornea, cataract, pigment epithelium, ...). The luminous flux can have a different impact on the visual performances according to the carriers (variability between subjects). The filter should therefore be determined to best preserve visual performance. For this, it is useful to evaluate the impact of the characteristic luminous flux on the visual performances. Thus, the method further comprises a step of evaluating the impact of said characteristic luminous flux on the visual performance of the wearer, during which at least one of the following measurements is carried out on the wearer: visual acuity: capacity to discriminate an opto-type at the smallest angle, as described in BORISHS CUNICAL REFRACT1ON, (Bu .nuorth-Heinemann; 2nd Edition, Oct. 27, 2006), - sensitivity to contrasts: capabilities of the visual system to detect luminance differences on elements of various dimensions, static (spatial luminance contrast), or dynamic (temporal contrast of luminance), see for example Sidorova et al., ("Functional acuity contrast sensitivity assessment in young The Acta Medica Lituanica, Vol 21, No. 1, 2014) - the field of vision that corresponds to the extent of the space perceived by the eye of the eye. bearer when he is fixed and looks towards him (B0R1SH'S CL1N1CAL REFRACT1ON, cit.), - the perception of colors, that is to say, the visual perception of the spectral distribution of visible light. This sensation has its origin in the stimulation of specialized nerve cells called cones and situated on the retina (op.cit.), - the perception of distances and depths. The perception of depth is the visual ability to perceive the world in three dimensions and to discriminate the position of one object with respect to another (op.cit.), - the eyelid movement which is characterized by a complete closure or partial eyelids, as well as eyelid tremor due to muscle activity greater than that in the resting position. Muscle activity can be evaluated by its electrical activity (electromyogram), see for example Murray et al. The pupil diameter: size of the circular orifice located in the center of the iris and allowing, by contraction or dilation, to measure the amount of light entering the eye (see Alexandridis E., "The Pupil," Springer, 1985), - visual discomfort on a scale of discomfort: discomfort or discomfort experienced with sensation following intense light stimuli (Mainster et al., "Glare's causes, consequences, and clinical challenges after a century of ophthalmic study." Am., J. Ophthalmol., 153 (4), pp. 587-593, 2012), and - glare recovery time: the time required to recover all or part of the functions that have been degraded during glare (Shieber, "Age and Glare Recovery Time for Low-Contrast Stimuli Effect"). glare on a reaction time for peripheral visi on atopic adaptation. "Proceedings of the Human Factors and Ergonomics Society Annual Meeting October 1994, 38: 496-499). Visual discomfort is defined as a subjective sensation of visual non-comfort related to the quantity, distribution and quality of the light received. The visual discomfort scale corresponds to a progressive gradation of the expression of its visual discomfort according to different criteria (Gellatly and Weintraub, "User reconfigurations of the boar rating for discom fort glare", 1990). The threshold of retinal illumination corresponds to the amount of luminance received by the retina of an object or a scene via the pupil. Exposure to intense luminance causes retinal dysfunction that is a consequence of photochemical disorders in the photoreceptors, pigment epithelium and bipolar cells. These disorders result in a decrease in visual performance and / or visual discomfort. The threshold of retinal illumination of comfort or visual performance thus corresponds to the minimum level of luminance that does not cause retinal dysfunction. In another embodiment, the magnitude representative of the sensitivity to the luminous flux characteristic of the eye of the wearer is determined as a function of the intraocular diffusion coefficient measured at different wavelengths. In this case, the absorption rate and / or the spectral response of the filter are then adjusted according to the intraocular diffusion coefficient. In another embodiment, the magnitude representative of the sensitivity of the eye of the wearer to the characteristic light flux is determined as a function of the density and / or distribution of the macular pigment.
[0010] In a particular embodiment, the measurement of the magnitude representative of the sensitivity of the eye of the wearer to the characteristic luminous flux is carried out by means of a test filter placed in front of the eye, the rate of which is varied. absorption and / or spectral response. In a preferred embodiment, said at least one optical characteristic of the filter determined during the determination step consists of: the absorption rate of said filter, the spectral response of said filter, the spatial distribution of said characteristics on said filter; said ophthalmic lens.
[0011] The absorption rate of the filter can be measured using the method described for example in ISO 8980-3: 2003 "Transmittance specification and test methods". The spectral response of the filter may in turn correspond to the reflectance R (λ) or the transmittance T (λ), for example measured by means of a spectrometer using a standardized illuminant D65. Advantageously, the optical characteristic of the filter determined during the step of determining the process is the selective attenuation of the filter, this selective attenuation being proportional to the magnitude representative of the sensitivity to the luminous flux characteristic of the wearer's eye measured. during the measurement step. In a particular embodiment, the optical characteristic of the filter is also determined according to an indicator on the luminous flux and / or the visual need to which the wearer will be subjected in his activities. When the magnitude representative of the sensitivity of the wearer's eye to the characteristic luminous flux is related to the density and / or the distribution of the macular pigment, the spectral response of the filter is determined in the determination step as being according to the absorption curve of the macular pigment as a function of the wavelength.
[0012] In this way, it is possible thanks to the filter determined according to this method to compensate for the effects of a decrease in the density of this pigment or to overcome an inhomogeneous distribution thereof in the eye of the wearer. Advantageously, the spectral response of the filter is then determined so that the system formed by the filter and the wearer's eye has a spectral transmission close to the spectral transmission of a reference eye. In another embodiment, during the determination step, the filter absorption rate and / or the spectral response of the filter are determined, so that when the wearer is subjected to a predetermined luminous flux, the Retinal illumination E, and received by the eye of the wearer is less, for at least one wavelength, at a threshold of retinal illumination beyond which the visual comfort and / or the visual performance of said wearer are degraded. This threshold of retinal illumination corresponds to the retinal illumination and is proportional to the product of the luminance Ls' of the source and the pupillary area Apup. This quantity Ls' x Apup defines a retinal level whose unit is Troland (Td). It can be measured using the following formula (Damelincourt et al., "Interior Lighting and Visual Environments", Lavoisier, 2010, ISBN 2743019115, 9782743019112): E = -xd2 xL, 4 where d is the diameter of the pupil which depends on the luminance of the target but also on its spectral component. For this, it is necessary to calculate the retinal illumination by taking into account both the intensity and the spectral component of the source: J j * A. Finally, in a particularly advantageous implementation of the method of the invention, it is intended to repeat the submitting, characterizing and measuring steps one or more times with another characteristic luminous flux and to determine at least one other characteristic. optical filter for the wearer.
[0013] In this way, it is then possible to take into account all the light sources likely to interfere with a carrier in the optimization of the filter. The method according to the invention finds a particularly advantageous application in the design of filter for ophthalmic lens.
[0014] Thus, the invention also proposes a filter for an ophthalmic lens intended to be placed in front of the eye of a wearer, said filter being determined by the method according to the invention, so as to improve or maintain the visual comfort and / or the visual performance of said wearer. In a particular embodiment, the filter is an active electrochromic or photochromic type filter. In another embodiment, this filter is a passive filter selected from a set of predetermined filters, so that the determined optical characteristic of the filter is close to the same optical characteristic of the selected predetermined filter. The invention finally proposes an ophthalmic lens intended to be placed in front of the eye of a wearer and comprising a filter determined by the method according to the invention. DETAILED DESCRIPTION OF AN EXEMPLARY EMBODIMENT The following four examples of a method for determining a filter in accordance with the invention are more specifically described below, in which: the example No. 1 relates to the determination of a filter according to the diffusion coefficient of the wearer's eye at different wavelengths; - Example No. 2 relates to the determination of a filter according to the density of the macular pigment of the eye of the wearer; Example 3 relates to the determination of a filter according to the prescription cone; and - Example No. 4 concerns the determination of a filter as a function of the retinal illumination of comfort; - Example No. 5 relates to the determination of a filter from a questionnaire for determining the sensitivity level of the eye of the wearer to a characteristic light flux. The determination methods used in Examples Nos. 1 and 2 are based on a direct measurement of a physiological parameter of the wearer's eye resulting in an increase in his sensitivity to light. The method then makes it possible to adapt a filter that makes it possible to completely or partially compensate for the causes of the light disturbance. The methods of determination used in Examples Nos. 3 and 4 focus more on the consequences of excess light rather than on the causes causing the glare of the wearer. The methods described below may be considered individually or may be coupled. The description of the examples which follow with reference to the accompanying drawings, given by way of non-limiting examples, will make it clear what the invention consists of and how it can be achieved. In the accompanying drawings: FIG. 1 represents a luminous target used in example No. 1 for measuring the intraocular diffusion coefficient of the eye of a wearer; FIG. 2 details the operating principle of the intraocular diffusion coefficient measurement method by means of the target of FIG. 1; FIG. 3 is a curve representing the average intraocular diffusion coefficient (in log) of a wearer as a function of his age; FIG. 4 represents a possible curve of transmittance as a function of the wavelength for a filter determined in example n ° 1; FIG. 5 represents the transmittance curves of various filters determined as a function of the intraocular diffusion coefficient of a wearer; FIG. 6 represents the transmittance curve of the filter determined in example no. 1; FIG. 7 represents the typical absorption spectrum (optical density) of the macular pigment of the eye; FIG. 8 represents two different forms of spatial distribution of the macular pigment of an eye; FIG. 9 is a block diagram of the method used in example 2 for the determination of the filter adapted to the wearer as a function of the density of the macular pigment of the wearer; FIG. 10 shows examples of possible spectrum of filters as a function of the density of the macular pigment; FIG. 11 is an explanatory diagram of the method for determining the filter in example No. 3 using a prescription cone; FIG. 12 gives examples of prescription cones measured in example 3; FIG. 13 is a curve representing the luminance of a source at the threshold of discomfort as a function of the wavelength obtained in example no. 4; FIG. 14 represents the curve of FIG. 13 with a curve of the retinal illumination of a wearer at a given instant; FIG. 15 represents an evaluation scale forming part of a questionnaire making it possible to characterize the discomfort of a wearer in a luminous environment. EXAMPLE 1 Diffusion, also referred to as spatial spreading, is the property of finely divided matter to disperse light in all directions. When considering the eye of a carrier, this intraocular diffusion can be generated by all the optical surfaces and all the transparent media crossed: tears, cornea, aqueous humor, iris, crystalline lens, vitreous body, and retina. The loss of transparency of the eye of the wearer may be due in particular to the presence of opacities: cataract, loss of transparency of the cornea (eg due to a keratoconus), or vitreous body (floating bodies). These afflictions mainly affect older carriers due to aging or so follow surgery. The intraocular diffusion results in a degradation of the visual performances, with in particular a reduction of the visual acuity, the sensitivity to the contrasts, the vision of the colors.
[0015] Moreover, the diffusion of light in the eye increases the sensitivity of the wearer to light. Indeed, the diffusion creates halos of light which are projected on all the retina and to saturate in more number the photoreceptors. The diffusion of light in a wearer's eye depends on: - the solid angle under which the wearer sees the source and the eccentricity (angle) that the source makes with respect to the visual axis of the wearer carrier: the closer the source is to the visual axis, the greater the diffusion will be; the spectral content of the light source causing the discomfort: the intraocular diffusion coefficient is greater for short wavelengths, for example below 500 nanometers (nm), than at long wavelengths , for example greater than 600 nm, in particular when the eccentricity of the light source is less than or equal to 3 ° with respect to the visual axis of the carrier.
[0016] In this example, it will be seen that the determination method makes it possible to adapt a filter to reduce the genes related to the intraocular diffusion of one or both eyes of a wearer. For this purpose, the measurement of the intraocular diffusion or absorption coefficient of the wearer's eye is measured during the measuring step. This coefficient is representative of the sensitivity of the wearer's eye to glare and corresponds to a physiological objective measurement quantity of this sensitivity. Preferably, the diffusion coefficient is measured at different wavelengths, for example by using either a broad-spectrum source, for example a white light source, or one or more sources of different wavelengths and limited spectrum. . During the determination step, the filter is adapted to limit the transmission of the wavelengths for which the diffusion coefficient is highest in the case where it is measured on a limited spectrum, and the overall set is modified. wavelengths of the filter in the case of a measurement with a broad-spectrum source. We know a device, called "C-quant", developed by the company Oculus (see eg http://www.oculus.de/en/products/visual-test-equipment/c-quant), which allows the accurate measurement of the amount of light scattered on the retina of a carrier due to intraocular diffusion in the eye of the wearer.
[0017] This apparatus comprises a display screen on which light targets 10 such as those shown in FIG. 1 are displayed. Each target comprises a central ring 11 and an outer ring 12. As shown in FIG. 2 (a), when the measure, the wearer looks at a target whose outer ring 12 is flashing. The light rays 13 coming from this outer ring diffuse through the ocular media and project all over the retina 15, in particular on the central region 14 with which the wearer fixes the central circle 11. The wearer then has the impression of seeing the central circle 11 also blink, because of the intraocular diffusion. This impression persists even if in practice the central circle 11 remains off.
[0018] The light emitted 16 is then adjusted (see FIG. 2 (b)) by the central circle 11 which flashes in phase opposition with respect to the outer ring 12. Then, this light, called the compensation light, is increased up to that the subject no longer sees the difference in flashing between the two phases. The wearer then no longer perceives blinking in the central zone 14. The amount of compensation light needed to be added to obtain the equal perception of the central zones then gives a measurement of the dispersion rate of the wearer's eye for this type. from light. The diffusion coefficient then corresponds here to the logarithmic level of compensation of the dispersion. This coefficient, called "Retinal Straylight Parameter" in English, and noted conventionally s, is given by the following formula: s = e2 X (1-eq / EtOtai), where OÙ-6 is the mean radius of the outer ring creating the diffusion, - Leg is the luminance level in cd / m2 of the compensation light, - Etotal is the intensity of the source creating the diffusion. The diffusion coefficient s can be between 0 and 2.5 log. In practice, the diffusion coefficient can not be zero (no diffusion), because the eye of the wearer is not a perfect optical system. It has been defined (see, for example, Van den Bergh et al., "History of Ocular Straylight Measurement: A Review", Z. Med Phys., 2013, 23 (1), pp. 6-20) of mean levels of diffusion. intraocular by age in years (see Figure 3), as well as some comfort criteria for activities. For example, it has been determined a maximum diffusion coefficient of 1.5 log to allow a comfortable and effective vision during driving tasks. Several measurements can be made using the apparatus described above for different wavelengths, or different ranges of wavelengths, for example located in extreme values of the visible spectrum (400-700 nm) and / or different eccentricities. It is then possible to determine, by the method of determination, the characteristics of the filter to be prescribed to the carrier by virtue of these measurements, in particular its spectral response, here the transmittance curve T (λ) as a function of the wavelength λ.
[0019] In a first step, the measurement of the diffusion coefficient at different wavelengths informs us first of all about the shape to give to the filter's transmittance curve. Indeed, if the light at a given wavelength differs more in comparison with another, it is advantageous to filter it in proportion more. Thus, the calculation of the difference of the diffusion coefficients between different wavelengths (or difference between two ranges of wavelengths) is related to the difference in the level of transmittance to be prescribed between these different wavelengths.
[0020] In a second step, the very value of the intraocular diffusion coefficients for the different wavelengths makes it possible to define the level of the transmittance of the filter to be prescribed. For example, it may be considered that from a diffusion coefficient greater than that of the standard, it is necessary to filter this wavelength.
[0021] This limit may for example be chosen to 1.1 log, which is the value of the standard for a healthy carrier of less than 45 years with achromatic light. The value (in%) of the transmittance T (λ) for a given wavelength λ is then determined to be equal to the difference (in log) between the intraocular diffusion coefficient s (λ) at this length d wave for the wearer subjected to the characteristic light flux and the normal diffusion coefficient for a wearer. Thus, we have the following formula: T (A) = log [s (A)] - 1.1. An example of interpretation of measurements obtained by the method described above will be given below.
[0022] The following tables show the values of the diffusion coefficients for the right eye and for the left eye of a wearer. In Table 1, the values are measured for two different wavelengths: 450 and 650 nm. In Table 2, the values are measured for two different wavelength ranges: 450-500 nm and 600-650 nm. The interpretation of the data will be made only for the right eye for the sake of simplicity. Table 1 Table 2 The diffusion coefficient at 450 nm is 0.5 log, which is less important than the average tolerated intraocular diffusion (1,1). Thus, it is not necessary to filter this wavelength or this part of the spectrum. The transmittance of the filter associated with this wavelength (or part of the spectrum) will therefore be equal to 100%. The transmittance T (A) of the filter is then determined to be such that: T (450 nm) = T (650 nm) / 5. It is possible to follow this same reasoning especially for all the wavelengths of the luminous flux. characteristic (for example that at 575 nm with a diffusion coefficient of 0.7) and obtain a transmittance curve 41 as shown in FIG. 4. After defining the spectrum of the filter, it is necessary to define its intensity which can be at different levels as illustrated by the curves 51, 52, 53 of FIG. 5. From the values of Table 1, it can be seen that the diffusion coefficient at 450 nm is 0.6 greater than the diffusion coefficient defined by the standard. for a normal carrier (1,1). This means that (1.7-1.1) * 100 = 60% of the flux at this wavelength must be removed to have a transmittance equal to 40% at this wavelength. In the same way, the diffusion coefficient at 650 nm being equal (in log) to 1.2, it is necessary to remove (1.2-1.1) * 100 = 10% of the light at this length 450 nm 1 , 8 1.7 650 nm 1.3 1.2 Diffusion Coefficient Straight Eye Coefficient of Diffusion EOl Left Wavelength 450-500 nm 1.8 1.7 600-650 nm 1.3 1.2 Coefficient of diffusion Right Eye Coefficient of diffusion Left eye Wavelength of wave, to reach a filter transmittance equal to 90%. Finally, a filter to be prescribed to the carrier is determined whose spectral response 61, here the transmittance as a function of the wavelength, is represented in FIG.
[0023] In the case of the use of a broad-spectrum source, it is possible to determine the average diffusion coefficients over all the wavelengths and to apply the same transmission value over the entire spectrum of the filter according to the same formulas. Thus, the spectrum of glass should have the characteristics as above: - if this type of glass is already marketed, it can be prescribed; - if this type of glass is not marketed, it can be manufactured in a personalized way; a programmable lens can also make it possible to modify the intensity of the filter according to the characteristics of the illumination to which the wearer is subjected in real time: variation of spectrum in a given environment (inner vs. outer light); incidence angle variation of light rays (at different spectra). Note also that an asymmetry of intraocular diffusion can exist between the right eye and the left eye. In this case, it can be provided to determine filters with different spectra for the two eyes depending on the eye of the wearer for whom the intraocular diffusion is the strongest. Finally, if we obtain a mapping of the intraocular diffusion according to different angles of incidence of the light, it is then possible to propose glasses not having a uniform tint on all the glass (gradient, concentric gradient, etc.), and even customize this geometry of the hue according to these measurements. EXAMPLE 2 In this example, a method of determining a filter as a function of the sensitivity to glare of a wearer will be described from measurements of the density and / or distribution of the macular pigment in the eye of the wearer. The macular pigment (PM) is located in the macular zone of the retina, on the central 6 ° of retinal eccentricity (Wolf-Schnurrbusch et al., "Ethnic differences in macular pigment density and distribution", Invest Ophthalmol. .
[0024] Sci. 2007, 48 (8), pp. 3783-3787; Bernstein PS, "The value of measurement of macular carotenoid pigment optical densities and distributions in age-related macular degeneration and other retinal disorders", Vision Res. 2010). It is composed of lutein and zeaxanthin (the carotenoids of the eye). It is located in the outer plexiform layer of the retina and has the role of absorbing the luminous flux included in a specific range of wavelengths between 430 and 480 nm. This macular pigment also has a maximum peak absorption of about 40% around a wavelength of 460 nm. A typical macular pigment absorption spectrum 71 is shown in Figure 7 as a function of wavelength λ. The function of the macular pigment is to protect the cellular tissues from the harmful effects of photo-oxidation caused by blue light and to reduce the diffusion of blue light by absorbing it. With age, the density of this macular pigment, noted here dpm (see for example Figures 8 (a) and 8 (b)) decreases so that there is a strong correlation between the concentration of this macular pigment and the risk age-related macular degeneration, or "AMD" (see, e.g., Beatty S. et al., Invest Ophthalmol, Vis, Sci 2001, 42: 439-446). The macular pigment may have a different spatial distribution depending on the carriers. We distinguish a peak distribution (typical form 81, see Figure 8 (a)) or torus-shaped (atypical form 82, see Figure 8 (b)). The first shows a progressive decrease in the density dpm of the macular pigment as a function of eccentricity. It is also possible to observe a central cavity in the spatial distribution of the macular pigment at the macular level. This is called a "donut" or Mexican hat distribution. The macular pigment has an impact on the visual performance of an individual: on the one hand, it reduces the impact of chromatic aberrations on vision, and on the other hand, reduces glare. Finally, it should be noted that there is also a significant correlation between the decrease in macular pigment dpm density and, on the one hand, the decrease in visual acuity and contrast sensitivity and, on the other hand, increase in glare recovery time (Stringham et al., "Macular pigment and visual performance under glare conditions." Optom., Sci., 2008, 85 (2), pp. 82-88).
[0025] Apparatuses are known for measuring the density and spatial distribution of the macular pigment within the eye of a wearer: MPS II apparatus (http://www.horus-pharma.com/index.php/en/ hi-tech / mpsii) from Horus Pharma, device "VisuCam" (http://www.zeiss.com/meditec/en_de/products-- solutions / ophthalmology-optometry / retina / diagnostics / fundus-imaging / visuca m- 500.html) of the company Zeiss. The method described hereinafter with reference to FIG. 9 makes it possible to determine a filter making it possible to compensate for the physiological role of this macular pigment, as a function of its density and / or its spatial distribution. The filter determined by this method then has the same spectral absorption capacity with varying intensities according to the density and spatial distribution of the macular pigment. In a first operation, represented by the block 91 in FIG. 9, the density of the macular pigment of the eye of the wearer intended to receive the filter is measured. Then, during a second operation, represented by block 92 in FIG. 9, a segmentation of the need for action of the filter is made. Finally, in a third operation, represented by block 93 in FIG. 9, an adaptation of at least one optical characteristic of the filter is made.
[0026] Block 91 (measurement) The measurement of the concentration of the macular pigment can be carried out by means of an objective physical measurement method of autofluorescence such as that implemented in the VisuCam device of Zeiss or thanks to a subjective method known as "heterochromic Flicker photometry". (Creuzot-Garcher et al., "Retina 2014 IOVS, May 2014, Vol 55, No. 5, pp. 2941-2947). Block 92 (Segmentation) Depending on the density and the spatial distribution of the macular pigment, according to the method of the invention, the spectral response of the filter to be prescribed can be determined. In this case, the magnitude representative of the sensitivity of the wearer's eye to the characteristic luminous flux is related to the density and / or distribution of the macular pigment. During the determination step, the spectral response of the filter is determined to be consistent with the macular pigment absorption curve as a function of wavelength. Preferably, the spectral response of the filter is determined so that the system formed by the filter and the wearer's eye has a spectral transmission close to the spectral transmission of a reference eye. By "reference eye" is meant a human eye whose photoreceptors have a medium sensitivity. "Close" means that the spectral transmission of the system formed by the filter and the eye of the wearer is within a predefined margin around the spectral transmission of the reference eye.
[0027] Typically, this margin can be plus or minus 15% around the spectral transmission of the reference eye. In other words, the spectrum of the determined filter is mimetic to that of the spectrum of the macular pigment (see Figure 10). The intensity of the filter (see curves F1, F2, F3 in FIG. 10) is determined according to the value of the density of the macular pigment. Indeed, the density value of the macular pigment indicates the degree of protection to enhance to preserve the retina. There are then three possible functions for the filter: to compensate for, supplement or support the role of the macular pigment.
[0028] These three functions make it possible to segment the filter's need for action. For this segmentation, it is possible to consider either the average density of the macular pigment (for example obtained by a "heterochromic Flicker" type method), or the entire distribution of the macular pigment (for example obtained by means of a method by photography). .
[0029] In the case of the first method, three segmentations are considered here. Segmentation No. 1 (see block 921, FIG. 9) corresponds to a macular pigment density of less than 0.2. In this case, the filter must strongly compensate for the protective role of the macular pigment.
[0030] Segmentation No. 2 (see block 922, FIG. 9) corresponds to a density of the macular pigment which is between 0.2 and 0.6. In this case, the filter must replace some of the functions of the macular pigment because the density of it is not optimal. Segmentation 3 (see block 923, FIG. 9) corresponds to a density of the macular pigment greater than 0.6. In this case, the filter then has a preventive role (for example of AMD). Block 93 (determination and adaptation of the filter) For segmentation No. 1, the intensity of the filter is determined (see block 931, FIG. 9) with an absorption ratio A (A) identical to that of the profile f (At ) of the macular pigment and a maximum absorption rate of 40% for a wavelength of 460 nm (see curve F1 in Figure 10). For segmentation No. 2, the intensity of the filter is determined (see block 932, FIG. 9) to compensate for the lack of absorption of the macular pigment in proportion to the loss: the absorption rate A (A) of the filter is then defined by the relation A (A) = (1-d) xf (A), where d represents the density of the macular pigment measured during the first operation. For segmentation No. 3, the intensity of the filter is determined (see block 933, FIG. 9) to reinforce the action of the macular pigment: the absorption rate A (A) of the filter is also defined by the relation: A (A) = (1-d) xf (A), where d represents the density of the macular pigment measured during the first operation. In order to adapt the filter and to optimize the intensity of the spectrum of the filter to be prescribed, it is also possible to take into account the retinal distribution of the macular pigment and the spectral characteristics of the characteristic luminous flux. For example, for a carrier having a spatial distribution of the atypical macular pigment, it is expected to increase the rate of absorption of the filter by an amount depending on the average density of the macular pigment and / or depending on the retinal distribution of this macular pigment. pigment (see Wolf-Schnurrbusch et al., supra). The distribution of the macular pigment does not always follow a Gaussian function, centered on the fovea. It can follow a different form, shaped like "Mexican hats". The filter must take into account the distribution of this macular pigment to complement it best. It can also be provided that the filter has a non-uniform absorption rate on its surface so as to adapt to the spatial distribution of the macular pigment. Advantageously, the filter will be an adaptive filter whose absorption rate is not uniform and is adjusted in real time on its surface, for example slaved by a tracking device.
[0031] It is also possible to adapt the absorption rate of the filter to the spectral content of the characteristic luminous flux. This adaptation can be static or dynamic. EXAMPLE 3 In this example, it will be seen that during the measuring step the magnitude representative of the sensitivity of the wearer's eye to the characteristic luminous flux corresponds to a sensitivity to the glare of said wearer. In general, it is known that glare and the wearing of filters, solar type for example, impact the vision and visual comfort of a wearer of ophthalmic lenses provided with such filters. With the determination method of the invention, the spectral response of the filter is determined which makes it possible to optimize the vision and the comfort of the wearer, irrespective of the intensity of the characteristic luminous flux. The method also allows the customization of the spectral response of the filter, whether active or passive, depending on the carrier. The method proposed here also takes into account the refraction of the wearer in order to have the best possible accuracy in this measurement, which is based on and integrates the visual performance of this wearer. As illustrated in Figure 11, the determination of the spectral response of the filter is based on the use of a "prescription cone". The general principle of this method of the prescription cone will be briefly described here before describing in more detail the method of determining the filter. In a first phase of the method, the intensity and the spectrum of the minimum filter preserving comfort are determined for a given light environment. This is illustrated by FIG. 11 (a) on which the intensity of the filter TF is represented as a function of the luminous intensity IL. The determination of the minimum intensity 111a of the filter defines two distinct zones: a comfort zone 113a (upper zone) for which the wearer is not obstructed in the light environment to carry out his task; and a zone of discomfort 112a (hatched lower zone) for which the wearer is obstructed. The visual performance area may also have a low limit. In a second phase of the method, the intensity and the spectrum of the maximum filter are determined for the same light environment, maintaining optimal vision performance (for example: maintaining visual acuity or sensitivity to contrasts). This is illustrated in FIG. 11 (b) on which the intensity of the filter is represented as a function of light intensity. The determination of the maximum intensity 111b of the filter defines two distinct zones: a visual performance zone 112b (lower zone) and a vision loss zone 113b (upper hatched zone). In a third phase, the two previous approaches (Figs 11 (a) and 11 (b)) are combined to determine prescription cone 111 (see Fig. 11 (c)). This zone determines the optical characteristics of the filter (intensity, spectral response) that preserve both visual performance and visual comfort for a given wide range of light environments. The zone 111c of FIG. 11 (c) corresponds to an area in which the wearer experiences both a loss of visual performance and a loss of visual comfort. The thresholds of comfort and visual performance can be determined according to a descending or ascending method. These methods take into account the retinal adaptation time of the wearer against a luminous flux.
[0032] For the descending method, the wearer starts with the darkest glass (for a given spectrum), and decreases the intensity of the luminous flux to determine the thresholds (comfort and performance). The carrier therefore leaves a state where the retina is unsaturated. For the ascending method, the wearer starts with the clearest glass (for a given spectrum), and increases the intensity of the filter to determine the thresholds (comfort and performance). The wearer starts from a state where he can be dazzled: the retina is supersaturated with light. Hereinafter will be described more precisely the determination method used in this example.
[0033] In a first submission step, the wearer is placed in a light environment so that he is subjected to a characteristic controlled and parameterized luminous flux. This characteristic luminous flux is characterized by: a range of luminous intensity, for example between 0 and 20000 lux; a range of visible wavelengths, for example between 400 nm and 680 nm; a diffuse or localized, directional or non-directive illumination, defined for example by an orientation and a diameter of a light source. For the sake of simplification, in this example only the variations of intensity will be considered to explain the principle of the implementation of the method. The measurement of the sensitivity of the eye of the wearer can be performed by varying all the parameters mentioned above in order to characterize more precisely the glare sensitivity profile of the wearer. It is also possible to repeat this measurement by studying the effect of the characteristic light flux spectrum on the wearer's sensitivity to light. In the measuring step, the wearer looks at a target of size, shape, luminance, luminance contrast, and spatial frequencies previously defined (or in general any target characterizing a visual ability, such as a colored target). Preferably, the target is chosen according to the activity of the wearer, namely the desired vision requirement for the visual task considered. It can for example be related to the needs in terms of visual acuity, sensitivity to contrast, accuracy of color rendering, etc. .... If necessary, the wearer wears a pair of ophthalmic lenses to correct its refraction in an optimal way (sphere and cylinder). It also carries a filter-test placed in front of one and / or the other of its eyes, the absorption rate and / or the spectral response of this test-filter being variable. As regards visual performance, the measuring step is started with a test filter whose absorption rate is high (darkest glass). Indeed, in the case of a measurement of visual acuity or contrast, this filter filter test penalizes the vision: the wearer no longer recognizes the target.
[0034] The bearer is then asked to reduce the absorption rate of the filter (or with the help of an operator) until he regains a satisfactory visual perception. We are then at the threshold of visual performance (passage from "unseen" to "seen"). A psychophysical method can also be used to define this area. The absorption rate of the filter which determines this threshold is determined, delimiting the zone allowing a non-degraded visual performance for the characteristic luminous flux in question. This test is repeated for different light intensities of the characteristic luminous flux. A curve similar to that of FIG. 11 (a) is thus obtained. The same measurement is then made, no longer with a vision test, but by asking the wearer the zone from which the intensity of the characteristic luminous flux is troublesome or causes visual discomfort. As before, a curve similar to that of FIG. 11 (b) is then obtained. An area is thus determined in which the visual performances are optimal for a given range of luminous intensity of the characteristic luminous flux and a range of absorption rates of the filter. In this zone, the negative effect of a filter on the visual performance of the wearer is also known.
[0035] In this prescribing zone, the optical characteristics of the filter such as the absorption rate or the spectral response are then determined so that the filter balances the comfort and visual performance of the wearer. It is also possible to repeat these measurements by subjecting the wearer to a characteristic luminous flux characterized by different spectra modified by the filter or by the light source itself. In this way, the influence of the characteristic light flux spectrum on the light sensitivity of the wearer's eye is evaluated. This guides the choice of the optical characteristic (s) of the filter.
[0036] We can reiterate these measures by also considering other criteria such as the visual comfort, the perception of the colors, the perception of the movements, etc .... One thus obtains a range of spectral response allowing to maintain vision and comfort.
[0037] Depending on the wearer, his age, his retinal sensitivity, the profile of the prescription cone will be different. The personalized measurement of this profile of sensitivity to the light of the wearer's eye, subjected to different characteristic luminous flux directs the personalization of the filter. Indeed, the interpretation of the profile of the cone directs: - the range of intensity / spectrum of the filter to be recommended according to the variations and the luminous environment to maintain vision and comfort, - the choice of the technologies of the filters: - filters passive, fixed hue with a constant absorption rate irrespective of the intensity of the characteristic luminous flux; active filters of the type photochromic lenses whose absorption rate and / or spectral response varies as a function of light intensity, energy characteristics (UV) and / or spectrum characteristic light flux; active filters of the electrochromic glass type whose absorption rate and / or spectral response varies non-linearly depending on the light intensity and / or spectrum of the characteristic light flux to ensure a good balance between vision and comfort of the carrier.
[0038] The following will be described with reference to FIGS. 12 (a) to 12 (d), some examples of prescription cones obtained by the method presented above. Figure 12 (a) shows a relatively wide comfort zone 112a. A passive filter, for example with a 65% fixed transmission, gives optimum vision and comfort performance, whatever the light conditions. FIG. 12 (b) shows a comfort zone 112b with a linear progression between the absorption rate TF of the filter and the luminous intensity IL of the characteristic luminous flux. In this case, a glass with a photochromic filter is recommended. Fig. 12 (c) shows a protection zone 112c with a filter whose hue is limited. The wearer is very sensitive to light. The threshold of discomfort is high enough. The wearer needs a filter even at low light intensity. When the light intensity increases, the wearer quickly enters a zone of discomfort and loss of vision, even with a given filter. A passive filter is recommended, for example with a transmission factor greater than 30% for low intensities. Then, a combination of filters or equipment is recommended. Figure 12 (d) shows a narrow, nonlinear prescription zone 112d, where only electrochromic glass could meet the wearer's needs. The absorption rate of the filter must adapt differently to different light intensities. The filter absorption rate ranges are also narrow for each luminous intensity of the characteristic luminous flux. The possibility of precisely selecting a given intensity is essential (need for a very modular filter intensity). For each luminous intensity of the characteristic luminous flux, a filter transmission is associated to maintain a good vision / comfort compromise. In the example of FIG. 12 (d), it is also possible to envisage the prescription of two passive filters corresponding to two different ranges of luminous intensity of the characteristic luminous flux: an indoor filter for a luminous intensity of less than 400 lx for example with a transmittance of 15% to relieve the wearer and preserve his vision, and - an outdoor filter, for a light intensity greater than 4000 lx for example with a transmittance equal to 65% to meet the needs of the wearer. In the case of a glass provided with an active filter, it is possible to determine the absorption rate and / or the spectral response to be programmed for the carrier, among the range of possible filters, taking into account the consumption the system to be the weakest, or program the absorption rate and / or the spectral response to anticipate variations in light intensity quickly accessible depending on the activation time of the active system to change intensity .
[0039] The method based on the prescription cone can also be implemented by varying: - the spectrum of the characteristic luminous flux so as to evaluate the spectral response of the filter the spectrum which the wearer needs to maintain a good vision and a good comfort whatever the characteristics of the light flux; - the spatial distribution of the characteristic luminous flux using a diffused or localized light source; the luminous intensity of the characteristic luminous flux so as to take into account the impact of the light transitions on the wearer.
[0040] In particular, these parameters can be varied so as to be close to the actual conditions as experienced by the wearer. For example, we can take into account the daily lighting environment that can be different from one individual to another (time spent outside / inside, climate, sunshine, night driving, etc ...) for the spectrum, the intensity or spatial distribution is representative of these conditions. EXAMPLE 4 In this fourth example, it is sought to determine a filter making it possible to maintain a retinal illumination of comfort for the wearer's eye subjected to a characteristic luminous flux. This threshold of retinal illumination of comfort is the threshold beyond which the visual comfort and / or the visual performance of said wearer are degraded. In other words, it is a question here of determining the absorption rate and / or the spectral response of the filter which makes it possible to regulate the retinal illumination so as to adapt it to the retinal illumination of the wearer's comfort. It is recalled first that the visual perception is triggered only beyond a minimum amount of light that activates the process of photo-transduction retinal photoreceptors (cones and rods). Conversely, a penalisation of vision (visual disability) can follow an over-illumination leading to an over-saturation of the retina (discomfort) by reducing the regeneration of visual pigments. Thus, one of the objectives of the method described hereinafter is to determine at least one optical characteristic of a filter, for example its absorption rate and / or its spectral response, to adjust the retinal illumination of the wearer to a threshold value. which allows a good regeneration of the visual pigments and a retinal illumination below the threshold of discomfort. For this purpose, several parameters are taken into account: ocular parameters: pupillary diameter, treatment dynamics of retinal illuminance, diffusion of the eye; - Properties of the characteristic luminous flux: illuminance of the source and angular distribution of the luminous flux, solid angle and size of the source, duration of exposure. In a preliminary phase, if necessary equip the wearer of a pair of ophthalmic lenses to correct its refraction optimally. Then, the threshold of retinal illumination of comfort of the wearer is defined which makes it possible to maintain the visual comfort and / or a visual capacity. This threshold corresponds to the retinal luminance which does not disturb the retinal function linked to a light over-saturation of the photoreceptors and related structures of the wearer's eye. In general, the retinal illuminance E is proportional to the luminance product Ls (in candelas per square meter or cd / m2) of the source and pupillary area Ap (m2): E = 7 X (Ap2 / 4 ) x L. The quantity Ls x Ap defines a quantity whose unit is Troland (Td). The pupillary area (pupil diameter) is dependent on the luminance of the source but also on its spectral content. Also, it is necessary to calculate the retinal illumination E, and taking into account both the intensity I and the spectral component of the source (set of wavelengths λ). For this, we base ourselves on the same principle as the prescription cone method. The subjective threshold of discomfort expressed by the wearer for different combinations of intensity and spectrum of the characteristic luminous flux is determined in a controlled luminous environment (eg parameterizable light box). At the threshold of discomfort expressed by the wearer, the retinal illuminance of comfort is calculated by the following formula: Ec (I, λ) = λx (Ap2 / 4) × Ls (I, λ). FIG. 13 is an example of a curve 130 obtained showing, as a function of wavelength, the luminance of the source at the threshold of discomfort with below this curve the comfort zone 131 (shaded area) and above the zone 132. To determine the filter that will adapt the retinal illumination below the threshold of discomfort, it is first necessary to evaluate whether the wearer is in a zone of discomfort 132 (glare). For this purpose, the luminous flux to which the wearer is subjected is characterized, namely: its intensity, its spectrum, its spatial and / or angular distribution, the geometry of the source. Luminance sensors, a spectrometer and a measurement of the pupillary diameter will make it possible to calculate the retinal illumination Eret of the wearer (same formula as above) for a predetermined luminous flux. If the retinal illumination E, and to which the wearer is subjected, is lower than the retinal illumination of comfort Ec previously determined, then no filter is necessary.
[0041] On the other hand, if the retinal illumination E, and is superior to the retinal illumination of comfort E0 previously determined, then a protection by filter can be useful. Note also that the pupil of the wearer plays an important role in the determination of retinal illumination due to its involvement in the regulation of the luminous flux entering the eye of the wearer. The pupillary diameter and the pupil constriction / dilation analysis make it possible to quantify the retinal illumination. In addition, the pupillary diameter is dependent on the age of the wearer, the characteristics of the light (spectrum, intensity, ..) and the type of retinal photoreceptors stimulated by the characteristic light source (cones, rods, melanopsin sensors). Finally, the absorption rate and / or the spectral response of the filter are determined in order to adapt the retinal illumination E, and to the threshold of retinal illumination of comfort Ec.
[0042] First, the spectrum of the filter for adjusting the quality of the luminous flux (depending on the wavelengths) to the profiles of the comfort thresholds of the subject is determined. The threshold of comfort is dependent on both the spectrum of light and also the sensitivity of the photoreceptors according to the wavelengths. With age, for example, and the evolution of the physiological retinal structure, we may have changes in the sensitivities of the spectral curvature of our photoreceptors. It is therefore important to determine for each wavelength or wavelength range a threshold of discomfort to customize the filter spectrum to the retinal sensitivity and this according to the characteristic of the light for which the subject is confronted. An analysis of pupillary behavior may be a means of determining this retinal sensitivity. We consider here the example of Figure 14 on which are represented: - the curve 130 of the threshold of retinal illumination comfort (curve solid line) below which is the comfort zone (shaded area); and a curve 140 of the retinal illumination of the wearer at a given instant. Starting from this example, the spectrum and the intensity of the filter are determined as follows: for the spectrum: the absorption rate of the filter is adapted as a function of the wavelength to the profile of the comfort curve 130 threshold. Here, the absorption rate is higher in the red than in the blue; for the intensity: the absorption rate is adapted to lower the retinal illumination 140 at a given time below threshold 130 of comfort illumination. It is possible to define a lowering threshold percentage below the comfort zone, for example 20% lower, to avoid putting the wearer to his limit of discomfort. We will then choose a filter whose transmittance T (A) as a function of the wavelength (expressed in%) is given by the following formula: T (A) = J [Ec (I, A) / E ,, t (I, to)] x 100, the summation being carried out between 450 and 650 nm. The intensity of the filter is determined by a threshold to be defined to adapt the retinal illumination below its threshold of discomfort.
[0043] Assuming 20% tolerance, the filter must absorb 20 (:) / 0 more (ie transmit 80% of the flux), the filter F () is defined by the following formula: F (I, A) = 1 - (20/100) x J [Ec (I, λ) / E ,, t (I, λ)] x 100. To simplify the analysis, it is possible to determine retinal illuminance of comfort with a white light . This makes it possible to determine the intensity of the filter to be prescribed, in the same way. It will thus be possible to determine: the existing passive filter whose intensity and / or spectrum is closest to said value; the passive filter whose intensity and / or spectral response are personalized; - The programming of active glass intensity and / or spectrum to adapt the retinal illumination under any circumstance according to the light environment to which the wearer is subjected. It will be noted however that the prescription of a filter will act on the pupillary diameter. A dark filter will increase the pupillary diameter and thus impact the retinal illumination. This effect must be taken into account in the validation of the final filter to validate the maintenance of the retinal illumination of comfort.
[0044] Finally, it is common with age to observe anisocoria, namely differences in pupillary diameter between the right eye and the wearer's left eye. This situation can create an imbalance of the luminous flux on the two eyes of the wearer. An evaluation of the retinal thresholds of comfort in monocular and binocular vision will make it possible to propose a different intensity and a spectrum of filters between the two eyes to rebalance the comfort and binocular visual performance of the wearer. EXAMPLE 5 In this fifth example, the wearer is offered a questionnaire for determining his level of sensitivity to the luminous flux.
[0045] A set of questions is proposed for which the wearer provides an indicator on his level of visual comfort or visual quality, according to different light conditions, for example night, twilight, day, sunny, cloudy, etc ... and according to activities such as driving, reading, sports, indoor or outdoor activities. By way of example, the carrier can provide an indicator of between 1 and 5 on an evaluation scale as represented for example in FIG. 15. On this scale, the different levels are as follows: - level "1": unbearable visual comfort level or very poor visual quality level; - level "2": disturbing visual comfort level or poor visual quality level; - level "3": just bearable visual comfort level or just acceptable visual quality level; - level "4": level of visual comfort or satisfactory visual quality; - level "5": level of visual comfort or excellent visual quality. It is thus possible to determine, as a function of the responses, a sensitivity profile of the wearer. It is then possible to determine the sensitivity level in several ways. According to a first method, it is conceivable to have a database of filter carriers for which the levels of sensitivity to light have been measured, for example according to a protocol as described in one of Examples 1 to 4 above. and for which the sensitivity profiles were determined with an identical questionnaire. The light sensitivity level of the carriers of the database having the same sensitivity profile can then be associated with the carrier and it is possible to propose filters determined according to examples 1 to 4. According to a second method, the level of sensitivity can be considered sensitivity expressed by the wearer for different light conditions and different activities as a direct measure of its sensitivity. Thus, for example, if the wearer expresses discomfort for a question about normal light conditions, then the level of transmission of the filter can be determined directly by the level of discomfort. For example, for a level of discomfort of "1" on the scale of FIG. 15 (unbearable visual discomfort), a filter having a transmission of 10% can be advocated. Conversely, for a comfort level of "5" (no annoyance, excellent comfort), it is possible to recommend a filter having a transmission of 90%. In all cases, the answers to the questionnaire can be weighted according to the wearer or according to the frequency with which he meets the situation corresponding to the question.
[0046] For example, if a wearer spends more time outdoors than indoors, a higher weight is given to questions about outdoor lighting conditions. For this purpose, the bearer may be asked to associate, for each question, a coefficient giving the frequency with which the situation is encountered, for example a coefficient 1 for a rare situation, a coefficient 2 for an occasional situation, a coefficient 3 for a frequent situation, and a coefficient 4 for a very frequent situation. In general, whatever the method used (Examples 1 to 5), the determination of the filter according to one of the methods described may involve using a filter whose transmission varies spatially on the ophthalmic lens. Indeed, the dazzle sources may be in preferred directions in the environment of the carrier, it is possible to have a filter having a different absorption rate and / or spectral response between the upper part and the part bottom of the ophthalmic lens. On one side, the upper part is mainly used for an outdoor activity where the luminous flux can be very high and where the spectrum of this flux is that of the natural light.
[0047] On the other side, the lower part is mainly used for an indoor activity where the luminous flux is limited and where the spectrum of this flux is often that of an artificial light. Finally, it should be noted that the various methods of Examples 1 to 5 can be combined with one another in order to refine the determination of the optical filter.
[0048] It is in particular possible to combine the macular pigment method (Example 4) with a questionnaire (Example 5) so as to obtain a light sensitivity profile of the wearer's eye which is more precise and more complete.

权利要求:
Claims (23)
[0001]
REVENDICATIONS1. A method of determining a filter for an ophthalmic lens intended to be placed in front of a wearer's eye, said filter being able to improve or maintain the visual comfort and / or the visual performance of said wearer, characterized in that it comprises: a step of measuring a magnitude representative of a sensitivity of the eye or both eyes of the wearer to a characteristic luminous flux, and a step of determining at least one optical characteristic of said filter in function. of the representative magnitude measured.
[0002]
2. Method according to claim 1, wherein said magnitude representative of the sensitivity of the wearer's eye to said characteristic light flux corresponds to a sensitivity to glare of said wearer.
[0003]
3. Method according to claim 1, wherein said magnitude representative of the sensitivity of the wearer's eye to said characteristic luminous flux is chosen from at least one of the following quantities: a physiological objective measurement quantity of the wearer; a physical objective measurement quantity of the wearer; a subjective measurement quantity related to the perception or the expression of the wearer.
[0004]
4. Method according to one of claims 1 to 3, wherein said magnitude representative of the sensitivity of the eye of the wearer to the characteristic light flux is selected from at least one of the following quantities: - the intraocular diffusion coefficient of the eye of the wearer, - the density of the macular pigment of the eye of the wearer, - the threshold of variation of visual comfort and / or visual performance expressed or measured.
[0005]
5. Method according to one of claims 1 to 4, wherein said step of measuring the magnitude representative of the sensitivity of the wearer's eye 30 to the characteristic luminous flux comprises: a step of submitting the wearer to said characteristic luminous flux; and a step of characterizing said characteristic luminous flux, the measurement of said representative quantity being carried out on the carrier having said characteristic luminous flux,
[0006]
6. Method according to one of claims 1 to 4, wherein said step of measuring the magnitude representative of the sensitivity of the wearer's eye to the characteristic luminous flux comprises: - a step of submitting the wearer to a questionnaire allowing to appreciate the sensitivity of the wearer to said characteristic luminous flux; a step of collecting the responses of the wearer to said questionnaire, the measurement of said representative quantity being carried out on the basis of said responses of the wearer to the questionnaire,
[0007]
7. Method according to claim 5, wherein the step of characterizing said characteristic luminous flux consists of measuring at least one of the following quantities: the spatial distribution of said characteristic luminous flux, the angular distribution of said luminous flux characteristic, - the spectrum of said characteristic light flux, - the intensity of said characteristic light flux.
[0008]
8. Method according to one of claims 1 to 7, wherein said at least one optical characteristic of the determined filter consists of: - the absorption rate of said filter, the spectral response of said filter, - the spatial distribution of these characteristics on said ophthalmic lens.
[0009]
9. Determination method according to one of claims 1 to 8, further comprising a step of evaluating the impact of said characteristic light flux on the visual performance of the wearer in which one of at least one of the following measurements is performed on the wearer: - visual acuity, - sensitivity to contrasts, - field of vision, - perception of colors, - perception of distances, - eyelid movement, - pupillary diameter, - visual discomfort on a scale of discomfort, and the recovery time after glare.
[0010]
10. The method of claim 9, wherein the measurement of said magnitude representative of the sensitivity of the wearer's eye to said characteristic light flux is performed by means of a test filter placed in front of the eye carrier, which is varied the absorption rate and / or the spectral response.
[0011]
11. A method of determination according to claims 4 and 8, wherein the magnitude representative of the sensitivity to the luminous flux characteristic of the eye of the wearer is determined as a function of the intraocular diffusion coefficient measured at different wavelengths and according to which the absorption rate and / or the spectral response of the filter is adjusted according to said intraocular diffusion coefficient.
[0012]
12. Method according to one of claims 1 to 11, wherein the selective attenuation of the filter is proportional to the magnitude representative of the sensitivity to the luminous flux characteristic of the eye of the wearer.
[0013]
13. Method according to one of claims 1 to 12, wherein said optical characteristic of the filter is also determined according to an indicator on the luminous flux and / or the visual need to which the wearer will be subjected in his activities.
[0014]
14. Determination method according to claim 4, wherein the magnitude representative of the sensitivity of the eye of the wearer to the characteristic light flux is determined according to the density and / or distribution of the macular pigment.
[0015]
15. The method of claim 14, wherein, in the determination step, the spectral response of the filter is determined to be consistent with the macular pigment absorption curve as a function of wavelength.
[0016]
16. The method according to claim 14, wherein, during the step of determining the filter, the spectral response of the filter is determined so that the system formed by the filter and the wearer's eye has a spectral transmission close to the spectral transmission of a reference eye.
[0017]
17. Method according to one of claims 1 to 14, wherein, in said determination step, the absorption rate of the filter and / or the spectral response of the filter is determined, so that when the wearer is submitted at a predetermined luminous flux, the retinal illumination Eret received by the eye of the wearer is less, for at least one wavelength, at a threshold of retinal illumination beyond which the visual comfort and / or the visual performances of said carrier are degraded.
[0018]
18. The method of claim 4, wherein, the magnitude representative of the sensitivity to the flow of the eye of the wearer comprising the density of the macular pigment, the following rules are applied for the determination of the filter according to the result of the measurement of the density of the macular pigment: - if the density of the macular pigment is less than 0.2: the spectral response of the filter is in accordance with the absorption curve of the macular pigment as a function of the wavelength, said filter having for one wavelength of 10 460 nanometers a maximum absorption coefficient equal to 40%, - if the density d of the macular pigment is greater than 0.2: the spectral response of the filter is in accordance with the absorption curve f (k ) of the macular pigment as a function of the wavelength k, the absorption coefficient A (k) of said filter at the wavelength X, being such that: A (k) = (1-d) * f ( k). 15
[0019]
19. The method of claim 4, wherein the magnitude representative of the sensitivity to the flow of the eye of the wearer is the retinal illumination E (X) as a function of the wavelength and comprising a step of determining the Econfort comfort retentive illumination (k) of said wearer as a function of the wavelength and, when said retinal illumination Eret is greater than said retinal comfort illumination Econfort for a plurality of at least wavelengths, the filter is determined by its spectral response F (k) which is then equal to the product of a constant a predetermined by the ratio between retinal comfort illumination Econfort (X) and retinal illumination E (X) of said unfiltered carrier, ie F ( k) = ax (Econfor (X) Eret (k)). 25
[0020]
20. Filter for an ophthalmic lens intended to be placed in front of the eye of a wearer, said filter being determined by the method according to one of claims 1 to 19, so as to improve or maintain the visual comfort and / or the visual performance of said wearer.
[0021]
21. The filter of claim 20, said filter being an active filter of the electrochromic or photochromic type.
[0022]
22. The filter of claim 20, said filter being a passive filter selected from a set of predetermined filters, so that the determined optical characteristic of the filter is close to the same optical characteristic of the selected predetermined filter.
[0023]
23. Ophthalmic lens intended to be placed in front of the eye of a wearer and comprising a filter according to one of claims 20 to 22.

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同族专利:

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公开号 | 公开日

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FR3031816B1|2018-02-16|

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US10613346B2|2020-04-07|

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EP3245555A1|2017-11-22|

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WO2016113506A1|2016-07-21|

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法律状态:
2016-01-26| PLFP| Fee payment|Year of fee payment: 2 |

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2016-07-22| PLSC| Publication of the preliminary search report|Effective date: 20160722 |

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2017-01-25| PLFP| Fee payment|Year of fee payment: 3 |

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2018-01-25| PLFP| Fee payment|Year of fee payment: 4 |

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2018-07-06| TP| Transmission of property|Owner name: ESSILOR INTERNATIONAL, FR Effective date: 20180601 |

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2020-01-27| PLFP| Fee payment|Year of fee payment: 6 |

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2021-01-25| PLFP| Fee payment|Year of fee payment: 7 |

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2022-01-25| PLFP| Fee payment|Year of fee payment: 8 |

优先权:

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申请号 | 申请日 | 专利标题

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FR1550383A|FR3031816B1|2015-01-16|2015-01-16|METHOD FOR DETERMINING A FILTER FOR AN OPHTHALMIC LENS AND OPHTHALMIC LENS COMPRISING SUCH A FILTER|

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FR1550383|2015-01-16|FR1550383A| FR3031816B1|2015-01-16|2015-01-16|METHOD FOR DETERMINING A FILTER FOR AN OPHTHALMIC LENS AND OPHTHALMIC LENS COMPRISING SUCH A FILTER|

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EP16703340.6A| EP3245555A1|2015-01-16|2016-01-14|Method for determining a filter for an ophthalmic lens and ophthalmic lens comprising such a filter|

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CN202010801549.6A| CN112068330A|2015-01-16|2016-01-14|Method for determining a filter of an ophthalmic lens and ophthalmic lens comprising such a filter|

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US15/543,795| US10613346B2|2015-01-16|2016-01-14|Method for determining a filter for an ophthalmic lens and ophthalmic lens comprising such a filter|

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PCT/FR2016/050065| WO2016113506A1|2015-01-16|2016-01-14|Method for determining a filter for an ophthalmic lens and ophthalmic lens comprising such a filter|

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CN201680005923.3A| CN107111162B|2015-01-16|2016-01-14|Method for determining a filter for an ophthalmic lens and ophthalmic lens comprising such a filter|

---

BR112017015230-4A| BR112017015230A2|2015-01-16|2016-01-14|method of determining a filter for an ophthalmic lens and an ophthalmic lens comprising a filter of this nature|

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CA2973785A| CA2973785A1|2015-01-16|2016-01-14|Method for determining a filter for an ophthalmic lens and ophthalmic lens comprising such a filter|

---

US16/809,793| US20200209648A1|2015-01-16|2020-03-05|Method for determining a filter for an ophthalmic lens and ophthalmic lens comprising such a filter|