Abstract: Medical methods to completely treat glaucoma are yet to be developed. Therefore, ophthalmologists manage patients mainly to delay disease progression. Patients with glaucoma are mainly elderly individuals. In elderly people's houses, having an equipment that can provide medical treatment and care can release their family from their care. For elderly people with the glaucoma to live by themselves as much as possible, we developed a support robot having five functions: elderly people care, ophthalmological examination, trip assistance to the neighborhood, medical treatment, and data referral to a hospital. The medical and nursing care robot should approach the visual field that the patients can see at a speed suitable for their eyesight. This is because the robot will be dangerous if it approaches the patients from the visual field that they cannot see. We experimentally developed a robot that brings a white cane to elderly people with glaucoma. The base part of the robot is a carriage, which is a Megarover 1.1, and it has two infrared sensors. The robot moves along a white line on the floor using the infrared sensors and has a special arm, which does not use electricity. The arm can scoop the block attached to the white cane. Next, we also developed a direction detector comprised of a charge-coupled device camera (SVR41ResucueHD; Sun Mechatronics), goggles (MG-277MLF; Midori Anzen Co. Ltd.), and biconvex lenses with a focal length of 25 mm (Edmund Co.). Some young people were photographed using the direction detector, which was put on their faces. Image processing was performed using Scilab 6.1.0 and Image Processing and Computer Vision Toolbox 4.1.2. To measure the people's line of vision, we calculated the iris's center of gravity using five processes: reduction, trimming, binarization or gray scale, edge extraction, and Hough transform. We compared the binarization and gray scale processes in image processing. The binarization process was better than the gray scale process. For edge extraction, we compared five methods: Sobel, Prewitt, Laplacian of Gaussian, fast Fourier transform, and Canny. The Canny method was the optimal extraction method. We performed the Hough transform to search for the main coordinates from the iris's edge, and we found that the Hough transform could calculate the center point of the iris.
Abstract: Accurate segmentation of the optic disc is very
important for computer-aided diagnosis of several ocular diseases
such as glaucoma, diabetic retinopathy, and hypertensive retinopathy.
The paper presents an accurate and fast optic disc detection and
segmentation method using an attention based fully convolutional
network. The network is trained from scratch using the fundus images
of extended MESSIDOR database and the trained model is used for
segmentation of optic disc. The false positives are removed based on
morphological operation and shape features. The result is evaluated
using three-fold cross-validation on six public fundus image databases
such as DIARETDB0, DIARETDB1, DRIVE, AV-INSPIRE, CHASE
DB1 and MESSIDOR. The attention based fully convolutional
network is robust and effective for detection and segmentation of
optic disc in the images affected by diabetic retinopathy and it
outperforms existing techniques.
Abstract: Glaucoma is a disease that causes visual loss in adults. Glaucoma causes damage to the optic nerve and its overall pathophysiology is still not fully understood. Vasculopathy may be one of the possible causes of nerve damage. Photographic imaging of retinal vessels by fundus camera during eye examination may complement clinical management. This paper presents an innovation for measuring central light reflex width-to-retinal vessel diameter ratio (CRR) from digital retinal photographs. Using our edge detection technique, CRRs from glaucoma and normal eyes were compared to examine differences and associations. CRRs were evaluated on fundus photographs of participants from Mettapracharak (Wat Raikhing) Hospital in Nakhon Pathom, Thailand. Fifty-five photographs from normal eyes and twenty-one photographs from glaucoma eyes were included. Participants with hypertension were excluded. In each photograph, CRRs from four retinal vessels, including arteries and veins in the inferotemporal and superotemporal regions, were quantified using edge detection technique. From our finding, mean CRRs of all four retinal arteries and veins were significantly higher in persons with glaucoma than in those without glaucoma (0.34 vs. 0.32, p < 0.05 for inferotemporal vein, 0.33 vs. 0.30, p < 0.01 for inferotemporal artery, 0.34 vs. 0.31, p < 0.01 for superotemporal vein, and 0.33 vs. 0.30, p < 0.05 for superotemporal artery). From these results, an increase in CRRs of retinal vessels, as quantitatively measured from fundus photographs, could be associated with glaucoma.
Abstract: Objective: Safety and efficacy of Ahmed glaucoma
valve implantation for the management of uveitis induced glaucoma
evaluated on the five dogs with uncontrollable glaucoma. Materials
and Methods: Ahmed Glaucoma Valve (AGV®; New World
Medical, Rancho Cucamonga, CA, USA) is a flow restrictive, nonobstructive
self-regulating valve system. Preoperative ocular
evaluation included direct ophthalmoscopy and measurement of the
intraocular pressure (IOP). The implant was examined and primed
prior to implantation. The selected site of the valve implantation was
the superior quadrant between the superior and lateral rectus muscles.
A fornix-based incision was made through the conjunectiva and
Tenon’s capsule. A pocket is formed by blunt dissection of Tenon’s
capsule from the episclera. The body of the implant was inserted into
the pocket with the leading edge of the device around 8-10 mm from
the limbus. Results: No post-operative complications were detected
in the operated eyes except a persistent corneal edema occupied the
upper half of the cornea in one case. Hyphaema was very mild and
seen only in two cases which resolved quickly two days after surgery.
Endoscopical evaluation for the operated eyes revealed a normal
ocular fundus with clearly visible optic papilla, tapetum and retinal
blood vessels. No evidence of hemorrhage, infection, adhesions or
retinal abnormalities was detected. Conclusion: Ahmed glaucoma
valve is safe and effective implant for treatment of uveitic glaucoma
in dogs.
Abstract: Lateral Geniculate Nucleus (LGN) is the relay center
in the visual pathway as it receives most of the input information
from retinal ganglion cells (RGC) and sends to visual cortex. Low
threshold calcium currents (IT) at the membrane are the unique
indicator to characterize this firing functionality of the LGN neurons
gained by the RGC input. According to the LGN functional
requirements such as functional mapping of RGC to LGN, the
morphologies of the LGN neurons were developed. During the
neurological disorders like glaucoma, the mapping between RGC and
LGN is disconnected and hence stimulating LGN electrically using
deep brain electrodes can restore the functionalities of LGN. A
computational model was developed for simulating the LGN neurons
with three predominant morphologies each representing different
functional mapping of RGC to LGN. The firings of action potentials
at LGN neuron due to IT were characterized by varying the
stimulation parameters, morphological parameters and orientation. A
wide range of stimulation parameters (stimulus amplitude, duration
and frequency) represents the various strengths of the electrical
stimulation with different morphological parameters (soma size,
dendrites size and structure). The orientation (0-1800) of LGN
neuron with respect to the stimulating electrode represents the angle
at which the extracellular deep brain stimulation towards LGN
neuron is performed. A reduced dendrite structure was used in the
model using Bush–Sejnowski algorithm to decrease the
computational time while conserving its input resistance and total
surface area. The major finding is that an input potential of 0.4 V is
required to produce the action potential in the LGN neuron which is
placed at 100 μm distance from the electrode. From this study, it can
be concluded that the neuroprostheses under design would need to
consider the capability of inducing at least 0.4V to produce action
potentials in LGN.
Abstract: Optic disk segmentation plays a key role in the mass
screening of individuals with diabetic retinopathy and glaucoma
ailments. An efficient hardware-based algorithm for optic disk
localization and segmentation would aid for developing an automated
retinal image analysis system for real time applications. Herein,
TMS320C6416DSK DSP board pixel intensity based fractal analysis
algorithm for an automatic localization and segmentation of the optic
disk is reported. The experiment has been performed on color and
fluorescent angiography retinal fundus images. Initially, the images
were pre-processed to reduce the noise and enhance the quality. The
retinal vascular tree of the image was then extracted using canny
edge detection technique. Finally, a pixel intensity based fractal
analysis is performed to segment the optic disk by tracing the origin
of the vascular tree. The proposed method is examined on three
publicly available data sets of the retinal image and also with the data
set obtained from an eye clinic. The average accuracy achieved is
96.2%. To the best of the knowledge, this is the first work reporting
the use of TMS320C6416DSK DSP board and pixel intensity based
fractal analysis algorithm for an automatic localization and
segmentation of the optic disk. This will pave the way for developing
devices for detection of retinal diseases in the future.
Abstract: Along with the increased morbidity of glaucoma or
diabetic retinitis pigmentosa, etc., number of people with vision loss is
also increasing in Japan. It is difficult for the visually impaired to learn
and acquire braille because most of them are middle-aged. In addition,
number of braille teachers are not sufficient and reducing in Japan, and
this situation makes more difficult for the visually impaired. Therefore,
we research and develop a Web-based e-learning program for tactile
braille, that cooperate with braille display and voice assistance.
Abstract: This paper presents design and characterization of a
microaccelerometer designated for integration into cataract surgical
probe to detect hardness of different eye tissues during cataract
surgery. Soft posterior lens capsule of eye can be easily damaged in
comparison with hard opaque lens since the surgeon can not see
directly behind cutting needle during the surgery. Presence of
microsensor helps the surgeon to avoid rupturing posterior lens
capsule which if occurs leads to severe complications such as
glaucoma, infection, or even blindness. The microsensor having
overall dimensions of 480 μm x 395 μm is able to deliver significant
capacitance variations during encountered vibration situations which
makes it capable to distinguish between different types of tissue.
Integration of electronic components on chip ensures high level of
reliability and noise immunity while minimizes space and power
requirements. Physical characteristics and results on performance
testing, proves integration of microsensor as an effective tool to aid
the surgeon during this procedure.
Abstract: Glaucoma diagnosis involves extracting three features
of the fundus image; optic cup, optic disc and vernacular. Present
manual diagnosis is expensive, tedious and time consuming. A
number of researches have been conducted to automate this process.
However, the variability between the diagnostic capability of an
automated system and ophthalmologist has yet to be established. This
paper discusses the efficiency and variability between
ophthalmologist opinion and digital technique; threshold. The
efficiency and variability measures are based on image quality
grading; poor, satisfactory or good. The images are separated into
four channels; gray, red, green and blue. A scientific investigation
was conducted on three ophthalmologists who graded the images
based on the image quality. The images are threshold using multithresholding
and graded as done by the ophthalmologist. A
comparison of grade from the ophthalmologist and threshold is made.
The results show there is a small variability between result of
ophthalmologists and digital threshold.