面向用户的睑板腺功能障碍辅助治疗仪的设计与实现

      Design and Implementation of User-oriented Auxiliary Treatment Instrument for Meibomian Gland Dysfunction

      • 摘要: 干眼症是一种由于睑板腺功能障碍引起的眼不适应状的常见眼科疾病,常伴有泪膜渗透压升高和眼表炎症等症状。在对干眼患者的治疗过程中,疏通睑板腺分泌物引起的腺体阻塞是一种有效的治疗方法。设计了一款睑板腺功能障碍辅助治疗仪,利用电热效应和硅胶的超弹性,实现对睑板腺的通电热敷和挤压按摩,来改善腺体的血液循环,以达到疏通睑板腺的目的。治疗仪能够同时将治疗过程中的温度和压力进行实时显示,以便医生实时掌握治疗进程。治疗仪基于参数化建模方法,构建面向用户的交互界面,能够根据用户的眼球几何参数通过3D自主打印定制按摩壳。所设计的治疗仪最后在新西兰大白兔上进行了动物实验,实验结果表明该治疗仪具有一定的有效性和安全性,以及一定的临床应用前景。

         

        Abstract: Dry eye is a common ophthalmic disease caused by eye maladjustment due to meibomian gland dysfunction (MGD), which is often accompanied by symptoms such as increased tear film osmotic pressure and ocular surface inflammation. In the treatment of dry eye patients, dredging gland obstruction caused by meibomian gland secretion is an effective treatment method. Based on electrothermal effect and hyperelasticity of the silicone, an auxiliary treatment instrument for MGD is designed, which can improve the blood circulation of the glands through heat compress and massage to achieve the purpose of dredging the meibomian glands. The therapy device can display the temperature and pressure during the treatment in real time, so that the surgeon can grasp the progress of the treatment in real time. The therapy device constructs a user-oriented interactive interface based on parametric modeling method, which can be customized by 3D printing according to the user's eyeball geometric parameters. The designed therapeutic device was finally tested on New Zealand white rabbits. The experimental results show that the therapeutic device has significant effectiveness and safety, as well as clinical application prospects.

         

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