Fast and Mobile Cataract Detection by Applying Line Laser Eye Illumination

Nicole Fehler; Robin Haag; André Messias; Martin Hessling

doi:10.35882/teknokes.v17i1.639

Nicole Fehler Institute of Medical Engineering and Mechatronics, Ulm University of Applied Sciences, Albert-Einstein-Allee 55, D-89081 Ulm, Germany https://orcid.org/0000-0001-7214-2989
Robin Haag Institute of Medical Engineering and Mechatronics, Ulm University of Applied Sciences, Albert-Einstein-Allee 55, D-89081 Ulm, Germany https://orcid.org/0000-0002-0837-4846
André Messias Department of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery – Ribeirão Preto Medical School, University of São Paulo– Brazil. Campus Universitario, S/N, Ribeirão Preto - SP, 14048-900, Brazil https://orcid.org/0000-0002-5328-9608
Martin Hessling Institute of Medical Engineering and Mechatronics, Ulm University of Applied Sciences, Albert-Einstein-Allee 55, D-89081 Ulm, Germany https://orcid.org/0000-0002-4859-2864

DOI: https://doi.org/10.35882/teknokes.v17i1.639

Keywords: cataract diagnosis, blindness, porcine eyes, line laser

Abstract

Cataract is observed when the eye lens becomes opaque. This condition causes blurred vision and is the main cause of blindness worldwide. Cataract diagnosis is usually performed during ophthalmologist examination using a slit lamp, which requires expertise, is expensive and bulky. In this study, we present a small handheld illumination setup for cataract detection. Ex-vivo porcine eyes are investigated to determine whether colored line lasers, 450 nm (blue), 520 nm (green) and 650 nm (red), which shine obliquely into the eye, are principally suited for detection of the Y shaped suture cataract and of cold cataract, respecting exposure limits of EU guideline 2006/25/EC. Camera images of the cataract exhibited good results under illumination with all line lasers. Observations with the physician’s eye led to an even better diagnosis of cataract. Generally, green laser light illumination was the best choice for cataract detection. With red laser light illumination it was also possible, but least suitable for this purpose. With this method, line lasers are a good choice for cataract identification, as cataract can be detected quickly and without much effort. This type of line laser illumination of the eye is safe and both types of cataract are detectable with all wavelengths. For the human eye, a further development of this system is conceivable.

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