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Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology 12/2004

01.12.2004 | Short Communication

Non-invasive polarimetric measurement of glucose concentration in the anterior chamber of the eye

verfasst von: Rainer Rawer, Wilhelm Stork, Cristine F. Kreiner

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 12/2004

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Abstract

Background

Diabetes mellitus is one of the most common diseases in industrialized countries as well as in emerging economies such as India or China. One of the key technologies for diabetes therapy is semi-continuous monitoring of the glucose level of diabetics.

Methods

Compared with skin-perforating techniques, optical measurement techniques promising good results bear the potential for high patient compliance with more frequent measurements. Due to its excellent optical properties, the anterior chamber and the aqueous humor (AH) contained therein offer promise for non-invasive in vivo glucose measurements. However, a number of strongly limiting factors, such as the precise optical properties of the eye, laser safety regulations and subconscious eye movements during the measurement period have to be considered for in vivo applications.

Results

This article presents a high-resolution polarimetric measurement system that utilizes the optical rotatory dispersion (optical activity) of the glucose molecule for measurements of the glucose concentration in AH.

Conclusion

Based on this example of a suitable optical measurement system, the special limitations and conditions that have to be considered for in vivo glucose measurement at the human eye are presented and analyzed. This includes the optical properties of the cornea and the anterior chamber, the impact of typical eye movements during a measurement and laser safety regulations.
Literatur
1.
Zurück zum Zitat Alio J, Pradon M (1982) Influence of age on temperature of the anterior segment of the eye. Measurement by infrared thermometry. Ophthalmic Res 14:153–159PubMed Alio J, Pradon M (1982) Influence of age on temperature of the anterior segment of the eye. Measurement by infrared thermometry. Ophthalmic Res 14:153–159PubMed
2.
Zurück zum Zitat Baba J, Meledeo A, Cameron BD, Coté GL (2001) Investigation of pH and temperature on optical rotatory dispersion for noninvasive glucose monitoring. Proc SPIE 4263 Baba J, Meledeo A, Cameron BD, Coté GL (2001) Investigation of pH and temperature on optical rotatory dispersion for noninvasive glucose monitoring. Proc SPIE 4263
3.
Zurück zum Zitat Böckle S, Rovati L, Ansari RR (2002) Polarimetric glucose sensing using Brewster-reflection off of eye lens: theoretical analysis, optical diagnostics and sensing of biological fluids and glucose and cholesterol monitoring II. Proc SPIE 4624:160–164 Böckle S, Rovati L, Ansari RR (2002) Polarimetric glucose sensing using Brewster-reflection off of eye lens: theoretical analysis, optical diagnostics and sensing of biological fluids and glucose and cholesterol monitoring II. Proc SPIE 4624:160–164
4.
Zurück zum Zitat Born M, Wolf E (1980) Principles of optics. Pergamon, New York Born M, Wolf E (1980) Principles of optics. Pergamon, New York
5.
Zurück zum Zitat Cameron BD, Coté GL (2000) Optical polarimetry applied to the development of a noninvasive in-vivo glucose monitor. Proc SPIE BiOS Cameron BD, Coté GL (2000) Optical polarimetry applied to the development of a noninvasive in-vivo glucose monitor. Proc SPIE BiOS
6.
Zurück zum Zitat Cameron BD, Gorde H, Coté GL (1999) Development of an optical polarimeter for in vivo glucose monitoring. SPIE 3599:43–49CrossRef Cameron BD, Gorde H, Coté GL (1999) Development of an optical polarimeter for in vivo glucose monitoring. SPIE 3599:43–49CrossRef
8.
Zurück zum Zitat Chou C, Lin P-K (2000) Noninvasive glucose monitoring with optical heterodyne technique. Diabetes Technol Ther 2:45–47CrossRefPubMed Chou C, Lin P-K (2000) Noninvasive glucose monitoring with optical heterodyne technique. Diabetes Technol Ther 2:45–47CrossRefPubMed
9.
Zurück zum Zitat Diabetes Control and Complications Trial Research Group (1993) The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med 329:977–986CrossRefPubMed Diabetes Control and Complications Trial Research Group (1993) The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med 329:977–986CrossRefPubMed
10.
Zurück zum Zitat Diabetes Control and Complications Trial Research Group (1997) Lifetime benefits and costs of intensive therapy as practiced in the diabetes control and complications trial. Clin Diabetes 15:140–146 Diabetes Control and Complications Trial Research Group (1997) Lifetime benefits and costs of intensive therapy as practiced in the diabetes control and complications trial. Clin Diabetes 15:140–146
11.
Zurück zum Zitat European safety laser regulations: EN/IEC 60825-1:1993 + A11:1996 + A2:2001 (November 2001) European safety laser regulations: EN/IEC 60825-1:1993 + A11:1996 + A2:2001 (November 2001)
12.
Zurück zum Zitat Gullstrand A (1924) Helmholz’s physiological optics. Optical Society of America, App. pp 350–358 Gullstrand A (1924) Helmholz’s physiological optics. Optical Society of America, App. pp 350–358
13.
Zurück zum Zitat Liou H-L, Brennan NA (1997) Anatomically accurate, finite eye model for optical modelling. J Opt Soc Am A 14:1684–1695PubMed Liou H-L, Brennan NA (1997) Anatomically accurate, finite eye model for optical modelling. J Opt Soc Am A 14:1684–1695PubMed
15.
Zurück zum Zitat Le Grand Y, El Hage SG (1980) Physiological optics. Springer Series in Optical Science. Springer, Berlin Heidelberg New York Le Grand Y, El Hage SG (1980) Physiological optics. Springer Series in Optical Science. Springer, Berlin Heidelberg New York
16.
Zurück zum Zitat McNichols RJ, Cameron BD, Coté GL (2001) Development of a non-invasive polarimetric glucose sensor, IEEE, LEOS Newsletter McNichols RJ, Cameron BD, Coté GL (2001) Development of a non-invasive polarimetric glucose sensor, IEEE, LEOS Newsletter
17.
Zurück zum Zitat Pierscionek BK (1994) Refractive index of the human lens surface measured with an optical fibre sensor. Ophthalmic Res 66:32–35 Pierscionek BK (1994) Refractive index of the human lens surface measured with an optical fibre sensor. Ophthalmic Res 66:32–35
18.
Zurück zum Zitat Pierscionek BK, Chan DYC (1998) Refractive index gradient of human lenses. Optom Vis Sci 66:822–829 Pierscionek BK, Chan DYC (1998) Refractive index gradient of human lenses. Optom Vis Sci 66:822–829
19.
Zurück zum Zitat Rawer R, Stork W et al (2002) Polarimetric methods for measurements of intra ocular glucose concentration. 36. Jahrestagung der Deutschen Gesellschaft für Biomedizinische Technik (DGBMT). Schiele Schön 47:186–187 Rawer R, Stork W et al (2002) Polarimetric methods for measurements of intra ocular glucose concentration. 36. Jahrestagung der Deutschen Gesellschaft für Biomedizinische Technik (DGBMT). Schiele Schön 47:186–187
20.
Zurück zum Zitat Rawer R, Malz A, Vollmer P, Stork W (2003) Analysis of signal processing scheme for polarimetric in-vivo glucose measurement in aqueous humor. 37. Jahrestagung der Deutschen Gesellschaft für Biomedizinische Technik (DGBMT). Schiele Schön 48:430–431 Rawer R, Malz A, Vollmer P, Stork W (2003) Analysis of signal processing scheme for polarimetric in-vivo glucose measurement in aqueous humor. 37. Jahrestagung der Deutschen Gesellschaft für Biomedizinische Technik (DGBMT). Schiele Schön 48:430–431
21.
Zurück zum Zitat Rysa P, Sarvaranta J (1974) Corneal temperature in man and rabit. Observations made using an infra-red camera and a cold chamber. Acta Ophthalmol Copenh Suppl 123:324–339 Rysa P, Sarvaranta J (1974) Corneal temperature in man and rabit. Observations made using an infra-red camera and a cold chamber. Acta Ophthalmol Copenh Suppl 123:324–339
22.
Zurück zum Zitat Schrader W (2000) Spektrometrie des Auges: Wege zur nichtinvasiven Diagnostik. Habilitationsschrift, Julius-Maximilians Universität Würzburg Schrader W (2000) Spektrometrie des Auges: Wege zur nichtinvasiven Diagnostik. Habilitationsschrift, Julius-Maximilians Universität Würzburg
24.
Zurück zum Zitat Yu NT, Long JR, Price JF et al (1996) Development of a noninvasive diabetes screening device using the ratio of fluorescence to Rayleigh scattered light. J Biomed Opt 3:280–288 Yu NT, Long JR, Price JF et al (1996) Development of a noninvasive diabetes screening device using the ratio of fluorescence to Rayleigh scattered light. J Biomed Opt 3:280–288
Metadaten
Titel
Non-invasive polarimetric measurement of glucose concentration in the anterior chamber of the eye
verfasst von
Rainer Rawer
Wilhelm Stork
Cristine F. Kreiner
Publikationsdatum
01.12.2004
Erschienen in
Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 12/2004
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-004-1031-7

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