3 d vision syndrome puco 2013

7/18/2013

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Dominick M. Maino, OD, MEd, FAAO, FCOVD-AAOA National Spokesperson on 3 D Vision Syndrome

AOA Classroom 3D Project Team Member

Professor,

Pediatrics/Binocular Vision Service

Illinois College of Optometry

Illinois Eye Institute

Lyons Family Eye [email protected] MainosMemos.com

www.ico.edu nw.Lyons.FamilyEyeCare.com

3D Vision Syndrome Patient #1

27 y/o white female, College educated, Athletic trainer

Hx of reading problems since 5th

grade, Remedial reading class in college

blurred vision, double vision, nausea, headache, dizziness shortly after

viewing 3D Movie

Virtual 3 D: Why Now?

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3 D Tipping PointA 3D TV Tipping Point?

http://www.cnbc.com/id/41591929/A_3D_TV_Tipping_Point

Stereoscopic 3D Technologies Reach Tipping Point on PC Market –

JPR.

http://www.xbitlabs.com/news/video/display/20100526234951_Stereoscopic_3D_Technologies_Reach_Tipping_Point_on_PC_Market_JPR.html

ESPN: 3D Is at the Tipping Point

3D Printing Technology Nearing Tipping PointWill you one day print yourself a new bowl or even a new house using 3D printing technology? 3D printers are nearing a tipping point according to one expert cited in a TechWeb article.

Sharp’s New Cellphone Video May Be a Tipping Point for 3Dhttp://www.bnet.com/blog/gadget-guy/sharp-8217s-new-cellphone-video-may-be-a-tipping-point-for-3d/315

3-D reaches a tipping point in Europehttp://www.variety.com/article/VR1118004886

Dr. Karl Kapp: "the tipping point for 3D will be in the healthcare industry“

3D Medical Educationhttp://medical-animation-studio.com/

3D Printing Technology

Home kits for less than $500

3D Printing Technology Nearing Tipping Point

Vitor Pamplona, PhD @ MIT (co-inventor of Netra and NetraG and promoter of “disruptive technology”) and his newly printed frames.

10/87

3D Vision & Eye Health.orgThe 3Ds of Stereoscopic 3D ViewingAOA YouTube Videos

The Public Health Implications of Virtual 3D - Michael DuenasThe Visual System and Virtual 3D - Jim Sheedy, O.D., Ph.D.

3D: The User Experience Story - Philip J. CorriveauExploring a New Dimension - Chris Haws

Improving Binocular Vision-Creating a Better 3D Audience – Dominick M. Maino, OD, MEd

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There are three principal “Ds” of stereoscopic 3D viewing problems:

Discomfort

Dizziness

Lack of Depth

There are three principal “Ds” of stereoscopic 3D viewing problems:DiscomfortDizzinessLack of Depth

Maino’s 4th D: See your Doctor of Optometry!

The Public Health Implications of Virtual 3D - Michael Duenas(http://www.youtube.com/watch?feature=player_embedded&v=howdZm-d7Z0)

The Visual System and Virtual 3D -Jim Sheedy, O.D., Ph.D. (http://www.youtube.com/watch?v=ZLpwCC5yxlo&feature=related)

3D: The User Experience Story -Philip J. Corriveau(http://www.youtube.com/watch?v=1IiHNit3RPM&feature=related)

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Exploring a New Dimension - Chris Haws (http://www.youtube.com/watch?v=4qZw98mkIhI&feature=related )

http://www.next-gen.biz/features/a-brief-history-3d

http://www.newyorker.com/arts/critics/atlarge/2010/03/08/100308crat_atlarge_lane

3 D Stereo Scopes

1844Scottish inventor and writer David Brewsterintroduced the Stereoscope

Some of the first 3D Movies included:

Bwana Devil (1952 ) starring Robert Stack

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House of Wax (1953) starring Vincent Price

13 Ghosts (1960)

The Mask (1961)

Current and Future 3D Movies:

3D Movies:Pirates of the Caribbean: on Stranger Tides

The Green HornetGulliver's Travels

Yogi BearTron Legacy

The Chronicles of Narnia: The Voyage of the Dawn TreaderHarry Potter and the Deathly Hallows: Part 1

SAW 3D (aka: SAW 7)Legend of the Guardians: The Owls of Ga'Hoole 3D

Alpha and OmegaPiranha 3D

Beauty and the Beast in 3DThe Last AirbenderKing Kong 360 3DToy Story 3 in 3D

Clash of the TitansHow to Train Your Dragon

Hubble 3DAlice in Wonderland 3D

3D TelevisionStereoscopic television was first demonstrated by

John Logie Baird in 1928

Stereo TVStereo Receiver

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3D TelevisionStereoscopic television was first demonstrated by John Logie Baird in 1928

AOAClassroom 3D Project Team

Dominick MainoJim Brocato

Danette MillerLinda Boyland

Michael DuenasRenee Brauns

Greg WolfeBarry Barresi

Barb HornNancy Cope

Reggie SwaniganChris Haws

Len ScroganJim Sheedy

3D EducationVRMagic Digital BIO

3D Educationhttp://www.3dmedicaleducation.co.uk/index.php/anatomy/lumbar_vertebrae/

3D Video-games

3D Tech - NASA Uses Video Games for Visualization & Engineering

http://www.youtube.com/watch?v=v-mFx6blZK8

NASA Video Game Brain Training for ADHDhttp://www.youtube.com/watch?v=S26Kk-

ueWjQ&feature=related

Mario Brothers 3Dhttp://www.youtube.com/watch?v=0U0ZDjnQiXQ

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3D glasses technologyActive & Passive

ActiveLCD shutter glassesA liquid crystal glasses stop or allow light in thru synchronization with the images seen on the screen

Red eye shutterglassesThe Red Eye Method reduces the ghosting

Active 3D Glasses

most commonly used small LCD screens

when voltage applied lens goes darksynced with screen showing 3D content then alternates image

viewedeach eye different angle of view

creates 3D effect

3D glasses technology

Linearly polarized glassesTwo images are projected superimposed onto the same

Use a silver screen so that polarization is preserved.

Can’t tilt head

Passive

3D glasses technology

Circularly polarized glassesLight that is left-circularly polarized is extinguished by the right-handed analyzer, while right-circularly polarized light is extinguished by the left-handed analyzer. The viewer can tilt their head and still maintain left/right separation.

Passive

Circularly polarized glasses

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RealD Cinema system uses an electronically driven circular polarizer

Infitec glassesInfitec (interference filter technology.) Filters divide the visible color spectrum into six narrow bands "super-anaglyph”Dolby uses a form of this technology in its

Dolby 3D theatresComplementary color anaglyphs (use red and cyan)Lenticular printing used to produce images with an illusion of depth, or the ability to change or move as the image is viewed from different angles

Autostereoscopic displays Auto 3D

Almont Green 3D Photography

(http://almontgreen.wordpress.com/)

Autostereoscopic displays Auto 3D

Nintendo 3DSNintendo 3DS is hazardous to the

eyes of children

http://www.digitaltrends.com/gaming/nintendo-3ds-is-hazardous-to-kids-eyes/

How Does Nintendo

3DS Work?two separate

outputs at slightly different angles one for your left

eye and the other for your right

http://kombo.com/features/How_th

e_3DS_Works/

3D Vision Syndrome

What constitutes a syndrome?

A group of symptoms that collectively indicate or characterize a disease, psychological disorder, or other abnormal condition

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So is the 3D Vision Syndrome Really a Syndrome?

Yes.

The symptoms and signs consistently include: headaches, nausea, dizziness, a vision induced sense of motion, diplopia, blurred vision and eyestrain; as well as a disconnect between accommodation and vergence.

How to Dx an Individual with3D Vision Syndrome

Examination Sequence

ComprehensiveVisual Efficiency/Strabismus/AmblyopiaSpecial Testing (Visagraph, TOVA, etc)

How to Dx an Individual with3D Vision Syndrome

Case Hx

Salient Findings

How to Tx an Individual with3D Vision Syndrome

We really don’t know the best methodology/approach.

How to Tx an Individual with3D Vision Syndrome

Use what we do know

Rx/PrismOptometric Vision Therapy

3D Vision Syndrome Single Subject Design Research Study

Patient #1

Symptoms:

blurred vision, double vision, nausea, headache, dizziness

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27 y/o white female College educated

Athletic trainerHx of reading problems since 5th grade

Remedial reading class in collegeSeasonal allergies

Nephrectomy


Initial FindingsVA’s CLS RE/LE 20/20

OR RE -.25, LE PL Acceptable FitMR RE -4.25-50X175 20/15,

LE -4.00-.50X175 20/15Pursuits/Saccades +4

CT 18 XOP @ near2nd Degree Fusion Variable


Initial FindingsRandom Dot 100” (?)

NPC 2/6/4”After 5 attempts pain noted

PFV/NFV @ near could not do/diplopia- Lens amplitudes could not do

NRA +2.00 diplopiaPRA -1.00


Initial FindingsAccommodative Facility diplopia

MEM variableOcular health mild allergic conjunctivitis


DiagnosisConvergence insufficiency

Accommodative dysfunctionsHeadacheDiplopia

Allergic conjunctivitis


PlanObtain past records

Start Optometric Vision Therapy

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Previous Eye Examination (10/09)“No Binocular Testing Done!”

Hx “General Exam”, health “good”, Aided VAs 20/20 RE/LE, SLE unremarkable, Non-dilated fundus evaluation unremarkable, Ret -4.00 Sph RE/LE, MR -4.00-50X175 RE, -4.00-.50X180 LE, CT 2XO dist/Ortho near, BI 20/8, BO 24/12 near

Dx Myopia, Astigmatism


Optometric Vision TherapyPhase 1 Phase 2 Phase 3 Phase 4Mono Biocular Binocular IntegrationOculo- add anti- add StabilizationMotor, suppression vergenceHE, Acc

3 month post OVT maintenance Tx and final progress evaluation

3D Vision Syndrome Patient #1 Optometric Vision Therapy

OVT #1HC Saccades

HC RockHTS (saccades, pursuits,

accommodationBrockstring

HVTSent Home all of the above


OVT #2

Reviewed HVTVision Builder (saccades

Franzblau Red RockBrockstring


OVT #3

Reviewed HVTMinus lens dipsHC accom rockVision Building (binoc reading)

Quoits


OVT #4

Reviewed HVTVision Builder Randot vergence

Eccentric CirclesQuoits

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OVT #5Reviewed HVT

+/- Flippers (mono)Eccentric Circles

HTS autoslide vergenceJump vergences (vectos)

Brockstring (bug on a string)HVT

ECC BO/Brockstring, HTS jump vergences


OVT #6

Review HVTECC

Vectogram Jump VergenceLifesaver Cards


Progress evaluation #1

20/15 BVA, RE/LECL OR RE +1.00-.50X180

20/20LE +1.25 20/20

MR RE -3.25-.25X175 20/20LE -3.250.75X005 20/20

Pursuits +4 Saccades +3CT 2EP (near)

W4D 4 at all distancesRandom dot 20 ‘

NPC TN no painBI 12/9 near

BO > 45 Amps 7 D RE/LE

Facility 8 CPM RE, 11 CPM LE, 10 CPM OU

MEM +.75 each eye

During evaluation no diplopia, pain, suppressionstable findings

Symptoms improving, not resolved


OVT #7

Clown vectograms (push BI)Chicago Skyline (jump)


OVT #8

Clown vectograms (push BI) with +/-1.00Tranaglyph BC 601

BrockstringAperture Rule

Switch to HVT only due to change in work schedule

Saw 3D movie…no problems!


Progress Evaluation #21 month later

Majority of symptoms resolvedBVA 20/20 RE, LE

Slight + CL ORCT ortho/2 EXO

NPC TNAfter 5 trials TN

NPC with RL 7/10 cmVergence dist BI x/14/10 BO X/30/25

Near BI 16/12 BO 35/25W4D 4 all distances

Random Dot 25’Pur/Sac +4

Amps 8.33 RE/LENRA +2.50PRA -2.25

Facility 6 RE, 7LE, 8 OU CPM no suppression

MEM +.50 RE, LERTO 6 mos CEE, intermittently do HVT

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Ended Here:

Majority of symptoms resolved

BVA 20/20 RE, LESlight + CL OR

CT ortho/2 EXO, NPC TNAfter 5 trials TN

NPC with RL 7/10 cmVergence dist BI x/14/10 BO

X/30/25Near BI 16/12 BO 35/25

W4D 4 all distances, Random Dot 25’

Pur/Sac +4Amps 8.33 RE/LE

NRA +2.50, PRA -2.25Facility 6 RE, 7LE, 8 OU CPM

no suppressionMEM +.50 RE, LE

Started Here:

VA’s CLS RE/LE 20/20OR RE -.25, LE PL

Acceptable FitMR RE -4.25-50X175

20/15, LE -4.00-.50X175 20/15Pursuits/Saccades +4

CT 18 XOP @ near2nd Degree Fusion Variable

Random Dot 100” (?)NPC 2/6/4”

After 5 attempts pain notedPFV/NFV @ near could not

do/diplopia- Lens amplitudes could not

doNRA +2.00 diplopia

PRA -1.00

Convergence insufficiency, Accommodative dysfunctions, Headache, Diplopia, Blurred vision, Double vision, Nausea, Dizziness

All resolved in 8 OVT visits and HVT

Last Progress Evaluation on 7/10

On 8/1/10 the patient texted me and said, “Just saw a 3D movie. It didn’t

hurt! It was an awesome experience!”

Computer Programs Used in Optometric Vision Therapy

Home Therapy Solutions

Personal Trainer for

Vision Training!

Computer Aided Vision Therapy

Computer Programs Used in Optometric Vision Therapy

Home Therapy Solutions

3D as a Public Information and Marketing Tool

3D in the NewsPrint Media

Internet

In Your Office3D PicturesNewsletters

Website/Blog/Facebook/SOVOTO/LinkedIn

Media Awareness

3D in the News ABC Chicago

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AOA TV

Consumer Electronics Show

Print Media

Blogs

MainosMemos.com

Radio

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PR Service

PR Buzz ($299 unlimited releases)

BusinessWirePRNewswirePRWebMarketwirePitchEngineBurrellesLuce

3D ResourcesAOA

http://www.aoa.org

3D Eye Health.orghttp://www.3deyehealth.org/

COVD http://www.covd.org

OEPF http://www.oepf.org

Optometrists Network http://www.vision3d.com/

Berezin Stereo Photography Productshttp://www.berezin.com/3d/

Dominick M. Maino, O.D., M.Ed., F.A.A.O., F.C.O.V.D-A.Professor,

Pediatrics/Binocular Vision Service

Illinois College of Optometry

Illinois Eye Institute

Lyons Family Eye [email protected] MainosMemos.com

www.ico.edu www.LyonsFamilyEyeCare.com

Questions?

3 d vision syndrome puco 2013

Health & Medicine