3D Vision Syndrome OptoWest 2012

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  • 1. 4/10/2012 Dominick M. Maino, OD, MEd, FAAO, FCOVD-A FAAO, FCOVD- AOA National Spokesperson on 3 D Vision Syndrome AOA Classroom 3D Project Team Member, AOA New Technology Work Group, AOANews Eye on Technology, AOA Optometry’s Meeting 3D Theater Professor, Pediatrics/Binocular Vision Service Illinois College of Optometry Illinois Eye Institute 3241 S. Michigan Ave. Chicago, Il. 60616 312-949- 312-949-7280 (Voice) 312-949-7358 (fax) 312-949- dmaino@ico.edu MainosMemos.blogspot.com www.ico.edu www.LyonsFamilyEyeCare.comVirtual 3 D: Why Now? 3 D Tipping Point A 3D TV Tipping Point? http://www.cnbc.com/id/41591929/A_3D_TV_Tipping_Point htt // b /id/41591929/A 3D TV Ti i P i t 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 1
  • 2. 4/10/2012ESPN: 3D Is at the Tipping PointSharp’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/3153-D reaches a tipping point in Europehttp://www.variety.com/article/VR1118004886 3D Vision & Eye Health.orgDr. Karl Kapp: "the tipping point for 3D will be in the healthcareindustry“ The 3Ds of Stereoscopic 3D Viewing AOA YouTube Videos3D Medical Educationhttp://medical-animation-studio.com/ The Public Health Implications of Virtual 3D - Michael Duenas The Visual System and Virtual 3D - Jim Sheedy, O.D., Ph.D.3D Printing Technology Nearing Tipping Point 3D: The User Experience Story - Philip J. CorriveauWill you one day print yourself a new bowl or even a new house using 3D Exploring a New Dimension - Chris Hawsprinting technology? 3D printers are nearing a tipping point according to Improving Binocular Vision-Creating a Better 3D Audience – Dominick M. Maino, OD, MEdone expert cited in a TechWeb article. The Public Health Implications of The Visual System and Virtual 3D - Virtual 3D - Michael Duenas Jim Sheedy, O.D., Ph.D. (http://www.youtube.com/watch?feature (http://www.youtube.com/watch?v= =player_embedded&v=howdZm-d7Z0) ZLpwCC5yxlo&feature=related) Exploring a New Dimension 3D: The User Experience Story - - Chris Haws Philip J. Corriveau (http://www.youtube.com/watch?v=4 (http://www.youtube.com/watch?v= qZw98mkIhI&feature=related ) 1IiHNit3RPM&feature=related) 2
  • 3. 4/10/2012 3 D Stereo Scopes 1844 Scottish inventor and writer David Brewster introduced the Stereoscope http://www.next- gen.biz/features/a- brief-history-3dhttp://www.newyorker.com/arts/critics/atlarge/2010/03/08/100308crat_atlarge_lane Some of the first 3D Movies included: Bwana Devil (1952 ) starring Robert Stack 3
  • 4. 4/10/2012 House of Wax (1953) starring Vincent Price 13 Ghosts (1960) The Mask (1961) Current and Future 3D Movies: 2011 Pirates of the Caribbean: on Stranger Tides The Green Hornet 2010 Gullivers Travels Yogi Bear Tron Legacy The Chronicles of Narnia: The Voyage of the Dawn Treader Harry Potter and the Deathly Hallows: Part 1 SAW 3D (aka: SAW 7) Legend of the Guardians: The Owls of GaHoole 3D Alpha and Omega Piranha 3D Beauty and the Beast in 3D The Last Airbender King Kong 360 3D Toy Story 3 in 3D Clash of the Titans How to Train Your Dragon Hubble 3D Alice in Wonderland 3D3D Television 3D Television Stereoscopic television was first demonstrated by Stereoscopic television was first demonstrated by John John Logie Baird in 1928 Logie Baird in 1928 Stereo TV Stereo Receiver 4
  • 5. 4/10/2012 AOA’s AOA’s 3D in the 3D in the Classroom: Classroom: See Well, See Well, Learn Well: Learn Well: Public Public Health Health Report Report http://www.pwc.com/gx/en/entertainment- http://www.pwc.com/gx/en/entertainment- media/pdf/Eye_Wide_Open_3D_Tipping_Points.pdf media/pdf/Eye_Wide_Open_3D_Tipping_Points.pdf3D in the Classroom/Education 3D Education AOA VRMagic Digital BIO Classroom 3D Project TeamDominick Maino Barry BarresiJim BrocatoJi B t Barb HornDanette Miller Nancy Cope Reggie SwaniganLinda Boyland Chris HawsMichael Duenas Len ScroganRenee Brauns Jim SheedyGreg Wolfe 5
  • 6. 4/10/2012 3D Education 3D Video-games http://www.3dmedicaleducation.co.uk/index.php/anatomy/lumbar_ vertebrae/ 3D Tech - NASA Uses Video Games for Visualization & Engineering http://www.youtube.com/watch?v=v-mFx6blZK8 NASA Video Game Brain Training for ADHD http://www.youtube.com/watch?v=S26Kk- ueWjQ&feature=related M i Brothers 3D Mario B hhttp://www.youtube.com/watch?v=0U0ZDjnQiXQ Active 3D Glasses 3D glasses technology most commonly used Active & Passive small LCD screens Active when voltage applied lens goes dark LCD shutter glasses A liquid crystal glasses stop q y g p synced with screen showing 3D or allow light in thru content then alternates image synchronization with the images seen on the screen viewed each eye different angle of view Red eye shutterglasses creates 3D effect The Red Eye Method reduces the ghosting 6
  • 7. 4/10/2012 Active 3D Glasses Active 3D Glassesthis method of 3D cuts refresh rate in half Display spectacles two small screens in the glasses Known to cause headaches? display separate images to each eye. Could not find research to support this Does not require a television http://www.3d-tvbuyingguide.com/3dtv/3d-glasses.html http://www.3d-tvbuyingguide.com/3dtv/3d-glasses.html Passive Passive 3D glasses technology 3D glasses technology Linearly polarized glasses Two images are projected superimposed onto the same Circularly polarized glasses Use a silver screen so that polarization is preserved. Light that is left-circularly polarized Can’t tilt head 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. RealD Cinema system uses an Circularly polarized glasses electronically driven circular polarizer Infitec glasses Infitec (interference filter technology.) Filters divide the visible color spectrum into six narrow bands "super-anaglyph” Dolby uses a form of this technology in its 7
  • 8. 4/10/2012 Dolby 3D theatres Autostereoscopic displays Auto 3D Complementary color Almont Green 3D Photography 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 (http://almontgreen.wordpress.com/) image is viewed from different angles See photographs on easels Autostereoscopic displays Auto 3D How Does Nintendo 3DS Nintendo Nintendo 3DS is hazardous to the 3DS Work? eyes of children two separate outputs at slightly different angles g one for your left eye and the other for your right http://kombo.com /features/How_thhttp://www.digitaltrends.com/gaming/nintendo-3ds-is-hazardous-to-kids-eyes/ e_3DS_Works/ 3D Vision Syndrome So is the 3D Vision Syndrome Really a Syndrome? What constitutes a syndrome? Yes.A group of symptoms that The symptoms and signs consistently y p g ycollectively indicate or characterize a include: headaches, nausea, dizziness, adisease, psychological disorder, or vision induced sense of motion, diplopia, blurred vision and eyestrain;other abnormal condition as well as a disconnect between accommodation and vergence. 8
  • 9. 4/10/2012How to Dx an Individual with How to Dx an Individual with 3D Vision Syndrome 3D Vision Syndrome Examination Sequence Case Hx ComprehensiveVisual Efficiency/Strabismus/Amblyopia Special Testing (Visagraph, TOVA, etc) Salient FindingsHow to Tx an Individual with How to Tx an Individual with 3D Vision Syndrome 3D Vision SyndromeWe really don’t know the best Use what we do know methodology/approach. th d l / h Rx/Prism Optometric Vision Therapy 3D Vision Syndrome 3D Vision Syndrome Single Subject Design Research Study Patient #1 Patient #1 27 y/o white femaleSymptoms: College educated Athletic trainerblurred vision, double Hx of reading problems since 5th gradevision, nausea, headache, Remedial reading class in collegedizziness Seasonal allergies Nephrectomy 9
  • 10. 4/10/2012 3D Vision Syndrome 3D Vision Syndrome Patient #1 Patient #1Initial Findings Initial Findings VA’s CLS RE/LE 20/20 Random Dot 100” (?) OR RE -.25, LE PL Acceptable Fit , p NPC 2/6/4” MR RE -4.25-50X175 20/15, After 5 attempts pain noted LE -4.00-.50X175 20/15 PFV/NFV @ near could not do/diplopia Pursuits/Saccades +4 - Lens amplitudes could not do CT 18 XOP @ near NRA +2.00 diplopia 2nd Degree Fusion Variable PRA -1.00 3D Vision Syndrome 3D Vision Syndrome Patient #1 Patient #1Initial Findings Diagnosis Accommodative Facility diplopia Convergence insufficiency MEM variable Accommodative dysfunctions yOcular health mild allergic conjunctivitis Headache Diplopia Allergic conjunctivitis 3D Vision Syndrome 3D Vision Syndrome Patient #1 Patient #1 Previous Eye Examination (10/09)Plan “No Binocular Testing Done!” Obtain past records Hx “General Exam”, health “good”, Aided VAs Start Optometric Vision Therapy p py 20/20 RE/LE, SLE unremarkable, Non-dilated RE/LE 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 10
  • 11. 4/10/2012 3D Vision Syndrome 3D Vision Syndrome Patient #1 Patient #1 Optometric Vision Therapy Optometric Vision Therapy OVT #1Phase 1 Phase 2 Phase 3 Phase 4 HC SaccadesMono Biocular Binocular Integration HC RockOculo-O l add anti- dd ti add dd Stabilization St bili ti HTS (saccades, pursuits, ( d itMotor, suppression vergence accommodationHE, Acc Brockstring 3 month post OVT maintenance Tx and HVT final progress evaluation Sent Home all of the above 3D Vision Syndrome 3D Vision Syndrome Patient #1 Optometric Vision Therapy Patient #1 Optometric Vision Therapy OVT #2 OVT #3 Reviewed HVT Reviewed HVT Vision B ild (saccades Vi i Builder ( d Minus lens dips Mi l di Franzblau Red Rock HC accom rock Brockstring Vision Building (binoc reading) Quoits 3D Vision Syndrome 3D Vision Syndrome Patient #1 Optometric Vision Therapy Patient #1 Optometric Vision Therapy OVT #5 OVT #4 Reviewed HVT +/- Flippers (mono) Reviewed HVT Eccentric Circles Vision Builder Randot Vi i B ild R d t vergence HTS autoslide vergence Eccentric Circles Jump vergences (vectos) Quoits Brockstring (bug on a string) HVT ECC BO/Brockstring, HTS jump vergences 11
  • 12. 4/10/2012 3D Vision Syndrome 3D Vision Syndrome Patient #1 Optometric Vision Therapy Patient #1 Optometric Vision Therapy Progress evaluation #1 OVT #6 20/15 BVA, RE/LE NPC TN no pain CL OR RE +1.00-.50X180 BI 12/9 near Review HVT 20/20 BO > 45 LE +1.25 20/20 Amps 7 D RE/LE ECC MR RE -3.25-.25X175 20/20 3 25 25X175 Facility F ilit 8 CPM RE, 11 CPM LE, 10 RE LE Vectogram Jump Vergence LE -3.250.75X005 20/20 CPM OU Pursuits +4 Saccades +3 Lifesaver Cards CT 2EP (near) MEM +.75 each eye W4D 4 at all distances Random dot 20 ‘ During evaluation no diplopia, pain, suppression stable findings Symptoms improving, not resolved 3D Vision Syndrome 3D Vision Syndrome Patient #1 Optometric Vision Therapy Patient #1 Optometric Vision Therapy OVT #7 OVT #8 Clown vectograms (push BI) Clown vectograms (push BI) with +/-1.00 Chicago Skyline (jump) Tranaglyph BC 601 Brockstring Aperture Rule Switch to HVT only due to change in work schedule Saw 3D movie…no problems! 3D Vision Syndrome Started Here: Ended Here: Majority of symptoms resolved Patient #1 Optometric Vision Therapy VA’s CLS RE/LE 20/20 BVA 20/20 RE, LE OR RE -.25, LE PL Slight + CL OR Progress Evaluation #2 Acceptable Fit CT ortho/2 EXO, NPC TN MR RE -4.25-50X175 1 month later 20/15, After 5 trials TN LE -4.00-.50X175 20/15 NPC with RL 7/10 cm Majority of symptoms resolved Pursuits/Saccades +4 Vergence dist BI x/14/10 BO Amps 8.33 RE/LE BVA 20/20 RE, LE NRA +2.50 CT 18 XOP @ near X/30/25 Slight + CL OR PRA -2.25 2 25 Near BI 16/12 BO 35/25 CT ortho/2 EXO 2nd Degree Fusion Variable d Facility 6 RE, 7LE, 8 OU CPM no W4D 4 all distances, NPC TN suppression Random Dot 100” (?) After 5 trials TN MEM +.50 RE, LE NPC 2/6/4” Random Dot 25’ NPC with RL 7/10 cm RTO 6 mos CEE, intermittently do HVT After 5 attempts pain noted Pur/Sac +4Vergence dist BI x/14/10 BO X/30/25 Amps 8.33 RE/LE Near BI 16/12 BO 35/25 PFV/NFV @ near could not W4D 4 all distances do/diplopia NRA +2.50, PRA -2.25 Random Dot 25’ - Lens amplitudes could not Facility 6 RE, 7LE, 8 OU CPM Pur/Sac +4 no suppression do NRA +2.00 diplopia MEM +.50 RE, LE PRA -1.00 12
  • 13. 4/10/2012 Computer Programs Used in Optometric Vision Therapy Convergence insufficiency, Accommodativedysfunctions, Headache, Diplopia, Blurred vision, Double vision, Nausea, Dizziness All resolved in 8 OVT visits and HVT Personal Trainer for Computer Aided Home Therapy Solutions Vision Vision Therapy Training! Last P L Progress E l i on 7/10 Evaluation On 8/1/10 the patient texted me and said, “Just saw a 3D movie. It didn’thurt! It was an awesome experience!” 3D as a Public Information and Marketing Tool 3D in the News ABC Chicago 3D in the News Print Media Internet In Y I Your Office Offi 3D Pictures NewslettersWebsite/Blog/Facebook/SOVOTO/LinkedIn Media Awareness NBC Broadcast AOA TV 13
  • 14. 4/10/2012 Consumer Electronics Show Print Media BlogsMainosMemos.blogspot.com Radio 14
  • 15. 4/10/2012 3D Resources AOA http://www.aoa.org 3D Eye Health.org http://www.3deyehealth.org/ COVD http://www.covd.org OEPF http://www.oepf.org Optometrists Network http://www.vision3d.com/ Berezin Stereo Photography Products http://www.berezin.com/3d/ Questions?Dominick M. Maino, O.D., M.Ed., F.A.A.O., F.C.O.V.D-A. F.A.A.O., F.C.O.V.D- Professor, Pediatrics/Binocular Vision Service Illinois College of Optometry Illinois Eye Institute 3241 S. Michigan Ave. Chicago, Il. 60616 312-949- 312-949-7280 (Voice) 312-949-7358 (fax) 312-949- dmaino@ico.edu MainosMemos.blogspot.com www.ico.edu www.LyonsFamilyEyeCare.com 15