ICO Lecture 3 D Vision Syndrome

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  • 1. 4/9/2011Dominick M. Maino, OD, MEd, FAAO, FCOVD-A FAAO, FCOVD- AOA 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 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 nw.optometry.net 1
  • 2. 4/9/2011 Virtual 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 2
  • 3. 4/9/2011ESPN: 3D Is at the Tipping Point3D Printing Technology Nearing Tipping PointWill you one day print yourself a new bowl or even a new house using 3Dprinting technology? 3D printers are nearing a tipping point according toone 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/3153-D reaches a tipping point in Europehttp://www.variety.com/article/VR1118004886Dr. Karl Kapp: "the tipping point for 3D will be in the healthcareindustry“3D Medical Educationhttp://medical-animation-studio.com/ 3D Vision & Eye Health.org The 3Ds of Stereoscopic 3D Viewing AOA YouTube Videos The Public Health Implications of Virtual 3D - Michael Duenas The Visual System and Virtual 3D - Jim Sheedy, O.D., Ph.D. 3D: The User Experience Story - Philip J. Corriveau Exploring a New Dimension - Chris Haws The Public Health Implications of Virtual 3D - Michael Duenas (http://www.youtube.com/watch?feature =player_embedded&v=howdZm-d7Z0) 3
  • 4. 4/9/2011 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)Exploring a New Dimension- Chris Haws(http://www.youtube.com/watch?v=4qZw98mkIhI&feature=related ) 4
  • 5. 4/9/2011 http://www.next- gen.biz/features/a- brief-history-3d http://www.newyorker.com/a rts/critics/atlarge/2010/03/0 8/100308crat_atlarge_lane3 D Stereo Scopes1844Scottish inventor and writer David Brewsterintroduced the Stereoscope 5
  • 6. 4/9/2011Some of the first 3D Movies included:Bwana Devil (1952 ) starring Robert StackHouse of Wax (1953) starring Vincent Price 6
  • 7. 4/9/201113 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 3D 7
  • 8. 4/9/20113D Television Stereoscopic television was first demonstrated by John Logie Baird in 1928 Stereo TV Stereo Receiver3D TelevisionStereoscopic television was first demonstrated by JohnLogie Baird in 1928 3D Education AOA 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 8
  • 9. 4/9/2011 3D Education VRMagic Digital BIO 3D Education http://www.3dmedicaleducation.co.uk/index.php/anatomy/lumbar_ vertebrae/3D Video-games 9
  • 10. 4/9/2011 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 Mario B h M i Brothers 3Dhttp://www.youtube.com/watch?v=0U0ZDjnQiXQ 3D glasses technology Active & Passive Active LCD shutter glasses A liquid crystal glasses stop q y g p or allow light in thru synchronization with the images seen on the screen Red eye shutterglasses The Red Eye Method reduces the ghosting 10
  • 11. 4/9/2011 Active 3D Glasses most commonly used Active 3D glasses small LCD screenswhen voltage applied lens goes dark synced with screen showing 3D content then alternates image viewed each eye different angle of view creates 3D effect Active 3D Glassesthis method of 3D cuts refresh rate in half Known to cause headaches http://www.3d-tvbuyingguide.com/3dtv/3d-glasses.html Active 3D Glasses Display spectacles two small screens in the glasses display separate images to each eye. Does not require a television http://www.3d-tvbuyingguide.com/3dtv/3d-glasses.html 11
  • 12. 4/9/2011 Passive 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 glasses Light 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. Circularly polarized glasses 12
  • 13. 4/9/2011RealD Cinema system uses anelectronically driven circular polarizerInfitec glassesInfitec (interference filter technology.)Filters divide the visible colorspectrum into six narrow bands"super-anaglyph”Dolby uses a form of this technologyin itsDolby 3D theatresComplementary coloranaglyphs (use red and cyan)Lenticular printing used toproduce images with anillusion of depth, or the abilityto change or move as theimage is viewed fromdifferent angles Autostereoscopic displays Auto 3D Almont Green 3D Photography (http://almontgreen.wordpress.com/) See photographs on easels 13
  • 14. 4/9/2011 Autostereoscopic displays Auto 3D Nintendo 3DS Nintendo 3DS is hazardous to the eyes of childrenhttp://www.digitaltrends.com/gaming/nintendo-3ds-is-hazardous-to-kids-eyes/ How Does Nintendo 3DS Work? two separate outputs at slightly different angles g 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 thatcollectively indicate or characterize adisease, psychological disorder, orother abnormal condition 14
  • 15. 4/9/2011 So is the 3D Vision Syndrome Really a Syndrome? Yes.The symptoms and signs consistently y p g yinclude: headaches, nausea, dizziness, avision induced sense of motion,diplopia, blurred vision and eyestrain;as well as a disconnect betweenaccommodation and vergence.How to Dx an Individual with 3D Vision Syndrome Examination Sequence ComprehensiveVisual Efficiency/Strabismus/Amblyopia Special Testing (Visagraph, TOVA, etc)How to Dx an Individual with 3D Vision Syndrome Case Hx Salient Findings 15
  • 16. 4/9/2011How to Tx an Individual with 3D Vision SyndromeWe really don’t know the best methodology/approach. th d l / hHow to Tx an Individual with 3D Vision Syndrome Use what we do know Rx/PrismOptometric Vision Therapy 3D Vision Syndrome Patient #1Symptoms:blurred vision, double visionvision, nausea, headache,dizziness 16
  • 17. 4/9/2011 3D Vision Syndrome Patient #1 27 y/o white female College educated Athletic trainerHx of reading problems since 5th grade Remedial reading class in college Seasonal allergies Nephrectomy 3D Vision Syndrome Patient #1 Initial Findings VA’s CLS RE/LE 20/20 OR RE -.25, LE PL Acceptable Fit , p MR RE -4.25-50X175 20/15, LE -4.00-.50X175 20/15 Pursuits/Saccades +4 CT 18 XOP @ near 2nd Degree Fusion Variable 3D Vision Syndrome Patient #1 Initial Findings Random 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 diplopia PRA -1.00 17
  • 18. 4/9/2011 3D Vision Syndrome Patient #1Initial Findings Accommodative Facility diplopia MEM variableOcular health mild allergic conjunctivitis 3D Vision Syndrome Patient #1Diagnosis Convergence insufficiency Accommodative dysfunctions y Headache Diplopia Allergic conjunctivitis 3D Vision Syndrome Patient #1Plan Obtain past records Start Optometric Vision Therapy p py 18
  • 19. 4/9/2011 3D Vision Syndrome Patient #1 Previous Eye Examination (10/09) “No Binocular Testing Done!” Hx “General Exam”, health “good”, Aided VAs 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 3D Vision Syndrome Patient #1 Optometric Vision TherapyPhase 1 Phase 2 Phase 3 Phase 4Mono Biocular Binocular IntegrationOculo-O l add anti- dd ti add dd Stabilization St bili tiMotor, suppression vergenceHE, Acc 3 month post OVT maintenance Tx and final progress evaluation 3D Vision Syndrome Patient #1 Optometric Vision Therapy OVT #1 HC Saccades HC Rock HTS (saccades, pursuits, ( d it accommodation Brockstring HVT Sent Home all of the above 19
  • 20. 4/9/2011 3D Vision SyndromePatient #1 Optometric Vision Therapy OVT #2 Reviewed HVT Vision B ild (saccades Vi i Builder ( d Franzblau Red Rock Brockstring 3D Vision SyndromePatient #1 Optometric Vision Therapy OVT #3 Reviewed HVT Minus lens dips Mi l di HC accom rock Vision Building (binoc reading) Quoits 3D Vision SyndromePatient #1 Optometric Vision Therapy OVT #4 Reviewed HVT Vision Builder Randot Vi i B ild R d t vergence Eccentric Circles Quoits 20
  • 21. 4/9/2011 3D Vision Syndrome Patient #1 Optometric Vision Therapy OVT #5 Reviewed HVT +/- Flippers (mono) Eccentric Circles HTS autoslide vergence Jump vergences (vectos) Brockstring (bug on a string) HVT ECC BO/Brockstring, HTS jump vergences 3D Vision Syndrome Patient #1 Optometric Vision Therapy OVT #6 Review HVT ECC Vectogram Jump Vergence Lifesaver Cards 3D Vision Syndrome Patient #1 Optometric Vision Therapy Progress evaluation #1 20/15 BVA, RE/LE NPC TN no pain CL OR RE +1.00-.50X180 BI 12/9 near 20/20 BO > 45 LE +1.25 20/20 Amps 7 D RE/LEMR RE -3.25-.25X175 20/20 3 25 25X175 Facility F ilit 8 CPM RE, 11 CPM LE, 10 RE LE LE -3.250.75X005 20/20 CPM OUPursuits +4 Saccades +3 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 21
  • 22. 4/9/2011 3D Vision Syndrome Patient #1 Optometric Vision Therapy OVT #7 Clown vectograms (push BI) Chicago Skyline (jump) 3D Vision Syndrome Patient #1 Optometric Vision Therapy OVT #8 Clown vectograms (push BI) with +/-1.00 Tranaglyph BC 601 Brockstring Aperture Rule Switch to HVT only due to change in work schedule Saw 3D movie…no problems! 3D Vision Syndrome Patient #1 Optometric Vision Therapy Progress Evaluation #2 1 month later Majority of symptoms resolved Amps 8.33 RE/LE BVA 20/20 RE, LE NRA +2.50 Slight + CL OR PRA -2.25 2 25 CT ortho/2 EXO Facility 6 RE, 7LE, 8 OU CPM no NPC TN suppression After 5 trials TN MEM +.50 RE, LE NPC with RL 7/10 cm RTO 6 mos CEE, intermittently do HVTVergence dist BI x/14/10 BO X/30/25 Near BI 16/12 BO 35/25 W4D 4 all distances Random Dot 25’ Pur/Sac +4 22
  • 23. 4/9/2011 Started Here: Ended Here: VA’s CLS RE/LE 20/20 Majority of symptoms OR RE -.25, LE PL resolved Acceptable Fit BVA 20/20 RE, LE MR RE -4.25-50X175 Slight + CL OR 20/15, CT ortho/2 EXO, NPC TN LE -4.00-.50X175 20/15 After 5 trials TN Pursuits/Saccades +4 NPC with RL 7/10 cm CT 18 XOP @ near Vergence dist BI x/14/10 BO2 nd Degree Fusion Variable d X/30/25 Random Dot 100” (?) Near BI 16/12 BO 35/25 NPC 2/6/4” W4D 4 all distances, RandomAfter 5 attempts pain noted Dot 25’PFV/NFV @ near could not Pur/Sac +4 do/diplopia Amps 8.33 RE/LE- Lens amplitudes could not NRA +2.50, PRA -2.25 do Facility 6 RE, 7LE, 8 OU CPM NRA +2.00 diplopia no suppression PRA -1.00 MEM +.50 RE, LEConvergence 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 An example of vision training? Computer Aided Home Therapy Solutions Vision Therapy 23
  • 24. 4/9/2011 3D as a Public Information and Marketing Tool 3D in the News Print Media Internet In Y I Your Office Offi 3D Pictures NewslettersWebsite/Blog/Facebook/SOVOTO/LinkedIn Media Awareness 3D in the News ABC Chicago NBC Broadcast 24
  • 25. 4/9/2011 AOA TVConsumer Electronics Show Print Media 25
  • 26. 4/9/2011 BlogsMainosMemos.blogspot.com Radio 26
  • 27. 4/9/2011 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 nw.optometry.net 27