3 D Vision Syndrome PUCO 2013
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3D Vision Syndrome presentation given in Victoria, BC for Pacific University
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3 D Vision Syndrome PUCO 2013
- 1. 7/18/2013 1 Dominick M. Maino, OD, MEd, FAAO,FCOVD-A AOA National Spokesperson on 3 D Vision Syndrome AOA Classroom 3D Project Team Member Professor, Pediatrics/BinocularVision Service Illinois College of Optometry Illinois Eye Institute Lyons Family Eye Care dmaino@ico.edu 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?
- 2. 7/18/2013 2 3 D Tipping Point A 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 Point Will 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 3D http://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 Europe http://www.variety.com/article/VR1118004886 Dr. Karl Kapp: "the tipping point for 3D will be in the healthcare industry“ 3D Medical Education http://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.org The 3Ds of Stereoscopic 3D Viewing AOAYouTube 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 Improving Binocular Vision-Creating a Better 3D Audience – Dominick M. Maino, OD, MEd
- 3. 7/18/2013 3 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: Discomfort Dizziness Lack 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)
- 4. 7/18/2013 4 Exploring a New Dimension - Chris Haws (http://www.youtube.com/watch?v=4 qZw98mkIhI&feature=related ) http://www.next- gen.biz/features/a- brief-history-3d http://www.newyorker.com/a rts/critics/atlarge/2010/03/0 8/100308crat_atlarge_lane 3 D Stereo Scopes 1844 Scottish inventor and writer David Brewster introduced the Stereoscope Some of the first 3D Movies included: Bwana Devil (1952 ) starring Robert Stack
- 5. 7/18/2013 5 House ofWax (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 Hornet Gulliver's 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 Ga'Hoole 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 3D Television Stereoscopic television was first demonstrated by John Logie Baird in 1928 Stereo TV Stereo Receiver
- 6. 7/18/2013 6 3D Television Stereoscopic television was first demonstrated by John Logie Baird in 1928 AOA Classroom 3D Project Team Dominick Maino Jim Brocato Danette Miller Linda Boyland Michael Duenas Renee Brauns Greg Wolfe Barry Barresi Barb Horn Nancy Cope Reggie Swanigan Chris Haws Len Scrogan Jim Sheedy 3D Education VRMagic Digital BIO 3D Education http://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 NASAVideo Game Brain Training for ADHD http://www.youtube.com/watch?v=S26Kk- ueWjQ&feature=related Mario Brothers 3D http://www.youtube.com/watch?v=0U0ZDjnQiXQ
- 7. 7/18/2013 7 3D glasses technology Active & Passive Active LCD shutter glasses A liquid crystal glasses stop or allow light in thru synchronization with the images seen on the screen Red eye shutterglasses The Red Eye Method reduces the ghosting Active 3D Glasses most commonly used small LCD screens when voltage applied lens goes dark synced with screen showing 3D content then alternates image viewed each eye different angle of view creates 3D effect 3D glasses technology Linearly polarized glasses Two 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. Passive Circularly polarized glasses
- 8. 7/18/2013 8 RealD Cinema system uses an 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 Dolby 3D theatres Complementary 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 3DS Nintendo 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
- 9. 7/18/2013 9 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 with 3D Vision Syndrome Examination Sequence Comprehensive Visual Efficiency/Strabismus/Amblyopia Special Testing (Visagraph,TOVA, etc) How to Dx an Individual with 3D Vision Syndrome Case Hx Salient Findings How to Tx an Individual with 3D Vision Syndrome We really don’t know the best methodology/approach. How to Tx an Individual with 3D Vision Syndrome Use what we do know Rx/Prism Optometric Vision Therapy 3D Vision Syndrome Single Subject Design Research Study Patient #1 Symptoms: blurred vision, double vision, nausea, headache, dizziness
- 10. 7/18/2013 10 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 Seasonal allergies Nephrectomy 3D Vision Syndrome Patient #1 Initial Findings VA’s CLS RE/LE 20/20 OR RE -.25, LE PL Acceptable Fit 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 3D Vision Syndrome Patient #1 Initial Findings Accommodative Facility diplopia MEM variable Ocular health mild allergic conjunctivitis 3D Vision Syndrome Patient #1 Diagnosis Convergence insufficiency Accommodative dysfunctions Headache Diplopia Allergic conjunctivitis 3D Vision Syndrome Patient #1 Plan Obtain past records Start Optometric Vision Therapy
- 11. 7/18/2013 11 3D Vision Syndrome Patient #1 Previous Eye Examination (10/09) “No Binocular Testing Done!” Hx “General Exam”, health “good”, AidedVAs 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 3D Vision Syndrome Patient #1 Optometric Vision Therapy Phase 1 Phase 2 Phase 3 Phase 4 Mono Biocular Binocular Integration Oculo- add anti- add Stabilization Motor, suppression vergence HE, 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, accommodation Brockstring HVT Sent Home all of the above 3D Vision Syndrome Patient #1 Optometric Vision Therapy OVT #2 Reviewed HVT Vision Builder (saccades Franzblau Red Rock Brockstring 3D Vision Syndrome Patient #1 Optometric Vision Therapy OVT #3 Reviewed HVT Minus lens dips HC accom rock Vision Building (binoc reading) Quoits 3D Vision Syndrome Patient #1 Optometric Vision Therapy OVT #4 Reviewed HVT Vision Builder Randot vergence Eccentric Circles Quoits
- 12. 7/18/2013 12 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 CL OR RE +1.00-.50X180 20/20 LE +1.25 20/20 MR RE -3.25-.25X175 20/20 LE -3.250.75X005 20/20 Pursuits +4 Saccades +3 CT 2EP (near) W4D 4 at all distances Random dot 20 ‘ NPC TN no pain BI 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, suppression stable findings Symptoms improving, not resolved 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 BVA 20/20 RE, LE Slight + CL OR CT ortho/2 EXO NPC TN After 5 trials TN NPC with RL 7/10 cm Vergence 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 Amps 8.33 RE/LE NRA +2.50 PRA -2.25 Facility 6 RE, 7LE, 8 OU CPM no suppression MEM +.50 RE, LE RTO 6 mos CEE, intermittently do HVT
- 13. 7/18/2013 13 Ended Here: Majority of symptoms resolved BVA 20/20 RE, LE Slight + CL OR CT ortho/2 EXO, NPC TN After 5 trials TN NPC with RL 7/10 cm Vergence 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 Amps 8.33 RE/LE NRA +2.50, PRA -2.25 Facility 6 RE, 7LE, 8 OU CPM no suppression MEM +.50 RE, LE Started Here: VA’s CLS RE/LE 20/20 OR RE -.25, LE PL Acceptable Fit MR RE -4.25-50X175 20/15, LE -4.00-.50X175 20/15 Pursuits/Saccades +4 CT 18 XOP @ near 2nd Degree Fusion Variable 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 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 News Print Media Internet In Your Office 3D Pictures Newsletters Website/Blog/Facebook/SOVOTO/LinkedIn Media Awareness 3D in the News ABC Chicago
- 14. 7/18/2013 14 AOA TV Consumer Electronics Show Print Media Blogs MainosMemos.com Radio
- 15. 7/18/2013 15 PR Service PR Buzz ($299 unlimited releases) BusinessWire PRNewswire PRWeb Marketwire PitchEngine BurrellesLuce 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/ Dominick M. Maino, O.D., M.Ed., F.A.A.O., F.C.O.V.D-A. Professor, Pediatrics/BinocularVision Service Illinois College of Optometry Illinois Eye Institute Lyons Family Eye Care dmaino@ico.edu MainosMemos.com www.ico.edu www.LyonsFamilyEyeCare.com Questions?