These are the handouts for a recent lecture.

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.com
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
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2. 4/10/2012
ESPN: 3D Is at the Tipping Point
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
3D Vision & Eye Health.org
Dr. Karl Kapp: "the tipping point for 3D will be in the healthcare
industry“ The 3Ds of Stereoscopic 3D Viewing
AOA YouTube Videos
3D Medical Education
http://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. Corriveau
Will you one day print yourself a new bowl or even a new house using 3D Exploring a New Dimension - Chris Haws
printing technology? 3D printers are nearing a tipping point according to Improving Binocular Vision-Creating a Better 3D Audience – Dominick M. Maino, OD, MEd
one 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)
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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-3d
http://www.newyorker.com/a
rts/critics/atlarge/2010/03/0
8/100308crat_atlarge_lane
Some of the first 3D Movies included:
Bwana Devil (1952 ) starring Robert Stack
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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
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 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
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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.pdf
3D in the Classroom/Education 3D Education
AOA VRMagic Digital BIO
Classroom 3D Project Team
Dominick Maino Barry Barresi
Jim Brocato
Ji B t Barb Horn
Danette Miller Nancy Cope
Reggie Swanigan
Linda Boyland
Chris Haws
Michael Duenas Len Scrogan
Renee Brauns Jim Sheedy
Greg Wolfe
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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 h
http://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
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7. 4/10/2012
Active 3D Glasses Active 3D Glasses
this 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
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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_th
http://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 y
collectively indicate or characterize a include: headaches, nausea, dizziness, a
disease, 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.
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9. 4/10/2012
How to Dx an Individual with How to Dx an Individual with
3D Vision Syndrome 3D Vision Syndrome
Examination Sequence
Case Hx
Comprehensive
Visual Efficiency/Strabismus/Amblyopia
Special Testing (Visagraph, TOVA, etc) Salient Findings
How to Tx an Individual with How to Tx an Individual with
3D Vision Syndrome 3D Vision Syndrome
We 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 female
Symptoms: College educated
Athletic trainer
blurred vision, double Hx of reading problems since 5th grade
vision, nausea, headache, Remedial reading class in college
dizziness Seasonal allergies
Nephrectomy
9

10. 4/10/2012
3D Vision Syndrome 3D Vision Syndrome
Patient #1 Patient #1
Initial 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 #1
Initial Findings Diagnosis
Accommodative Facility diplopia Convergence insufficiency
MEM variable Accommodative dysfunctions
y
Ocular 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
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11. 4/10/2012
3D Vision Syndrome 3D Vision Syndrome
Patient #1 Patient #1 Optometric Vision Therapy
Optometric Vision Therapy OVT #1
Phase 1 Phase 2 Phase 3 Phase 4 HC Saccades
Mono Biocular Binocular Integration HC Rock
Oculo-
O l add anti-
dd ti add
dd Stabilization
St bili ti HTS (saccades, pursuits,
( d it
Motor, suppression vergence accommodation
HE, 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
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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 +4
Vergence 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
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13. 4/10/2012
Computer Programs Used in Optometric Vision Therapy
Convergence insufficiency, Accommodative
dysfunctions, 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’t
hurt! 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
Newsletters
Website/Blog/Facebook/SOVOTO/LinkedIn
Media Awareness
NBC Broadcast AOA TV
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14. 4/10/2012
Consumer Electronics Show
Print Media
Blogs
MainosMemos.blogspot.com Radio
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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