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10/14/2011




    Disclosure Statement:
            Nothing to disclose”
                                                                      Please silence all mobile devices.
                                                                      Unauthorized recording of this
                                                                      session is prohibited.




       Dominick M. Maino, OD, MEd, FAAO, FCOVD-A
                                   FAAO, FCOVD-
                                     AOA National Spokesperson on 3 D Vision Syndrome
                                                                                                                          Lecture Rules:
                                         AOA Classroom 3D Project Team Member


                                                                                                         Professor,       1.) Yes, you may ask questions.
                                                                         Pediatrics/Binocular Vision Service
                                                                                                                          2.) But only if I know the answer!
                                                                  Illinois College of Optometry
                                                                                           Illinois E I tit t
                                                                                           Illi i Eye Institute
                                                                                                                          3.) My answer is always right!
                                                                                                                            ) y                  y g
                                                                               3241 S. Michigan Ave. Chicago, Il. 60616
                                                                               312-949-
                                                                               312-949-7280 (Voice) 312-949-7358 (fax)
                                                                                                    312-949-
                                                                                                                          4.) An updated version of this
                                                                                                                          presentation can be found at
                                                                                              dmaino@ico.edu              www.slideshare.net/DMAINO/
                                                                               MainosMemos.blogspot.com
                                                                          www.ico.edu         nw.optometry.net




Photo credit: http://science.howstuffworks.com/3-d-glasses2.htm




                                                                                                                                                                       1
10/14/2011




                       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




 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/




Many activities including:                                                          The Public Health Implications of Virtual 3D
                                                                                                Michael Duenas, OD
Symposia, 3D Users Experience Tech                                                       The Visual System and Virtual 3D
                                                                                              Jim Sheedy, O.D., Ph.D.
Summit, The 3Ds of 3D Viewing
                                                                                          3D: The User Experience Story
AOA YouTube Videos                                                                               Philip J. Corriveau
3D in the Classroom: See Well, Learn Well                                                  Exploring a New Dimension
                                                                                                    Chris Haws
                                                                                                    Ch i H
                                                                                         Do You Know if the Kids are OK?
                                          http://www.youtube.
                                                                                               Maureen Powers, PhD
                                          com/watch?v=9U4Ao
                                                                                           Improving Binocular Vision-
                                          DWPEQ0
                                                                                          Creating a Better 3D Audience
                                                                                                3D Vision Syndrome
                                                                                   Dominick M. Maino, OD, MEd, FAAO, FCOVD-A




                                                                                                                                                                      2
10/14/2011




       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)




                                                                              Available from:


                                                                                    AOA
                                                                                 3D@Home
                                                                               3deyehealth.org
                                                                                MainosMemos
Brock String Debuts at the Consumer Electronics Show
Kids@Play Summit at CES 2011
Dominick M. Maino, OD, MEd, FAAO, FCOVD-A

(http://mainosmemos.blogspot.com/2011/04/dr-dominick-maino-at-
consumer.html)




                                                                                                        3
10/14/2011




                    Binocular Vision                                 Improving Binocular Vision - Creating a Better Audience

                    Dysfunction as a
                          Medical &
                  Public Health Issue
                                                                     Maybe Mike, from "Monsters, Inc.,"
                                                                     looks so sad because he realizes 3-
                                                                     D doesn't do you any good if you
                                                                     don't have binocular vision.)....




For the 3D Movie, Television, Video-                                  Improving 3D Television Technology
gaming and 3D in the Classroom
                                                                                                      but Not Creating
Techno-Industrial Complex….not
having binocular vision is the 800lbs                                           a Better 3D Viewing Audience
Cyclops in the room!




                                                                    1920’s   Image Credit : Baird Television                    Today




      Improving 3D Movie                                                  Improving 3D Gaming
         Technology but                                                      Technology but
     Not Creating a Better 3D                                              Not Creating a Better
       Viewing Audience                                                          Gamer



                                                                      Image Credit: Daily Motion 3D
                                                                                                                         Image Credit: Nintendo
 1953 Image Credit: Mystic Cinema   Today   Image Credit: Joystiq




                                                                                                                                                     4
10/14/2011




                                                                                             History of 3D
   Improving Classroom Technology but
                            Have Not Created
               a Better 3D Viewing Student




                                                                                                          3D in the Classroom: See Well, Learn Well
                                                                                                                         3D Timeline
                                             Image Credit: American Optometric Association
Image Credit: mkrstovic.edublogs.org




3 D Stereo Scopes
1844
Scottish inventor
and writer David
Brewster
 introduced the
Stereoscope
1862
USA jurist, author,
      j     ,      ,
inventor Oliver
Wendell Holmes
makes it possible
for all to enjoy 3D!




     Some of the first 3D Movies included:                                                     House of Wax (1953) starring Vincent Price

     Bwana Devil (1952 ) starring Robert Stack




                                       http://www.youtube.com/watch
                                       ?v=4oGl_KqTw-M&NR=1




                                                                                                                                                              5
10/14/2011




                                                                 The Mask (1961)
 13 Ghosts (1960)




http://www.youtube.com/watch?v=Zdwq3jdvZD                     http://www.youtube.com/watch?v=xGTApr_SAts
I




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




         Stereo TV
                                            Stereo Receiver              http://www.youtube.com/watch?v=O5ZSXPMlumc




            3D Education                                                   3D Education
          VRMagic Digital BIO                                            VRMagic Digital BIO




                                                                                                                               6
10/14/2011




                   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




                  3D in the Classroom: See Well, Learn Well
                                                                                     Passive
                                                                              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




                                                                                                                                 7
10/14/2011




                   Passive
            3D glasses technology                  Circularly polarized glasses

   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.




 RealD Cinema system uses an                   Dolby 3D theatres
 electronically driven circular polarizer      Complementary color
 Infitec glasses                               anaglyphs (use red and cyan)
 Infitec (interference filter technology.)     Lenticular printing used to
 Filters divide the visible color              produce images with an
 spectrum into six narrow bands                illusion of depth, or the ability
 "super-anaglyph”
                                               to change or move as the
 Dolby uses a form of this technology
 in its
                                               image is viewed from
                                               different angles




         3D glasses technology                            Active 3D Glasses

                   Active                             small LCD screens

Active
                                             when voltage applied lens goes dark
LCD shutter glasses                            synced with screen showing 3D
A liquid crystal glasses stop
    q      y     g
or allow light in thru
                            p
                                                content then alternates image
synchronization with the                                   viewed
images seen on the screen
                                               each eye different angle of view
Red eye shutterglasses
The Red Eye Method                                    creates 3D effect
reduces the ghosting




                                                                                           8
10/14/2011




                  Active 3D Glasses                                              Active 3D Glasses
                                                                     3D Personal Display Spectacles
this method of 3D cuts refresh rate in half

Known to cause headaches
                                                                  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          http://www.trendhunter.com/trends/head-mounter-3d




    Autostereoscopic displays Auto 3D                                 Autostereoscopic displays Auto 3D

            Almont Green 3D Photography                                                 Nintendo 3DS
                                                                              Nintendo 3DS is hazardous to the
                                                                                  eyes of children (Nope!)




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




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




                                          How Does
                                           Nintendo                    3D Vision Syndrome
                                          3DS Work?
                                           two separate               What constitutes a syndrome?
                                         outputs at slightly
                                          different angles
                                                       g
                                          one for your left
                                                               A group of symptoms that
                                         eye and the other     collectively indicate or characterize a
                                           for your right      disease, psychological disorder, or
                                         http://kombo.com      other abnormal condition
                                         /features/How_th
                                           e_3DS_Works/




                                                                                                                                             9
10/14/2011




           So is the 3D Vision Syndrome                                                        The 3D’s of 3D Viewing:
                    Really a Syndrome?                                                  Discomfort, Dizziness and Lack of Depth

                                                Yes.                                          Discomfort:
       The symptoms and signs consistently                                                    Since 3D viewing is based
       include: headaches, nausea, dizziness, a                                               on the eyes converging in
       vision induced sense of motion,                                                        front of or beyond the
       diplopia, blurred vision and eyestrain;                                                screen, viewing 3D images
       as well as a disconnect between                                                        can potentially create
       accommodation and vergence.                                                            eyestrain and headaches




        The 3D’s of 3D Viewing:                                                                The 3D’s of 3D Viewing:
 Discomfort, Dizziness and Lack of Depth                                                Discomfort, Dizziness and Lack of Depth
 Dizziness:                                                                            Lack of Depth:

 3D technology can                                                                     A viewer lacking binocular
 exaggerate visually                                                                   vision, simply won’t see 3D.
                                                                                         i i    i l        ’t   3D
 induced motion sickness                                                               While this doesn’t pose any
 …causing consumers to feel                                                            problem viewing the screen,
 dizzy or nauseous during or                                                           it serves as a “vision
 after viewing 3D content.
                                                                                       screening” that something is
                                                                                       abnormal with the viewer’s
                                                                                       binocular vision.                               Photo credit: Photobucket




Symptoms of 3D Vision Syndrome
asthenopia, headaches, blurred vision,                                                 Symptoms of 3D Vision Syndrome
eyestrain, diplopia, dizziness/nausea and
                                                                                        …a happy, actively engaged users of 3D
vision induced motion sickness …..or ….
                                                                                        content?




                                                       Image credit: squidoo.com/3d-
Image Credit: American Optometric Association          animated-gif                    Image Credit: American Optometric Association




                                                                                                                                                                          10
10/14/2011




3D Vision Syndrome …                                       Scope of The Problem
… is comprised of a group of symptoms and           Amblyopia 2% (6,239,043 US)
physical signs that collectively indicate or       Strabismus 2-5% (15,597,609 US
characterize a functional vision and/or eye    Accommodation 2.5-9.2% (28,699,600 US)
health disorder that manifests when viewing           Eye Coordination (CI 7%)
simulated 3D technology These signs and
               technology.                            Up to 25% (77 988 195 US)
                                                                 (77,988,195
symptoms include but are not limited to              Vertical Misalignment 7-52%
headaches, blurred vision, eyestrain, double               (162,215,135 US)
vision, dizziness/nausea, decreased depth
                                                      US Census Bureau: U.S. 311,952,183
perception and vision induced motion                        World 6,954,459,463
sickness.                                       AOA Clinical Guidelines: http://www.aoa.org/x4813.xml US Census:
                                                        http://www.census.gov/main/www/popclock.html




   How to Dx an Individual with
                                                How to Dx an Individual with
      3D Vision Syndrome
                                                   3D Vision Syndrome
       Examination Sequence
Comprehensive                                                       Case Hx
Visual Efficiency/Strabismus/Amblyopia
Vi   l Effi i    /St bi      /A bl     i
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                                        Use what we do know
know the b t
k    th best
methodology/approach.                                  Rx/Prism
                                                Optometric Vision Therapy




                                                                                                                          11
10/14/2011




      These are your patient’s eyes….
                                             3D Vision Syndrome
                                           Single Subject Design
                                              Research Study
                                                Patient #1
                                         Symptoms:

                                         blurred vision,
                                         bl    d i i
These are                                double vision,
your patient’s                           nausea, headache,
eyes                                     dizziness while
On 3D!                                   watching 3D movie




           3D Vision Syndrome                        3D Vision Syndrome
                Patient #1                                Patient #1

          27 y/o white female              Initial Findings
           College educated                           VA’s CLS RE/LE 20/20
            Athletic trainer                   OR RE -.25, LE PL Acceptable Fit
                                                           ,           p
                                                  MR RE -4.25-50X175 20/15,
Hx of reading problems since 5th grade
                                                     LE -4.00-.50X175 20/15
  Remedial reading class in college                   Pursuits/Saccades +4
           Seasonal allergies                          CT 18 XOP @ near
             Nephrectomy                           2nd Degree Fusion Variable




            3D Vision Syndrome                       3D Vision Syndrome
                 Patient #1                               Patient #1

  Initial Findings                         Initial Findings
             Random Dot 100” (?)                Accommodative Facility diplopia
                  NPC 2/6/4”                              MEM variable
          After 5 attempts pain noted      Ocular health mild allergic conjunctivitis
  PFV/NFV @ near could not do/diplopia
        - Lens amplitudes could not do
              NRA +2.00 diplopia
                    PRA -1.00




                                                                                         12
10/14/2011




                3D Vision Syndrome                                3D Vision Syndrome
                     Patient #1                                        Patient #1

    Diagnosis                                         Plan
         Convergence insufficiency                                  Obtain past records
        Accommodative dysfunctions
                          y                                  Start Optometric Vision Therapy
                                                                    p                     py
                  Headache
                   Diplopia
            Allergic conjunctivitis




              3D Vision Syndrome                                  3D Vision Syndrome
                   Patient #1                                          Patient #1

 Previous Eye Examination (10/09)                             Optometric Vision Therapy
        “No Binocular Testing Done!”               Phase 1    Phase 2     Phase 3    Phase 4
                                                   Mono       Biocular    Binocular Integration
 Hx “General Exam”, health “good”, Aided VAs
     General Exam            good                  Oculo-
                                                   O l        add anti-
                                                               dd ti        add
                                                                             dd      Stabilization
                                                                                     St bili ti
 20/20 RE/LE, SLE unremarkable, Non-dilated        Motor,     suppression vergence
 fundus evaluation unremarkable, Ret -4.00 Sph
 RE/LE, MR -4.00-50X175 RE, -4.00-.50X180 LE, CT
                                                   HE, Acc
 2XO dist/Ortho near, BI 20/8, BO 24/12 near
                                                      3 month post OVT maintenance Tx and
            Dx Myopia, Astigmatism                          final progress evaluation




                3D Vision Syndrome                   3D Vision Syndrome
   Patient #1      Optometric Vision Therapy       Patient #1   Optometric
                                                        Vision Therapy
OVT #1
HC Saccades                                                   OVT #2
HC Rock
                                                        Reviewed HVT
                                                        R i    d
HTS (saccades, pursuits,                              Vision Builder
accommodation                                           (saccades
Brockstring                                        Franzblau Red Rock
HVT                                                    Brockstring
Sent Home all of the above




                                                                                                      13
10/14/2011




                              3D Vision Syndrome
                            Patient #1   Optometric            3D Vision Syndrome
                                 Vision Therapy                     Patient #1
                                                                Optometric Vision
                                      OVT #3                         Therapy

                                 Reviewed HVT                        OVT #4
                              Minus lens dips
                              Mi     l    di                      Reviewed HVT
                              HC accom rock                     Vision Builder
                               Vision Builder                  Randot vergence
                              (binoc reading)                  Eccentric Circles
                                   Quoits                           Quoits                   Photo credit   VisionHelpBlog




                                                                 3D Vision Syndrome
             3D Vision Syndrome
                                                               Patient #1   Optometric
  Patient #1    Optometric Vision Therapy
                                                                    Vision Therapy
                        OVT #5
                                                                      OVT #6
                     Reviewed HVT
           +/- Flippers (mono)                                      Review HVT
            Eccentric Circles
            E      t i Ci l                                           ECC
          HTS autoslide vergence                                Vectogram Jump
         Jump vergences (vectos)                                   Vergence
      Brockstring (bug on a string)
                  HVT
                                                                Lifesaver Cards
 ECC BO/Brockstring, HTS jump vergences




                 3D Vision Syndrome                                           3D Vision Syndrome
  Patient #1        Optometric Vision Therapy                    Patient #1      Optometric Vision Therapy
               Progress evaluation #1                                              OVT #7
    20/15 BVA, RE/LE                   NPC TN no pain
 CL OR RE +1.00-.50X180                 BI 12/9 near                Clown vectograms (push BI)
          20/20                           BO > 45
     LE +1.25 20/20                    Amps 7 D RE/LE                 Chicago Skyline (jump)
MR 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 OU
Pursuits +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 all resolved




                                                                                                                                    14
10/14/2011



               3D Vision Syndrome
                                                                                           3D Vision Syndrome
Patient #1          Optometric Vision Therapy
                                                                           Patient #1         Optometric Vision Therapy
                OVT #8
                                                                                         Progress Evaluation #2
 Clown vectograms (push                                                                      1 month later
      BI) with +/-1.00                                                   Majority of symptoms resolved
    Tranaglyph BC 601                                                          BVA 20/20 RE, LE
                                                                                 Slight + CL OR
                                                                                                                      Amps 8.33 RE/LE
                                                                                                                          NRA +2.50
        Brockstring
        B k t i                                                                 CT ortho/2 EXO                            PRA -2.25
                                                                                     NPC TN                   Facility 6 RE, 7LE, 8 OU CPM no
       Aperture Rule                                                            After 5 trials TN                        suppression
                                                                             NPC with RL 7/10 cm                      MEM +.50 RE, LE
                                                                          Vergence dist BI x/14/10 BO
  Switch to HVT only due to                                                          X/30/25                 RTO 6 mos CEE, intermittently do
                                                                            Near BI 16/12 BO 35/25                       HVT
  change in work schedule                                                     W4D 4 all distances
Saw 3D movie…no problems!                                                       Random Dot 25’
                                                                                   Pur/Sac +4




            Started Here:                          Ended Here:
                                                                        Convergence insufficiency, Accommodative dysfunctions, Headache, Diplopia,
       VA’s CLS RE/LE 20/20                 Majority of symptoms                     Blurred vision, Double vision, Nausea, Dizziness
  OR RE -.25, LE PL Acceptable Fit                resolved
    MR RE -4.25-50X175 20/15,                    BVA 20/20 RE, LE
      LE -4.00-.50X175 20/15                      Slight + CL OR
       Pursuits/Saccades +4                         Pur/Sac +4          All resolved in 8 OVT visits and HVT
      CT 18 XOP @ near                    CT ortho/2 EXO, NPC TN
         NPC 2/6/4”                             After 5 trials TN
 After 5 attempts pain noted                NPC with RL 7/10 cm               Last Progress Evaluation on 7/10
 PFV/NFV @ near could not                 Vergence dist BI x/14/10
         do/diplopia                              BO X/30/25
     W4D Fusion Variable                  Near BI 16/12 BO 35/25          On 8/1/10 the patient texted me and
     Random Dot 100” (?)                W4D 4 all distances, Random
 - Lens amplitudes could not                        Dot 25’               said, “Just saw a 3D movie. It didn’t
              do                               Amps 8.33 RE/LE           hurt! It was an awesome experience!”
     NRA +2.00 diplopia                     NRA +2.50, PRA -2.25
           PRA -1.00                    Facility 6 RE, 7LE, 8 OU CPM
                                                no suppression
                                               MEM +.50 RE, LE




           Computer Programs Used in Optometric Vision Therapy              3D as a Public Information
                                                                               and Marketing Tool

                                                                          3D in the News-Print Media-Internet
                                                       Computer Aided
    Home Therapy Solutions                             Vision Therapy
                                                                        In Your Office-3D Pictures-Newsletters

                                                                        Website/Blog/Facebook/SOVOTO/LinkedIn

                                                                                     Media Awareness!




                                                                                                                                                     15
10/14/2011




3D in the News ABC Chicago

                                http://abclocal.go.com/wls/s
                                tory?section=news/health&i
                                d=7298893


                                                                  NBC News Broadcast




                                                               http://www.wlbz2.com/news/local/story.aspx?st
                                                               oryid=145741&catid=9




         AOA TV
                                                               Diagnosis




                                                                Maino D. Brock String Debuts at 2011
                                                                Consumer Electronics Show. Optom Vis Dev
                                                                2011;42(1):6-9.
           http://www.iwantmyaoatv.com/




                                                                                          Blogs



         Print /Digital Media




                                                                                                                  16
10/14/2011




MainosMemos.blogspot.com                               Radio




http://prescription3dglasses.com/          http://prescription3dglasses.com/




   Pacific Eye Clinic Beaverton Opens 3D
           Performance Eye Clinic




                                                                                 17

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3D Vision Syndrome:A Technologically Induced Visual Impairment

  • 1. 10/14/2011 Disclosure Statement: Nothing to disclose” Please silence all mobile devices. Unauthorized recording of this session is prohibited. Dominick M. Maino, OD, MEd, FAAO, FCOVD-A FAAO, FCOVD- AOA National Spokesperson on 3 D Vision Syndrome Lecture Rules: AOA Classroom 3D Project Team Member Professor, 1.) Yes, you may ask questions. Pediatrics/Binocular Vision Service 2.) But only if I know the answer! Illinois College of Optometry Illinois E I tit t Illi i Eye Institute 3.) My answer is always right! ) y y g 3241 S. Michigan Ave. Chicago, Il. 60616 312-949- 312-949-7280 (Voice) 312-949-7358 (fax) 312-949- 4.) An updated version of this presentation can be found at dmaino@ico.edu www.slideshare.net/DMAINO/ MainosMemos.blogspot.com www.ico.edu nw.optometry.net Photo credit: http://science.howstuffworks.com/3-d-glasses2.htm 1
  • 2. 10/14/2011 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 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/ Many activities including: The Public Health Implications of Virtual 3D Michael Duenas, OD Symposia, 3D Users Experience Tech The Visual System and Virtual 3D Jim Sheedy, O.D., Ph.D. Summit, The 3Ds of 3D Viewing 3D: The User Experience Story AOA YouTube Videos Philip J. Corriveau 3D in the Classroom: See Well, Learn Well Exploring a New Dimension Chris Haws Ch i H Do You Know if the Kids are OK? http://www.youtube. Maureen Powers, PhD com/watch?v=9U4Ao Improving Binocular Vision- DWPEQ0 Creating a Better 3D Audience 3D Vision Syndrome Dominick M. Maino, OD, MEd, FAAO, FCOVD-A 2
  • 3. 10/14/2011 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) Available from: AOA 3D@Home 3deyehealth.org MainosMemos Brock String Debuts at the Consumer Electronics Show Kids@Play Summit at CES 2011 Dominick M. Maino, OD, MEd, FAAO, FCOVD-A (http://mainosmemos.blogspot.com/2011/04/dr-dominick-maino-at- consumer.html) 3
  • 4. 10/14/2011 Binocular Vision Improving Binocular Vision - Creating a Better Audience Dysfunction as a Medical & Public Health Issue Maybe Mike, from "Monsters, Inc.," looks so sad because he realizes 3- D doesn't do you any good if you don't have binocular vision.).... For the 3D Movie, Television, Video- Improving 3D Television Technology gaming and 3D in the Classroom but Not Creating Techno-Industrial Complex….not having binocular vision is the 800lbs a Better 3D Viewing Audience Cyclops in the room! 1920’s Image Credit : Baird Television Today Improving 3D Movie Improving 3D Gaming Technology but Technology but Not Creating a Better 3D Not Creating a Better Viewing Audience Gamer Image Credit: Daily Motion 3D Image Credit: Nintendo 1953 Image Credit: Mystic Cinema Today Image Credit: Joystiq 4
  • 5. 10/14/2011 History of 3D Improving Classroom Technology but Have Not Created a Better 3D Viewing Student 3D in the Classroom: See Well, Learn Well 3D Timeline Image Credit: American Optometric Association Image Credit: mkrstovic.edublogs.org 3 D Stereo Scopes 1844 Scottish inventor and writer David Brewster introduced the Stereoscope 1862 USA jurist, author, j , , inventor Oliver Wendell Holmes makes it possible for all to enjoy 3D! Some of the first 3D Movies included: House of Wax (1953) starring Vincent Price Bwana Devil (1952 ) starring Robert Stack http://www.youtube.com/watch ?v=4oGl_KqTw-M&NR=1 5
  • 6. 10/14/2011 The Mask (1961) 13 Ghosts (1960) http://www.youtube.com/watch?v=Zdwq3jdvZD http://www.youtube.com/watch?v=xGTApr_SAts I 3D Television 3D Television Stereoscopic television was first demonstrated by John Stereoscopic television was first demonstrated by Logie Baird in 1928 John Logie Baird in 1928 Stereo TV Stereo Receiver http://www.youtube.com/watch?v=O5ZSXPMlumc 3D Education 3D Education VRMagic Digital BIO VRMagic Digital BIO 6
  • 7. 10/14/2011 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 3D in the Classroom: See Well, Learn Well Passive 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 7
  • 8. 10/14/2011 Passive 3D glasses technology Circularly polarized glasses 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. RealD Cinema system uses an Dolby 3D theatres electronically driven circular polarizer Complementary color Infitec glasses anaglyphs (use red and cyan) Infitec (interference filter technology.) Lenticular printing used to Filters divide the visible color produce images with an spectrum into six narrow bands illusion of depth, or the ability "super-anaglyph” to change or move as the Dolby uses a form of this technology in its image is viewed from different angles 3D glasses technology Active 3D Glasses Active small LCD screens Active when voltage applied lens goes dark LCD shutter glasses synced with screen showing 3D A liquid crystal glasses stop q y g or allow light in thru p content then alternates image synchronization with the viewed images seen on the screen each eye different angle of view Red eye shutterglasses The Red Eye Method creates 3D effect reduces the ghosting 8
  • 9. 10/14/2011 Active 3D Glasses Active 3D Glasses 3D Personal Display Spectacles this method of 3D cuts refresh rate in half Known to cause headaches 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 http://www.trendhunter.com/trends/head-mounter-3d Autostereoscopic displays Auto 3D Autostereoscopic displays Auto 3D Almont Green 3D Photography Nintendo 3DS Nintendo 3DS is hazardous to the eyes of children (Nope!) (http://almontgreen.wordpress.com/) http://www.digitaltrends.com/gaming/nintendo-3ds-is-hazardous-to-kids-eyes/ How Does Nintendo 3D Vision Syndrome 3DS Work? two separate What constitutes a syndrome? outputs at slightly different angles g one for your left A group of symptoms that eye and the other collectively indicate or characterize a for your right disease, psychological disorder, or http://kombo.com other abnormal condition /features/How_th e_3DS_Works/ 9
  • 10. 10/14/2011 So is the 3D Vision Syndrome The 3D’s of 3D Viewing: Really a Syndrome? Discomfort, Dizziness and Lack of Depth Yes. Discomfort: The symptoms and signs consistently Since 3D viewing is based include: headaches, nausea, dizziness, a on the eyes converging in vision induced sense of motion, front of or beyond the diplopia, blurred vision and eyestrain; screen, viewing 3D images as well as a disconnect between can potentially create accommodation and vergence. eyestrain and headaches The 3D’s of 3D Viewing: The 3D’s of 3D Viewing: Discomfort, Dizziness and Lack of Depth Discomfort, Dizziness and Lack of Depth Dizziness: Lack of Depth: 3D technology can A viewer lacking binocular exaggerate visually vision, simply won’t see 3D. i i i l ’t 3D induced motion sickness While this doesn’t pose any …causing consumers to feel problem viewing the screen, dizzy or nauseous during or it serves as a “vision after viewing 3D content. screening” that something is abnormal with the viewer’s binocular vision. Photo credit: Photobucket Symptoms of 3D Vision Syndrome asthenopia, headaches, blurred vision, Symptoms of 3D Vision Syndrome eyestrain, diplopia, dizziness/nausea and …a happy, actively engaged users of 3D vision induced motion sickness …..or …. content? Image credit: squidoo.com/3d- Image Credit: American Optometric Association animated-gif Image Credit: American Optometric Association 10
  • 11. 10/14/2011 3D Vision Syndrome … Scope of The Problem … is comprised of a group of symptoms and Amblyopia 2% (6,239,043 US) physical signs that collectively indicate or Strabismus 2-5% (15,597,609 US characterize a functional vision and/or eye Accommodation 2.5-9.2% (28,699,600 US) health disorder that manifests when viewing Eye Coordination (CI 7%) simulated 3D technology These signs and technology. Up to 25% (77 988 195 US) (77,988,195 symptoms include but are not limited to Vertical Misalignment 7-52% headaches, blurred vision, eyestrain, double (162,215,135 US) vision, dizziness/nausea, decreased depth US Census Bureau: U.S. 311,952,183 perception and vision induced motion World 6,954,459,463 sickness. AOA Clinical Guidelines: http://www.aoa.org/x4813.xml US Census: http://www.census.gov/main/www/popclock.html How to Dx an Individual with How to Dx an Individual with 3D Vision Syndrome 3D Vision Syndrome Examination Sequence Comprehensive Case Hx Visual Efficiency/Strabismus/Amblyopia Vi l Effi i /St bi /A bl i 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 Use what we do know know the b t k th best methodology/approach. Rx/Prism Optometric Vision Therapy 11
  • 12. 10/14/2011 These are your patient’s eyes…. 3D Vision Syndrome Single Subject Design Research Study Patient #1 Symptoms: blurred vision, bl d i i These are double vision, your patient’s nausea, headache, eyes dizziness while On 3D! watching 3D movie 3D Vision Syndrome 3D Vision Syndrome Patient #1 Patient #1 27 y/o white female Initial Findings College educated VA’s CLS RE/LE 20/20 Athletic trainer OR RE -.25, LE PL Acceptable Fit , p MR RE -4.25-50X175 20/15, Hx of reading problems since 5th grade LE -4.00-.50X175 20/15 Remedial reading class in college Pursuits/Saccades +4 Seasonal allergies CT 18 XOP @ near Nephrectomy 2nd Degree Fusion Variable 3D Vision Syndrome 3D Vision Syndrome Patient #1 Patient #1 Initial Findings Initial Findings Random Dot 100” (?) Accommodative Facility diplopia NPC 2/6/4” MEM variable After 5 attempts pain noted Ocular health mild allergic conjunctivitis PFV/NFV @ near could not do/diplopia - Lens amplitudes could not do NRA +2.00 diplopia PRA -1.00 12
  • 13. 10/14/2011 3D Vision Syndrome 3D Vision Syndrome Patient #1 Patient #1 Diagnosis Plan Convergence insufficiency Obtain past records Accommodative dysfunctions y Start Optometric Vision Therapy p py Headache Diplopia Allergic conjunctivitis 3D Vision Syndrome 3D Vision Syndrome Patient #1 Patient #1 Previous Eye Examination (10/09) Optometric Vision Therapy “No Binocular Testing Done!” Phase 1 Phase 2 Phase 3 Phase 4 Mono Biocular Binocular Integration Hx “General Exam”, health “good”, Aided VAs General Exam good Oculo- O l add anti- dd ti add dd Stabilization St bili ti 20/20 RE/LE, SLE unremarkable, Non-dilated Motor, suppression vergence fundus evaluation unremarkable, Ret -4.00 Sph RE/LE, MR -4.00-50X175 RE, -4.00-.50X180 LE, CT HE, Acc 2XO dist/Ortho near, BI 20/8, BO 24/12 near 3 month post OVT maintenance Tx and Dx Myopia, Astigmatism final progress evaluation 3D Vision Syndrome 3D Vision Syndrome Patient #1 Optometric Vision Therapy Patient #1 Optometric Vision Therapy OVT #1 HC Saccades OVT #2 HC Rock Reviewed HVT R i d HTS (saccades, pursuits, Vision Builder accommodation (saccades Brockstring Franzblau Red Rock HVT Brockstring Sent Home all of the above 13
  • 14. 10/14/2011 3D Vision Syndrome Patient #1 Optometric 3D Vision Syndrome Vision Therapy Patient #1 Optometric Vision OVT #3 Therapy Reviewed HVT OVT #4 Minus lens dips Mi l di Reviewed HVT HC accom rock Vision Builder Vision Builder Randot vergence (binoc reading) Eccentric Circles Quoits Quoits Photo credit VisionHelpBlog 3D Vision Syndrome 3D Vision Syndrome Patient #1 Optometric Patient #1 Optometric Vision Therapy Vision Therapy OVT #5 OVT #6 Reviewed HVT +/- Flippers (mono) Review HVT Eccentric Circles E t i Ci l ECC HTS autoslide vergence Vectogram Jump Jump vergences (vectos) Vergence Brockstring (bug on a string) HVT Lifesaver Cards ECC BO/Brockstring, HTS jump vergences 3D Vision Syndrome 3D Vision Syndrome Patient #1 Optometric Vision Therapy Patient #1 Optometric Vision Therapy Progress evaluation #1 OVT #7 20/15 BVA, RE/LE NPC TN no pain CL OR RE +1.00-.50X180 BI 12/9 near Clown vectograms (push BI) 20/20 BO > 45 LE +1.25 20/20 Amps 7 D RE/LE Chicago Skyline (jump) MR 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 OU Pursuits +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 all resolved 14
  • 15. 10/14/2011 3D Vision Syndrome 3D Vision Syndrome Patient #1 Optometric Vision Therapy Patient #1 Optometric Vision Therapy OVT #8 Progress Evaluation #2 Clown vectograms (push 1 month later BI) with +/-1.00 Majority of symptoms resolved Tranaglyph BC 601 BVA 20/20 RE, LE Slight + CL OR Amps 8.33 RE/LE NRA +2.50 Brockstring B k t i CT ortho/2 EXO PRA -2.25 NPC TN Facility 6 RE, 7LE, 8 OU CPM no Aperture Rule After 5 trials TN suppression NPC with RL 7/10 cm MEM +.50 RE, LE Vergence dist BI x/14/10 BO Switch to HVT only due to X/30/25 RTO 6 mos CEE, intermittently do Near BI 16/12 BO 35/25 HVT change in work schedule W4D 4 all distances Saw 3D movie…no problems! Random Dot 25’ Pur/Sac +4 Started Here: Ended Here: Convergence insufficiency, Accommodative dysfunctions, Headache, Diplopia, VA’s CLS RE/LE 20/20 Majority of symptoms Blurred vision, Double vision, Nausea, Dizziness OR RE -.25, LE PL Acceptable Fit resolved MR RE -4.25-50X175 20/15, BVA 20/20 RE, LE LE -4.00-.50X175 20/15 Slight + CL OR Pursuits/Saccades +4 Pur/Sac +4 All resolved in 8 OVT visits and HVT CT 18 XOP @ near CT ortho/2 EXO, NPC TN NPC 2/6/4” After 5 trials TN After 5 attempts pain noted NPC with RL 7/10 cm Last Progress Evaluation on 7/10 PFV/NFV @ near could not Vergence dist BI x/14/10 do/diplopia BO X/30/25 W4D Fusion Variable Near BI 16/12 BO 35/25 On 8/1/10 the patient texted me and Random Dot 100” (?) W4D 4 all distances, Random - Lens amplitudes could not Dot 25’ said, “Just saw a 3D movie. It didn’t do Amps 8.33 RE/LE hurt! It was an awesome experience!” NRA +2.00 diplopia NRA +2.50, PRA -2.25 PRA -1.00 Facility 6 RE, 7LE, 8 OU CPM no suppression MEM +.50 RE, LE Computer Programs Used in Optometric Vision Therapy 3D as a Public Information and Marketing Tool 3D in the News-Print Media-Internet Computer Aided Home Therapy Solutions Vision Therapy In Your Office-3D Pictures-Newsletters Website/Blog/Facebook/SOVOTO/LinkedIn Media Awareness! 15
  • 16. 10/14/2011 3D in the News ABC Chicago http://abclocal.go.com/wls/s tory?section=news/health&i d=7298893 NBC News Broadcast http://www.wlbz2.com/news/local/story.aspx?st oryid=145741&catid=9 AOA TV Diagnosis Maino D. Brock String Debuts at 2011 Consumer Electronics Show. Optom Vis Dev 2011;42(1):6-9. http://www.iwantmyaoatv.com/ Blogs Print /Digital Media 16
  • 17. 10/14/2011 MainosMemos.blogspot.com Radio http://prescription3dglasses.com/ http://prescription3dglasses.com/ Pacific Eye Clinic Beaverton Opens 3D Performance Eye Clinic 17
  • 18. 10/14/2011 The 3D’s of 3D Viewing: Discomfort, Dizziness and Lack of Depth The 4th D of 3D Viewing Discomfort The fourth “D” of 3D Viewing should be Dizziness to call your…. Lack of Depth Doctor of Optometry 3D Resources 3D in the Classroom: AOA See Well, Learn Well http://www.aoa.org American Academy of Optometry http://www.aaopt.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 18