3D Vision Syndrome is a technologically induced visual impairment that typically involves binocular vision dysfunctions that result in many symptoms including but not limited to blurred vision, diplopia, asthenopia, eye strain, headache, dizziness, and vision induced motion sickness. Dr. Dominick Maino, the American Optometric Association's spokesman on this syndrome presented this lecture at the American Academy of Optometry and Vision Institute of Canada meetings.
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
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
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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
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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)
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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
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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
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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
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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
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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
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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/
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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
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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
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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
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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
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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
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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!
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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
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MainosMemos.blogspot.com Radio
http://prescription3dglasses.com/ http://prescription3dglasses.com/
Pacific Eye Clinic Beaverton Opens 3D
Performance Eye Clinic
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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
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