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11/4/2011




Disclosure Statement:

 Nothing to disclose”

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                               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




                                                                                                                                1
11/4/2011




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




                                                             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 //             /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


                                                                                                                                                                   10/114




 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 Cell                                    phone Video May Be a Tipping Point for 3D
 http://www.bnet.com/blog/gadget-guy/sharp-8217s-new-cellphone-video-may-
 htt //      b t      /bl / d t     / h    8217        ll h     id
 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/




                                                                                                                                                                                          2
11/4/2011




Many activities including:                http://www.youtube.com/watch?v=9
                                          U4AoDWPEQ0                         The Public Health Implications of
Symposia, 3D Users Experience Tech Summit, The 3Ds of
3D Viewing, AOA YouTube Videos
                                                                                        Virtual 3D
3D in the Classroom: See Well, Learn Well                                          Michael Duenas, OD
                                                                             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

    Do You Know if the Kids are OK?
         Maureen Powers, PhD

    Improving Binocular Vision-
   Creating a Better 3D Audience
        3D Vision Syndrome
 Dominick M. Maino, OD, MEd, FAAO,                                               The Public Health Implications of
             FCOVD-A                                                             Virtual 3D - Michael Duenas
                                                                                 (http://www.youtube.com/watch?feature=player_embedded&v=howdZm-d7Z0)




            Public Health Model
3D Movies Have a New Dimension: Protecting Eye Health

                      1850 Snellen Eye Chart
         Snellen eye chart has a 27% sensitivity (OMG!!)
                   High rate of FALSE Negatives.
  Children that are referred because they fail the eye chart ….
                    Have a distance VA problem
                                       p
         Pediatrician screening? School nurse screening?
          Only 3 states have mandatory vision screening.
 Only a small percentage of children ever get the care they need
   25% of school children have one or more vision problems
  Undiagnosed untreated vision disorders are very prevalent
           Cost of untreated vision problems staggering

          All BV are treatable and preventable:
               Great Public Health Model




                                                                                                                                                        3
11/4/2011




The Visual System and Virtual 3D - Jim Sheedy, O.D., Ph.D.             3D: The User Experience Story - Philip J. Corriveau




     (http://www.youtube.com/watch?v=ZLpwCC5yxlo&feature=related)
                                                                               (http://www.youtube.com/watch?v=1IiHNit3RPM&feature=related)




   Exploring a New Dimension- Chris Haws                                 Brock String Debuts at the Consumer Electronics Show
                                                                                     Kids@Play Summit at CES 2011
                                                                             Dominick M. Maino, OD, MEd, FAAO, FCOVD-A




   (http://www.youtube.com/watch?v=4qZw98mkIhI&feature=related )
                                                                    (http://mainosmemos.blogspot.com/2011/04/dr-dominick-maino-at-consumer.html)
                                                                                                                         20/114




                                                                                       Binocular Vision
                             Available from:


                                  AOA
                               3D@Home
                                                                                       Dysfunction as a
                             3deyehealth.org                                                 Medical &
                              MainosMemos                                            Public Health Issue




                                                                                                                                                     4
11/4/2011




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



 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.)....




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




1920’s   Image Credit : Baird Television                    Today                  1953 Image Credit: Mystic Cinema              Today            Image Credit: Joystiq




                                                                                 Improving Classroom Technology but
      Improving 3D Gaming
                                                                                                           Have Not Created
         Technology but
                                                                                              a Better 3D Viewing Student
       Not Creating a Better
             Gamer



  Image Credit: Daily Motion 3D
                                                     Image Credit: Nintendo                                           30/128
                                                                                                                               Image Credit: American Optometric Association
                                                                              Image Credit: mkrstovic.edublogs.org




                                                                                                                                                                                 5
11/4/2011




History of 3D                                            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!


             3D in the Classroom: See Well, Learn Well
                            3D Timeline
                                                                                                   30/114




                                                           Some of the first 3D Movies included:

                                                           Bwana Devil (1952 ) starring Robert Stack




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




  House of Wax (1953) starring Vincent Price
                                                           13 Ghosts (1960)




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




                                                                                                                             6
11/4/2011




   The Mask (1961)
                                                         3D Television
                                                           Stereoscopic television was first demonstrated by
                                                                       John Logie Baird in 1928




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




3D Television
                                                                   3D Education
Stereoscopic television was first demonstrated by John
Logie Baird in 1928                                              VRMagic Digital BIO




                                                                                                                          40/128
           http://www.youtube.com/watch?v=O5ZSXPMlumc




             3D Education                                                3D Education
           VRMagic Digital BIO                            http://www.3dmedicaleducation.co.uk/index.php/anatomy/lumbar_
                                                          vertebrae/




                                                                                                                 40/114




                                                                                                                                   7
11/4/2011




3D Video-games                                                3D Tech - NASA Uses Video Games for
                                                                  Visualization & Engineering
                                                                            http://www.youtube.com/watch?v=v-mFx6blZK8


                                                               NASA Video Game Brain Training for ADHD
                                                                     http://www.youtube.com/watch?v=S26Kk-
                                                                              ueWjQ&feature=related
                                                           Mario Brothers
                                                                3D
                                                           http://www.youtube.com/
                                                            watch?v=0U0ZDjnQiXQ




                                                                                3D in the Classroom: See Well, Learn Well




                  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.




                                                                                                                                   8
11/4/2011




                                        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”




                                                 3D glasses technology
                                                            Active
  Dolby 3D theatres                    Active
  Complementary color                  LCD shutter glasses
  anaglyphs (use red and cyan)         A liquid crystal glasses stop
                                           q      y     g          p
                                       or allow light in thru
                                       synchronization with the
                                       images seen on the screen

                                       Red eye shutterglasses
                                       The Red Eye Method
                                       reduces the ghosting
                                                                                          50/114




             Active 3D Glasses                           Active 3D Glasses

        small LCD screens
                                      this method of 3D cuts refresh rate in half
when voltage applied lens goes dark
  synced with screen showing 3D       Known to cause headaches
   content then alternates image
              viewed

  each eye different angle of view
         creates 3D effect
                                          http://www.3d-tvbuyingguide.com/3dtv/3d-glasses.html




                                                                                                          9
11/4/2011




                  Active 3D Glasses                                           Autostereoscopic displays Auto 3D
      3D Personal Display Spectacles                                              Almont Green 3D Photography




   two small screens in the glasses
                                                                                    (http://almontgreen.wordpress.com/)
 display separate images to each eye.
     Does not require a television

  http://www.trendhunter.com/trends/head-mounter-3d




                                        Lenticular printing                                3D 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
                                                                              Remember we want 6 y/olds
                         Nintendo 3DS                                            using Nintendo 3DS!
               Nintendo 3DS is hazardous to the
                   eyes of children (Nope!)
                                                                                      3D Vision as

                                                                                 Public Health Model



http://www.digitaltrends.com/gaming/nintendo-3ds-is-hazardous-to-kids-eyes/
                                                                                            60/128




                                                                                                                                10
11/4/2011




                              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/




    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




                                                                                                                     11
11/4/2011




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




3D Vision Syndrome …
… is comprised of a group of symptoms and
physical signs that collectively indicate or
characterize a functional vision and/or eye
                                                                                      So….is this
health disorder that manifests when viewing
simulated 3D technology These signs and
               technology.                                                            really a public
symptoms include but are not limited to
headaches, blurred vision, eyestrain, double
vision, dizziness/nausea, decreased depth                                             health issue?
perception and vision induced motion
sickness.
                                                                                                                                70/128




                         Scope of The Problem                                     According to Statistics Canada, the
                                                                                  population of Canada, as of January 1,
        Amblyopia 2% (6,239,043 US)
       Strabismus 2-5% (15,597,609 US
                                                                                  2011, is estimated to be 34,278,400.
   Accommodation 2.5-9.2% (28,699,600 US)
          Eye Coordination (CI 7%)                                                       Amblyopia 2% (686,568)
          Up to 25% (77 988 195 US)
                     (77,988,195                                                       Strabismus 2-5% (1,713,920)
                                                                                                  2 5%
         Vertical Misalignment 7-52%                                               Accommodation 2.5-9.2% (3,085,056)
               (162,215,135 US)                                                         Eye Coordination (CI 7%)
                 US Census Bureau: U.S. 311,952,183
                                                                                          Up to 25% (8,569,600)
                       World 6,954,459,463                                            Vertical Misalignment 7-52%
        AOA Clinical Guidelines: http://www.aoa.org/x4813.xml US Census:
                http://www.census.gov/main/www/popclock.html
                                                                                               (17,842,768)




                                                                                                                                               12
11/4/2011




                                           Chicago is only a bit
   Toronto, has a
   population of 2.48
                                           more than an hour
   million people (5.5                     plane ride from
   million in the GTA -                    Toronto…so
                                           Toronto so if you
   Greater Toronto Area)                   don’t want to care for
                                           these folks….




   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




                                                                                 13
11/4/2011




      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                    80/128




           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




                                                                                             14
11/4/2011




                    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
                        Patient #1
                                                                         Optometric Vision Therapy
Previous Eye Examination (10/09)
       “No Binocular Testing Done!”                                        Evidence Based Medicine
Hx “General Exam”, health “good”, Aided VAs
    General Exam            good
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




Randomized clinical trial of treatments for symptomatic convergence     Scheiman M, Cotter S, Kulp MT, Mitchell GL, Cooper J, Gallaway M, Hopkins
insufficiency in children. Arch Ophthalmol. 2008 Oct;126(10):1336-49.   KB, Bartuccio M, Chung I; the Convergence Insufficiency Treatment Trial
Convergence Insufficiency Treatment Trial Study Group.                  Study Group. Treatment of Accommodative Dysfunction in Children:
                                                                        Results from a Randomized Clinical Trial. Optom Vis Sci. 2011
CONCLUSIONS:                                                            Nov;88(11):1343-1352.
Twelve weeks of OBVAT results in a significantly
greater improvement in symptoms and clinical                            CONCLUSIONS: Vision
measures of near point of convergence and
pos t ve us o a vergence and greater
positive fusional ve ge ce a d a g eate
                                                                        therapy/orthoptics is effective in
percentage of patients reaching the                                     improving accommodative
predetermined criteria of success compared with                         amplitude and accommodative
HBPP, HBCVAT+, and OBPT. Application to
Clinical Practice Office-based vergence                                 facility in school-aged children
accommodative therapy is an effective treatment                         with symptomatic CI and
for children with symptomatic convergence
insufficiency.
                                                                        accommodative dysfunction.
                                                                        90/128




                                                                                                                                                          15
11/4/2011




  Long-term effectiveness of treatments for symptomatic convergence              Scheiman M, Mitchell GL, Cotter S, Kulp MT, Cooper J, Rouse M, Borsting E,
  insufficiency in children. Optom Vis Sci. 2009 Sep;86(9):1096-103.             London R, Wensveen J. A randomized clinical trial of vision
  Convergence Insufficiency Treatment Trial Study Group.                         therapy/orthoptics versus pencil pushups for the treatment of
                                                                                 convergence insufficiency in young adults. Optom Vis Sci. 2005
  CONCLUSIONS: Most children aged 9 to                                           Jul;82(7):583-95.


  17 years who were asymptomatic after                                           DISCUSSION:
                                                                                  In this study, vision therapy/orthoptics was the
  a 12-week treatment program of                                                                                            g
                                                                                 only treatment that produced clinically significant
  OBVAT for convergence insufficiency                                            improvements in the near point of convergence
  maintained their improvements in                                               and positive fusional vergence. ……
  symptoms and signs for at least 1 year
  after discontinuing treatment. ….                                                      Pencil Push ups do not work very well!




 Ciuffreda KJ. The scientific basis for and efficacy of optometric vision
 therapy in nonstrabismic accommodative and vergence disorders.
 Optometry. 2002 Dec;73(12):735-62.

 BACKGROUND:
 For nearly 75 years, optometric vision therapy has been an important mode
 of therapy for both children and adults who manifested a range of              Maino D. The number of placebo controlled,
 nonstrabismic accommodative and vergence disorders.
 METHODS:
                                                                                double blind, prospective, and randomized
 In this article the scientific basis for, and efficacy of, optometric vision
         article,                     for               of                      strabismus surgery outcome clinical trials:
 therapy in such patients will be discussed. Using bio-engineering models
 of the oculomotor system as the conceptual framework, emphasis will be         None! Optom Vis Dev 2011;42(3):134-136.
 focused on studies that used objective recording techniques to directly
 assess therapeutically related changes in oculomotor responsivity.
 RESULTS AND CONCLUSIONS:                                                       http://www.covd.org/Portals/0/OVD/42-3/Editorials/OVD%2042-
 The findings clearly support the validity of                                   3%20Journal_Editorial_Maino_web.pdf

 optometric vision therapy. Furthermore, the
 results are consistent with the tenets of general
 motor learning.




                     3D Vision Syndrome
                          Patient #1                                                  Use principles of neuro-plasticity therapy:

              Optometric Vision Therapy
Phase 1       Phase 2     Phase 3    Phase 4
Mono          Biocular    Binocular Integration
Oculo-
O l           add anti-
               dd ti        add
                             dd      Stabilization
                                     St bili ti
Motor,        suppression vergence
HE, Acc

    3 month post OVT maintenance Tx and                                               Maino D. Neuroplasticity: Teaching an Old
          final progress evaluation                                                   Brain New Tricks. Rev Optom 2009. 46(1):62-
                                                                                      64,66-70




                                                                                                                                                                    16
11/4/2011




                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




                        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          100/128   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




                                                                                                                     17
11/4/2011




                       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




                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                    Random 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




                                                                                                                                                     18
11/4/2011




      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!
                                                                                                                   110/128




  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/




                                                                                                                                   19
11/4/2011




                                                 Blogs



           Print /Digital Media




MainosMemos.blogspot.com                        Radio




                                                                    120/128


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




                                                                              20
11/4/2011




    Pacific Eye Clinic Beaverton Opens 3D
            Performance Eye Clinic




       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/




                                                                                            21
11/4/2011




                    Questions?
Chris Haws




             Dominick M. Maino, O.D., M.Ed.,
 3D@Home               F.A.A.O., F.C.O.V.D-
                       F.A.A.O., F.C.O.V.D-A.
                                            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




                                                                   22

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3D Vision Syndrome: Vision Institute of Canada Handout

  • 1. 11/4/2011 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 1
  • 2. 11/4/2011 Photo credit: http://science.howstuffworks.com/3-d-glasses2.htm 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 // /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 10/114 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 Cell phone Video May Be a Tipping Point for 3D http://www.bnet.com/blog/gadget-guy/sharp-8217s-new-cellphone-video-may- htt // b t /bl / d t / h 8217 ll h id 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/ 2
  • 3. 11/4/2011 Many activities including: http://www.youtube.com/watch?v=9 U4AoDWPEQ0 The Public Health Implications of Symposia, 3D Users Experience Tech Summit, The 3Ds of 3D Viewing, AOA YouTube Videos Virtual 3D 3D in the Classroom: See Well, Learn Well Michael Duenas, OD 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 Do You Know if the Kids are OK? Maureen Powers, PhD Improving Binocular Vision- Creating a Better 3D Audience 3D Vision Syndrome Dominick M. Maino, OD, MEd, FAAO, The Public Health Implications of FCOVD-A Virtual 3D - Michael Duenas (http://www.youtube.com/watch?feature=player_embedded&v=howdZm-d7Z0) Public Health Model 3D Movies Have a New Dimension: Protecting Eye Health 1850 Snellen Eye Chart Snellen eye chart has a 27% sensitivity (OMG!!) High rate of FALSE Negatives. Children that are referred because they fail the eye chart …. Have a distance VA problem p Pediatrician screening? School nurse screening? Only 3 states have mandatory vision screening. Only a small percentage of children ever get the care they need 25% of school children have one or more vision problems Undiagnosed untreated vision disorders are very prevalent Cost of untreated vision problems staggering All BV are treatable and preventable: Great Public Health Model 3
  • 4. 11/4/2011 The Visual System and Virtual 3D - Jim Sheedy, O.D., Ph.D. 3D: The User Experience Story - Philip J. Corriveau (http://www.youtube.com/watch?v=ZLpwCC5yxlo&feature=related) (http://www.youtube.com/watch?v=1IiHNit3RPM&feature=related) Exploring a New Dimension- Chris Haws Brock String Debuts at the Consumer Electronics Show Kids@Play Summit at CES 2011 Dominick M. Maino, OD, MEd, FAAO, FCOVD-A (http://www.youtube.com/watch?v=4qZw98mkIhI&feature=related ) (http://mainosmemos.blogspot.com/2011/04/dr-dominick-maino-at-consumer.html) 20/114 Binocular Vision Available from: AOA 3D@Home Dysfunction as a 3deyehealth.org Medical & MainosMemos Public Health Issue 4
  • 5. 11/4/2011 For the 3D Movie, Television, Video- gaming and 3D in the Classroom Improving Binocular Vision - Creating a Better Audience Techno-Industrial Complex….not having binocular vision is the 800lbs Cyclops in the room! 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.).... Improving 3D Television Technology Improving 3D Movie but Not Creating Technology but a Better 3D Viewing Audience Not Creating a Better 3D Viewing Audience 1920’s Image Credit : Baird Television Today 1953 Image Credit: Mystic Cinema Today Image Credit: Joystiq Improving Classroom Technology but Improving 3D Gaming Have Not Created Technology but a Better 3D Viewing Student Not Creating a Better Gamer Image Credit: Daily Motion 3D Image Credit: Nintendo 30/128 Image Credit: American Optometric Association Image Credit: mkrstovic.edublogs.org 5
  • 6. 11/4/2011 History of 3D 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! 3D in the Classroom: See Well, Learn Well 3D Timeline 30/114 Some of the first 3D Movies included: Bwana Devil (1952 ) starring Robert Stack http://www.youtube.com/watch ?v=4oGl_KqTw-M&NR=1 House of Wax (1953) starring Vincent Price 13 Ghosts (1960) http://www.youtube.com/watch?v=Zdwq3jdvZD I 6
  • 7. 11/4/2011 The Mask (1961) 3D Television Stereoscopic television was first demonstrated by John Logie Baird in 1928 http://www.youtube.com/watch?v=xGTApr_SAts Stereo TV Stereo Receiver 3D Television 3D Education Stereoscopic television was first demonstrated by John Logie Baird in 1928 VRMagic Digital BIO 40/128 http://www.youtube.com/watch?v=O5ZSXPMlumc 3D Education 3D Education VRMagic Digital BIO http://www.3dmedicaleducation.co.uk/index.php/anatomy/lumbar_ vertebrae/ 40/114 7
  • 8. 11/4/2011 3D Video-games 3D Tech - NASA Uses Video Games for Visualization & Engineering http://www.youtube.com/watch?v=v-mFx6blZK8 NASA Video Game Brain Training for ADHD http://www.youtube.com/watch?v=S26Kk- ueWjQ&feature=related Mario Brothers 3D http://www.youtube.com/ watch?v=0U0ZDjnQiXQ 3D in the Classroom: See Well, Learn Well 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. 8
  • 9. 11/4/2011 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” 3D glasses technology Active Dolby 3D theatres Active Complementary color LCD shutter glasses anaglyphs (use red and cyan) A liquid crystal glasses stop q y g p or allow light in thru synchronization with the images seen on the screen Red eye shutterglasses The Red Eye Method reduces the ghosting 50/114 Active 3D Glasses Active 3D Glasses small LCD screens this method of 3D cuts refresh rate in half when voltage applied lens goes dark synced with screen showing 3D Known to cause headaches content then alternates image viewed each eye different angle of view creates 3D effect http://www.3d-tvbuyingguide.com/3dtv/3d-glasses.html 9
  • 10. 11/4/2011 Active 3D Glasses Autostereoscopic displays Auto 3D 3D Personal Display Spectacles Almont Green 3D Photography two small screens in the glasses (http://almontgreen.wordpress.com/) display separate images to each eye. Does not require a television http://www.trendhunter.com/trends/head-mounter-3d Lenticular printing 3D 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 Remember we want 6 y/olds Nintendo 3DS using Nintendo 3DS! Nintendo 3DS is hazardous to the eyes of children (Nope!) 3D Vision as Public Health Model http://www.digitaltrends.com/gaming/nintendo-3ds-is-hazardous-to-kids-eyes/ 60/128 10
  • 11. 11/4/2011 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/ 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 11
  • 12. 11/4/2011 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 3D Vision Syndrome … … is comprised of a group of symptoms and physical signs that collectively indicate or characterize a functional vision and/or eye So….is this health disorder that manifests when viewing simulated 3D technology These signs and technology. really a public symptoms include but are not limited to headaches, blurred vision, eyestrain, double vision, dizziness/nausea, decreased depth health issue? perception and vision induced motion sickness. 70/128 Scope of The Problem According to Statistics Canada, the population of Canada, as of January 1, Amblyopia 2% (6,239,043 US) Strabismus 2-5% (15,597,609 US 2011, is estimated to be 34,278,400. Accommodation 2.5-9.2% (28,699,600 US) Eye Coordination (CI 7%) Amblyopia 2% (686,568) Up to 25% (77 988 195 US) (77,988,195 Strabismus 2-5% (1,713,920) 2 5% Vertical Misalignment 7-52% Accommodation 2.5-9.2% (3,085,056) (162,215,135 US) Eye Coordination (CI 7%) US Census Bureau: U.S. 311,952,183 Up to 25% (8,569,600) World 6,954,459,463 Vertical Misalignment 7-52% AOA Clinical Guidelines: http://www.aoa.org/x4813.xml US Census: http://www.census.gov/main/www/popclock.html (17,842,768) 12
  • 13. 11/4/2011 Chicago is only a bit Toronto, has a population of 2.48 more than an hour million people (5.5 plane ride from million in the GTA - Toronto…so Toronto so if you Greater Toronto Area) don’t want to care for these folks…. 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 13
  • 14. 11/4/2011 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 80/128 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 14
  • 15. 11/4/2011 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 Patient #1 Optometric Vision Therapy Previous Eye Examination (10/09) “No Binocular Testing Done!” Evidence Based Medicine Hx “General Exam”, health “good”, Aided VAs General Exam good 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 Randomized clinical trial of treatments for symptomatic convergence Scheiman M, Cotter S, Kulp MT, Mitchell GL, Cooper J, Gallaway M, Hopkins insufficiency in children. Arch Ophthalmol. 2008 Oct;126(10):1336-49. KB, Bartuccio M, Chung I; the Convergence Insufficiency Treatment Trial Convergence Insufficiency Treatment Trial Study Group. Study Group. Treatment of Accommodative Dysfunction in Children: Results from a Randomized Clinical Trial. Optom Vis Sci. 2011 CONCLUSIONS: Nov;88(11):1343-1352. Twelve weeks of OBVAT results in a significantly greater improvement in symptoms and clinical CONCLUSIONS: Vision measures of near point of convergence and pos t ve us o a vergence and greater positive fusional ve ge ce a d a g eate therapy/orthoptics is effective in percentage of patients reaching the improving accommodative predetermined criteria of success compared with amplitude and accommodative HBPP, HBCVAT+, and OBPT. Application to Clinical Practice Office-based vergence facility in school-aged children accommodative therapy is an effective treatment with symptomatic CI and for children with symptomatic convergence insufficiency. accommodative dysfunction. 90/128 15
  • 16. 11/4/2011 Long-term effectiveness of treatments for symptomatic convergence Scheiman M, Mitchell GL, Cotter S, Kulp MT, Cooper J, Rouse M, Borsting E, insufficiency in children. Optom Vis Sci. 2009 Sep;86(9):1096-103. London R, Wensveen J. A randomized clinical trial of vision Convergence Insufficiency Treatment Trial Study Group. therapy/orthoptics versus pencil pushups for the treatment of convergence insufficiency in young adults. Optom Vis Sci. 2005 CONCLUSIONS: Most children aged 9 to Jul;82(7):583-95. 17 years who were asymptomatic after DISCUSSION: In this study, vision therapy/orthoptics was the a 12-week treatment program of g only treatment that produced clinically significant OBVAT for convergence insufficiency improvements in the near point of convergence maintained their improvements in and positive fusional vergence. …… symptoms and signs for at least 1 year after discontinuing treatment. …. Pencil Push ups do not work very well! Ciuffreda KJ. The scientific basis for and efficacy of optometric vision therapy in nonstrabismic accommodative and vergence disorders. Optometry. 2002 Dec;73(12):735-62. BACKGROUND: For nearly 75 years, optometric vision therapy has been an important mode of therapy for both children and adults who manifested a range of Maino D. The number of placebo controlled, nonstrabismic accommodative and vergence disorders. METHODS: double blind, prospective, and randomized In this article the scientific basis for, and efficacy of, optometric vision article, for of strabismus surgery outcome clinical trials: therapy in such patients will be discussed. Using bio-engineering models of the oculomotor system as the conceptual framework, emphasis will be None! Optom Vis Dev 2011;42(3):134-136. focused on studies that used objective recording techniques to directly assess therapeutically related changes in oculomotor responsivity. RESULTS AND CONCLUSIONS: http://www.covd.org/Portals/0/OVD/42-3/Editorials/OVD%2042- The findings clearly support the validity of 3%20Journal_Editorial_Maino_web.pdf optometric vision therapy. Furthermore, the results are consistent with the tenets of general motor learning. 3D Vision Syndrome Patient #1 Use principles of neuro-plasticity therapy: Optometric Vision Therapy Phase 1 Phase 2 Phase 3 Phase 4 Mono Biocular Binocular Integration Oculo- O l add anti- dd ti add dd Stabilization St bili ti Motor, suppression vergence HE, Acc 3 month post OVT maintenance Tx and Maino D. Neuroplasticity: Teaching an Old final progress evaluation Brain New Tricks. Rev Optom 2009. 46(1):62- 64,66-70 16
  • 17. 11/4/2011 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 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 100/128 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 17
  • 18. 11/4/2011 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 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 Random 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 18
  • 19. 11/4/2011 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! 110/128 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/ 19
  • 20. 11/4/2011 Blogs Print /Digital Media MainosMemos.blogspot.com Radio 120/128 http://prescription3dglasses.com/ http://prescription3dglasses.com/ 20
  • 21. 11/4/2011 Pacific Eye Clinic Beaverton Opens 3D Performance Eye Clinic 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/ 21
  • 22. 11/4/2011 Questions? Chris Haws Dominick M. Maino, O.D., M.Ed., 3D@Home F.A.A.O., F.C.O.V.D- F.A.A.O., F.C.O.V.D-A. 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 22