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8/9/2011




                                                 Presenter,                                                                               Presenter,
                                                 Title,                                                                                   Title,
                                                 Contact info                                                                             Contact info



Binocular Vision as a Medical Issue
                                                                                             Improving Binocular Vision

                                                                                             Creating a Better Audience




                                                                                                                                          Presenter,
 Dominick M. Maino, OD, MEd,                                                                                                              Title,
                                                                                                                                          Contact info
       FAAO, FCOVD-A
                                     Professor of Pediatrics/Binocular Vision
                               Illinois Eye Institute/Illinois College of Optometry                 Improving Technology but
                                                                                                  Not Creating a Better Audience
                                                    Chicago, Il

                                        American O t
                                        A    i    Optometric Association
                                                         t i A    i ti
                                     Spokesperson on 3D Vision Syndrome
                                   3D in the Classroom Project Team Member

                                       Optometry & Vision Development
                            Editor, College of Optometrists in Vision Development




                                                                                             1920’s     Image Credit : Baird Television                   Today




                                                 Presenter,                                                                               Presenter,
                                                 Title,                                                                                   Title,
                                                 Contact info                                                                             Contact info



    Improving Technology but                                                                           Improving Technology but
  Not Creating a Better Audience                                                                      Not Creating a Better Gamer




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




                                                                                                                                                                                   1
8/9/2011




                                                     Presenter,                                                                                                    Presenter,
                                                     Title,                                                                                                        Title,
                                                     Contact info                                                                                                  Contact info


          Improving Technology but                                                                                                Scope of The Problem
         Not Creating a Better Student                                                                   Amblyopia 2%               (6,239,043 US)
                                                                                                         Strabismus 2-5%            (15,597,609 US
                                                                                                         Accommodation 2.5-9.2% (28,699,600 US)
                                                                                                         Eye Coordination (CI 7%) Up to 25% (77,988,195 US)
                                                                                                         Vertical Misalignment 7-52% (162,215,135 US)

                                                                                                         US Census Bureau:
                                                                                                                                                     U.S. 311,952,183
                                                                                                                                                    World 6,954,459,463

                                                      Image Credit: American Optometric Association   AOA Clinical Guidelines: http://www.aoa.org/x4813.xml     US Census: http://www.census.gov/main/www/popclock.html




                                                     Presenter,                                                                                                    Presenter,
                                                  Scope of The
                                                   Title,
                                                   Contact info
                                                                                                                                                                   Title,
                                                                                                                                                                   Contact info
                                                      Problem
                                                                    Bausch+Lomb
                                                          Needs, Symptoms, Incidence,                    So How Do We Improve Binocular Vision
                                                                                                           to Create a Better Audience?
                                                          Global Eye Health Trends
                                                          (NSIGHT) Study. Market Probe
                                                          Europe: December 2009
                                                          3,800 subjects, 15 to 65 y/o,
                                                          seven different countries (China,
                                                          Korea, Japan, France, Italy,
                                                                                                            (Improving audience enjoyment,
                                                          United Kingdom, United States)                   satisfaction, and involvement in all
 Maino D, Chase C. Asthenopia: Technology Induced Visual                                                               things 3D?)
 Impairment. Rev Optometry. 2011;June Supplement Part 2: 28-35.

      http://www.revoptom.com/cmsdocuments/2011/6/0611_b+l_13thedition.pdf




                                                     Presenter,                                                                                                    Presenter,
                                                     Title,                                                                                                        Title,
                                                     Contact info                                                                                                  Contact info



So How Do We Improve Binocular Vision
to   Create a Better Audience?                                                                                                                           Creating a Better Audience

#1 Note Symptoms                                                                                                                                          New, Improved, Engaged,
#2 Diagnose the Problem                                                                                                                                  Audience Who Wants to
#3 Treat the Problem                                                                                                                                     View 3D Content in all Its
                                                                                                                                                         Forms!

                                                                                                         Image Credit: American Optometric Association




                                                                                                                                                                                                                                2
8/9/2011




             The 3D’s of 3D Viewing:                                                                     The 3D’s of 3D Viewing:
      Discomfort, Dizziness and Lack of Depth                                                     Discomfort, Dizziness and Lack of Depth
        Discomfort:                                                                          Dizziness:
                                                                                             3D technology can exaggerate
        Since 3D viewing is based on                                                         visually induced motion
        the eyes converging in front of                                                      sickness …causing consumers
        or beyond the screen, viewing                                                        to feel dizzy or nauseous during
        3D images can potentially                                                            or after viewing 3D content.
        create eyestrain and headaches




             The 3D’s of 3D Viewing:                                                              Symptoms of 3D Vision Syndrome
      Discomfort, Dizziness and Lack of Depth
                                                                                                                                     3DVS symptoms:
        Lack of Depth:
                                                                                                                                     asthenopia, headaches, blurred
        A viewer lacking binocular vision, simply
                                                                                                                                     vision, eyestrain diplopia
                                                                                                                                     vision eyestrain, diplopia,
        won’t see 3D. While this doesn’t pose any
                                                                                                                                     dizziness/nausea and vision
        problem viewing the screen, it serves as a
                                                                                                                                     induced motion sickness
        “vision screening” that something is
        abnormal with the viewer’s binocular vision.
                                                                                                                                            All Technologically Induced!


                                                                                            Image Credit: American Optometric Association




      Symptoms of 3D Vision Syndrome                                                              Symptoms of 3D Vision Syndrome
Pain, nausea, double vision…..or ….                                                          …a happy, actively engaged users of 3D content?




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




                                                                                                                                                                                 3
8/9/2011




 Diagnosis: The 4th D of 3D Viewing                                 Diagnosis
 The fourth “D” of the 3D Stereoscopic 3D
 Viewing should be if you do not appreciate 3D
 or experience asthenopia while watching 3D
 content, you should immediately make an
 appointment with your
            Doctor of Optometry
                                                                     Maino D. Brock String Debuts at 2011 Consumer
                                                                     Electronics Show. Optom Vis Dev 2011;42(1):6-9.




                     Treatment                                                                  Treatment
                                                                   Research has demonstrated optometric vision therapy is an
Optometric Vision Therapy: …is a sequence of                       effective treatment …for…
neurosensory and neuromuscular activities individually                • Ocular motility dysfunctions (eye movement disorders)
prescribed …by the doctor to develop, rehabilitate and                • Non-strabismic binocular disorders (inefficient eye teaming)
enhance visual skills and processing…. Th use of lenses,
  h        i l kill      d         i      The       fl                • Strabismus (misalignment of the eyes)
prisms, filters, occluders, specialized instruments, and              • Amblyopia (poorly developed vision)
computer programs is an integral part of vision therapy. ….           • Accommodative disorders (focusing problems)




    Improving Patients One by One                                        Improving Patients One by One
                      Patient #1                                                   Patient #1
                             Maino D. The 3 D Vision Syndrome: A
                             Case Report. American Academy of
                             Optometry Annual Meeting 2010, San
                             Francisco, CA 11/10

                             http://www.slideshare.net
                             /DMAINO/3d-vision-
                             syndrome




                                                                                                                                        4
8/9/2011




     Improving Patients One by One                                                   Improving Binocular Vision: Creating a Better Audience
               Patient #1 Afterweeks of a
                           few
                                completing                                                                    Summary
                                                       home therapy, she
                                                                                1.   Recognize many cannot take advantage of all that 3D has to offer.
                                                       texted me while
                                                                                2.   Be aware of symptoms
                                                       watching a 3D
                                                                                3.   Refer appropriately
                                                       movie and said:
                                                                                4.
                                                                                4    Treat appropriately
                                                       “I feel great!
                                                       No nausea, no
                                                       seeing double…
                                                                                Final Result:
                                                       No Pain! I’m
                                                       enjoying the             New and Improved Audience for all things 3D!
                                                       movie!




                                         Presenter,                                                                       Presenter,
                                         Title,                                                                           Title,
                                         Contact info                                                                     Contact info
                           Resources
3D Eye Health www.3deyehealth.org                                                                             Resources
              3D in the Classroom, See Well-Learn Well                           Dominick M. Maino, OD, MEd, FAAO, FCOVD-A
American Optometric Association www.aoa.org
College of Optometrists in Vision Development www.covd.org
                                                                                              dmaino@ico.edu
Optometric Education Program Foundation www oepf org
                                           www.oepf.org
3D@Home www.3dathomeconsortium.org                                                                         SlideShare
Consumer Electronics Association www.ce.org

BLOGS
MainosMemos ( latest on BV/children’s vision research )
www.MainosMemos.blogspot.com
VisionHelp www.visionhelp.wordpress.com/
Vision Performance Institute www.visionperformance.blogspot.com/




                                         Presenter,
                                         Title,
                                         Contact info

                                         Questions?

                        Dominick M. Maino, O.D., M.Ed.,
                                  F.A.A.O.
                          Professor, Pediatrics/Binocular Vision Service
                       Illinois College of Optometry/Illinois Eye Institute
                                3241 S. Michigan Ave. Chicago, Il. 60616
                               312-949-7280 (Voice) 312-949-7358 (fax)

                        dmaino@ico.edu     www.ico.edu       nw.optometry.net




                                                                                                                                                               5

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Creating a Better Audience 3D Entertainment Summit Hollywood, CA 9/11

  • 1. 8/9/2011 Presenter, Presenter, Title, Title, Contact info Contact info Binocular Vision as a Medical Issue Improving Binocular Vision Creating a Better Audience Presenter, Dominick M. Maino, OD, MEd, Title, Contact info FAAO, FCOVD-A Professor of Pediatrics/Binocular Vision Illinois Eye Institute/Illinois College of Optometry Improving Technology but Not Creating a Better Audience Chicago, Il American O t A i Optometric Association t i A i ti Spokesperson on 3D Vision Syndrome 3D in the Classroom Project Team Member Optometry & Vision Development Editor, College of Optometrists in Vision Development 1920’s Image Credit : Baird Television Today Presenter, Presenter, Title, Title, Contact info Contact info Improving Technology but Improving Technology but Not Creating a Better Audience Not Creating a Better Gamer Image Credit: Daily Motion 3D Image Credit: Nintendo 1953 Image Credit: Mystic Cinema Today Image Credit: Joystiq 1
  • 2. 8/9/2011 Presenter, Presenter, Title, Title, Contact info Contact info Improving Technology but Scope of The Problem Not Creating a Better Student Amblyopia 2% (6,239,043 US) Strabismus 2-5% (15,597,609 US Accommodation 2.5-9.2% (28,699,600 US) Eye Coordination (CI 7%) Up to 25% (77,988,195 US) Vertical Misalignment 7-52% (162,215,135 US) US Census Bureau: U.S. 311,952,183 World 6,954,459,463 Image Credit: American Optometric Association AOA Clinical Guidelines: http://www.aoa.org/x4813.xml US Census: http://www.census.gov/main/www/popclock.html Presenter, Presenter, Scope of The Title, Contact info Title, Contact info Problem Bausch+Lomb Needs, Symptoms, Incidence, So How Do We Improve Binocular Vision to Create a Better Audience? Global Eye Health Trends (NSIGHT) Study. Market Probe Europe: December 2009 3,800 subjects, 15 to 65 y/o, seven different countries (China, Korea, Japan, France, Italy, (Improving audience enjoyment, United Kingdom, United States) satisfaction, and involvement in all Maino D, Chase C. Asthenopia: Technology Induced Visual things 3D?) Impairment. Rev Optometry. 2011;June Supplement Part 2: 28-35. http://www.revoptom.com/cmsdocuments/2011/6/0611_b+l_13thedition.pdf Presenter, Presenter, Title, Title, Contact info Contact info So How Do We Improve Binocular Vision to Create a Better Audience? Creating a Better Audience #1 Note Symptoms New, Improved, Engaged, #2 Diagnose the Problem Audience Who Wants to #3 Treat the Problem View 3D Content in all Its Forms! Image Credit: American Optometric Association 2
  • 3. 8/9/2011 The 3D’s of 3D Viewing: The 3D’s of 3D Viewing: Discomfort, Dizziness and Lack of Depth Discomfort, Dizziness and Lack of Depth Discomfort: Dizziness: 3D technology can exaggerate Since 3D viewing is based on visually induced motion the eyes converging in front of sickness …causing consumers or beyond the screen, viewing to feel dizzy or nauseous during 3D images can potentially or after viewing 3D content. create eyestrain and headaches The 3D’s of 3D Viewing: Symptoms of 3D Vision Syndrome Discomfort, Dizziness and Lack of Depth 3DVS symptoms: Lack of Depth: asthenopia, headaches, blurred A viewer lacking binocular vision, simply vision, eyestrain diplopia vision eyestrain, diplopia, won’t see 3D. While this doesn’t pose any dizziness/nausea and vision problem viewing the screen, it serves as a induced motion sickness “vision screening” that something is abnormal with the viewer’s binocular vision. All Technologically Induced! Image Credit: American Optometric Association Symptoms of 3D Vision Syndrome Symptoms of 3D Vision Syndrome Pain, nausea, double vision…..or …. …a happy, actively engaged users of 3D content? Image Credit: American Optometric Association Image credit: squidoo.com/3d-animated-gif Image Credit: American Optometric Association 3
  • 4. 8/9/2011 Diagnosis: The 4th D of 3D Viewing Diagnosis The fourth “D” of the 3D Stereoscopic 3D Viewing should be if you do not appreciate 3D or experience asthenopia while watching 3D content, you should immediately make an appointment with your Doctor of Optometry Maino D. Brock String Debuts at 2011 Consumer Electronics Show. Optom Vis Dev 2011;42(1):6-9. Treatment Treatment Research has demonstrated optometric vision therapy is an Optometric Vision Therapy: …is a sequence of effective treatment …for… neurosensory and neuromuscular activities individually • Ocular motility dysfunctions (eye movement disorders) prescribed …by the doctor to develop, rehabilitate and • Non-strabismic binocular disorders (inefficient eye teaming) enhance visual skills and processing…. Th use of lenses, h i l kill d i The fl • Strabismus (misalignment of the eyes) prisms, filters, occluders, specialized instruments, and • Amblyopia (poorly developed vision) computer programs is an integral part of vision therapy. …. • Accommodative disorders (focusing problems) Improving Patients One by One Improving Patients One by One Patient #1 Patient #1 Maino D. The 3 D Vision Syndrome: A Case Report. American Academy of Optometry Annual Meeting 2010, San Francisco, CA 11/10 http://www.slideshare.net /DMAINO/3d-vision- syndrome 4
  • 5. 8/9/2011 Improving Patients One by One Improving Binocular Vision: Creating a Better Audience Patient #1 Afterweeks of a few completing Summary home therapy, she 1. Recognize many cannot take advantage of all that 3D has to offer. texted me while 2. Be aware of symptoms watching a 3D 3. Refer appropriately movie and said: 4. 4 Treat appropriately “I feel great! No nausea, no seeing double… Final Result: No Pain! I’m enjoying the New and Improved Audience for all things 3D! movie! Presenter, Presenter, Title, Title, Contact info Contact info Resources 3D Eye Health www.3deyehealth.org Resources 3D in the Classroom, See Well-Learn Well Dominick M. Maino, OD, MEd, FAAO, FCOVD-A American Optometric Association www.aoa.org College of Optometrists in Vision Development www.covd.org dmaino@ico.edu Optometric Education Program Foundation www oepf org www.oepf.org 3D@Home www.3dathomeconsortium.org SlideShare Consumer Electronics Association www.ce.org BLOGS MainosMemos ( latest on BV/children’s vision research ) www.MainosMemos.blogspot.com VisionHelp www.visionhelp.wordpress.com/ Vision Performance Institute www.visionperformance.blogspot.com/ Presenter, Title, Contact info Questions? Dominick M. Maino, O.D., M.Ed., F.A.A.O. Professor, Pediatrics/Binocular Vision Service Illinois College of Optometry/Illinois Eye Institute 3241 S. Michigan Ave. Chicago, Il. 60616 312-949-7280 (Voice) 312-949-7358 (fax) dmaino@ico.edu www.ico.edu nw.optometry.net 5