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3D film kan afstedkomme symptomer som inkluderer svimmelhed, kvalme, hovedpine og trætte øjne. Præsentationen belyser årsagerne og peger på løsninger.
Citation preview
wwwprivatsyndk
Hobbiten Op til premieren loslashd meldingerne fra udlandet at biografgaeligngere kunne opleve kvalme svimmelhed og hovedpine naringr de saring filmen som er optaget med den nye billedteknik (HFR (High Frame Rate) hvor der vises dobbelt saring mange frames billeder i sekundet som normaltHFR-teknikken giver filmen et helt utroligt glat og hyperrealistiskudtryk men kan altsaring ogsaring faring folks mavesystemer til at rulle
Ny 3D film og ny teknik
rdquoDagspressenvarmer oprdquo
Politiken Dec 123D syge Helstrup 2013 2
Hobbitten giver koslashresyge 3D-film skaber ubehag hos hver femte
Politiken Dec 123D syge Helstrup 2013 3
Det har faringet MetroXpress til at undersoslashge danskernes oplevelse af at se 3D-filmI undersoslashgelsen som er lavet af YouGov for gratisavisen svarer 18 procent af dem der har set 3D-film at de har oplevet ubehag i biografen Netop synsforstyrrelser kvalme og hovedpine er blandt generne
Baseret paring interview med 1006 repraeligsentativt udvalgte personer i alderen 18-74
Interview undersoslashgelse
Politiken Dec 123D syge Helstrup 2013 4
Man bliver koslashresygIfoslashlge Michael Larsen der er professor i oslashjensygdomme ved Koslashbenhavns Universitet og paring Glostrup Hospital bliver folk daringrlige af 3D-film noslashjagtigt som det sker for nogle naringr de koslashrer bil eller sejler
- Det fremkalder hvad der svarer til koslashresyge For naringr man laver noget der for oslashjet ligner bevaeliggelser men ikke er det for kroppen opstaringr der en konflikt mellem signalerne i ligevaeliggtsorganerne og det kan folk blive daringrlige af siger han til metroXpress
Udtalelse 1
3D syge Helstrup 2013 5
Sansekonflikt
Til MetroXpress forklarer Torben Helstrup der er neurooptometrist ved center Koslashbenhavns Private Synsplejeklinik hvor man behandler synsrelaterede lidelser at oslashjets begraelignsninger er en af forklaringerne paring hvorfor man bliver daringrlig
raquoNaringr man bruger oslashjnene til at sigte mod noget er det musklerne uden paring oslashjet der sigter Imens garingr en muskel inde i oslashjet i gang med at justere fokus saring det bliver tydeligt Men med 3D forskyder man to billeder saring man forskyder hvor oslashjnene kigger hen og det skiller de to processer med at sigte og fokusere og det kan foslashre til generlaquo siger Torben Helstrup
Udtalelse 2
3D syge Helstrup 2013 6
Oslashjenkonflikt
Biograferne afviser problemet
Direktoslashr i Nordisk Film Biografer John Toslashnnes afviser dog at man har oplevet at biografgaeligngere giver udtryk for at de faringr det daringrligt naringr de ser Hobbitten En uventet rejse eller 3D-film
Udtalelse 3
3D syge Helstrup 2013 7
Ingen konflikt
3D syge Findes det
bull Kvalmebull Synsforstyrrelserbull Svimmelhedbull Hovedpine
Triggermekanismer
bull Konflikt i balancesanserne (Stilling- vestibulaeligr- og synssanserne)
bull Konflikt i vergens- og akkommodation relationen (Dybde Storehurtigemange frem-tilbage spring)
3D syge Helstrup 2013 8
Ja Milde til staeligrke symptomer udloslashst via synsaktivitet
Teknik
Simuleret 3D
3D syge Helstrup 2013 9
3D syge Helstrup 2013 10
Polaroid (passiv)
3D syge Helstrup 2013 11
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Hobbiten Op til premieren loslashd meldingerne fra udlandet at biografgaeligngere kunne opleve kvalme svimmelhed og hovedpine naringr de saring filmen som er optaget med den nye billedteknik (HFR (High Frame Rate) hvor der vises dobbelt saring mange frames billeder i sekundet som normaltHFR-teknikken giver filmen et helt utroligt glat og hyperrealistiskudtryk men kan altsaring ogsaring faring folks mavesystemer til at rulle
Ny 3D film og ny teknik
rdquoDagspressenvarmer oprdquo
Politiken Dec 123D syge Helstrup 2013 2
Hobbitten giver koslashresyge 3D-film skaber ubehag hos hver femte
Politiken Dec 123D syge Helstrup 2013 3
Det har faringet MetroXpress til at undersoslashge danskernes oplevelse af at se 3D-filmI undersoslashgelsen som er lavet af YouGov for gratisavisen svarer 18 procent af dem der har set 3D-film at de har oplevet ubehag i biografen Netop synsforstyrrelser kvalme og hovedpine er blandt generne
Baseret paring interview med 1006 repraeligsentativt udvalgte personer i alderen 18-74
Interview undersoslashgelse
Politiken Dec 123D syge Helstrup 2013 4
Man bliver koslashresygIfoslashlge Michael Larsen der er professor i oslashjensygdomme ved Koslashbenhavns Universitet og paring Glostrup Hospital bliver folk daringrlige af 3D-film noslashjagtigt som det sker for nogle naringr de koslashrer bil eller sejler
- Det fremkalder hvad der svarer til koslashresyge For naringr man laver noget der for oslashjet ligner bevaeliggelser men ikke er det for kroppen opstaringr der en konflikt mellem signalerne i ligevaeliggtsorganerne og det kan folk blive daringrlige af siger han til metroXpress
Udtalelse 1
3D syge Helstrup 2013 5
Sansekonflikt
Til MetroXpress forklarer Torben Helstrup der er neurooptometrist ved center Koslashbenhavns Private Synsplejeklinik hvor man behandler synsrelaterede lidelser at oslashjets begraelignsninger er en af forklaringerne paring hvorfor man bliver daringrlig
raquoNaringr man bruger oslashjnene til at sigte mod noget er det musklerne uden paring oslashjet der sigter Imens garingr en muskel inde i oslashjet i gang med at justere fokus saring det bliver tydeligt Men med 3D forskyder man to billeder saring man forskyder hvor oslashjnene kigger hen og det skiller de to processer med at sigte og fokusere og det kan foslashre til generlaquo siger Torben Helstrup
Udtalelse 2
3D syge Helstrup 2013 6
Oslashjenkonflikt
Biograferne afviser problemet
Direktoslashr i Nordisk Film Biografer John Toslashnnes afviser dog at man har oplevet at biografgaeligngere giver udtryk for at de faringr det daringrligt naringr de ser Hobbitten En uventet rejse eller 3D-film
Udtalelse 3
3D syge Helstrup 2013 7
Ingen konflikt
3D syge Findes det
bull Kvalmebull Synsforstyrrelserbull Svimmelhedbull Hovedpine
Triggermekanismer
bull Konflikt i balancesanserne (Stilling- vestibulaeligr- og synssanserne)
bull Konflikt i vergens- og akkommodation relationen (Dybde Storehurtigemange frem-tilbage spring)
3D syge Helstrup 2013 8
Ja Milde til staeligrke symptomer udloslashst via synsaktivitet
Teknik
Simuleret 3D
3D syge Helstrup 2013 9
3D syge Helstrup 2013 10
Polaroid (passiv)
3D syge Helstrup 2013 11
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Hobbitten giver koslashresyge 3D-film skaber ubehag hos hver femte
Politiken Dec 123D syge Helstrup 2013 3
Det har faringet MetroXpress til at undersoslashge danskernes oplevelse af at se 3D-filmI undersoslashgelsen som er lavet af YouGov for gratisavisen svarer 18 procent af dem der har set 3D-film at de har oplevet ubehag i biografen Netop synsforstyrrelser kvalme og hovedpine er blandt generne
Baseret paring interview med 1006 repraeligsentativt udvalgte personer i alderen 18-74
Interview undersoslashgelse
Politiken Dec 123D syge Helstrup 2013 4
Man bliver koslashresygIfoslashlge Michael Larsen der er professor i oslashjensygdomme ved Koslashbenhavns Universitet og paring Glostrup Hospital bliver folk daringrlige af 3D-film noslashjagtigt som det sker for nogle naringr de koslashrer bil eller sejler
- Det fremkalder hvad der svarer til koslashresyge For naringr man laver noget der for oslashjet ligner bevaeliggelser men ikke er det for kroppen opstaringr der en konflikt mellem signalerne i ligevaeliggtsorganerne og det kan folk blive daringrlige af siger han til metroXpress
Udtalelse 1
3D syge Helstrup 2013 5
Sansekonflikt
Til MetroXpress forklarer Torben Helstrup der er neurooptometrist ved center Koslashbenhavns Private Synsplejeklinik hvor man behandler synsrelaterede lidelser at oslashjets begraelignsninger er en af forklaringerne paring hvorfor man bliver daringrlig
raquoNaringr man bruger oslashjnene til at sigte mod noget er det musklerne uden paring oslashjet der sigter Imens garingr en muskel inde i oslashjet i gang med at justere fokus saring det bliver tydeligt Men med 3D forskyder man to billeder saring man forskyder hvor oslashjnene kigger hen og det skiller de to processer med at sigte og fokusere og det kan foslashre til generlaquo siger Torben Helstrup
Udtalelse 2
3D syge Helstrup 2013 6
Oslashjenkonflikt
Biograferne afviser problemet
Direktoslashr i Nordisk Film Biografer John Toslashnnes afviser dog at man har oplevet at biografgaeligngere giver udtryk for at de faringr det daringrligt naringr de ser Hobbitten En uventet rejse eller 3D-film
Udtalelse 3
3D syge Helstrup 2013 7
Ingen konflikt
3D syge Findes det
bull Kvalmebull Synsforstyrrelserbull Svimmelhedbull Hovedpine
Triggermekanismer
bull Konflikt i balancesanserne (Stilling- vestibulaeligr- og synssanserne)
bull Konflikt i vergens- og akkommodation relationen (Dybde Storehurtigemange frem-tilbage spring)
3D syge Helstrup 2013 8
Ja Milde til staeligrke symptomer udloslashst via synsaktivitet
Teknik
Simuleret 3D
3D syge Helstrup 2013 9
3D syge Helstrup 2013 10
Polaroid (passiv)
3D syge Helstrup 2013 11
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Det har faringet MetroXpress til at undersoslashge danskernes oplevelse af at se 3D-filmI undersoslashgelsen som er lavet af YouGov for gratisavisen svarer 18 procent af dem der har set 3D-film at de har oplevet ubehag i biografen Netop synsforstyrrelser kvalme og hovedpine er blandt generne
Baseret paring interview med 1006 repraeligsentativt udvalgte personer i alderen 18-74
Interview undersoslashgelse
Politiken Dec 123D syge Helstrup 2013 4
Man bliver koslashresygIfoslashlge Michael Larsen der er professor i oslashjensygdomme ved Koslashbenhavns Universitet og paring Glostrup Hospital bliver folk daringrlige af 3D-film noslashjagtigt som det sker for nogle naringr de koslashrer bil eller sejler
- Det fremkalder hvad der svarer til koslashresyge For naringr man laver noget der for oslashjet ligner bevaeliggelser men ikke er det for kroppen opstaringr der en konflikt mellem signalerne i ligevaeliggtsorganerne og det kan folk blive daringrlige af siger han til metroXpress
Udtalelse 1
3D syge Helstrup 2013 5
Sansekonflikt
Til MetroXpress forklarer Torben Helstrup der er neurooptometrist ved center Koslashbenhavns Private Synsplejeklinik hvor man behandler synsrelaterede lidelser at oslashjets begraelignsninger er en af forklaringerne paring hvorfor man bliver daringrlig
raquoNaringr man bruger oslashjnene til at sigte mod noget er det musklerne uden paring oslashjet der sigter Imens garingr en muskel inde i oslashjet i gang med at justere fokus saring det bliver tydeligt Men med 3D forskyder man to billeder saring man forskyder hvor oslashjnene kigger hen og det skiller de to processer med at sigte og fokusere og det kan foslashre til generlaquo siger Torben Helstrup
Udtalelse 2
3D syge Helstrup 2013 6
Oslashjenkonflikt
Biograferne afviser problemet
Direktoslashr i Nordisk Film Biografer John Toslashnnes afviser dog at man har oplevet at biografgaeligngere giver udtryk for at de faringr det daringrligt naringr de ser Hobbitten En uventet rejse eller 3D-film
Udtalelse 3
3D syge Helstrup 2013 7
Ingen konflikt
3D syge Findes det
bull Kvalmebull Synsforstyrrelserbull Svimmelhedbull Hovedpine
Triggermekanismer
bull Konflikt i balancesanserne (Stilling- vestibulaeligr- og synssanserne)
bull Konflikt i vergens- og akkommodation relationen (Dybde Storehurtigemange frem-tilbage spring)
3D syge Helstrup 2013 8
Ja Milde til staeligrke symptomer udloslashst via synsaktivitet
Teknik
Simuleret 3D
3D syge Helstrup 2013 9
3D syge Helstrup 2013 10
Polaroid (passiv)
3D syge Helstrup 2013 11
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Man bliver koslashresygIfoslashlge Michael Larsen der er professor i oslashjensygdomme ved Koslashbenhavns Universitet og paring Glostrup Hospital bliver folk daringrlige af 3D-film noslashjagtigt som det sker for nogle naringr de koslashrer bil eller sejler
- Det fremkalder hvad der svarer til koslashresyge For naringr man laver noget der for oslashjet ligner bevaeliggelser men ikke er det for kroppen opstaringr der en konflikt mellem signalerne i ligevaeliggtsorganerne og det kan folk blive daringrlige af siger han til metroXpress
Udtalelse 1
3D syge Helstrup 2013 5
Sansekonflikt
Til MetroXpress forklarer Torben Helstrup der er neurooptometrist ved center Koslashbenhavns Private Synsplejeklinik hvor man behandler synsrelaterede lidelser at oslashjets begraelignsninger er en af forklaringerne paring hvorfor man bliver daringrlig
raquoNaringr man bruger oslashjnene til at sigte mod noget er det musklerne uden paring oslashjet der sigter Imens garingr en muskel inde i oslashjet i gang med at justere fokus saring det bliver tydeligt Men med 3D forskyder man to billeder saring man forskyder hvor oslashjnene kigger hen og det skiller de to processer med at sigte og fokusere og det kan foslashre til generlaquo siger Torben Helstrup
Udtalelse 2
3D syge Helstrup 2013 6
Oslashjenkonflikt
Biograferne afviser problemet
Direktoslashr i Nordisk Film Biografer John Toslashnnes afviser dog at man har oplevet at biografgaeligngere giver udtryk for at de faringr det daringrligt naringr de ser Hobbitten En uventet rejse eller 3D-film
Udtalelse 3
3D syge Helstrup 2013 7
Ingen konflikt
3D syge Findes det
bull Kvalmebull Synsforstyrrelserbull Svimmelhedbull Hovedpine
Triggermekanismer
bull Konflikt i balancesanserne (Stilling- vestibulaeligr- og synssanserne)
bull Konflikt i vergens- og akkommodation relationen (Dybde Storehurtigemange frem-tilbage spring)
3D syge Helstrup 2013 8
Ja Milde til staeligrke symptomer udloslashst via synsaktivitet
Teknik
Simuleret 3D
3D syge Helstrup 2013 9
3D syge Helstrup 2013 10
Polaroid (passiv)
3D syge Helstrup 2013 11
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Til MetroXpress forklarer Torben Helstrup der er neurooptometrist ved center Koslashbenhavns Private Synsplejeklinik hvor man behandler synsrelaterede lidelser at oslashjets begraelignsninger er en af forklaringerne paring hvorfor man bliver daringrlig
raquoNaringr man bruger oslashjnene til at sigte mod noget er det musklerne uden paring oslashjet der sigter Imens garingr en muskel inde i oslashjet i gang med at justere fokus saring det bliver tydeligt Men med 3D forskyder man to billeder saring man forskyder hvor oslashjnene kigger hen og det skiller de to processer med at sigte og fokusere og det kan foslashre til generlaquo siger Torben Helstrup
Udtalelse 2
3D syge Helstrup 2013 6
Oslashjenkonflikt
Biograferne afviser problemet
Direktoslashr i Nordisk Film Biografer John Toslashnnes afviser dog at man har oplevet at biografgaeligngere giver udtryk for at de faringr det daringrligt naringr de ser Hobbitten En uventet rejse eller 3D-film
Udtalelse 3
3D syge Helstrup 2013 7
Ingen konflikt
3D syge Findes det
bull Kvalmebull Synsforstyrrelserbull Svimmelhedbull Hovedpine
Triggermekanismer
bull Konflikt i balancesanserne (Stilling- vestibulaeligr- og synssanserne)
bull Konflikt i vergens- og akkommodation relationen (Dybde Storehurtigemange frem-tilbage spring)
3D syge Helstrup 2013 8
Ja Milde til staeligrke symptomer udloslashst via synsaktivitet
Teknik
Simuleret 3D
3D syge Helstrup 2013 9
3D syge Helstrup 2013 10
Polaroid (passiv)
3D syge Helstrup 2013 11
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Biograferne afviser problemet
Direktoslashr i Nordisk Film Biografer John Toslashnnes afviser dog at man har oplevet at biografgaeligngere giver udtryk for at de faringr det daringrligt naringr de ser Hobbitten En uventet rejse eller 3D-film
Udtalelse 3
3D syge Helstrup 2013 7
Ingen konflikt
3D syge Findes det
bull Kvalmebull Synsforstyrrelserbull Svimmelhedbull Hovedpine
Triggermekanismer
bull Konflikt i balancesanserne (Stilling- vestibulaeligr- og synssanserne)
bull Konflikt i vergens- og akkommodation relationen (Dybde Storehurtigemange frem-tilbage spring)
3D syge Helstrup 2013 8
Ja Milde til staeligrke symptomer udloslashst via synsaktivitet
Teknik
Simuleret 3D
3D syge Helstrup 2013 9
3D syge Helstrup 2013 10
Polaroid (passiv)
3D syge Helstrup 2013 11
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
3D syge Findes det
bull Kvalmebull Synsforstyrrelserbull Svimmelhedbull Hovedpine
Triggermekanismer
bull Konflikt i balancesanserne (Stilling- vestibulaeligr- og synssanserne)
bull Konflikt i vergens- og akkommodation relationen (Dybde Storehurtigemange frem-tilbage spring)
3D syge Helstrup 2013 8
Ja Milde til staeligrke symptomer udloslashst via synsaktivitet
Teknik
Simuleret 3D
3D syge Helstrup 2013 9
3D syge Helstrup 2013 10
Polaroid (passiv)
3D syge Helstrup 2013 11
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Teknik
Simuleret 3D
3D syge Helstrup 2013 9
3D syge Helstrup 2013 10
Polaroid (passiv)
3D syge Helstrup 2013 11
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
3D syge Helstrup 2013 10
Polaroid (passiv)
3D syge Helstrup 2013 11
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Polaroid (passiv)
3D syge Helstrup 2013 11
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
bull Oslashget medinddragelse i begivenhederbull Oplevet bevaeliggelse i naeligr-fjern dimensionenbull Indlevelse
Nyskabelse ved simuleret 3D(i forhold til 2D film)
3D syge Helstrup 2013 12
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
The Teleview system (above) premiered at a New York cinema in 1922 (showing an S3D science-fiction movie with special effects) As can be seen from the illustration each audience member had an individual viewing device The device was a rapid synchronized view-alternating shutter as shown at left (click on the image for a larger view) But even that wasnrsquot the earliest active-shutter 3D-viewing system The recent SMPTE book 3D Cinema and Television Technology The First 100 Years edited by Michael D Smith Peter Lude and Bill Hogan with introductions by Ray Zone begins with a 1919 paper by the Societyrsquos founder indicating that shutter-based viewing systems were already well known by that date
Princippet er ikke nyt
3D syge Helstrup 2013 13
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Perhaps the most-advanced form of S3D eyewear is individual goggles with built-in picture displays Theyrsquore not exactly a new idea either as this portion of an image (left) from the March 1949 issue of Radio-Electronics magazine shows The diagonal lines are ldquorabbit-earsrdquo antennas In this case idea is an appropriate descriptionSome say any form of glasses is the bane of S3D especially in homes They prefer some form of autostereoscopic display an S3D display that can be viewed without glasses (or other intervention between viewer and screen)
Googlebrillen har ogsaring en forgaelignger
3D syge Helstrup 2013 14
Hovedbaringret display
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Svimmelhed og kvalme
Til hverdag og i underholdning
3D syge Helstrup 2013 15
Antikke verdenrdquokrokodille-kurenrdquo
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Rundtosset oslashr
svimmel
3D syge Helstrup 2013 16
Underholdning med potensSuccesgrad maringles paring kvalmebarometeret
100 18
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Transportsygeopstaringr naringr vores hjernes opfattelse af kroppens bevaeliggelser ikke er den samme som det vores syn oplever
(Sansekonflikt)
Transportsyge er en faeliglles betegnelse for koslashresyge luftsyge og soslashsyge Faelignomenet kan ramme alle men er hyppigere hos kvinder og helt unge
wwwapoteketdk3D syge Helstrup 2013 17
Luk ikke oslashjnene Hjernen opfatter synssansen som sandhedsvidne
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Taringrnsvimmelhed
Staring oppe og se ned
Udloslashser pludselig og voldsom desorientering svimmelhed forskraeligkkelse og hjertebanken
3D syge Helstrup 2013 18
Usikkerhed paring staringsted
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Fysik Tyngdekraft og 4 dimensioner
Tyngdekraft (ligevaeliggt)Oslashresten og muskelledsans
Tredimensionelle rumHoslashjre-venstre (x)Frem-tilbage (z)Op-ned (y)Synssans (lodlinie)
3D syge Helstrup 2013 19
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
To graviceptivesystemer- visuelt baseret
- kropsligt baseret
Subjective Straight-ahead
Subjective Visual Vertical
Subjective Postural Vertical
Lodliniesanser vertikalsans
3D syge Helstrup 2013 20
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Konflikthus Lodliniekonflikt
213D syge Helstrup 2013
High ChaparralSverige
Posturale lodlinie Visuelle lodlinie = sandhedsvidne
bull Uloslashselig konfliktbull I sansernes vold
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Vestibulaeligre biomekanik
Detektion af bevaeliggelse
Buegangene ndashhjernens sensorer for hovedbevaeliggelse (VOR)
Oslashrestenene ndashhjernens sensorer for tyngdekraft
3D syge Helstrup 2013 22
Konfliktdeltager
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Understoslashttelse af fiksationsstabilitet ved bevaeliggelse
Hjernens indre
sensorer for
tyngdekraft og
lodlinie
OslashrestenBuegange
3D syge Helstrup 2013 23
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Sansekonflikt Svimmelhed
3D syge Helstrup 2013 24
Konflikt
Bevaeliggelsesillusion
Ingen bevaeliggelse
Konflikt
Horisont tiltet
Vertikal sansSyn og stillingssans
Hovedrotation HaeligldningAccdeceleration
Dybdeperception og bevaeliggelse i naeligr-fjern dimensionen
Oslashresten buegange
Oslashjne
Muskler og led
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Lokal konflikt OslashjenapparatVergens- akkommodationskonflikt
OBS Samme fokusafstand
men variabel vergensvinkel
(bevaeliggelsesillusion)
3D syge Helstrup 2013
Konflikt
rdquoVridemaskinenrdquoRelativ fusionel vergens
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Hvad siger forbrugerne og
Hvad siger videnskaben
3D syge Helstrup 2013 26
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
BrugerforaHvad kan man selv goslashre ved svimmelheden og kvalmen
1 Sid bagerst i biografen
Bevaeliggelsesillusionerne virker meget kraftigere naringr hele synsfeltet fyldes ( dvs forrest og midt for laeligrredet)
2 Luk ene oslashje ndash men tag ikke brillen af
Billedet er helt ude af fokus - og vederstyggeligt at se paring
3 Luk begge oslashjne Forlad evt biografen
3D syge Helstrup 2013 27
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Optom Vis Sci 2012 Jul89(7)1068-80 doi 101097OPX0b013e31825da430
Stereoscopic viewing and reported perceived immersion and symptomsYang SN Schlieski T Selmins B Cooper SC Doherty RA Corriveau PJ Sheedy JESourceVision Performance Institute Pacific University College of Optometry Forest Grove Oregon 97006 USA shunnanyangpacificuedu
CONCLUSIONSStereoscopic 3D viewing provides greater immersion but it can also lead to heightened visual and motion sickness symptoms Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing both will be reduced if a farther distance and a wider viewing angle are adopted
Sposlashrgeskemaundersoslashgelser
3D syge Helstrup 2013 28
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
25 75
Binokulaeligre syn
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Hovedpine og traeligtte oslashjne
3D syge Helstrup 2013 30
Asthenopi
Hitliste1 Hovedpine2 Traeligtte oslashjne3 Kvalme4 Svimmelhed5 Dobbeltsyn6 Hjertebanken
Oslashjenkonflikt frem for sansekonflikt
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Asthenopia (aesthenopia) or eye strain is an condition that manifests itself through nonspecific symptoms such as fatigue pain in or around the eyes blurred vision headache and occasional double vision
Symptoms often occur after reading computer work or other close activities that involve tedious visual tasks
httpenwikipediaorgwikiAsthenopia
Asthenopia (WHO ICD 10 H 531)
3D syge Helstrup 2013
Hovedpine og traeligtte oslashjne
31
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Asthenopia several types ---
httpwwwncbinlmnihgovpubmed14627938
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx
CONCLUSIONSSymptom descriptors and locations were able to distinguish discomfort on the basis of causative condition indicating at least two different afferent pathways for the symptoms of asthenopia Results support two different symptom constellations herein labeled external symptom factor (ESF) and internal symptom factor (ISF) The ESF pattern comprises burning irritation tearing and dryness located in the front and bottom of the eye ESF is caused by holding the eyelid open glare up gaze small font and flickering ESF seems highly related to dry-eye symptoms The ISF pattern comprises ache strain and headache located behind the eyes ISF is caused by the close viewing distance lens flipper and mixed astigmatism conditions and is likely related to accommodative andor binocular vision stress
3D syge Helstrup 2013 32
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Toslashrt oslashje
Asthenopi
Ergonomi refraktion Binokularitet
AmetropiAstigmatismeAkkomodationPresbyopi
HeteroforiFusionACASuppression
ICHD 1132 ICHD 1133
IndretningSynsafstandBlikvinkelBelysning
Aringrsagssammenhaelignge
3D syge Helstrup 2013
httpjournalslwwcomoptvissciFulltext200311000Is_all_Asthenopia_the_Same_8aspx 33
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
The International Classification ofHeadache Disorders 2nd Edition (ICHD-II)
IHS WHO Diagnosis
ICHD-II Code ICD-10NA Code
1132 G 44843 Headache attributed to refractive errors (H 520 ndash H 527)
1133 G 44843 Headache attributed to heterophoria or heterotropia (latent or manifest squint) (H 503 ndash H 505)
3D syge Helstrup 2013 34
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
World Health Organisation ICD 2007
bull Diseases of the eye and adnexa(H00-H59)
bull H00-H06Disorders of eyelid lacrimal system and orbit
bull H10-H13Disorders of conjunctiva
bull H15-H22Disorders of sclera cornea iris and ciliary body
bull H25-H28Disorders of lens
bull H30-H36Disorders of choroid and retina
bull H40-H42Glaucoma
bull H43-H45Disorders of vitreous body and globe
bull H46-H48Disorders of optic nerve and visual pathways
bull H49-H52Disorders of ocular muscles binocular movement accommodation and refraction
bull H53-H54Visual disturbances and blindness
bull H55-H59Other disorders of eye and adnexa
Lidelser som afhjaeliglpes med optisk behandling ndash ogeller terapi
Medicin eller kirurgi har ingen eller begraelignset virkning
3D syge Helstrup 2013 35
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
Ortho
Basic eso(37841)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergensinsufficiens
(37885)AFgtNF ACA lav
(WHO H 518)Afst problem
Konvergens insufficiens
(37883)NFgtAF ACA lav
(WHO H 511)Naeligrproblem
Basic exo(37842)
AF=NF ACA norm
(WHO H 503)Afst + naeligr problem
Divergens Excess(37885)
AFgtNF ACA hoslashj(WHO H 518)Afst problem
Konvergens excess(37884)
NFgtAF ACA hoslashj(WHO H 511)Naeligrproblem
Udvidet Duane klassifikation
Eso
Exo
ICD 9 og 10koder
3D syge Helstrup 2013
Se konsensus testprotokollerAOA og AAO
36
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring
God fornoslashjelse med simuleret 3D
3D syge Helstrup 2013 37
bull Oslashjenkonflikt Trigges efterfoslashlgende traeligtte oslashjne ogeller frontal hovedpine i en styrke saring planlagde aktiviteter undlades eller gennemfoslashres med ulyst ndash saring faring en grundig synsundersoslashgelse behandling
rdquoGode raringdrdquobull Sansekonflikt Find din plads Er du taeligt paring laeligrredet
bliver du draget ind i begivenhederne ndash og det er her loslashjerne foregaringr Kan du ikke taringle mosten maring du bagud i salen - indtil du ender med at blive beskuer
bull Noslashdhjaeliglp Bliver du daringrlig undervejs saring luk det ene oslashje ndashmen behold 3D brillen paring