37
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3 d syge

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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

Page 1: 3 d syge

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

Page 2: 3 d syge

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

Page 3: 3 d syge

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

Page 4: 3 d syge

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

Page 5: 3 d syge

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

Page 6: 3 d syge

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

Page 7: 3 d syge

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

Page 8: 3 d syge

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

Page 9: 3 d syge

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

Page 10: 3 d syge

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

Page 11: 3 d syge

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

Page 12: 3 d syge

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

Page 13: 3 d syge

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

Page 14: 3 d syge

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

Page 15: 3 d syge

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

Page 16: 3 d syge

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

Page 17: 3 d syge

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

Page 18: 3 d syge

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

Page 19: 3 d syge

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

Page 20: 3 d syge

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

Page 21: 3 d syge

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

Page 22: 3 d syge

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

Page 23: 3 d syge

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

Page 24: 3 d syge

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

Page 25: 3 d syge

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

Page 26: 3 d syge

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

Page 27: 3 d syge

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

Page 28: 3 d syge

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

Page 29: 3 d syge

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

Page 30: 3 d syge

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

Page 31: 3 d syge

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

Page 32: 3 d syge

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

Page 33: 3 d syge

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

Page 34: 3 d syge

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

Page 35: 3 d syge

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

Page 36: 3 d syge

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

Page 37: 3 d syge

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