10/17/2015 see illusion · 10/17/2015 4 illusion sense/retina move eye with finger monocular stick...
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SeeHappiness®
CookVisionTherapy.comDavid L. Cook, O.D., 770-419-0400
Strabismus,
Illusion,and the
Continuum of
Consciousness
PerceptionPerception is not something that
happens to us, or in us. It is something
we do. ---Alva Noe, Action in Perception
Percepton is something we
do. Think of a blind person tap-tapping his or
her way around a cluttered space,
perceiving that space by touch, not all at
once, but through time, by skillful
probing and movements . . . . The world
makes itself available to the perceiver
through physical movement and
interaction.---Alva Noe, Action in Perception
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Vision
Change Blindness
Inattentional Blindness
Perception“We are told that vision depends on the
eye, which is connected to the brain….
[N]atural vision depends on the eyes in
the head on a body supported by the
ground, the brain being only the central
organ of a complete visual system.”
J. J. Gibson, The Ecological Approach to visual
perception, p. 1.
Perception The eye is considered to be an instrument of
the mind, or an organ of the brain. But the
truth is that each eye is positioned in a head
that is in turn positioned on a trunk that is
positioned on legs that maintain the posture
of the trunk, head , and eyes relative to the
surface of support. Vision is a whole
perceptual system, not a channel of sense
Gibson, p. 205.
“Direct perception is what one gets from seeing Niagara Falls,
say, as distinguished from seeing a picture
of it…. I mean it is not mediated by retinal
pictures, neural pictures, or mental pictures.
Direct perception is the activity [of]
information pickup [ from light striking the
seer from all directions] that involves the
exploratory activity of looking around, getting
around, and looking at things.”—Gibson, p. 147.
SAW Vision Perception is learned
agreement between:SENSE—Retina/Brain
ACTION/Movement—Eye/Body
WORLD/EnvironmentCook
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BMW Vision Perception is learned
agreement between:BODY—Including Eyes and Brain
MOVEMENT
WORLD/EnvironmentCook
ILLUSIONChange SENSE, ACTION, or
WORLD from their habitual
agreements, and perception
breaks down. We risk:
ILLUSION
ILLUSION IllUSIONCube
ILLUSIONCube Square
2 Trapezoids
ILLUSION
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ILLUSION Sense/Retina Move Eye With Finger
Monocular Stick and Straw
Without Body Movement
With Body Movement
Hemianopsia
Action/Movement Snapshot Vision: Fixation immobile,
exposure momentary.
Aperture Vision: Scanning a sequence of
“snapshots.” as if through a knothole in a
fence.
Ambient Vision: Head in chinrest.
Ambulatory Vision: Walking around.J.J Gibson, The Ecological Approach to Visual Perception,
1986.
Action/Movement 20/20 acuity is a measure of how little,
not how big, you can see. 20/20 means you
can see as little as everyone else at 20 feet.
Vision is more than 20/20 acuity. Vision has
as much to do with how you move your eyes
as it has to do with acuity. Without good eye
movements, you can’t see big, no matter
how little you can see.
Action/Movement
O F B P V E
T C H Y B A
K O E Z L R
W F M T X K
Z B N D L P
Action/Movement
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Action/Movement World/Environment
World/Environment World/Environment
ILLUSIONRecordings were made from forty acutely
prepared cats, anaesthetized with thiopental
sodium, and maintained in light sleep with
additional doses by observing the
electrocorticogram. Animals were paralyzed
with succinylcholine to stabilize the eyes.
Pupils were dilated with atropine.Hubel and Wiesel, 1962, p. 107
Vision is a mode of
exploration of the
environment drawing on
implicit understanding of
sensorimotor regularities.
---Alva Noe, Action in Perception
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World/Environment1) Coin Exploration
World/Environment1) Coin Exploration
Circle Ellipse Line
20 Inches
10 Inches
Figure 28: One Half Distance—Twice Retinal Image Size
Quarter
Quarter
World/Environment
Worlds/Environments
Real WorldsObjects in Space
Indoors, Outdoors
Paper WorldsWriting
Reading
Pictures
Inner WorldsVisualization
Verbalization
Worlds/Environments
New Worlds
Lens
Prisms
OcclusionFull Monocular
Sector
Pinhole
Spectacle Frame
ApparatusesSeptum
Mismatched InputLuster
Rivalry
Physiological Diplopia
1st, 2nd, 3rd Degree sensory fusion without motor fusion
Binocular Disparity mismatched withmonocular cues.
Vision
“The deriving of meaning and
the directing of action as a
product of processing of
information triggered by a
selected band of radiant energy.” Dr. Robert Kraskin
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Vision answers what and where
But Why?What does the seer really
want to know?
What’s in it for me!
Vision isn’t about just what is;
Vision is about what ought to be.
Vision is VALUEWe do not see what we have not
valued—to solve a mystery,
perhaps, or win survival,
recognition, acceptance, a smile.
Or, maybe even a kiss.
Definition: afford
1)To have the money to pay for:
I can afford the car.
2) To bear or tolerate without serious
consequence
I cannot afford your ridicule.
Definition: afford
3) To furnish or supply. To provide,
to give to, to make available.
A hot bath affords great pleasure.
The tree affords ample shade.
Tennis affords good exercise.
The roof top affords beautiful views.
Affordance“The affordances of the environment are
what it offers the animal, what it provides
or furnishes, either for good or for ill.”J.J. Gibson, p. 127
A cliff, for instance, is an affordance; it
provides or affords a view; it affords a
platform from which to hang-glide; or, it
affords a place to break your neck.
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Affordance“The verb to afford is found in the
dictionary, the noun affordance is not. I
have made it up. I mean by it something
that refers to both the environment and
the animal in a way that no existing term
does. It implies the complementarity of
the animal and the environment.”J.J. Gibson, p. 127
AffordanceThe environment affords animals…the
terrain, shelters, water, fire, objects, tools,
other animals, and human displays…. If
there is information in light for the perception
of surfaces is there information for the
perception of what they afford? If so, to
perceive them is to perceive what they
afford. This…implies that the values and
meanings of things…can be directly
perceived.
AffordanceObjects have properties or qualities: color, texture,
composition, size, shape, [etc.]…. The
psychologists assume that objects are composed
of their qualities. But I now suggest that what we
perceive when we look at an object are their
affordances, not their qualities. We can
discriminate the dimensions of difference if
required to do so… but what the object affords us
is what we normally pay attention to. The special
combination of qualities into which an object can
be analyzed is ordinarily not noticed. Gibson, p. 134
Affordances
Invariant
Circle Ellipse Line
Invariant
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Invariant Affordances and InvariantsThe affordance of an object is what the
infant begins by noticing. The meaning is
observed before the substance and surface,
the color and form, are seen as such. An
affordance is an invariant combination of
variables, and one might guess that it is
easier to perceive such an invariant unit
than it is to perceive all the variables
separately.
All men by nature desire to know. An
indication of this is the delight we take in our
senses; for even apart from their usefulness
they are loved for themselves; and above all
others the sense of sight. For not only with a
view to action, but even when we are not
going to do anything, we prefer sight to
almost everything else. The reason is that
this, most of all the senses, makes us know
and brings to light many differences between
things.
—Aristotle, The Metaphysics
We use visual exploration not
only to answer the questions
what something affords and
where it is compared to us,
but to evoke wonder. Vision
derives knowledge, directs
action, and delights
consciousness
Consciousness
Consciousness is not something that
happens inside us. It is something we
do or make. Better: it is something we
achieve. Consciousness is more like
dancing than it is like digestion.
Alva Noe
Out of Our Heads
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1) Stimulus-Response
Finger Touch
2) Prism—Conscious
Finger Touch
“But fundamentally an organism has
conscious mental states if and only if there is
something that it is like to be that organism.
We may call this the subjective character of
experience.”
–Thomas Nagel,
“What it is like to be a bat.”
Conscious SeeingVersus
Stimulus-Response Seeing
Stimulus-Response Seeing is like the daily
trip to the office; conscious seeing is like
viewing a splendid sunset.
Conscious Seeing feels like something,
appears like something.
Stimulus-Response Seeing does
something—automatically with little need for
consciousness.
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educate
etacude
Visual Consciousness falls on
a continuum with greater
consciousness allowing
flexibility of agreement and
lesser consciousness
facilitating faster performance.
Vision therapy exploits
movement and the continuum of
consciousness to expand facility
in exploration and guidance,
allowing enhanced performance
and flexibility in all worlds.
Splinter Skills:allow performance in one world.
When the findings improve and
the patient doesn’t, add worlds
and voluntary consciousness to
your therapy.
Increasing Consciousness
Questions about NOW.
Novelty New task
Variation During task
New World
Lens
Prisms
Apparatuses
Responsibility and Control:
Pursuits
Mazes
Vectograms
Suppression (MWBF)
Stereo
Time
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Strabismic
AdaptationsLanguage
What’s
closer:
the
footstool
or the
bowl of
fruit?
. . . when stereoscopic fusion
prevails, the patient is conversant in our
language and when stereoscopic
perception is absent he speaks a foreign
tongue which most of us simply do not
understand. For this selfsame reason we
misinterpret his statements by applying
them to our own mode of seeing instead
of to his. Brock, Optom Weekly, August 21, 1941, page 795
“he speaks a foreign tongue”
Where?
Where would your hands tell you it is?
Stereopsis
How many do you see?
How many would your hands tell you there are?
Diplopia
Therapy Conversation
Therapist: Which is closer to you, the Quoit or the
Dot?
Patient: The Quoit.
Therapist: If you walked down there, which would you
come to first: the quoit or the dot?
Patient: The Quoit.
Therapist: Where is the Dot?
Patient: On the wall.
Therapist: Where is the Quoit?
Patient: On the wall.
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Ambiocular
Vision
Making Sense of
Movement
This change [accepting stereopsis or
diplopia] is, however, not lightly made by
the squinter because he is apt to resent
the fact that he no longer can see things
as they really are and as he know them to
be.
Fredrick Brock: Conditioning the Squinter to Normal
Visual Habits. Optom. Weekly, August 21, 1941; p. 822.
“The adapted strabismic apparently
maintains separate sensoria for the right
and the left eye and relates the visual
impressions gained by the two eyes not
by retinal correspondence but by
estimation, a process of the frontal lobe,
i.e., a thinking process.”
Brock FW: Visual Training.
Optom. Weekly, Nov. 6, 1947, p. 1680.
The visual behavior is such as if each eye were
directly related to body-posture only. . . . If
body posture is experimentally eliminated as a
cue to the visual direction, all relationship
between the right and left visual impressions
seems to be lacking . . . .
Brock FW: Space Perception in its Normal and
Abnormal Aspects. Optom. Weekly, Sept. 5, 1946, p.1236.
I, therefore try to explain to my squint
patients how their mode of sight
differs from ours and what strange
visual falsifications they have to
expect before they may gain normal
binocular vision.
Brock, Optom Weekly, August 28, 1941, p. 821
“Visual Falsifications”
ILLUSIONS
Artifacts of immobility (remember dollar)
“Let’s stop and think.”
Luster
Physiological Diplopia
Pathological Diplopia
Common Visual Directions of Foveas
Stereopsis
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Luster
Lenses
Eyes
Normal Luster
White Screen Luster
Lenses
Ambiocular Perception: Split Field
Eyes
White Screen
“Normal Correspondence”
Cook Card(Common Foveal Visual Directions)
Perception:
Cook Card(Common Foveal Visual Directions)
Ambiocular Perception
Brock String
Single Physical String
Red Lens
Green Lens
Brock String
Normal Physiological Diplopia
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Brock String
Ambiocular Perception
Vectograms
Mind
Local
Normal Correspondence
Vectograms
Mind
LocalAmbiocular Vision
Adapted strabismics rely on movement, not
retinas, to construct a world. The spit field
response, the “Y”on the Brock String, the
confusions of visual direction—all depend on
movement. Only as the eyes approach
alignment does retinal correspondence
predominate. To understand and predict the
observations of adapted strabismics, ignore
retinas; concentrate on movement.
Stereopsis,
Strabismus,
and the
Shape of the Sky
Peripheral AwarenessGeneral
Avoids bifoveal avoidance of alignment
Aligns eyes
Circumvents ambiocular response
Combines perceptions of eyes
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Peripheral AwarenessStimulus Response
Dim Light
Blur
Movement
Peripheral AwarenessVoluntary
Vision
A
B
C
D
E F
G H
J KL
M
Peripheral Awareness
General Considerations in therapy— Constantly remind patients to open up their
vision.
Explain X, Y and Z periphery, the difference between seeing “easy” and “hard”.
Constantly ask about the space between objects. How much space is there between object one and
two?
How much space is there between you and it?
Peripheral AwarenessEyelash Vision versus Face Vision
Versions
Versions
Ocular Calisthenics
Look for limitations of gaze.
Endpoint Nystagmus
Discomfort (Like the stretch of your legs when
trying to touch your toes.
Vigorous stretching
To and fro, into the field of limitation
Move head in opposite direction
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Versions
Orbital Pursuits
Penlight held close to eye
Laterally to force stretching
Nasally to force control
Monocular
Binocular
Learning to control fixation with either eye in any position
Baseball Rotations
Four corners of wall or chalkboard
Move closer to increase stretching
Practice voluntary control of fixation
Stress seeing the other 3 corners for peripheral awareness
Add extended arm and fist to encourage z-axis peripheral awareness
Pursuit-Saccades
Stressing Peripheral Awareness
One Stick
One Stick different Head Positions
Chin: Up, Down, Right, Left.
Two Sticks
One stick still. Pointing to second stick moving.
Both sticks moving (pursuit/saccades)
Following one with eye, other with finger
Accommodation
Accommodation General
Don’t work a lot of accommodation if acuity is
okay.
Stress Silo (peripheral awareness) and voluntary
blur.
Push plus with non-accommodative ET
Do not push plus with accommodative ET
Use minimum plus to ortho
When able to do so, cut plus
NV Voluntary Blur
Monocular
Near without plus—blur and clear
Binocular
With transparent chart at near
With small opaque chart at near
With small chart on whole page at near
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Vergences
Cover Uncover Recover
Should be worked on every procedure where patient can straighten eyes.
Unlike smooth vergences, changes angle.
Cover eye so it fully deviates
Uncover eye; encourage peripheral awareness; encourage alignment.
Great for accommodative ET’s without glasses
Non-accom ET’s need feedback
Voluntary Alignment
Accommodative ETs
Over Bifocal
Without Glasses
Teach peripheral awareness
Work responsibility and control
Look at therapist’s eyelash to trope
Use peripheral awareness to align eyes
Add pursuits and saccades with non-accom targets
Near Far Jumps*
Doesn’t know how to diverge OR converge
Get convergence of both eyes at near
Throw the eyes far away, no central target; encourage peripheral awareness!
You want both eyes to converge and diverge symmetrically same rate—no lag of either eye.
With minimum plus for Accom ETs
With maximum plus for Non-accom ETs)
Physiological Diplopia
Inside the Centration Point
General
Esotrope is not adapted inside centration point—crossed diplopia
It is harder to diverge when something is between eyes
Work after mastering Near-Far jumps
Encourage peripheral awareness
Begin with less, add more.
Physiological Diplopia
Inside the Centration Point
Pickup StickWith near-far jumps and window
Maximum separation at given distance
R and C on separation
Work stick further away
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Physiological Diplopia
Inside Centration Point
*Superman SeeingNear Far Jumps—above card
Near Far Jumps—lift card
Near Far Jumps—through card
Short card to tall card.
Learning to break stimulus from response
Therapist Snapping fingers behind paper
Learning felt position of eyes
Physiological Diplopia
Inside the Centration Point
StringY not X
On window
Near far jumps
Make the strings cross somewhere else
Bug walk
Make bead double then converge until fusion
Discontinue if you are getting diplopia
Physiological Diplopia
Inside the Centration Point
Binasal CardWith Near-far jumps
Trying to narrow the gap
BinasalsTrying to narrow the gap
Bilateral finger Grabs
Chalkboard Circles
Red/Green MITRed Green
Lenses
Polaroid
Lens
Red/Green MITRed Green
Lenses
Polaroid
Lens
Split Field
Red/Green MITRed Green
Lenses
Polaroid
Lens
Luster
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Red-Green MIT
Get 2 or 3 inches from circle
“Is it half red and half green or mixed?”
“Does the red have anything to do with the
green?”
“Be aware of the outside of the circle—the whole
room—blend the red and green.”
Cover eye, show red; cover eye show green: “Is
it red or green or some other color.”
Red-Green MIT Use high plus if necessary.
Work R and C
“Look at the tip of my pen and split the red and green.”
“Be aware of the outside of the circle and the whole room and blend the red and green.”
Work Farther back
Check with unilateral cover test; be sure there is only a small flick.
Work Near-Far Jumps; Cover Uncover
Stereopsis
The Shape of the Sky
It begins with the touch of eyes
And soars above history
To get to the bottom of Mystery.
Ocean’s horizontal chill,
Ferris wheel, church spire,
Scudding cloud, soaring gull,
Sunset’s rapture, rainbow’s hue—
All burn, stab, swatch, press, dapple
The immensity of blue.
The shape of the sky: over the top,
Intangible, uncatchable, spatially exultant,
Too little perceived:
Oh heart-piercing depth of air,
Let me take you there!
—D. L. Cook
Stereo BasicsSee Big
Stereo BasicsSee Big—See Little
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Stereo BasicsEyelash Vision versus Face Vision
Stereo Basics
Seeing Little
Relative StereoWhich is closer:
Toe of shoe
Laces?
Knee?
???
Stereo Basics—Seeing Big
Absolute or Egocentric StereoHow far are the
pilings away
from your nose?
Stereo Basics
…[S]tereopsis is a qualitative visual experience
related to the perception of egocentric spatial
scale. Specifically, the primary phenomenal
characteristics of stereopsis ( the impression of
“real” separation in depth) is proposed to the
linked to the precision with which egocentrically
scaled depth (absolute depth) is derived.Dhanraj Vishwanath, “Toward a New Theory of Depth,” 2014
Stereo Basics
Seeing Space—Absolute Stereo
Seeing a room with stuff in it, not
just the stuff in a room. A sense of
negative space cushioning objects
from one another, each object seen
as having a position in the room.
Stereo Basics
Seeing Space—Absolute Stereo
“The characteristically vivid
impression of tangible solid form,
immersive negative space and
realness that obtains under certain
viewing conditions.” Vishwanath, 2014
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Stereo Basics
Seeing Space—Absolute Stereo“[I saw] palpable volume[s] of empty space… I
could see, not just infer, the volume of space
between limbs…the sink faucet reached out
toward me…the grape was rounder and more
solid than any grape I had ever seen…Objects
seemed more solid, vibrant, and real.”
Sue Barry, Fixing My Gaze, 2009, pp. 94-132 [Quoted in
Vishwanath, 2004]
Vectogram Local
Zone of Confusion Area of space where patient is adapted.
Patient’s perception is normal in periphery but adapted centrally.
The further away the vectogam, the more central. Quoit gets closer to plastic holder instead of following
patient.
Patient’s local of quoit no longer certain.
Vectogram Local
Local
Quoit Separation= Distance between Pupils
1/2 Way Out
Vectogram Local
Local
Quoit Separation= 2 X Interpupilary Distance
3/4 Way Out
Vectogram Local
Local
Quoit Separation = ½ Distance between Pupils
1/4 Way Out
Vectogram Local
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Vectogram Local
Goal— To get the vectogram out to its predicted
location.
To integrate this with movement.
If shaking the vectogram makes it come further
out, then the patient has not a) fully aligned his
eye and/or b) fully expanded his space.
Quoits with Dot at C-Point
At Centration Range
Moving C to 3
Shaking
Peripheral awareness
Loop with pointer
Compare to finger
Touch finger even with quoit
Peripheral AwarenessSee Gestalt
Quoits with Dot Back-away
Move as Far Away as
Local is Good
Continue 3 to C
With Near-Far Jumps
With Cover-Uncover-
Recover
Quoits with Dot on Wall
To Get Float
Shaken and Blurred
Language
Gradually Decrease
Blur
Work Responsibility
and Control
Quoits with Dot on Wall
Dowel SticksOne on dot
One touching other,
even with Quoit
Circling Quoit
Two Stick Touch
Feel them
Hear them
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Quoits with Dot on WallResponsibility and
Control “Look Hard at the fuzz on
the dot.”
“Make the rope go flat.”
“Be aware of the whole
room, of all the space
between your nose and
the wall.”
Make the Quoit pop out.
Vectograms
Movement Move forward and back with proper localization.
Stop moving back when the vectogram stops following patient and recedes toward wall.
At greatest distance with correct local work
Near are Jumps
Cover/uncover/recover
Vectograms
Movement
Add balance:
Head rotations
Leg Swings
Balance Board
Walking Rail
SpirangleGross Local
On wall or handheld
Shaken and Blurred
Compare Outside to Inside
Responsibility and Control
Gradually Decrease Blur
With Stick or Dowels
SpirangleFine Local
Stage I
On Ortho, Get Gross Float with Proper Local
Find alphabet
Stage II
On C, Get Gross Float with Proper Local
Find alphabet
Stage III
Which is closer Circle or Square?
VTS4--Stereo Shaking Ring
Sword inside or next to ring
Hands to side of ring
Awareness of Frame
Shaking Ring—Dog or Robot
Plane Slide with SILO
Fish Slide with SILO
Ring and Cat Large Rotated
Small Cat Rotated
Alligator or Frog—Rotated
Greatest Distance at which Target follows you.
Near-Far Jumps and Cover-Uncover
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VTS4--Stereo Shaking Ring
Sword or arm inside or next to ring
Hands to sides of ring
Awareness of Frame
Gestalt
Back up until ring no longer follows
VTS4--Stereo Shaking Target—
Dog and Ring Sword inside or next
to ring
Hands to side of ring
Awareness of Frame
Back away as far as ring follows.
Reduce Size of Ring
No shaking
VTS4--Stereo Shaking Target—
Robot and Ring Sword inside or next
to ring
Hands to side of ring
Awareness of Frame
Back away as far as ring follows.
Reduce size of ring
No Shaking
VTS4--Stereo Shaking Target—
Ring Sword inside or
next to target
Hands to sides of target
Awareness of Frame Gestalt compared to blue.
Compare distances of letters
Back away so long as blue follows.
VTS4--Stereo Shaking Target—Ring
Sword inside or next to target
Hands to side of target
Awareness of Frame Gestalt
Dolphin Closest
Sea Horse closer than clam, etc.
Back away so long as green background follows.
VTS4--Stereo
Frog Sword next to Frog
Awareness of Screen Frame Gestalt
Large to small
Rotated
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VTS4--Stereo Combining
Movement Therapist moves on Z
axis; patient moves to keep realign target with therapist.
Cover Uncover
Near Far Jumps
Walking Rail
Infinity Walk
Long Distances for exotropes
Tiny Targets 4 inches at 40 feet
3D Television
3D Television—Track 3 3D Television—Track 3
3D Television—Track 3 3D Television--Coaching
Be aware of Screen
Frame Gestalt
Stop Action and be
aware of position of
figures compared to
objects in room.
Repeat scene, this time
with action—see 3D
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3D Television--Mechanics3D Blue Ray Player and TV.
Wikipedia— “List of 3D Movies” Not
“filmed in 2D”
Madagascar 3
Journey to Center of Earth
Hugo
Imax Nature Films
Used on Amazon
Write prescription for 3D TV viewing.
3D Television—Track 12
3D Television—Track 12 Randot
First Perceiving Target
At Centration Range
Plus as necessary
Concentrating on Outside of Square and Outside of Screen
Vary Distance
Point to Smaller Target for Patient
Randot
Building Ranges
At Centration Range
Push BI
3 Minutes BI
1 Minute BO
2 Minutes BI
Gradually Increase Distance
Liquid Crystal on WallRandot
Start Close
Stress Peripheral Awareness See edge of target
Stress BI
Use Plus as Necessary
Work Farther Away
Exotropes: 4/30 Jump Ductions
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3D Without Vectos
3D Without Vectos
GeneralWorked after Good Local on Vectograms
Patient has learned to see big to float the
vectogram and little to flatten the vectogram.
Patient has the “feel” of 3D
Watch Eyes! Work with aligned eyes.
3D String
3D String Rotations
Rotate Bead on string in Circle
Keep Y meeting at bead
Be aware of space between bead and
nose
3D String
3D String—Bead and Pointer
Get Crossed Diplopia
Just fuse
Align stick and touch bead
3D String
3D String with Stick RotationsFuse Bead
Be aware of z-axis Stick rotations to side
Be aware of distance of bead and pointer
from face
Touch Rotation Stick with peripheral attention
3D String
3D String with 2-Pointer Alignment
Get Y at bead
Wide Pointer Separation—When aligned?
Narrow Pointer Separation—When aligned?
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Free Space 3D
Vertical Stick and StrawGet Crossed Diplopia
Just Fuse
Stick placement
2 sticks simultaneously
Free Space 3D
3D Saccades (Oblique Z-axis)Look red, wiggle blue
Look blue, wiggle red
Be aware of how far each stick is from nose
while seeing the space between sticks
Free Space 3D
3D Pegboard
Arrange patient so that eyes are only slightly
above pegboard
Hold peg above hole for one rotation
Insert Peg
Free Space 3D —Plexiglas and Penlight
Plexiglas
Free Space StereoYoked Prisms
1) View Room
2) Walk with high power yoked prisms
a) Perceived as up-hill with base down
b) Perceived as down-hill with base in
c) Encourage seeing big, see entire length of
room.
3) Remove prisms, View Room
Free Space 3DHand Mirror
Examine features
of face.
Be aware of frame
and see face
recede behind
glass.
Adjust distance of
mirror
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Free Space 3D
Wall Mirror
Aware of nose
Aware of frame
Aware of masking tape
Aware of Hands
Responsibility and control
Look at nose
See distance to frame
Free Space 3D
Look at my
eyeglass bridge.
See the space
between your
nose and my face.
Home 3D
Peripheral Motion Awareness
Walking In halls
Walking
In car
Awareness of Door Frame when walking
though doorway
Home 3D
Shape of the SkyBe aware of boarder of blue Sky formed by
Buildings
Clouds
Hills
Trees
Horizon
Compare views of one and two eyes
Be aware of space between objects rather than the objects themselves.