So What Has So, What Has So, What Has So What Has Vision Done For - - PowerPoint PPT Presentation

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So What Has So, What Has So, What Has So What Has Vision Done For Vision Done For Vision Done For Vision Done For Me Lately? Me Lately? Me Lately? Me Lately? Prepared for ICBO Prepared for ICBO Prepared for ICBO Prepared for ICBO


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SLIDE 1

So What Has So What Has So, What Has So, What Has Vision Done For Vision Done For Vision Done For Vision Done For Me Lately? Me Lately? Me Lately? Me Lately?

Prepared for ICBO Prepared for ICBO Prepared for ICBO Prepared for ICBO Ontario, CA Ontario, CA By: R. A. Hohendorf OD By: R. A. Hohendorf OD April 2010 April 2010

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SLIDE 2

Why do we need vision? Why do we need vision? Why do we need vision? Why do we need vision?

 “We need vision for

“We need vision for two

two quite different

quite different

We need vision for We need vision for two

two quite different

quite different but complementary but complementary reasons

reasons

 We need vision to give us detailed knowledge

We need vision to give us detailed knowledge

 We need vision to give us detailed knowledge

We need vision to give us detailed knowledge

  • f the world beyond ourselves
  • f the world beyond ourselves –

– knowledge knowledge that allows us to recognize things from minute that allows us to recognize things from minute t at a o s us to ecog e t gs

  • ute

t at a o s us to ecog e t gs

  • ute

to minute and day to day to minute and day to day

 We also need vision to guide our actions in

We also need vision to guide our actions in g that world at the very moment they occur” that world at the very moment they occur”

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SLIDE 3

Definition Of Vision Definition Of Vision Definition Of Vision Definition Of Vision

 Vision is the deriving of meaning and

Vision is the deriving of meaning and

 Vision is the deriving of meaning and

Vision is the deriving of meaning and direction of action as triggered by light direction of action as triggered by light

 It is our dominant sensory system

It is our dominant sensory system

 It is our dominant sensory system

It is our dominant sensory system

 It is a pervasive process of the human being

It is a pervasive process of the human being

It i t d ti It i t d ti

 It is not accommodation, convergence,

It is not accommodation, convergence, depth perception, visual closure, eyesight, depth perception, visual closure, eyesight, i l it no i l field i l it no i l field visual acuity nor visual fields visual acuity nor visual fields

 These are some parts of the visual process

These are some parts of the visual process

 Vision is more than the sum of its parts

Vision is more than the sum of its parts

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SLIDE 4

A Communication Tool A Communication Tool

Principles Supported By Modern Neuro Principles Supported By Modern Neuro-

  • Science

Science

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SLIDE 5

Vision as an Emergent Vision as an Emergent Vision as an Emergent Vision as an Emergent

 An emergent is more than the sum of its

An emergent is more than the sum of its

 An emergent is more than the sum of its

An emergent is more than the sum of its parts parts Vision is not the only emergent Vision is not the only emergent

 Vision is not the only emergent

Vision is not the only emergent

 Vision is a continuum in constant flux

Vision is a continuum in constant flux

 Visual memory is our past

Visual memory is our past

 Eyesight is the present

Eyesight is the present

 Visual imagery is the possibilities of the future

Visual imagery is the possibilities of the future

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SLIDE 6

Parts Parts Parts Parts

 The problem with looking at parts and

The problem with looking at parts and

 The problem with looking at parts and

The problem with looking at parts and reductionist thinking reductionist thinking Clock example (thank you Rob Lewis) Clock example (thank you Rob Lewis)

 Clock example (thank you Rob Lewis)

Clock example (thank you Rob Lewis)

 Vision in particular is very difficult to look

Vision in particular is very difficult to look t t d d t d i it l it t t d d t d i it l it at parts and understand in its complexity at parts and understand in its complexity

 Vision is an Emergent

Vision is an Emergent

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SLIDE 7

Interesting Visual Perspectives Interesting Visual Perspectives Interesting Visual Perspectives Interesting Visual Perspectives

 We sample things visually at 3

We sample things visually at 3-5 times per 5 times per

 We sample things visually at 3

We sample things visually at 3 5 times per 5 times per second yet our perception is constant second yet our perception is constant We see things after they have happened We see things after they have happened

 We see things after they have happened

We see things after they have happened

 The power of visual imagery and

The power of visual imagery and

anticipation anticipation anticipation anticipation

 Visual motor skill exception

Visual motor skill exception

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SLIDE 8

Anticipation Anticipation Anticipation Anticipation

 “Experiments that have tested people’s

“Experiments that have tested people’s reaching and grasping under monocular reaching and grasping under monocular reaching and grasping under monocular reaching and grasping under monocular viewing conditions have shown that the viewing conditions have shown that the reaches are much slower more tentative reaches are much slower more tentative reaches are much slower, more tentative reaches are much slower, more tentative and less accurate than the same and less accurate than the same movements made under normal binocular movements made under normal binocular movements made under normal binocular movements made under normal binocular viewing conditions. It is binocular viewing conditions. It is binocular information that allows us to make information that allows us to make information that allows us to make information that allows us to make grasping movements that are calibrated grasping movements that are calibrated correctly for distance and tailored to the correctly for distance and tailored to the correctly for distance and tailored to the correctly for distance and tailored to the real size of the object.” real size of the object.”

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SLIDE 9

Binocularity and Grasping Binocularity and Grasping Binocularity and Grasping Binocularity and Grasping

“O h d d “O h d d

 “Our hand and

“Our hand and fingers adopt the fingers adopt the final posture of the final posture of the final posture of the final posture of the grasp well before grasp well before we make contact.” we make contact.”

 “At about 2/3rds

“At about 2/3rds the way to the the way to the

  • bject begin to
  • bject begin to
  • bject begin to
  • bject begin to

close in on the close in on the

  • bject.”
  • bject.”
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SLIDE 10

A Review Of The Visual A Review Of The Visual Pathway (The Parts) Pathway (The Parts)

 Known Pathways

Known Pathways

 Known Pathways

Known Pathways

 Magnocellular and Parvocellular Pathways

Magnocellular and Parvocellular Pathways Vi l Att ti Vi l Att ti

 Visual Attention

Visual Attention

 Metrics

Metrics

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SLIDE 11

Visual Pathways Visual Pathways Visual Pathways Visual Pathways

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SLIDE 12

Magno and Parvo Magno and Parvo Magno and Parvo Magno and Parvo

 Two types of retinal cells that send input

Two types of retinal cells that send input

 Two types of retinal cells that send input

Two types of retinal cells that send input to the brain to the brain Magno Magno

 Magno

Magno

 Fast

Fast L ti fi ld L ti fi ld

 Large receptive fields

Large receptive fields

 Motion detection

Motion detection

 Mid brain and posterior parietal projection

Mid brain and posterior parietal projection

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SLIDE 13

Magno and Parvo Magno and Parvo Magno and Parvo Magno and Parvo

 Parvo

Parvo

 Parvo

Parvo

 Slower (relatively speaking)

Slower (relatively speaking)

 Smaller receptive cells

Smaller receptive cells

 Smaller receptive cells

Smaller receptive cells

 Color

Color V1 projection V1 projection

 V1 projection

V1 projection

 Tiling Concepts

Tiling Concepts

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SLIDE 14

Rod and Cone Retinal Rod and Cone Retinal Distribution Distribution

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SLIDE 15

M & P Cell M & P Cell Absolute Absolute Absolute Absolute Densities in the Densities in the Retina Retina

From From E.Hussey E.Hussey JBO JBO Vol Vol 14/2003 14/2003 “Speculations on the “Speculations on the nature of visual motion nature of visual motion – –

  • ptometric implications
  • ptometric implications
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SLIDE 16

Magno and Parvo Myths Magno and Parvo Myths Magno and Parvo Myths Magno and Parvo Myths

 Rod and Cone myths:

Rod and Cone myths:

 Rod and Cone myths:

Rod and Cone myths:

 All magnocellular cells are rods

All magnocellular cells are rods

 All parvocellular cells are cones

All parvocellular cells are cones

 All parvocellular cells are cones

All parvocellular cells are cones

 Central and Peripheral Vision myths:

Central and Peripheral Vision myths:

ll l l f ld ll ll l l f ld ll

 All central visual field cells are cones

All central visual field cells are cones

 All Peripheral visual field cells are rods

All Peripheral visual field cells are rods

 Dorsal and Ventral Pathway myths:

Dorsal and Ventral Pathway myths:

 All magnocellular cells are dorsal stream cells

All magnocellular cells are dorsal stream cells

 All parvocellular cells are ventral stream cells

All parvocellular cells are ventral stream cells

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SLIDE 17

Visual attention Visual attention Visual attention Visual attention

 We cannot attend to everything we see all

We cannot attend to everything we see all

 We cannot attend to everything we see all

We cannot attend to everything we see all the time (most likely at any time) the time (most likely at any time) We select an area of space from which to We select an area of space from which to

 We select an area of space from which to

We select an area of space from which to derive meaning and direct action derive meaning and direct action S t fi S t fi

 Some anatomy figures

Some anatomy figures

 10% of V1 input is from the eyes

10% of V1 input is from the eyes

 More V1 connections from RAS than from

More V1 connections from RAS than from eyes eyes

 Feed forward connections

Feed forward connections

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SLIDE 18

Metrics Metrics Metrics Metrics

 Measuring things

Measuring things

In inches feet meters cubits In inches feet meters cubits

 In inches, feet, meters, cubits

In inches, feet, meters, cubits

 The problem with “where” is the metric of

The problem with “where” is the metric of the brain is not in societal terms the brain is not in societal terms the brain is not in societal terms the brain is not in societal terms

 Visual metrics

Visual metrics

A f th b ? A f th b ?

 Any of the above?

Any of the above?

 Seems to be anthropometric units

Seems to be anthropometric units

 Specifically the body part(s) related to

Specifically the body part(s) related to produce the range and facility of movement produce the range and facility of movement to perform an activity to perform an activity to perform an activity to perform an activity

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SLIDE 19

Metrics Metrics Metrics Metrics

 “The use of scene

“The use of scene-based metrics means based metrics means

The use of scene The use of scene based metrics means based metrics means that the brain can construct this that the brain can construct this representation in great detail without representation in great detail without representation in great detail without representation in great detail without having to compute the absolute size, having to compute the absolute size, distance and geometry of each object in distance and geometry of each object in distance and geometry of each object in distance and geometry of each object in the scene.” the scene.”

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SLIDE 20

A Universal Yet Different Metric A Universal Yet Different Metric A Universal Yet Different Metric A Universal Yet Different Metric

 Parietal lobe

Parietal lobe

 Parietal lobe

Parietal lobe

 Center of Spatial map

Center of Spatial map

 End of Dorsal pathway

End of Dorsal pathway

 End of Dorsal pathway

End of Dorsal pathway

 Seems to broadcast to various other brain

Seems to broadcast to various other brain motor areas so we can use hands feet or motor areas so we can use hands feet or motor areas so we can use hands, feet, or motor areas so we can use hands, feet, or any other body part as “the current” metric any other body part as “the current” metric

 Necessary to perform the desired action

Necessary to perform the desired action

 Necessary to perform the desired action

Necessary to perform the desired action gracefully gracefully

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SLIDE 21

Why two systems? Why two systems? Why two systems? Why two systems?

 “Visual perception is there to let us make

“Visual perception is there to let us make p p p p sense of the outside world and to create sense of the outside world and to create representations of it in a form that can be representations of it in a form that can be p filed away for future reference. filed away for future reference.

 In contrast, the control of a motor act

In contrast, the control of a motor act

 In contrast, the control of a motor act

In contrast, the control of a motor act requires accurate information about the requires accurate information about the actual size, location, and motion of the actual size, location, and motion of the actual size, location, and motion of the actual size, location, and motion of the target object. This information has to be target object. This information has to be coded in the absolute metrics of the real coded in the absolute metrics of the real coded in the absolute metrics of the real coded in the absolute metrics of the real world.” world.”

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SLIDE 22

Why Two Systems? Why Two Systems? Why Two Systems? Why Two Systems?

 “The dorsal stream works in real time and

“The dorsal stream works in real time and

The dorsal stream works in real time and The dorsal stream works in real time and stores the required visuomotor stores the required visuomotor coordinates only for a very brief period coordinates only for a very brief period – coordinates only for a very brief period coordinates only for a very brief period at most for a few hundred milliseconds.” at most for a few hundred milliseconds.” “The ventral stream on the other hand is “The ventral stream on the other hand is

The ventral stream, on the other hand, is The ventral stream, on the other hand, is designed to operate over a much longer designed to operate over a much longer time scale ” time scale ” time scale. time scale.

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SLIDE 23

 “The visuomotor system is largely isolated

“The visuomotor system is largely isolated y g y y g y from perception. Its modus operandi seems from perception. Its modus operandi seems to be to disregard information from much of to be to disregard information from much of the scene when guiding goal the scene when guiding goal-

  • directed

directed movements like grasping, restricting itself to movements like grasping, restricting itself to the critical visual information that is required the critical visual information that is required for that movement.” for that movement.”

 “The visuomotor system works in real time.

“The visuomotor system works in real time. When a delay is imposed, perception When a delay is imposed, perception i d A d if i i i fl d b i d A d if i i i fl d b

  • intrudes. And if perception is influenced by
  • intrudes. And if perception is influenced by

an illusion so is the delayed movement.” an illusion so is the delayed movement.”

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SLIDE 24

Where Does The Visual Where Does The Visual Process Start? Process Start?

 Developmentally

Developmentally p y p y

 Optic pit

Optic pit

 Eyes migrate from brain to forward position

Eyes migrate from brain to forward position y g a

  • b a
  • o

a d po

  • y

g a

  • b a
  • o

a d po

  •  In real Life Use

In real Life Use

 The eye?

The eye?

 The eye?

The eye?

 More specifically the retina?

More specifically the retina?

 The retina is a piece of brain exposed to light

The retina is a piece of brain exposed to light

 The retina is a piece of brain exposed to light

The retina is a piece of brain exposed to light

 in a mobile container

in a mobile container

 There is at least one more probable possibility

There is at least one more probable possibility

 There is at least one more probable possibility

There is at least one more probable possibility

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SLIDE 25

Vision Starts Where? Vision Starts Where? Vision Starts Where? Vision Starts Where?

 The dilemma of where to look first (next)?

The dilemma of where to look first (next)?

 The dilemma of where to look first (next)?

The dilemma of where to look first (next)?

 Implies the brain starts the visual process

Implies the brain starts the visual process

 Based upon what information it needs (next)

Based upon what information it needs (next)

 Based upon what information it needs (next)

Based upon what information it needs (next)

 The visual process is a never ending

The visual process is a never ending t l t l sensory motor cycle sensory motor cycle

 Once started we want to see the next part

Once started we want to see the next part

 Putting meaning to what we are seeing is a

Putting meaning to what we are seeing is a cycle there is no consistent start or stop cycle there is no consistent start or stop points points points points

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SLIDE 26

Let’s Make A Deal Let’s Make A Deal Let s Make A Deal Let s Make A Deal

 The eyes and brain have a contract

The eyes and brain have a contract

 The eyes and brain have a contract

The eyes and brain have a contract

 The brain agrees to accept what the eyes

The brain agrees to accept what the eyes send it as long as send it as long as send it….. as long as send it….. as long as

 The eyes agree to look where the brain

The eyes agree to look where the brain t th t l k t t th t l k t wants them to look next. wants them to look next.

 Feed forward and feedback loops are set

Feed forward and feedback loops are set up which are essential components for up which are essential components for learning to move with grace learning to move with grace

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SLIDE 27

“How” The Crux Of The Matter “How” The Crux Of The Matter How The Crux Of The Matter How The Crux Of The Matter

 “How” is a new concept introduced to me

“How” is a new concept introduced to me

How is a new concept introduced to me How is a new concept introduced to me by Greg Kitchener OD. by Greg Kitchener OD. Originally the descriptions of ventral and Originally the descriptions of ventral and

 Originally the descriptions of ventral and

Originally the descriptions of ventral and dorsal streams were in terms of “what” dorsal streams were in terms of “what” and “ and “where”

where”

and and where

where .

 It was Karl Pribram who first pointed out

It was Karl Pribram who first pointed out th t th diff b d th t th diff b d th th that the difference, based on that the difference, based on the the experimental conditions, was better experimental conditions, was better

h ” h ”

described as “what” and “ described as “what” and “how”

how”.

.

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SLIDE 28

How How How How

 It is important to realize that the "what"

It is important to realize that the "what"

 It is important to realize that the what

It is important to realize that the what aspect is strongly linked to a verbal aspect is strongly linked to a verbal naming naming naming naming

 What about “Where”?

What about “Where”? It t i i i bl It t i i i bl

 Its metric is variable

Its metric is variable

 What is it linked to?

What is it linked to?

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SLIDE 29

How How How How

 Also, there is an Optometric attachment to

Also, there is an Optometric attachment to the term “where” the term “where”

 “Where am I?”

“Where am I?”

 “where is it?”

“where is it?”

 In thinking about

In thinking about Pribram's suggestion of Pribram's suggestion of In thinking about In thinking about Pribram s suggestion of Pribram s suggestion of “how” it occurred to Greg Kitchener “how” it occurred to Greg Kitchener that that the coordinates for a the coordinates for a "where" system were "where" system were t e coo d ates o a t e coo d ates o a e e syste e e e e syste e e dependent on “how” dependent on “how”

 Expressing “where is something” is based

Expressing “where is something” is based

 Expressing where is something is based

Expressing where is something is based upon how you will interact with it upon how you will interact with it

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SLIDE 30

Outside Optometry Outside Optometry Outside Optometry Outside Optometry

 Cognitive Neuroscience seems to be

Cognitive Neuroscience seems to be working on many issues that we would working on many issues that we would working on many issues that we would working on many issues that we would consider visual consider visual In my neuroscience readings the “how” In my neuroscience readings the “how”

 In my neuroscience readings the “how”

In my neuroscience readings the “how” concept and terminology are common concept and terminology are common

 They seem to be zeroing in on the point

They seem to be zeroing in on the point that the brain processes information in that the brain processes information in d f d f

  • rder to figure out:
  • rder to figure out:

“HOW” “HOW”

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SLIDE 31

Goodale and Milner stated: Goodale and Milner stated: Goodale and Milner stated: Goodale and Milner stated:

 “The modularity in the dorsal stream is

“The modularity in the dorsal stream is

The modularity in the dorsal stream is The modularity in the dorsal stream is based not on the particular visual features based not on the particular visual features that are being extracted from the visual that are being extracted from the visual that are being extracted from the visual that are being extracted from the visual array so much as on the nature of the array so much as on the nature of the actions guided by vision actions guided by vision actions guided by vision. actions guided by vision.

 These actions include things like reading;

These actions include things like reading; saccadic (quick) eye movements; pursuit saccadic (quick) eye movements; pursuit saccadic (quick) eye movements; pursuit saccadic (quick) eye movements; pursuit (slow) eye movements; grasping with the (slow) eye movements; grasping with the hand and whole hand and whole body locomotion ” body locomotion ” hand and whole hand and whole-body locomotion. body locomotion.

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SLIDE 32

Thinking Aloud Thinking Aloud Thinking Aloud Thinking Aloud

 Walking, reaching, driving or putting in an

Walking, reaching, driving or putting in an a g, a g, d g o pu g a a g, a g, d g o pu g a eye wire screw all have different eye wire screw all have different coordinate (metric) systems based on the coordinate (metric) systems based on the different natures of the interactions different natures of the interactions different natures of the interactions different natures of the interactions

 The basis in each

The basis in each case is ourselves and our case is ourselves and our abilities abilities (as extended by tools) (as extended by tools) ( y ) ( y )

 And the nature of the interaction

And the nature of the interaction

 In each case our "where" response

In each case our "where" response d d d d "h ” "h ” depends on depends on "how” "how”

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SLIDE 33

Intention Intention The Nature Of The Interaction The Nature Of The Interaction

 How we pick up a pencil to write vs. throw

How we pick up a pencil to write vs. throw

  • p

up a p

  • s
  • p

up a p

  • s
  • is dependant on how!

is dependant on how!

 The object (or tool) and our intentions are

The object (or tool) and our intentions are i t l t f “h ” i t l t f “h ” an integral part of “how” an integral part of “how”

 This incorporates:

This incorporates:

B d h k l d B d h k l d

 Body schema knowledge

Body schema knowledge

 Motor planning

Motor planning

 Motor action

Motor action

 Motor action

Motor action

 Motor Feedback

Motor Feedback

 Gee! Also they are also parts of Visual

Gee! Also they are also parts of Visual

 Gee! Also they are also parts of Visual

Gee! Also they are also parts of Visual Development and the Visual Process. Development and the Visual Process.

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SLIDE 34

Thinking Aloud Thinking Aloud Thinking Aloud Thinking Aloud

 “I

“I understand that "where" seems more understand that "where" seems more

I understand that where seems more understand that where seems more intuitive and obvious, but I suggest that intuitive and obvious, but I suggest that this is because we tend to assume the this is because we tend to assume the this is because we tend to assume the this is because we tend to assume the "how" "how" so strongly that “how” tends to so strongly that “how” tends to become transparent” become transparent” become transparent become transparent

 “This has tended to conceal the fact that

“This has tended to conceal the fact that the coordinates of "where" are not the coordinates of "where" are not the coordinates of where are not the coordinates of where are not constant” constant”

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SLIDE 35

Practicality Practicality Practicality Practicality

 We are constantly interacting with our

We are constantly interacting with our

 We are constantly interacting with our

We are constantly interacting with our environment. environment.

 That interaction or planned interaction is

That interaction or planned interaction is

 That interaction or planned interaction is

That interaction or planned interaction is always based upon the question “HOW”? always based upon the question “HOW”?

 “HOW” do we decide; Where am I?,

“HOW” do we decide; Where am I?,

HOW do we decide; Where am I?, HOW do we decide; Where am I?, Where is it?, What is it?, Who should I Where is it?, What is it?, Who should I share this with? (The traditional 4 circles) share this with? (The traditional 4 circles) ( ) ( )

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SLIDE 36

More Global More Global - More Practical More Practical More Global More Global More Practical More Practical

 “HOW”

“HOW” is it we (decide to) choose a

is it we (decide to) choose a

 HOW

HOW is it we (decide to) choose a

is it we (decide to) choose a portion of space from which to derive portion of space from which to derive meaning or direct action? meaning or direct action? meaning or direct action? meaning or direct action?

 “HOW”

“HOW” is it we (decide to) use ourselves

is it we (decide to) use ourselves to accomplish anything? To interact with to accomplish anything? To interact with

  • ur world in any way?
  • ur world in any way?

 “HOW

HOW” is constant in our lives!

” is constant in our lives!

“HOW” “HOW” is what drives and literally moves

is what drives and literally moves

 HOW

HOW

is what drives and literally moves is what drives and literally moves us us

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SLIDE 37

How How How How

 “How”

“How” can I do this?

can I do this?

 How

How

can I do this? can I do this?

 “How”

“How” can I get that done?

can I get that done?

 The fundamental question “HOW?” is a

The fundamental question “HOW?” is a

dynamic, life long quest of our brains dynamic, life long quest of our brains d b di d b di and bodies. and bodies.

 “

“ HOW” HOW” drives our development and for

drives our development and for Optometric purposes it Optometric purposes it drives

drives the use the use and development of the visual and development of the visual

  • e
  • e

process. process.

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SLIDE 38

So What? So What? So What? So What?

 Most research is now shifting from “where

Most research is now shifting from “where

 Most research is now shifting from where

Most research is now shifting from where is it” to acting upon objects. is it” to acting upon objects. The traditional way we look at vision The traditional way we look at vision

 The traditional way we look at vision

The traditional way we look at vision amongst ourselves is not the way the rest amongst ourselves is not the way the rest

  • f the world is looking at it
  • f the world is looking at it
  • f the world is looking at it
  • f the world is looking at it

 Not only is the eyesight vs. vision concept

Not only is the eyesight vs. vision concept ( h ld d ) t k l d d b ( h ld d ) t k l d d b (we hold so dear) not acknowledged by (we hold so dear) not acknowledged by

  • thers, the purpose and action of vision as
  • thers, the purpose and action of vision as

k it i hidd ll k it i hidd ll we know it is hidden as well we know it is hidden as well

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SLIDE 39

Opportunity Opportunity Opportunity Opportunity

 I propose a uniting concept

I propose a uniting concept

 I propose a uniting concept

I propose a uniting concept

 Instead of thinking acuity, phorias, ACA,

Instead of thinking acuity, phorias, ACA, VIP think about these as part of the VIP think about these as part of the VIP, think about these as part of the VIP, think about these as part of the logistics of “How” logistics of “How” If thi k f th i i h l If thi k f th i i h l

 If we think of the ways vision helps us

If we think of the ways vision helps us figure out and execute “H figure out and execute “How

  • w”, it will

”, it will change our ability to communicate more change our ability to communicate more effectively the role the visual process plays effectively the role the visual process plays in living life in living life

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SLIDE 40

Application Application Application Application

 Specifically:

Specifically:

 Specifically:

Specifically:

 How we communicate with others about the

How we communicate with others about the value of vision value of vision value of vision value of vision

 How we look at the services and materials we

How we look at the services and materials we

  • ffer our patients
  • ffer our patients
  • ffer our patients
  • ffer our patients

 How Optometry is in a unique position to help

How Optometry is in a unique position to help patients patients p

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SLIDE 41

Application Application Application Application

 Clinically it can also help understand and

Clinically it can also help understand and

 Clinically it can also help understand and

Clinically it can also help understand and explain: explain:

 The tests we use and how we interpret them

The tests we use and how we interpret them

 The tests we use and how we interpret them

The tests we use and how we interpret them

 Retinoscopy was shown to be related to patient

Retinoscopy was shown to be related to patient interaction by Dr’s Ilg, Getman, Streff at the Gessel interaction by Dr’s Ilg, Getman, Streff at the Gessel y g, , y g, , Institute for Childhood Development/Yale as early Institute for Childhood Development/Yale as early as mid 1940,s as mid 1940,s Strengths and weaknesses of standardized testing Strengths and weaknesses of standardized testing

 Strengths and weaknesses of standardized testing

Strengths and weaknesses of standardized testing

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SLIDE 42

Application Application Application Application

 Lenses and their effect on the visual process

Lenses and their effect on the visual process

 Lenses and their effect on the visual process

Lenses and their effect on the visual process

 Why patients respond differently to the same lens

Why patients respond differently to the same lens

 It not what a lens does to the patient it’s what the

It not what a lens does to the patient it’s what the p patient does with the lens patient does with the lens

 The visual process and its relationships to

The visual process and its relationships to b h b h behavior behavior

 Motor Changes

Motor Changes d ll th th diff t h i ti t d ll th th diff t h i ti t

 and all the other different changes seen in patients

and all the other different changes seen in patients with Optometric treatment options with Optometric treatment options

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SLIDE 43

Application And Opportunity Application And Opportunity Application And Opportunity Application And Opportunity

 In Summary it helps us determine:

In Summary it helps us determine:

What we can do to help patients when What we can do to help patients when th i i i i i t f i ith “HOW” th i i i i i t f i ith “HOW” their vision is interfering with “HOW” their vision is interfering with “HOW” they do their daily activities !! they do their daily activities !!

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SLIDE 44

Thank You! Thank You! Thank You! Thank You!

For your attention For your attention For your attention For your attention And for the opportunity to present to you at And for the opportunity to present to you at the 2010 ICBO the 2010 ICBO