1. A motion controlled handheld device, comprising: a first accelerometer operable to detect acceleration along a first axis; a second accelerometer operable to detect acceleration along a second axis, the second axis perpendicular to the first axis; a tilt detection component operable to detect rotation having a component around at least one of the first axis and the second axis, the tilt detection component comprising: a first camera operable to generate a first video stream; a video analysis module operable to detect a direction of motion based on the first video stream; a range finder operable to determine distance information including a distance between the device and an object in the first video stream, wherein the video analysis module is further operable to determine a magnitude of translation of the device using the distance; a display operable to present a current image; a motion tracking module operable to track motion of the device in three dimensions using the first accelerometer, the second accelerometer, and the tilt detection component; and a controller operable to generate the current image and to modify the current image in response to the motion of the device.