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The Work & Wisdom

of
Dr. Frederick W. Brock
Susan R. Barry, Ph.D. wife’s grandfather was Frederick Brock. care and taught that a patient’s symptoms
Mount Holyoke College I contacted Mr. Alvarez and, through him, can often be understood as coping mecha-
South Hadley, MA

F
spoke by phone with Dr. Brock’s daugh- nisms for his or her condition.
rederick W. Brock understood stra- ter, Dolores (Dee) Brock Partridge. From As Brock describes on pages 12 and 13
bismus better than any other indi- Mrs. Partridge, I learned that Dr. Brock in his notes, strabismus may be as much
vidual, yet most vision care professionals was born in Switzerland in 1899 and came an adaptation to, as it is a cause of, a poor
have never heard of his work. If they do to the United States in 1921 to attend ability to fuse. For accurate spatial orien-
recognize his name, it is probably in as- the Columbia School of Optometry. Dr. tation, an individual should receive simi-
sociation with the Brock string. That is Brock loved kids and loved to help people lar, fusable images from the macula of
how I first heard of Dr. Brock. I was a with their vision. He tuned up the vision each eye. Dissimilar, non-fusible images
48-year-old patient in optometric vision of young men who wanted to join the produce diplopia and visual confusion, re-
therapy who had been esotropic since service in World War II. When a French quiring suppression of the macular image
early infancy. Although I had undergone teacher’s son needed vision therapy, he of one eye. If it is not possible to obtain
three childhood surgeries, I continued to provided the training in return for extra fusion, then “a determined effort may be
alternately fixate, was stereoblind, and tutoring lessons for Dee. At the end of our made to throw the two eyes into greater
had a poor sense of the visual periphery. phone conversation, Mrs. Partridge added disalignment so that the non-macular
All of this changed as a result of vision that she was about to move into a smaller image of the fixation object becomes so
therapy provided by my optometrist, Dr. home. She had a notebook of all her fa- poorly defined (because of its peripheral
Theresa Ruggiero. Fascinated by the ther’s papers and wondered if I would be location in the turned eye) that it can be
power of the Brock string and other vi- willing to take them. easily suppressed.”
sion therapy tools, I wanted to learn more All of the papers that Mrs. Partridge gave I was very struck by Brock’s explanation
about Dr. Brock but discovered that many me were already present in the library of of strabismus especially when I learned
of his publications were difficult to ob- SUNY’s College of Optometry - with one how I used my eyes for reading prior to
tain. He had, for example, published his exception. There was an unpublished, optometric vision therapy.11 While fixat-
visual training manuals in serial form in type-written manuscript entitled “Lecture ing the words with one eye, I turned the
the Optometric Weekly of the 1940’s and Notes on Strabismus” by Frederick W. other by 25 prism diopters. Hence, letters
50’s.a, 1-6 I took trips into Manhattan to the Brock, and this document summarized foveated by the fixating eye cast their im-
library of SUNY’s College of Optometry Dr. Brock’s most important observations age on the blind spot of the turned eye.
where I would engage in marathon Xerox- and insights.9 With Mrs. Partridge’s per- Unconsciously, I had found a way to
ing sessions of Dr. Brock’s papers. mission, I have now published the notes eliminate conflicting input from the non-
In 2006, my stereovision story titled on my website.b A synopsis of this manu- fixating eye.
“Stereo Sue,” was first published by Dr. script, along with my own thoughts are It is the nature of the posture
Oliver Sacks in The New Yorker.7 A week provided in the following paragraphs. that determines the nature of
later, an interview with me aired on NPR’s Frederick Brock began his lecture notes the responses.
Morning Edition.8 Among the many let- with a list of his basic principles identi- “It is the nature of the posture which de-
ters and emails in response to that pro- fied as “organismic laws,” and, from time termines the nature of the responses...
gram was a letter to Dr. Ruggiero from a to time, referred to people in general as while the eyes are in a strabismic posture,
man named Bruce Alvarez. He wrote that “the organism.” These terms sound odd the individual thinks strabismically, but
he was happy to hear mention of the Brock to modern ears, but they derive from the minute his eyes are in a normal pos-
string during the radio program since his Brock’s studies of the work of neurolo- ture he ceases to think strabismically and
gist, Kurt Goldstein, author of the classic thinks the way we do.”9 Hence, the ability
Barry S. The Work & Wisdom of Dr. Frederick W. book, The Organism.10 Like Goldstein, to interpret stereoscopically does not have
Brock. J Behav Optom 2011;22:59-63. Brock took a holistic approach to patient to be taught. What has to be taught is the
Journal of Behavioral Optometry Volume 22/2011/Number 3/Page 59
ability to posture binocularly, to aim the exist, one for each eye, and the resulting laws,” we tend to complete an act by us-
two eyes simultaneously at the same point “ambiocular” field percept results from a ing the least amount of energy possible.
in space. This concept summarizes the summation of the right and left percepts. If a person with exotropia can accomplish
major theme of Brock’s lecture notes and In contrast, a binocular sensory field per- his goal without making the effort to pos-
also captures one of the many epiphanies cept is neither the percept from the right ture binocularly, then he will not expend
I experienced while going through opto- or left eye but differs qualitatively from the energy to do so. Vision therapy must
metric vision therapy. I remember in viv- both. This is a very important insight, one be designed, therefore, to make binocular
id detail the vision therapy session where missed by many vision scientists, and one posture so automatic that it is adopted at
I first attempted to fuse a near then a far that took me entirely by surprise. When I all times.
bead on the Brock string. I felt for the first was able to position my eyes for fu- When Brock first met a patient with
first time my eyes working together and, sion, the resulting percept, a sense of pal- strabismus, he spent a great deal of time
later that day, experienced my first stereo pable pockets of space between objects, looking for “a point of attack,” a distance
views. By moving my eyes into a position was entirely novel. It provided me with range in space where the patient postured
for fusion, by making what Brock called a a new quale. binocularly. Once this was found, the pa-
“fusion effort,” I ceased to “think strabis- How did Brock discover the relationship tient was presented with tasks just outside
mically” and saw the world for the first between eye posture and visual interpre- this viewing range. These tasks could not
time in stereo depth. tation? Certainly, he learned a great deal be completed if the patient remained in a
The relationship between our eye posture from his work with strabismic patients, strabismic posture. Instead, the individual
and our interpretation of the visual scene but a second source for his insights ap- had to make a real effort to move his or
guided Brock in the design of all his train- pears on page 30 of the lecture notes. her eyes into a binocular posture. Only
ing protocols. He divided eye posture Brock describes how he often experienced then would the patient make a shift in
into three basic variations: binocular pos- diplopia when looking at a traffic light thinking and arrive at a new visual inter-
ture in which one looks at a single fixa- due to an intermittent divergent position pretation. Since most of Brock’s patients
tion object simultaneously with both eyes; of his eyes. It was, he wrote, “a simple demonstrated binocular posture at a dis-
monocular posture in which only one eye matter to fuse [the two images], but this tance within arm’s reach, Brock gradually
fixates the target, and finally ambiocular results in appreciable difference in the expanded their binocular range by pre-
posture (known more commonly as anom- general appearance of the landscape”9 senting them with stereo targets projected
alous correspondence.) With monocular (italics mine). Thus, Brock experienced onto a screen placed further and further
posture, the individual uses only the input for himself the change in visual interpre- away. Like many of his other training
from the fixating eye to interpret the vi- tation that is brought about by a change in tools, he built this projection device him-
sual target. In contrast, an individual us- eye position. self; he called it a “Brock stereomotiva-
ing ambiocular posture can look in two di- There is a natural tendency tor” (BSM). Thus, Brock attempted to
rections at once and interpret the macular toward completion of a obtain binocular posture right at the onset
images of both eyes simultaneously. This contemplated act and to of training and then strengthened this abil-
adaptation develops over time in those accomplish it with the least ity to the point that it became automatic
individuals who initially posture monoc- expenditure of energy. under virtually all circumstances.
ularly and then learn to make use of the Brock described his visual condition as Since the patient must make a fusion ef-
macular image of the turned eye. Am- “retinal slip,” or a moderate tropia of the fort to see with normal binocular vision,
biocular or strabismic seeing provides a eyes. Under these conditions, the two fo- passive interventions that compensate for
sophisticated, visual interpretation of the veas are no longer aligned, stereoacuity is the eye turn, including surgery and prisms,
world. However, normal binocular vision compromised, but peripheral fusion may do not generally result in stereovision.
is achieved only when the eyes are in nor- still be possible. Brock did not believe Moreover, attempts at training individuals
mal binocular posture. Brock maintained that his awareness of diplopia led to re- to see binocularly when their eyes are in
that visual training for all strabismics, in- establishment of bi-fixation. Indeed, he their strabismic posture are least likely to
cluding suppressors, amblyopes, alterna- wrote that the diplopic view of the traffic succeed. Thus, one should not attempt to
tors, and ambioculars, must involve the light was a pleasant experience! Howev- train a patient to fuse images that are pre-
establishment of binocular posture. er, if the driving situation demanded more sented through an amblyoscope at the pa-
Binocular vision requires a binocular sen- accurate spatial localization, his eyes tient’s strabismic angle. Binocular vision
sory field that assumes, in turn, the exis- moved into binocular posture. should always be associated with proper
tence of fovea-to-fovea correspondence. The same was true for many of Brock’s binocular posture.
Brock was adamant in insisting that cor- patients. “Nearly all strabismics” Brock After years of working with patients with
responding retinal regions consist of the stated, “have occasional moments when an ambiocular way of seeing, Brock con-
two foveas and areas equidistant from they maintain binocular vision. The only cluded that ambiocular vision or anoma-
and on the same side of each fovea. No reason this is not generally known is that lous correspondence did not have to be
other areas are acceptable as correspond- most of us have never taken the trouble “broken down.” If one could get the pa-
ing retinal regions. An individual with to discover the fact.” Many patients, par- tient with ambiocular vision to move his
ambiocular vision does not fuse the im- ticularly those with exotropia, posture eyes into normal binocular posture, then a
ages from corresponding regions and does binocularly but only if this effort is neces- normal binocular interpretation of the vi-
not therefore enjoy a binocular sensory sary for successful completion of a task. sual world would ensue. He tells a story
field. Instead, two separate sensory fields As Brock discussed in his “organismic of one young woman with exotropia who
Volume 22/2011/Number3/Page 60 Journal of Behavioral Optometry
saw ambiocularly. She came to see him complex phenomena into their simpler seeing. To prevent this, Brock prescribed
because she needed glasses, not to treat parts. But there is a danger in trying to plano lenses with binasal occluders that
her exotropia. Brock was curious about understand by oversimplification. For prevented the child from seeing with both
her vision, however, and asked her to per- example, Claude Worth described three maculas at the same time. In this way, she
form some tests with the BSM. He placed degrees of fusion: simultaneous percep- could not develop ambiocular vision or
two small visual targets, each consisting tion (first degree), flat fusion (second the ability to simultaneously interpret the
of a letter enclosed in a little box, on the degree) and stereopsis (third degree).12 spatial location of both macular images.
screen so that one letter was in line with Since this sequence seems to progress At age seven, the child underwent an op-
her right axis of gaze and the other in from the simple to the more complex, eration that cosmetically straightened the
line with her left. He then projected onto some visual training programs may be de- eyes although she continued to alternate
the screen a pair of red/green anaglyphic signed around training first, then second, fixation. After the surgery, Dr. Brock be-
rings that surrounded an image of a rab- then third degree fusion. However, this gan vision training first by using his ste-
bit. While wearing red/green lenses, his sequence may have nothing to do with reomotivator to project anaglyphic Brock
patient kept her eyes on the letters (i.e., the way our vision normally develops. rings onto a viewing screen. After some
in their exotropic position) and reported We are exposed to the three dimensional practice, the child fused the images of the
that she saw one ring that was half red and quality of the world from birth, and our ring and exclaimed that the ring seemed
half green as is expected for ambiocular other senses, such as touch, tell us that the to come toward her or recede through the
vision. world is in 3-D. When we ask a patient projection screen. Immediately after she
When he moved (or motivated) one ring to look into a stereoscope that presents a experienced this stereoscopic percept, Dr.
to the right and the other to the left, the pa- bird to one eye and a cage to the other, we Brock projected a complex stereoscopic
tient initially reported a sideways move- are asking them to perform flat fusion and scene onto the screen. The scene was a
ment of the ring but did not see the ring see the bird in the cage. This never hap- water buffalo standing in water. Here is
leave the plane of the screen. Suddenly, pens in real life. We do not see a bird with where Brock’s attention to the individual
however, her view changed, and she saw one eye and a cage with the other and then patient is clearly evident. He chose this
the ring float closer to her or recede be- make the judgment that the bird is in the image because it most closely resembled a
hind the screen. She even reported SILO. cage! Flat fusion is actually a harder and scene from the child’s own life: she lived
Brock was shocked because this percept less natural process than stereopsis. by a cow pasture with a lake. The child
should not be obtained if her eyes were A familiar image, seen every day, no mat- looked at the screen for a little while and
in a strabismic posture. He wondered if ter how complex, appears more real to us then cried out to her father, “Say, daddy,
his years of testing and theorizing had all than a very simple form. When training that cow is real!” She was fooled into
been in vain. He wrote, “I had hardly the a patient to see stereoscopically, Brock thinking that the virtual, three dimension-
strength to change my location to view provided conditions that best resembled al image of the animal was a real cow!
the patient. It was with both a decided everyday seeing for that individual. With Brock tested her stereoscopic ability fur-
surprise and relief to find that her eyes no his stereomotivator, Brock projected ste- ther by asking her to place a flashlight
longer seemed in their former exotropic reo targets onto a screen. Such a projec- beam only on images perceived at the
position but appeared to be directed to the tion system allows the patient to look depth of the screen. Though the child had
center of the screen. My question “Where out into free space and permits a view of never before seen in stereo, she performed
are you looking?” seemed to come as a the visual periphery that is important for this task accurately.
surprise to her, because after a moment’s aligning the eyes. Moreover, fusion of According to Kurt Goldstein, new visual
hesitation she exclaimed rather dazedly images cast outside the fovea is more eas- experiences do not develop slowly by
that she felt she was looking at the rabbit ily achievable by a strabismic than fusion gradual extension of prior experiences but
rather than the two letters.” The transition of foveal images. In contrast, elimination appear suddenly as complete entities.10
from ambiocular to binocular posture had of the visual periphery with the use of The story of the little girl seeing the 3-D
given her a qualitatively new view of the stereoscopes presents a viewing situation cow certainly supports this hypothesis.
world. that is removed from reality and one that Brock goes on to say, “It is about time that
Training conditions should may be hard for a patient, new to stereos- we abandoned the concept that one-eyed
be made to simulate natural copy, to interpret. While stereoscopes are seeing differs in any major particular from
surroundings as nearly as useful instruments to enhance stereoscop- binocular seeing.” In other words, even a
possible. ic skills, Brock warned that they should one-eyed person understands and appreci-
Visual training, Brock reminds us, should not be used with patients who have not ates that the world is in 3-D. A cardboard
be designed to bring about a better adjust- yet developed a binocular field percept or cut-out of a person looks no more real to
ment of the individual to his natural sur- who are prone to regression to a strabis- him than it does to a normal binocular
roundings. This principle emerges natu- mic posture. viewer. Brock’s young patient, when pre-
rally from his holistic approach to patient On pages 21 and 22 of his lecture notes, sented with the right training conditions,
care. However, this concept is often ig- Brock provides a striking example of his could see with stereopsis because this pro-
nored. For example, patients are asked to principles. He describes a young child cess augmented her lifelong, three-dimen-
work with simple images seen through ste- who had been esotropic since birth. At sional interpretation of the real world.
reoscopes. We assume that simple images age four, she began to develop alternating Like Brock’s little patient, my first stereo
are easier to interpret, a strategy based on fixation, and Brock was concerned that view, the steering wheel of my car float-
a general trend in science to break down this behavior would lead to ambiocular ing in front of the dashboard, came on
Journal of Behavioral Optometry Volume 22/2011/Number 3/Page 61
quite suddenly and filled me with won- street?” I wondered until I realized that velop precise foveal-to-foveal fixation
der. This novel percept emerged because these lights were a reflection of the indoor and fusion, but the change in worldview
my new stereoscopic view of the steering lights and appeared at a distance from the provided by the acquisition of qualitative
wheel and the surrounding space fit with window on the outside equivalent to their stereopsis and perifoveal fusion is pro-
my longstanding interpretation of the spa- distance from the window on the inside. I found.
tial layout of the inside of my car. While did not enjoy such illusions with my ini- Since the process of closure involved
this experience provided me with an un- tial achievement of stereoscopy; the re- in single awareness provides a sense of
forgettable and deeply rewarding experi- flected lights would have appeared in the depth, Brock did not favor vision train-
ence, I actually saw something that I had plane of the window. I required further ing procedures that made patients aware
always known to be true. practice and experience to be so fooled. of physiological diplopia under natural
Yet, I would expand on Brock’s statement Indeed, my adventures with stereoscopy viewing conditions. Diplopia provides
above. A stereoscopic view of the world, have come full circle. While, initially, I an imperfect closure. It is ironic then
as Goldstein probably would have pre- needed conditions that mimicked the real that one of the most powerful and popu-
dicted, does come on quite suddenly, but world to bring out and fine-tune my stere- lar techniques developed by Dr. Brock is
it is deepened by further visual training. oscopy, I can now use my new ability to the Brock string.15 As Brock noted, how-
When I first fused the images in the Quoits see something that is not real! ever, the string method uses physiological
Vectogram, I was able to see a single im- Single Awareness in Binocular diplopia to teach the patient where he is
age of the rope circle and even appreciate Vision aiming his eyes, but it does not resemble a
SILO, but my sense of depth was shallow. Stereovision is not an all-or-none phe- typical target seen under normal viewing
The rope circle appeared only a very small nomena. Brock noted that many individu- situations.
distance in front or behind the vectogram als have a stereoscopic sense even though Frederick Brock was clever in the tools he
sheets. To calibrate my new stereoscopic they may not develop high stereoacuity. built and thorough in his analysis of indi-
abilities, I suspended a string across my In section IV of the lecture notes, Brock vidual case studies, but his real strength
dining room so that the length of the string points out that only objects located in stemmed from his holistic approach.
was aligned parallel to the floor and ceil- the fixation plane are fused. Yet, an ob- Brock tried to get behind his patients’ eyes
ing at my eye level. Thus, when I walked ject located in front or behind this plane and think as they did. He drew an analogy
into the dining room, I came face-to-face is seen as single. This singleness does here to his own life. Brock was born in
with one end of the suspended string. I not result from suppression of one retinal Switzerland and spoke German until com-
could look down the length of the string image. Instead, the object appears to be ing to the United States. Eventually, Eng-
and determine at what distance I aimed my in a somewhat intermediate position be- lish became his preferred language. Con-
eyes by where the string images crossed. tween the projection axes of the right and cerning his adoption of English, he wrote,
Then I held the Quoits Vectogram in front left eye. Moreover, it is located in depth “The most difficult phase of the transi-
of the string and positioned the fused im- with respect to the fixation plane, and this tion was that from thinking in German to
age of the Quoits to appear around the depth judgment is better than what would thinking in English…It took a tremendous
suspended string. I moved the sheets in be achieved if looking through one eye effort of will for me to make a total shift
the base-in direction, and noted the float only. Thus, the location of the object is from German dominated thinking to Eng-
of the fused Quoits image. The Quoits still binocularly determined. “Single lish…For the cure of a strabismic a simi-
image should appear at the distance in awareness,” Brock wrote, “is then due to lar transition has to be made.”
space where I was aiming my eyes, that a closure by a process of abstraction.” When Dolores Brock Partridge gave me
is, at the crossing point of the string im- This phenomenon has been called qualita- Dr. Brock’s papers, she also included
ages. I took a dowel and probed the space tive stereopsis by others.13,14 It is an im- his academic hood, a garment worn in
in front of me to locate the virtual, fused portant, and usually overlooked, benefit graduation ceremonies. As a professor at
image. It took several weeks for me to of binocular vision. According to text- Mount Holyoke College, I march twice
see the fused Quoits image at the distance book definitions, stereopsis provides an a year, at convocation and graduation, in
in space where the string images crossed, increased sense of depth only for objects full academic regalia. Since I received
but when I was able to do this, I appreci- whose images are cast on Panum’s fu- my Ph.D. from Princeton University, I
ated a much greater sense of stereoscopic sional area, that is, those objects located don my Princeton academic robe. But I
depth. on or close to the fixation plane. Hav- put on Brock’s hood. The colors of the
Shortly after this accomplishment, I noted ing learned this definition and taught it hood clash with the black and orange of
that my reflection no longer appeared in to my students, I was astonished to dis- the robe, but that does not matter. If I am
the plane of a mirror but at some distance cover, when I gained stereovision, that the going to march in an academic proces-
behind it. A tree outside the window, whole world appeared in layers and layers sion, I want to honor a true scholar, Dr.
framed by the window pane, no longer of depth. I could appreciate the pockets Frederick W. Brock, whose humanity and
appeared in the plane of the window. This of space between objects located outside work continue to inspire.
Christmas season, I experienced the most Panum’s fusional area. This global depth Acknowledgments
wonderful illusion. Christmas lights, that sense was provided by the ability to take I am grateful to Dolores Brock Partridge
were strung across the inside walls of a in and merge information simultaneously and Bruce Alvarez for providing me with
restaurant, were reflected by the win- from the overlapping visual fields of the Dr. Brock’s lecture notes. I thank the fol-
dow onto the street outside. “Why are two eyes. Many patients, particularly lowing optometrists for fascinating dis-
there lights floating in the middle of the those with infantile esotropia, never de- cussions about Frederick Brock: David
Volume 22/2011/Number3/Page 62 Journal of Behavioral Optometry
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Cook, Nathan Flax, Israel Greenwald, 12. Worth C. Squint: Its Causes, Pathology, and Footnotes
Treatment. Philadelphia: P. Blakiston’s Son & a. Brock published over 100 papers, journals, man-
Paul Harris, Robin Lewis, Leonard Press, Co., 1903. uals, monographs and lecture notes. Samples can
Theresa Ruggiero, and Robert Sanet. 13. Ogle KN. Disparity limits of stereopsis. AMA be found in the References and Further Reading.
Arch Ophthalmol 1952;48:50–60. b Dr. Sue Barry’s website: www.stereosue.com.
References 14. Westheimer G, Tanzman IJ. Qualitative depth
1. Brock FW. Conditioning the squinter to normal localization with diplopic images. J Optical Soc
Corresponding author:
visual habits. Optom Wkly 1941;32:793–801, Am 1956;46:116–17. Susan R. Barry, Ph.D.
819-24. 15. Brock FW. The string as an aid to visual train- Professor of Biological Sciences and
2. Brock FW. Pitfalls in orthoptic training of ing. In: Visual Training at Work. Santa Ana, CA: Neuroscience
squints. Optom Wkly 1941;32:1185–89. Optometric Extension Program, Curriculum II,
1955;4(9):29–33. Mount Holyoke College
3. Brock FW. The fusion range in stereoscopic vi-
sion: Part 6: The perception of depth. Optom South Hadley, MA. 01075
Further Readings Date accepted for publication
Wkly 1942;33:777–79. Brock FW. Investigation into anomalous correct
4. Brock FW. Binocular vision in strabismus. Op- projection in cases of concomitant squints. Am J March 29, 2011
tom Wkly 1945-1946;35-37. Optom 1939;16:39–77.
5. Brock FW. Space perception in its normal and Brock FW. Anomalous projection in squint. Its cause
abnormal aspects. Optom Wkly 1946;37:1193– and effect. New methods of correction. Report of
96, 1202, 1235–38. cases. Am J Optom 1939;16:201–21..
6. Brock FW. Visual training—Part III. Optom Brock FW. A comparison between strabismic seeing
Wkly 1955-1959;46–50. and normal binocular vision. J Am Optom Assoc
7. Sacks O. Stereo Sue. New Yorker, June 19, 1959;31:299–304.
Brock FW. New methods for testing binocular con-
2006:64–73.
trol. J Am Optom Assoc 1963;34:443–50.
8. Krulwich R. “Going Binocular: Susan’s First Flax N. Strabismus management - Brock’s tech-
Snowfall,” June 26, 2006, at npr.org/templates/ niques. Presented at a symposium titled: Per-
story/story.php?storyId=5507789. spectives on the contribution of Frederick Brock,
9. Brock FW. Lecture notes on strabismus. www. American Academy of Optometry, 1980.
stereosue.com. Last accessed 4-11, 2011. Dr. Israel Greenwald, Brock’s optometric partner,
10. Goldstein K. The Organism. New York: Ameri- also published two monographs on Brock’s work:
can Book Company, 1939. Greenwald I. Strabismus: Brock’s Influence on
11. Barry SR. Fixing My Gaze: A Scientist’s Jour- New Therapies. Santa Ana, CA: Optometric Ex-
ney into Seeing in Three Dimensions. New York: tension Program Foundation, 1982-3;1-2.
Basic Books, 2009.
Journal of Behavioral Optometry Volume 22/2011/Number 3/Page 63

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