Brock String and the Horopter: a Perspective
Brock String and the with neurological disorders such as cerebral 2 3 Horopter: A Perspective palsy and traumatic brain injury. A question that has been posed to us on Kenneth J. Ciuffreda, OD, PhD, more than one occasion, frequently with a FAAO, FCOVD-A, FARVO look ranging from inquisitiveness to distain, Diana P. Ludlam, BS, COVT is, “Why the horopter?” Certainly, this is a fair question. Unfortunately, the horopter seems Barry Tannen, OD, FCOVD to be misunderstood by many, and hence Naveen K. Yadav, BS Optom, the question. In our lectures, we have always MS, PhD, FAAO emphasized the concept of the horopter and its clinical importance, with its clinical analog being the all-important “Brock String.”4 Our Over the past number of years, we immediate reply to this question has been, have been involved in the teaching “Why not, as the concept of the horopter is of both normal and abnormal the underpinning for, and basis of, nearly ALL binocular vision at several optometry aspects of normal and abnormal binocular colleges, national and international vision”. This answer usually results in a pause, vision meetings, and vision research sometimes followed by the request for an institutes and hospitals. This has explanation, which we gladly provide in great involved both the underlying detail with numerous clinical examples. theory and its multitude of clinical The horopter is a wonderful pedagogical implications, including the sensory, and clinical tool, as it blends and integrates PERSPECTIVE motor, and perceptual domains and basic aspects
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