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A child w/ strabismus lacks the ability to synchronize their eyes together as a team. 1 eye will turn in or out. But this is not an eye muscle issue. It is a visual brain coordination issue. Effective VT for strabismus must include all functions of the visually-directed motor & sensory functions of the pt. This can be thought of as VT-Synchronicity. Noah (w/ ET) doing a visually guided gross motor activity that helps him integrate the 2 halves of his body. ~from Wow Vision Therapy facebook page