Bruckner testing can be helpful in observing strabismus. When doing the Bruckner test, fundus reflex is one characteristic to pay close attention to. A patient with a strabismus may show an increased light reflex in the deviated eye. Using your occluder, occlude the non-deviated eye as if you were doing a unilateral cover test, and you may be able to observe a change in fundus reflex of the deviated eye. The reflex may change from a brighter white to a duller red. Why? The macula is usually the most heavily pigmented area of the retina; therefore, once the deviated eye takes up fixation upon unilateral occlusion, the reflex will assume a duller appearance.
Dedicated team member since OS's beginning, I've watched the site grow into… Read more
14 Total Recommends
Don't worry, we hate spam too! All we are going to send is one awesome, monthly newsletter.
Log in to leave your Clinical Pearl!
Most Recommended Content
Our state optometric associations and the American Optometric Association really do some positive things for... http://t.co/6iVuIYGoZr
Via @OptStudents, 2 days ago
Give it a title.
Don't forget to enter your Clinical Pearl!
Are you a robot?