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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 2
| Issue : 2 | Page : 602 |
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Bruckner's test in an oil-filled eye
Amber A Bhayana, Priyanka Prasad, K Anshida
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
| Date of Web Publication | 13-Apr-2022 |
Correspondence Address:
Amber A Bhayana
Dr R P Centre for Ophthalmic Sciences, AIIMS, New Delhi - 110 029
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1902_21
How to cite this article:
Bhayana AA, Prasad P, Anshida K. Bruckner's test in an oil-filled eye. Indian J Ophthalmol Case Rep 2022;2:602 |
Red reflex test using distant indirect ophthalmoscopy revealed a hypermetropic glow- a bright reflex localized to the inferior part of the eyeball and dark crescent superiorly [Figure 1]a[1],[2] in the right eye of a 30-year-old male (phakic, operated encerclage-vitreo-retinal surgery, silicone oil in situ); other eye was normal [unaided 20/20, [Figure 1]b]. Right eye was emmetropic prior to retinal detachment. Present refractive error was +3.5 diopters sphere in right eye. Phakic eyes develop 5–7 diopters of hyperopia when the vitreous cavity is filled with silicone oil.[3] Refractive error in our case was less hyperopic because of equitorial constriction causing lenticular thickening and axial elongation; both due to encerclage and both contributing to myopia, thus relatively reducing hyperopic magnitude. We detected this refractive error using Bruckner's test[1],[2] and would like to document with reasoning, red reflex finding of cerclaged oil-filled eye. It can be used as a quick assessment tool for refractive status in oil-filled eyes in peripheral setting. | Figure 1: (a) Hypermetropic red reflex in the right eye, notice bright reflex localized in lower part of eyeball, with a dark crescent seen superiorly diagnostic of hyperopia as described by authors in previous publication[1]; (b) normal red reflex in left eye
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Bhayana AA, Prasad P, Azad SV. Refractive errors and the red reflex- Bruckner test revisited. Indian J Ophthalmol 2019;67:1381-2.  [ PUBMED] [Full text] |
| 2. | Bhayana AA. Response to comments on: Using Brückner's test for gross keratometry screening. Indian J Ophthalmol 2020;68:263. [ PUBMED] [Full text] |
| 3. | Stefánsson E, Anderson MM Jr, Landers MB 3 rd, Tiedeman JS, McCuen BW 2 nd. Refractive changes from use of silicone oil in vitreous surgery. Retina 1988;8:20-3. |
[Figure 1]
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