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Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 602

Bruckner's test in an oil-filled eye

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Date of Web Publication13-Apr-2022

Correspondence Address:
Amber A Bhayana
Dr R P Centre for Ophthalmic Sciences, AIIMS, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1902_21

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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

How to cite this URL:
Bhayana AA, Prasad P, Anshida K. Bruckner's test in an oil-filled eye. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2023 Jun 9];2:602. Available from: https://www.ijoreports.in/text.asp?2022/2/2/602/342909

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.

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There are no conflicts of interest.

  References Top

Bhayana AA, Prasad P, Azad SV. Refractive errors and the red reflex- Bruckner test revisited. Indian J Ophthalmol 2019;67:1381-2.  Back to cited text no. 1
[PUBMED]  [Full text]  
Bhayana AA. Response to comments on: Using Brückner's test for gross keratometry screening. Indian J Ophthalmol 2020;68:263.  Back to cited text no. 2
[PUBMED]  [Full text]  
Stefánsson E, Anderson MM Jr, Landers MB 3rd, Tiedeman JS, McCuen BW 2nd. Refractive changes from use of silicone oil in vitreous surgery. Retina 1988;8:20-3.  Back to cited text no. 3


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