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Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 872

“Braley”-like sign on Bruckner's test for screening ocular tumors

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

Date of Web Publication16-Jul-2022

Correspondence Address:
Dr. Amber Amar Bhayana
Dr R P Centre, AIIMS, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_780_22

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How to cite this article:
Bhayana AA, Prasad P, Joshi HK. “Braley”-like sign on Bruckner's test for screening ocular tumors. Indian J Ophthalmol Case Rep 2022;2:872

How to cite this URL:
Bhayana AA, Prasad P, Joshi HK. “Braley”-like sign on Bruckner's test for screening ocular tumors. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 14];2:872. Available from: https://www.ijoreports.in/text.asp?2022/2/3/872/351213

A 35-year-old otherwise healthy male, with diminution of right eye vision, was found to have a hypermetropic reflex [Figure 1]a,[1] which increased in magnitude on slight inferior gaze [Figure 1]b.[1] Fundus showed a choroidal hemangioma [Figure 1]c. “Braley's sign” is classically described for differential tonometry on different gazes seen in thyroid orbitopathy.[2] We would like to describe our sign as “Braley-like” for differential Bruckner reflex on different gazes because of the differential refractive error attributed to induced hyperopia by the mass and adjacent exudative fluid. It can prove to be a good screening tool for optometrists or peripheral health workers who can then appropriately refer the patients.
Figure 1: (a) Inferior bright glow on distant indirect ophthalmoscopy indicating hyperopia, (b) inferior bright glow increased in size, and (c) fundus photograph showing choroidal hemangioma

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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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

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]  
Nabi T, Rafiq N. Factors associated with severity of orbitopathy in patients with Graves' disease. Taiwan J Ophthalmol 2020;10:197-202.  Back to cited text no. 2
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