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Corneal Light ReflexAka: Hirschberg Test

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  1. Indications: Strabismus Testing
    1. Differentiate true deviation from pseudostrabismus
    2. In uncooperative child, only test of alignment
  2. Technique
    1. Hold penlight at arms length in front of child
    2. Gain child's attention blink/tap light
    3. When child fixated on light
      1. Examiner lines up light with her eyes
      2. Note position of Corneal light reflex on each eye
  3. Interpretation based on Corneal light reflex position
    1. Normal (No Strabismus)
      1. Reflex falls on nasal portion of each Cornea
    2. Esodeviation
      1. On Deviated eye, reflex displaced lateral or temporal
    3. Exodeviation
      1. On deviated eye, reflex displaced medially
  4. References
    1. Berson (1987) Ophthalmology Study Guide, AAO, p. 95-110
    2. Essman (1992) Am Fam Physician 46(4):1243
    3. Mills (1999) Am Fam Physician 60(3):907
    4. Sondhi (1988) J Pediatr Ophthalmol {a 6387} 25:210

Hirschberg test (C0430929)

ConceptsDiagnostic Procedure (T060)
EnglishHirschberg test
Spanishprueba de Hirschberg
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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