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In the fields of optometry and ophthalmology, the Hirschberg test, also Hirschberg corneal reflex test, is a screening test that can be used to assess whether a person has strabismus (ocular misalignment). A photographic version of the Hirschberg test is used to quantify strabismus. [1]
The corneal reflex, also known as the blink reflex or eyelid reflex, [1] is an involuntary blinking of the eyelids elicited by stimulation of the cornea (such as by touching or by a foreign body), though it could result from any peripheral stimulus. Stimulation should elicit both a direct and consensual response (response of the opposite eye).
Corneal reflex is conducted along with the facial nerve section of the test. Note the sensory innervation of the cornea is provided by the trigeminal nerve while the motor innervation for blinking the eye is provided by the facial nerve.-Muscles of mastication (temporalis, masseter) should be inspected for atrophy. Palpate the temporalis and ...
Accommodation usually acts like a reflex, including part of the accommodation-convergence reflex, but it can also be consciously controlled. The main ways animals may change focus are: Changing the shape of the lens. Changing the position of the lens relative to the retina. Changing the axial length of the eyeball. Changing the shape of the cornea.
For example, an animal with polioencephalomalacia will lack the menace reflex, but will still have the pupillary light reflex. Polioencephalomacia damages the visual cortex, impairing the menace response, but leaves the optic nerve, oculomotor nucleus, and oculomotor nerve intact, leaving the pupillary light reflex unaffected. Contrastingly, an ...
Light from a single point of a distant object and light from a single point of a near object being brought to a focus. The accommodation reflex (or accommodation-convergence reflex) is a reflex action of the eye, in response to focusing on a near object, then looking at a distant object (and vice versa), comprising coordinated changes in vergence, lens shape (accommodation) and pupil size.
A reflex blink is not necessarily a conscious blink either; however it does happen faster than a spontaneous blink. [1] Reflex blink may occur in response to tactile stimuli (e.g., corneal, eyelash, skin of eyelid, contact with eyebrow), optical stimuli (e.g. dazzle reflex, [20] or menace reflex) or auditory stimuli (e.g., menace reflex).
The reflex involves consensual blinking of both eyes in response to stimulation of one eye. This is due to the facial nerves' innervation of the muscles of facial expression, namely orbicularis oculi, responsible for blinking. Thus, the corneal reflex effectively tests the proper functioning of both cranial nerves V and VII.
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