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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 reflex is absent in infants under nine months. The examination of the corneal reflex is a part of some neurological exams, particularly when evaluating coma, such as FOUR score. Damage to the ophthalmic branch (V 1) of the trigeminal nerve results in absent corneal reflex when the affected eye is stimulated. Stimulation of one cornea ...
During the accommodation reflex, the pupil constricts to increase the depth of focus of the eye by blocking the light scattered by the periphery of the cornea. The lens then increases its curvature to become more biconvex, thus increasing refractive power. The ciliary muscles are responsible for the lens accommodation response. [4]
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 ...
An eye examination, commonly known as an eye test, [1] is a series of tests performed to assess vision and ability to focus on and discern objects. [2] It also includes other tests and examinations of the eyes. [2] Eye examinations are primarily performed by an optometrist, ophthalmologist, or an orthoptist.
At least four Purkinje images are usually visible in the normal eye. The first Purkinje image (P1) is the reflection from the outer surface of the cornea. The second Purkinje image (P2) is the reflection from the inner surface of the cornea. The third Purkinje image (P3) is the reflection from the outer (anterior) surface of the lens. The ...
Abdominal reflex; Accommodation reflex — coordinated changes in the vergence, lens shape and pupil size when looking at a distant object after a near object. Acoustic reflex or attenuation reflex — contraction of the stapedius and tensor tympani muscles in the middle ear in response to high sound intensities.
While moving the streak or spot of light through the pupil across the retina, the examiner observes the relative movement of the reflex or manually places lenses over the eye (using a phoropter or trial frame and trial lenses) to "neutralize" the reflex. [2] Static retinoscopy is a type of retinoscopy used in determining a patient's refractive ...