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Introduction to Ocular Motility Extraocular Muscles EOM ...

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Hirschberg Corneal Light<br />

Reflex Test<br />

Estimate of deviation by observing<br />

symmetry of corneal light reflexes.<br />

Least accurate means of measurement.<br />

1 mm displacement = 15 <br />

Right Esotropia<br />

Light reflex is out because the eye<br />

is turned in.<br />

Right Hypertropia<br />

Light reflex is down, because the<br />

eye is up.<br />

Hirschberg estimate<br />

Corneal light reflex test<br />

Estimate of deviation<br />

based on amount of<br />

displacement of corneal<br />

light reflex.<br />

1 mm displacement =<br />

15 deviation<br />

30 ET<br />

60 ET<br />

90 ET<br />

Left Exotropia<br />

Light reflex is in, because the<br />

eye is turned out.<br />

Krimsky Prism Reflex<br />

Test<br />

Estimate of the deviation by aligning<br />

the corneal light reflexes with prisms.<br />

Light reflexes should be symmetrical,<br />

not necessarily centered.<br />

9

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