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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).
Fluorescein staining of the tear film before slit lamp examination may reveal etiologies of the surface of the eye, such as corneal abrasions or keratitis due to herpes simplex viral infection. The binocular slit-lamp examination provides stereoscopic, dimensional and magnified view of the eye structures in striking detail, enabling exact ...
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).
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 ...
They are also known as Purkinje reflexes and as Purkinje–Sanson images. 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.
Frontal release signs are primitive reflexes traditionally held to be a sign of disorders that affect the frontal lobes.The appearance of such signs reflects the area of brain dysfunction rather than a specific disorder which may be diffuse, such as a dementia, or localised, such as a tumor.
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.