Griffin J R, McLin L N, Schor C M
Southern California College of Optometry, Fullerton.
Optom Vis Sci. 1989 Jul;66(7):474-9. doi: 10.1097/00006324-198907000-00011.
An apparatus for strabismus detection was designed to allow photographing fundus and corneal reflexes for Brückner and Hirschberg testing, respectively. Photographs of adult subjects with simulated strabismic deviations were viewed by two groups of observers, optometry students and optometry faculty. In general there was no significant difference in testing results between the two groups. Subject error produced unreliable Brückner results. However, Hirschberg testing was effective approximately 80% of the time in detecting a deviating eye in strabismus of magnitudes of about 5 delta. Anisometropia in Brückner testing was also investigated. Magnitudes of 2.00 D or greater significantly affected results. Clinical application of the photographic Hirschberg test may have potential value as a screening method. The photographic Brückner test is not recommended for adults; its reliability in children requires investigation.
设计了一种用于斜视检测的仪器，分别用于拍摄眼底和角膜反射，以进行布吕克纳（Brückner）和 Hirschberg 测试。两组观察者，即验光专业学生和验光专业教师，查看了患有模拟斜视偏差的成年受试者的照片。总体而言，两组之间的测试结果没有显著差异。受试者误差导致布吕克纳测试结果不可靠。然而，在检测约 5 棱镜度（delta）大小的斜视中，Hirschberg 测试在大约 80%的时间内有效地检测出偏斜眼。还研究了布吕克纳测试中的屈光参差。2.00 D 或更高的度数对结果有显著影响。摄影 Hirschberg 测试的临床应用作为一种筛查方法可能具有潜在价值。不建议对成年人使用摄影布吕克纳测试；其在儿童中的可靠性需要研究。
