Tongue A C, Cibis G W
Ophthalmology. 1981 Oct;88(10):1041-4. doi: 10.1016/s0161-6420(81)80034-6.
Brückner, in 1962, published a paper in German describing a "trans-illumination" test extremely useful in the diagnosis of small angle deviations and amblyopia in young uncooperative children. A bright coaxial light source, such as a direct ophthalmoscope, is used. Both eyes of the patient are simultaneously illuminated from approximately one meter distance. First, the position of the corneal light reflex, (Hirschberg test), along with brightness difference of the fundus reflex as seen in the pupil through the ophthalmoscope, is evaluated. When strabismus is present. the fixing eye has a darker reflex than the deviated eye. The second step evaluates pupil size, pupil reaction, and fixation movement of the eyes on "successive" illumination of one eye at a time. This is useful in detecting amblyopia.
布吕克纳于1962年发表了一篇德文论文，描述了一种“透照法”测试，该测试对诊断年幼不合作儿童的小角度斜视和弱视极为有用。使用明亮的同轴光源，如直接检眼镜。从大约一米的距离同时照亮患者的双眼。首先，评估角膜光反射的位置（ Hirschberg测试），以及通过检眼镜在瞳孔中看到的眼底反射的亮度差异。当存在斜视时，注视眼的反射比偏斜眼的反射暗。第二步评估瞳孔大小、瞳孔反应以及每次“连续”照亮一只眼睛时眼睛的注视运动。这对检测弱视很有用。
