|Year : 2019 | Volume
| Issue : 7 | Page : 1175
Using Bruckner's test for gross keratometry screening
Amber Amar Bhayana
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
|Date of Web Publication||25-Jun-2019|
Dr. Amber Amar Bhayana
Dr. Rajendra Prasad Centre, AIIMS, New Delhi - 110 029
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Bhayana AA. Using Bruckner's test for gross keratometry screening. Indian J Ophthalmol 2019;67:1175
Bruckner's test was done using indirect ophthalmoscopy at a distance of 50 cm in a 12-year-old boy presenting with corneal opacity [Figure 1]a and localized area of brightness [Figure 1]c and [Figure 1]d along the opacity was seen suggesting some change in refractive power of the local milieu as compared to rest of the cornea. Pentacam (OCULUS, Arlington, WA) confirmed the localized area of steepness [Figure 1]b. I thus propose the use of Bruckner's test as a quick method of gross screening of corneal topography as any gross localized change in keratometry would change local optics giving us differential glow in that area.
|Figure 1: (a) Corneal opacity in a 12-year-old child, no other symptoms; (b) Pentacam (refractive keratometry map) showing high keratometry values localized superiorly; (c) photo through left eyepiece of indirect ophthalmoscope showing bright area (arrow); and (d) photo through right eyepiece of indirect ophthalmoscope showing bright area (arrow)|
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| References|| |
Kothari MT. Can the Bruckner test be used as a rapid screening test to detect significant refractive errors in children?. Indian J Ophthalmol 2007;55:213-5.
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