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Year : 2022  |  Volume : 2  |  Issue : 4  |  Page : 1001

“Fetus” shaped Bruckner reflex in hypermetrope with superior ectasia

Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Date of Web Publication11-Oct-2022

Correspondence Address:
Dr. Amber A Bhayana
Dr R P Centre, AIIMS, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_733_22

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How to cite this article:
Bhayana AA, Prasad P, Kaur M. “Fetus” shaped Bruckner reflex in hypermetrope with superior ectasia. Indian J Ophthalmol Case Rep 2022;2:1001

How to cite this URL:
Bhayana AA, Prasad P, Kaur M. “Fetus” shaped Bruckner reflex in hypermetrope with superior ectasia. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2023 Apr 2];2:1001. Available from: https://www.ijoreports.in/text.asp?2022/2/4/1001/358185

An 18-year-old healthy male, with a recent history on unstable refractive error in the left eye, was found to have hypermetropic reflex in the right eye [Figure 1]a and a “7 week fetus” shaped reflex in the left eye on distant indirect ophthalmoscopy [Figure 1]a and [Figure 1]b.[1] The corneal topography was flat (41D) in the right eye; the left eye showed an identical inferior topography with localized paracentral superior ectatic steepening [Figure 1]c. The inferior half of the “fetus” is because of an inferior hypermetropic cornea, and the superior half of the “fetus” is because of superposition of myopic reflex because of localized ectasia.[2],[3]
Figure 1: (a) Indirect ophthalmoloscopic Bruckner test shows hypermetropic reflex in the right eye (refractive error +3 diopter sphere) and fetus-shaped reflex in the left eye – arrow (best acceptance with -10 diopter sphere, -3 diopter cylinder at 180 degrees); the photograph was captured keeping a mobile camera at the eyepiece of an indirect ophthalmoscope with the latter's illumination turned on; (b) Picture showing resemblance of the reflex with the 7-week fetus; (c) Corneal topography confirming a flat cornea in the right eye, with the left eye having an inferiorly flat and superiorly steep ectatic cornea

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Bhayana AA, Prasad P, Azad SV. Refractive errors and the red reflex- Bruckner test revisited. Indian J Ophthalmol 2019;67:1381-2.  Back to cited text no. 1
[PUBMED]  [Full text]  
Bhayana AA. Using Bruckner's test for gross keratometry screening. Indian J Ophthalmol 2019;67:1175.  Back to cited text no. 2
[PUBMED]  [Full text]  
Bhayana AA, Kaur M, Azad SV, Kalangottil A. Utility of distant indirect ophthalmoscopy as screening tool in a case of pellucid marginal degeneration. BMJ Case Rep 2020;13:e238787. doi: 10.1136/bcr-2020-238787.  Back to cited text no. 3


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