Indian Journal of Ophthalmology - Case Reports

: 2022  |  Volume : 2  |  Issue : 2  |  Page : 602-

Bruckner's test in an oil-filled eye

Amber A Bhayana, Priyanka Prasad, K Anshida 
 Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Correspondence Address:
Amber A Bhayana
Dr R P Centre for Ophthalmic Sciences, AIIMS, New Delhi - 110 029

How to cite this article:
Bhayana AA, Prasad P, Anshida K. Bruckner's test in an oil-filled eye.Indian J Ophthalmol Case Rep 2022;2:602-602

How to cite this URL:
Bhayana AA, Prasad P, Anshida K. Bruckner's test in an oil-filled eye. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 17 ];2:602-602
Available from:

Full Text

Red reflex test using distant indirect ophthalmoscopy revealed a hypermetropic glow- a bright reflex localized to the inferior part of the eyeball and dark crescent superiorly [Figure 1]a[1],[2] in the right eye of a 30-year-old male (phakic, operated encerclage-vitreo-retinal surgery, silicone oil in situ); other eye was normal [unaided 20/20, [Figure 1]b]. Right eye was emmetropic prior to retinal detachment. Present refractive error was +3.5 diopters sphere in right eye. Phakic eyes develop 5–7 diopters of hyperopia when the vitreous cavity is filled with silicone oil.[3] Refractive error in our case was less hyperopic because of equitorial constriction causing lenticular thickening and axial elongation; both due to encerclage and both contributing to myopia, thus relatively reducing hyperopic magnitude. We detected this refractive error using Bruckner's test[1],[2] and would like to document with reasoning, red reflex finding of cerclaged oil-filled eye. It can be used as a quick assessment tool for refractive status in oil-filled eyes in peripheral setting.{Figure 1}

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.


1Bhayana AA, Prasad P, Azad SV. Refractive errors and the red reflex- Bruckner test revisited. Indian J Ophthalmol 2019;67:1381-2.
2Bhayana AA. Response to comments on: Using Brückner's test for gross keratometry screening. Indian J Ophthalmol 2020;68:263.
3Stefánsson E, Anderson MM Jr, Landers MB 3rd, Tiedeman JS, McCuen BW 2nd. Refractive changes from use of silicone oil in vitreous surgery. Retina 1988;8:20-3.