Which test uses a direct ophthalmoscope to check the red reflexes in a patient?

• A. Hirschberg
• B. Krimsky
• C. Bagolini
• D. Bruckner test

Answer: (D)

Focus on how to quickly screen for alignment and eye health by comparing the brightness and symmetry of the red reflexes in both eyes. In the Bruckner test, you use a direct ophthalmoscope in a dim room and look at the red reflexes from both pupils at about arm’s length. If the reflexes are equal in brightness and centered similarly in both eyes, that suggests normal alignment and clear media. If one reflex is brighter or duller, or there’s a noticeable difference between the two eyes, it can indicate issues such as strabismus, anisometropia, or a media opacity that warrants further evaluation. The other tests involve different methods to assess alignment or binocular function without using the red reflex: Hirschberg relies on the corneal light reflex, Krimsky uses prisms to quantify deviation after Hirschberg, and Bagolini uses a special light setup to evaluate binocular fusion.