Brückner試驗的臨床應用

Clinical Use of Brückner Test

10.30048/ACTASOS.199112.0150

吳光山(Guang-San Wu)；彭業聰(Yeh-Tsong Perng)；楊筱君(Sheau-Jinn Yang)；高國棟(Kou-Dong Kao)；文良彥(Liang-Yen Wen)

Brückner test fundus reflex ； accommodation

台灣眼科醫學會會刊

30卷4期（1991 / 12 / 04）

150 - 152

繁體中文

以直接眼底鏡為光源，離受測者約壹米處，同時照射受測者兩眼，觀察兩眼眼底反射光顏色及明亮度的差異稱為Brückner試驗。一眼反射光較亮者為此試驗正反應，正反應者多為異常眼。以此試驗對4至6歲學齡前兒童進行篩檢發現此試驗對於斜視、不等規、後極部異常及間質混濁有高達七成診斷率，不失為小兒眼科門診中方便的檢查方法。

Asymmetry of the fundus reflexes can be caused by strabismus, anisometropia, anisocoria, posterior pole abnormalities or media opacity. This finding is seen most frequently in infants between 2 and 8 months of age with a peak incidence of 28% at 5 months of age; probably due to an inability to accommodate accurately. precise accommodation on the ophthalmoscope filment believed to be the most important fact in producing dimming of fundus reflex. Bruckner test is a convenient, reliable approach to those infant older than 8 months for mass screening of strabismus, amblyopia anisometropia, & posterior pole abnormalities.