Acta Scientific Clinical Case Reports

Short CommunicationVolume 2 Issue 3

Using Bruckner’s Test to Diagnose Lenticular Myopia in Zonular Cataract

Sudarshan Kumar Khokhar, Amber Amar Bhayana*, Priyanka Prasad, Vatsala Nidhi and Dikshit Kapil

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

*Corresponding Author: Amber Amar Bhayana, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.

Received: February 13, 2021; Published: February 25, 2021

Citation: Amber Amar Bhayana., et al. “Using Bruckner’s Test to Diagnose Lenticular Myopia in Zonular Cataract”. Acta Scientific Clinical Case Reports 2.3 (2021): 14.

  A 1-year-old male child with zonular cataract (Figure 1a) on distant direct ophthalmoscopy (Figure 1b) was found to have 2 zones- zone 1 corresponding to the zonular cataract, zone 2 corresponding to the clear part of crystalline lens. Zone 1 showed a bright reflex localized to the inferior part. On retinoscopy zone 1 showed an error of -13 dioptres spherical equivalent, zone 2 was near emmetropic. In myopes distant direct ophthalmoscopy reflex reveals a bright area in the inferior part of the eye (Bruckner’s test) [1,2] which corraborates with our finding of only the central zone being myopic. The zone 1 is myopic due to cataract [3]. So, we would like to propose that Bruckner’s test can also be used to diagnose lenticular myopias in case of zonular cataracts with decent media clarity.

Figure 1: (a) Slit lamp microscopic examination of the eye showing zonular cataract; (b) Distant direct ophthalmoscopy of the same eye showing 2 distinct zones as labelled, bright reflex is seen inferiorly in zone 1 corresponding to zonular cataract causing lenticular myopia.

To conclude cataract can cause significant lenticular myopia which can be easily screened via red reflex test using distance direct ophthalmoscope.

Conflicting Interest


Source(s) of Support



  1. Bhayana AA., et al. “Refractive errors and the red reflex- Bruckner test revisited”. Indian Journal of Ophthalmology 8 (2019): 1381-1382.
  2. Kothari MT. “Can the Bruckner test be used as a rapid screening test to detect significant refractive errors in children?” Indian Journal of Ophthalmology 55 (2007): 213-215.
  3. Brown NA and Hill AR. “Cataract: the relation between myopia and cataract morphology”. British Journal of Ophthalmology 6 (1987): 405-414.

Copyright: © 2021 Amber Amar Bhayana., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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