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Hirschberg Test

The Hirschberg test is used to assess eye alignment by comparing the position of the corneal light reflexes of each eye when the patient looks at a light source held by the examiner.

Hirschberg test
Survival Tips!
  • The corneal light reflex is the highlight seen on the cornea when a light is shined directly at the eye. 

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  • Evaluations of eye alignment are a critical survival skill, as abnormalities can be a sign of serious, and occasionally life-threatening pathology. 

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  • The Hirschberg test is the easiest, but least specific way, to assess eye alignment.​

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  • The alternate cover test is a more specific alternative.​​

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  • This test is typically used with children.

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Remember:​

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  • This test is only accurate if the patient is looking directly at the light source.

Emergency Care To Note
  • Remember, the key to survival is to recognizing red flags, and taking the appropriate steps to evaluate them without undue delay. Acute onset strabismus is a red flag.

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Further Reading

© 2025 The Ophthalmology Survival Guide, Dr. Steven Brooks. All rights reserved.

© 2025 Illustrative content, Isabel C. Wright. All rights reserved. 

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