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ophthalmology paediatrics

Hirschberg & Krimsky Test — Strabismus Angle Estimation

Bedside estimation of ocular deviation when prism cover test is impractical (uncooperative child, dense amblyopia). Hirschberg: corneal light reflex displacement from pupil centre; each 1 mm ≈ 7° (≈15 prism dioptres / 15Δ). Krimsky modifies by adding prisms over fixing eye until reflex is centred.

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Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.