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The Hirschberg test provides an objective estimate of the angle of a manifest squint by measuring the deviation of the corneal light reflex from the center of the pupil in the squinting eye when the patient fixates on a point light held 33cm away. Each millimeter of deviation roughly equals 7 degrees of squint, with 15 degrees indicated if the light reflex reaches the pupil border and 45 degrees if it reaches the limbus.



