Illinois Vision Certification Practice Test

What should a screener do if a child suppresses one eye during the BRL testing?

1. Consider the screening Failed

2. Retest with the Massachusetts Battery

3. Call the child's attention to the column missing

4. Refer Immediately

The correct answer is: Call the child's attention to the column missing

If a child suppresses one eye during the BRL (Brückner Reflex Testing) testing, it is essential for the screener to take note of the behavior and its implications for the child's visual health. Calling the child's attention to the column missing is an appropriate response because it allows the child to engage with the testing process and encourages them to use both eyes actively. This interaction not only helps in evaluating the child's visual response but also provides an opportunity to see if the suppression is consistent or if the child can perceive the missing column when prompted. This approach recognizes the need for further observation of the child’s binocular function and gives them a chance to demonstrate whether they can use their vision normally when directed. It also avoids immediately jumping to conclusions about the child's visual abilities or making a referral without gathering additional information on their performance during the screening. By encouraging the child to recognize what is missing, the screener may gain valuable insights into the child's visual acuity and whether the suppression is a temporary response or indicative of a more significant issue.