<prompt> On performing refraction using a plane mirror on a patient who has a refractive error of 3 D sphere with 2 D cylinder at 900 from a distance of 1 metre under no cycloplegia, the reflex would be seen to moveWith the movement in the horizontal axis and against the movement in the vertical axisWith the movement in both the axesAgainst the movement in both the axesWith the movement in the vertical axis and against the movement in horizontal axis  <response>: This patient has a refractive error ofi - 3D in one meridianii - 2D in meridian 90 to the previous oneSo, the patient has a refractive error which is different in different media Patient is having astigmatism, especially compound myopic astigmatism as myopia is present in both the media.As myopia 1D is there in both vertical and horizontal axes, the pupillary real reflex will move against the movement of retinoscope in both axes. 