Orbit: infantile capillary haemangioma: practice question

A Ophthalmology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Ophthalmology · Orbit: infantile capillary haemangioma

Sample item

An infant has a strawberry-red periocular lesion that enlarged rapidly in the first months and now threatens the visual axis. Which treatment is preferred?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Oral propranolol

Capillary haemangiomas usually regress by 5 to 7 years, but those threatening vision need treatment. Propranolol is first line and has replaced steroid injections in most centres. Amblyopia and astigmatism are the main visual risks.

Option by option

  • A. Systemic chemotherapy with vincristine only

    Vincristine is not the first choice.

  • B. Radical excision

    Surgery is not first line for a growing lesion.

  • C. Oral propranolol (correct)

    Correct. Oral propranolol is the first-line treatment.

  • D. Observation in all cases

    Observation can lead to amblyopia if the visual axis is blocked.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Ophthalmology questions

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is C, Oral propranolol. Capillary haemangiomas usually regress by 5 to 7 years, but those threatening vision need treatment.

Why is "Systemic chemotherapy with vincristine only" not the answer?

Vincristine is not the first choice.

Why is "Radical excision" not the answer?

Surgery is not first line for a growing lesion.

Why is "Observation in all cases" not the answer?

Observation can lead to amblyopia if the visual axis is blocked.

What concept does this question test?

It tests Orbit: infantile capillary haemangioma in Ophthalmology. Propranolol is first line and has replaced steroid injections in most centres. Amblyopia and astigmatism are the main visual risks.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Orbit: infantile capillary haemangioma?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.