Glaucoma: glaukomflecken: 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.

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Ophthalmology · Glaucoma: glaukomflecken

Sample item

Following an attack of acute angle closure many weeks ago, a patient has small greyish white anterior subcapsular lens opacities. These are called:

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

The answer and the reasoning

B. Glaukomflecken

Glaukomflecken are anterior subcapsular patches of necrosis of lens epithelium following a high-pressure attack. They are a marker of a past angle closure episode. Elschnig pearls are seen with posterior capsular opacification.

Option by option

  • A. Elschnig pearls

    Elschnig pearls form in PCO.

  • B. Glaukomflecken (correct)

    Correct. They indicate prior acute angle closure.

  • C. Vossius ring

    Vossius ring is pigment on the anterior capsule after blunt trauma.

  • D. Christmas tree cataract

    Christmas tree cataract is seen in myotonic dystrophy.

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.

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Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is B, Glaukomflecken. Glaukomflecken are anterior subcapsular patches of necrosis of lens epithelium following a high-pressure attack.

Why is "Elschnig pearls" not the answer?

Elschnig pearls form in PCO.

Why is "Vossius ring" not the answer?

Vossius ring is pigment on the anterior capsule after blunt trauma.

Why is "Christmas tree cataract" not the answer?

Christmas tree cataract is seen in myotonic dystrophy.

What concept does this question test?

It tests Glaucoma: glaukomflecken in Ophthalmology. They are a marker of a past angle closure episode. Elschnig pearls are seen with posterior capsular opacification.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Glaucoma: glaukomflecken?

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.