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Ophthalmology · Lens: infrared cataract
Sample itemA glassblower develops a cataract. The characteristic early location is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Posterior subcapsular, with exfoliation of the anterior capsule in some
Infrared and ionising radiation cause posterior subcapsular opacities. True exfoliation of the anterior capsule is classically described in glassblowers. Protective glasses prevent it.
Option by option
A. Posterior subcapsular, with exfoliation of the anterior capsule in some (correct)
Correct. Radiation cataracts are posterior subcapsular.
B. Anterior cortical wedge
An anterior location is not typical of IR cataract.
C. Nuclear brunescence only
Nuclear brunescence is age related.
D. Peripheral cortical spokes
Cortical spokes are senile cortical cataract.
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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