Uvea: panophthalmitis: 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 · Uvea: panophthalmitis

Sample item

A diabetic man with a perforated corneal ulcer develops severe pain, marked proptosis, loss of ocular movements, chemosis and fever with pus visible in the eye. This is:

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

The answer and the reasoning

D. Panophthalmitis

Panophthalmitis is suppurative inflammation of all coats of the eye with spread to Tenon capsule and orbit. It has severe pain, proptosis and restricted movements. Management involves antibiotics and evisceration once the infection settles.

Option by option

  • A. Orbital cellulitis alone

    Orbital cellulitis does not feature the infected globe.

  • B. Endophthalmitis limited to the vitreous

    Endophthalmitis is confined to the internal eye.

  • C. Cavernous sinus thrombosis

    Cavernous sinus thrombosis has bilateral signs and cranial palsies.

  • D. Panophthalmitis (correct)

    Correct. All ocular coats and orbital tissue are involved.

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 D, Panophthalmitis. Panophthalmitis is suppurative inflammation of all coats of the eye with spread to Tenon capsule and orbit.

Why is "Orbital cellulitis alone" not the answer?

Orbital cellulitis does not feature the infected globe.

Why is "Endophthalmitis limited to the vitreous" not the answer?

Endophthalmitis is confined to the internal eye.

Why is "Cavernous sinus thrombosis" not the answer?

Cavernous sinus thrombosis has bilateral signs and cranial palsies.

What concept does this question test?

It tests Uvea: panophthalmitis in Ophthalmology. It has severe pain, proptosis and restricted movements. Management involves antibiotics and evisceration once the infection settles.

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 Uvea: panophthalmitis?

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.