Pediatric ophthalmology: congenital glaucoma: 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 · Pediatric ophthalmology: congenital glaucoma

Sample item

An infant has tearing, photophobia, blepharospasm, and an enlarged cloudy cornea. What diagnosis should be considered?

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

The answer and the reasoning

D. Congenital glaucoma

Congenital glaucoma can cause buphthalmos, corneal clouding, photophobia, tearing, and blepharospasm due to raised intraocular pressure. It requires urgent specialist care.

Option by option

  • A. Retinoblastoma

    Retinoblastoma commonly presents with leukocoria or strabismus.

  • B. Acute conjunctivitis

    Conjunctivitis causes discharge and red eye, not buphthalmos.

  • C. Simple nasolacrimal duct obstruction

    Nasolacrimal obstruction causes tearing without corneal enlargement or photophobia.

  • D. Congenital glaucoma (correct)

    Correct. Enlarged cloudy cornea with photophobia is highly concerning.

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, Congenital glaucoma. Congenital glaucoma can cause buphthalmos, corneal clouding, photophobia, tearing, and blepharospasm due to raised intraocular pressure.

Why is "Retinoblastoma" not the answer?

Retinoblastoma commonly presents with leukocoria or strabismus.

Why is "Acute conjunctivitis" not the answer?

Conjunctivitis causes discharge and red eye, not buphthalmos.

Why is "Simple nasolacrimal duct obstruction" not the answer?

Nasolacrimal obstruction causes tearing without corneal enlargement or photophobia.

What concept does this question test?

It tests Pediatric ophthalmology: congenital glaucoma in Ophthalmology. It requires urgent specialist care.

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 Pediatric ophthalmology: congenital glaucoma?

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.