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Ophthalmology · Refraction: astigmatism
Sample itemWhat optical abnormality causes regular astigmatism?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Different refractive power in different corneal meridians
Regular astigmatism arises from unequal curvature of corneal or lenticular meridians, producing different focal planes. Cylindrical correction compensates for this meridional difference.
Option by option
A. Inflammation of the iris
Iritis causes painful photophobic red eye.
B. Loss of retinal blood supply
Retinal ischemia is a vascular disorder.
C. Complete absence of a lens
Absence of lens is aphakia.
D. Different refractive power in different corneal meridians (correct)
Correct. Unequal meridional power creates astigmatism.
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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