Retina: Stickler syndrome: 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.

Try it

Ophthalmology · Retina: Stickler syndrome

Sample item

A child has high myopia, a flat midface, micrognathia with cleft palate, early joint problems and hearing loss. The vitreous appears optically empty with membranous strands. Which sight-threatening complication is most likely?

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

The answer and the reasoning

A. Retinal detachment from giant retinal tears

Stickler syndrome is an autosomal dominant collagen disorder, usually of type II collagen, with abnormal vitreous, high myopia and a high lifetime risk of giant retinal tears and detachment. Prophylactic laser or cryotherapy of the retina may be considered.

Option by option

  • A. Retinal detachment from giant retinal tears (correct)

    Correct. Abnormal vitreous and thin peripheral retina lead to giant tears and detachment.

  • B. Acute angle-closure glaucoma attacks

    Angle closure is not a characteristic complication of Stickler syndrome.

  • C. Early central retinal vein occlusion

    Retinal vein occlusion is a vascular disease of older adults.

  • D. Corneal ectasia with scarring

    Corneal ectasia is typical of keratoconus, not of this collagen disorder.

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 A, Retinal detachment from giant retinal tears. Stickler syndrome is an autosomal dominant collagen disorder, usually of type II collagen, with abnormal vitreous, high myopia and a high lifetime risk of giant retinal tears and detachment.

Why is "Acute angle-closure glaucoma attacks" not the answer?

Angle closure is not a characteristic complication of Stickler syndrome.

Why is "Early central retinal vein occlusion" not the answer?

Retinal vein occlusion is a vascular disease of older adults.

Why is "Corneal ectasia with scarring" not the answer?

Corneal ectasia is typical of keratoconus, not of this collagen disorder.

What concept does this question test?

It tests Retina: Stickler syndrome in Ophthalmology. Prophylactic laser or cryotherapy of the retina may be considered.

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 Retina: Stickler syndrome?

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.