Retina: familial exudative vitreoretinopathy: 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 · Retina: familial exudative vitreoretinopathy

Sample item

A healthy full-term child has avascular peripheral temporal retina in both eyes, temporal dragging of the disc and macula, and an affected parent. There is no history of prematurity or oxygen. What is the diagnosis?

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

The answer and the reasoning

C. Familial exudative vitreoretinopathy

Familial exudative vitreoretinopathy is a hereditary, usually autosomal dominant, failure of peripheral retinal vascularisation that resembles retinopathy of prematurity in a full-term infant. Tractional changes pull the macula temporally.

Option by option

  • A. Retinopathy of prematurity

    Retinopathy of prematurity requires preterm birth or low birth weight.

  • B. Coats disease

    Coats disease is usually unilateral, in boys, with telangiectasia and massive exudation.

  • C. Familial exudative vitreoretinopathy (correct)

    Correct. Peripheral avascular retina in a full-term infant with a family history points to FEVR.

  • D. Norrie disease

    Norrie disease is X-linked with congenital blindness, deafness and retinal dysplasia.

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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Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is C, Familial exudative vitreoretinopathy. Familial exudative vitreoretinopathy is a hereditary, usually autosomal dominant, failure of peripheral retinal vascularisation that resembles retinopathy of prematurity in a full-term infant.

Why is "Retinopathy of prematurity" not the answer?

Retinopathy of prematurity requires preterm birth or low birth weight.

Why is "Coats disease" not the answer?

Coats disease is usually unilateral, in boys, with telangiectasia and massive exudation.

Why is "Norrie disease" not the answer?

Norrie disease is X-linked with congenital blindness, deafness and retinal dysplasia.

What concept does this question test?

It tests Retina: familial exudative vitreoretinopathy in Ophthalmology. Tractional changes pull the macula temporally.

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: familial exudative vitreoretinopathy?

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.