Lens and cataract: suprachoroidal haemorrhage: 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 · Lens and cataract: suprachoroidal haemorrhage

Sample item

In the middle of cataract surgery in a hypertensive patient, the eye suddenly becomes very painful, the red reflex is lost, the chamber shallows and the iris and lens prolapse out of the wound. What is the immediate step?

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

The answer and the reasoning

A. Close the wound at once

These features indicate an expulsive suprachoroidal haemorrhage. The first step is to close the wound rapidly to tamponade the bleeding and prevent loss of ocular contents, with drainage planned later when the clot has liquefied.

Option by option

  • A. Close the wound at once (correct)

    Correct. Immediate wound closure is the key first action.

  • B. Remove the intraocular lens

    Removing the lens would open the globe further and worsen extrusion.

  • C. Inject more viscoelastic and continue

    Continuing surgery with an open wound risks expulsion of the contents.

  • D. Perform an immediate vitrectomy

    Vitrectomy is not the first step with an open globe and active bleeding.

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 A, Close the wound at once. These features indicate an expulsive suprachoroidal haemorrhage.

Why is "Remove the intraocular lens" not the answer?

Removing the lens would open the globe further and worsen extrusion.

Why is "Inject more viscoelastic and continue" not the answer?

Continuing surgery with an open wound risks expulsion of the contents.

Why is "Perform an immediate vitrectomy" not the answer?

Vitrectomy is not the first step with an open globe and active bleeding.

What concept does this question test?

It tests Lens and cataract: suprachoroidal haemorrhage in Ophthalmology. The first step is to close the wound rapidly to tamponade the bleeding and prevent loss of ocular contents, with drainage planned later when the clot has liquefied.

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 Lens and cataract: suprachoroidal haemorrhage?

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.