Glaucoma: miotics and retinal detachment: 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 · Glaucoma: miotics and retinal detachment

Sample item

Which serious posterior segment complication is a recognised risk of long-term pilocarpine use, particularly in myopic patients?

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

The answer and the reasoning

C. Retinal detachment

Pilocarpine contracts the ciliary muscle and puts traction on the peripheral retina, and has been associated with retinal tears and detachment, especially in myopes. Patients should be told to report new flashes or floaters.

Option by option

  • A. Retrobulbar neuritis

    Retrobulbar neuritis is a demyelinating or toxic optic nerve disease, not a miotic effect.

  • B. Central retinal artery occlusion

    Central retinal artery occlusion is an embolic or vasculitic event not linked to pilocarpine.

  • C. Retinal detachment (correct)

    Correct. Traction on the peripheral retina from ciliary muscle contraction can lead to retinal detachment.

  • D. Central serous chorioretinopathy

    Central serous chorioretinopathy is linked to steroids and stress, not to miotic drops.

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, Retinal detachment. Pilocarpine contracts the ciliary muscle and puts traction on the peripheral retina, and has been associated with retinal tears and detachment, especially in myopes.

Why is "Retrobulbar neuritis" not the answer?

Retrobulbar neuritis is a demyelinating or toxic optic nerve disease, not a miotic effect.

Why is "Central retinal artery occlusion" not the answer?

Central retinal artery occlusion is an embolic or vasculitic event not linked to pilocarpine.

Why is "Central serous chorioretinopathy" not the answer?

Central serous chorioretinopathy is linked to steroids and stress, not to miotic drops.

What concept does this question test?

It tests Glaucoma: miotics and retinal detachment in Ophthalmology. Patients should be told to report new flashes or floaters.

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 Glaucoma: miotics and retinal detachment?

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.