Uvea: sunset glow fundus: 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 · Uvea: sunset glow fundus

Sample item

Months after treatment of bilateral serous retinal detachments with headache and tinnitus, a patient's fundi appear orange-red because of loss of choroidal pigment. What is this fundus appearance called?

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

The answer and the reasoning

A. Sunset glow fundus

In the convalescent stage of Vogt-Koyanagi-Harada disease, melanocyte loss in the choroid depigments the fundus and gives a diffuse orange-red sunset glow. Dalen-Fuchs-like nodules and depigmentation of skin and hair may accompany it.

Option by option

  • A. Sunset glow fundus (correct)

    Correct. Diffuse choroidal depigmentation after Vogt-Koyanagi-Harada disease gives the sunset glow fundus.

  • B. Salt and pepper fundus

    Salt and pepper fundus is the mottled pigmentation of congenital syphilis or rubella.

  • C. Leopard-spot fundus

    A leopard-spot pattern is a patchy pigment appearance in other chorioretinal disorders and not the diffuse orange-red change.

  • D. Tigroid fundus

    Tigroid fundus is the striped look of visible choroidal vessels in myopia.

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, Sunset glow fundus. In the convalescent stage of Vogt-Koyanagi-Harada disease, melanocyte loss in the choroid depigments the fundus and gives a diffuse orange-red sunset glow.

Why is "Salt and pepper fundus" not the answer?

Salt and pepper fundus is the mottled pigmentation of congenital syphilis or rubella.

Why is "Leopard-spot fundus" not the answer?

A leopard-spot pattern is a patchy pigment appearance in other chorioretinal disorders and not the diffuse orange-red change.

Why is "Tigroid fundus" not the answer?

Tigroid fundus is the striped look of visible choroidal vessels in myopia.

What concept does this question test?

It tests Uvea: sunset glow fundus in Ophthalmology. Dalen-Fuchs-like nodules and depigmentation of skin and hair may accompany it.

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 Uvea: sunset glow fundus?

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.