Uvea: uveal effusion 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.

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Ophthalmology · Uvea: uveal effusion syndrome

Sample item

A hypermetropic man with a small eye of 17 mm axial length and thickened sclera has recurrent shifting serous retinal and choroidal detachments without any retinal break. Which treatment is most effective?

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

The answer and the reasoning

D. Partial-thickness sclerectomies

In nanophthalmic eyes the thick sclera impedes vortex vein outflow and transscleral protein flux, leading to uveal effusion. Scleral windows or vortex vein decompression restore the outflow. Retinal detachment procedures do not help since there is no break.

Option by option

  • A. Scleral buckling

    Scleral buckling treats breaks and would worsen outflow in a nanophthalmic eye.

  • B. Pars plana vitrectomy with gas

    Vitrectomy with gas treats breaks or traction and does not address the thick sclera.

  • C. Pneumatic retinopexy

    Pneumatic retinopexy closes a break and is not useful in effusion without a break.

  • D. Partial-thickness sclerectomies (correct)

    Correct. Scleral windows relieve the outflow obstruction in a thick sclera and allow fluid to resolve.

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 D, Partial-thickness sclerectomies. In nanophthalmic eyes the thick sclera impedes vortex vein outflow and transscleral protein flux, leading to uveal effusion.

Why is "Scleral buckling" not the answer?

Scleral buckling treats breaks and would worsen outflow in a nanophthalmic eye.

Why is "Pars plana vitrectomy with gas" not the answer?

Vitrectomy with gas treats breaks or traction and does not address the thick sclera.

Why is "Pneumatic retinopexy" not the answer?

Pneumatic retinopexy closes a break and is not useful in effusion without a break.

What concept does this question test?

It tests Uvea: uveal effusion syndrome in Ophthalmology. Scleral windows or vortex vein decompression restore the outflow. Retinal detachment procedures do not help since there is no break.

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 Uvea: uveal effusion 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.