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Ophthalmology · Cornea: band keratopathy
Sample itemA child with juvenile idiopathic arthritis develops a horizontal greyish band of calcium in the interpalpebral cornea. What treatment removes it?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Chelation with EDTA
Band keratopathy is calcium deposition in Bowman's layer of the interpalpebral zone, often secondary to chronic uveitis. EDTA chelation after epithelial removal clears it.
Option by option
A. Steroid drops
Steroids treat inflammation but do not remove calcium.
B. Chelation with EDTA (correct)
Correct. EDTA binds calcium and clears the band.
C. Cross-linking
Cross-linking is for keratoconus.
D. Atropine drops
Atropine does not affect corneal deposits.
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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