Try it
Ophthalmology · Cataract: posterior subcapsular
Sample itemA patient on long-term oral prednisolone develops reduced vision in bright light and poor near vision. Which cataract is typical?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Posterior subcapsular
Posterior subcapsular opacities lie in the visual axis, so the pupil constriction in bright light and during near work reduces vision. Steroids, diabetes, radiation and uveitis predispose to this type.
Option by option
A. Anterior polar
Anterior polar cataracts are small and congenital.
B. Posterior subcapsular (correct)
Correct. Steroid use classically produces posterior subcapsular cataract.
C. Nuclear
Nuclear cataracts are linked to ageing and smoking.
D. Sutural
Sutural cataracts are congenital.
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.
More Ophthalmology questions
- GlaucomaWhich topical glaucoma medicine lowers intraocular pressure mainly by increasing uveoscl…
- Ocular oncologyA 2-year-old child has a white pupillary reflex (leukocoria). The gene commonly involved…
- UveaA patient has a painful red eye with photophobia, ciliary congestion, a small irregular…
- GlaucomaWhich drug is given systemically to reduce intraocular pressure in acute angle-closure g…