Glaucoma: definitive treatment in angle closure: 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: definitive treatment in angle closure

Sample item

What is the definitive treatment for pupillary block angle closure?

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

The answer and the reasoning

A. Laser peripheral iridotomy

Iridotomy creates a bypass for aqueous from posterior to anterior chamber, relieving pupillary block. The fellow eye should be treated prophylactically.

Option by option

  • A. Laser peripheral iridotomy (correct)

    Correct. Iridotomy relieves the block.

  • B. Laser trabeculoplasty

    Trabeculoplasty is for open-angle glaucoma.

  • C. Argon laser panretinal photocoagulation

    PRP is for proliferative retinopathy.

  • D. Topical atropine

    Atropine dilates the pupil and worsens angle closure.

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

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is A, Laser peripheral iridotomy. Iridotomy creates a bypass for aqueous from posterior to anterior chamber, relieving pupillary block.

Why is "Laser trabeculoplasty" not the answer?

Trabeculoplasty is for open-angle glaucoma.

Why is "Argon laser panretinal photocoagulation" not the answer?

PRP is for proliferative retinopathy.

Why is "Topical atropine" not the answer?

Atropine dilates the pupil and worsens angle closure.

What concept does this question test?

It tests Glaucoma: definitive treatment in angle closure in Ophthalmology. The fellow eye should be treated prophylactically.

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: definitive treatment in angle closure?

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.