Glaucoma: pseudoexfoliation: 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: pseudoexfoliation

Sample item

An elderly man has white dandruff-like deposits on the anterior lens capsule in a target pattern and a high IOP. What is the diagnosis?

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

The answer and the reasoning

C. Pseudoexfoliation glaucoma

Pseudoexfoliation produces fibrillar material on the lens capsule, zonules and angle, with a Sampaolesi line of pigment. It carries a high risk of zonular weakness during cataract surgery.

Option by option

  • A. Phacolytic glaucoma

    Phacolytic glaucoma follows leakage in hypermature cataract.

  • B. Pigment dispersion

    Pigment dispersion occurs in young myopes.

  • C. Pseudoexfoliation glaucoma (correct)

    Correct. Target-like deposits identify pseudoexfoliation.

  • D. Angle recession glaucoma

    Angle recession follows blunt trauma.

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 C, Pseudoexfoliation glaucoma. Pseudoexfoliation produces fibrillar material on the lens capsule, zonules and angle, with a Sampaolesi line of pigment.

Why is "Phacolytic glaucoma" not the answer?

Phacolytic glaucoma follows leakage in hypermature cataract.

Why is "Pigment dispersion" not the answer?

Pigment dispersion occurs in young myopes.

Why is "Angle recession glaucoma" not the answer?

Angle recession follows blunt trauma.

What concept does this question test?

It tests Glaucoma: pseudoexfoliation in Ophthalmology. It carries a high risk of zonular weakness during cataract surgery.

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 Glaucoma: pseudoexfoliation?

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.