Glaucoma: malignant glaucoma: 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.

Try it

Ophthalmology · Glaucoma: malignant glaucoma

Sample item

After trabeculectomy for angle closure, a patient develops a very shallow central and peripheral chamber with high IOP despite a patent iridotomy. Which drug is useful?

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

The answer and the reasoning

D. Atropine

Malignant or ciliary block glaucoma is due to aqueous misdirection into the vitreous. Cycloplegics such as atropine tighten the zonules and pull the lens back, and miotics worsen the condition.

Option by option

  • A. Brimonidine alone

    Brimonidine alone does not treat the mechanism.

  • B. Pilocarpine

    Miotics aggravate ciliary block.

  • C. Latanoprost

    Prostaglandin analogues do not reverse the block.

  • D. Atropine (correct)

    Correct. Cycloplegia tightens the zonule and deepens the chamber.

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 D, Atropine. Malignant or ciliary block glaucoma is due to aqueous misdirection into the vitreous.

Why is "Brimonidine alone" not the answer?

Brimonidine alone does not treat the mechanism.

Why is "Pilocarpine" not the answer?

Miotics aggravate ciliary block.

Why is "Latanoprost" not the answer?

Prostaglandin analogues do not reverse the block.

What concept does this question test?

It tests Glaucoma: malignant glaucoma in Ophthalmology. Cycloplegics such as atropine tighten the zonules and pull the lens back, and miotics worsen the condition.

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: malignant glaucoma?

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.