Uveitis: Fuchs heterochromic cyclitis: 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 · Uveitis: Fuchs heterochromic cyclitis

Sample item

A young adult has a unilateral lighter iris, fine stellate keratic precipitates all over the cornea, mild cells and a cataract, with no synechiae. What is the diagnosis?

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

The answer and the reasoning

C. Fuchs heterochromic iridocyclitis

Fuchs heterochromic iridocyclitis is a chronic non-granulomatous low-grade inflammation with diffusely distributed KPs, iris atrophy and cataract. Steroids are of little use, and glaucoma may occur.

Option by option

  • A. HLA-B27 uveitis

    HLA-B27 uveitis is acute, painful with synechiae.

  • B. Sarcoid uveitis

    Sarcoid has mutton-fat KPs.

  • C. Fuchs heterochromic iridocyclitis (correct)

    Correct. This is the classic presentation.

  • D. Sympathetic ophthalmia

    Sympathetic ophthalmia follows penetrating injury of the other eye.

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 C, Fuchs heterochromic iridocyclitis. Fuchs heterochromic iridocyclitis is a chronic non-granulomatous low-grade inflammation with diffusely distributed KPs, iris atrophy and cataract.

Why is "HLA-B27 uveitis" not the answer?

HLA-B27 uveitis is acute, painful with synechiae.

Why is "Sarcoid uveitis" not the answer?

Sarcoid has mutton-fat KPs.

Why is "Sympathetic ophthalmia" not the answer?

Sympathetic ophthalmia follows penetrating injury of the other eye.

What concept does this question test?

It tests Uveitis: Fuchs heterochromic cyclitis in Ophthalmology. Steroids are of little use, and glaucoma may occur.

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 Uveitis: Fuchs heterochromic cyclitis?

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.