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Ophthalmology · Retina: Eales disease
Sample itemA young Indian man has recurrent painless vitreous haemorrhages with peripheral periphlebitis and neovascularisation. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Eales disease
Eales disease is an idiopathic obliterative periphlebitis of the peripheral retina in young adult males, common in India and possibly related to tuberculous hypersensitivity. Treatment is steroids in the inflammatory phase and laser for neovascularisation.
Option by option
A. Eales disease (correct)
Correct. This fits the age, sex and recurrence.
B. Retinopathy of prematurity
ROP occurs in premature infants.
C. Coats disease
Coats disease occurs in boys with exudation.
D. Sickle retinopathy
Sickle retinopathy occurs in haemoglobinopathies.
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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