Retina: epiretinal membrane: 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 · Retina: epiretinal membrane

Sample item

A 65-year-old has mild central distortion and a glistening cellophane-like reflex at the macula. What is the diagnosis?

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

The answer and the reasoning

A. Epiretinal membrane

Epiretinal membranes are fibrocellular proliferations on the inner retinal surface causing wrinkling and distortion. Vitrectomy with membrane peeling is done when symptoms are significant.

Option by option

  • A. Epiretinal membrane (correct)

    Correct. A cellophane macular reflex with distortion fits ERM.

  • B. Macular hole

    A macular hole has a punched-out defect.

  • C. Retinal artery occlusion

    Artery occlusion causes sudden painless loss.

  • D. Wet AMD

    Wet AMD has subretinal fluid and haemorrhage.

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 A, Epiretinal membrane. Epiretinal membranes are fibrocellular proliferations on the inner retinal surface causing wrinkling and distortion.

Why is "Macular hole" not the answer?

A macular hole has a punched-out defect.

Why is "Retinal artery occlusion" not the answer?

Artery occlusion causes sudden painless loss.

Why is "Wet AMD" not the answer?

Wet AMD has subretinal fluid and haemorrhage.

What concept does this question test?

It tests Retina: epiretinal membrane in Ophthalmology. Vitrectomy with membrane peeling is done when symptoms are significant.

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 Retina: epiretinal membrane?

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.