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Ophthalmology · Diabetic retinopathy: PDR treatment
Sample itemWhich treatment is standard for high-risk proliferative diabetic retinopathy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Panretinal photocoagulation
PRP ablates ischaemic peripheral retina, decreasing VEGF production and causing regression of new vessels. Anti-VEGF injections are an alternative or adjunct.
Option by option
A. Topical steroids
Topical steroids do not treat retinal ischaemia.
B. Scleral buckling
Buckling treats detachments.
C. Panretinal photocoagulation (correct)
Correct. PRP is the established treatment.
D. Focal laser alone
Focal laser treats macular oedema.
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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