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Ophthalmology · Trauma: blunt injury
Sample itemA man struck on the eye by a fist has an inability to see in the central field with a whitish retinal haze. What is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Commotio retinae (Berlin's oedema)
Commotio retinae is transient retinal whitening after blunt trauma that usually resolves, though macular damage may cause permanent loss. Other effects of blunt trauma include angle recession and Vossius ring.
Option by option
A. Central retinal artery occlusion
CRAO shows a cherry red spot without trauma context.
B. Retinal detachment
Detachment shows a tear and detached retina.
C. Commotio retinae (Berlin's oedema) (correct)
Correct. Retinal whitening after blunt injury is Berlin oedema.
D. Papilloedema
Papilloedema affects the disc.
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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