Lens and cataract: Nd:YAG capsulotomy risk: 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 · Lens and cataract: Nd:YAG capsulotomy risk

Sample item

A high myope develops posterior capsule opacification a year after cataract surgery and needs Nd:YAG capsulotomy. Which late complication should be mentioned in consent?

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

The answer and the reasoning

D. Retinal detachment

Capsulotomy opens the barrier between anterior and posterior segments, and retinal detachment is a recognised delayed complication, especially in axial myopia. Transient IOP spikes and IOL pitting also occur. Expulsive haemorrhage and phacolytic glaucoma belong to other settings.

Option by option

  • A. Phacolytic glaucoma

    Phacolytic glaucoma needs a leaking hypermature lens, which is no longer present.

  • B. Expulsive haemorrhage

    Expulsive haemorrhage occurs during open intraocular surgery, not with a laser opening.

  • C. Posterior synechiae

    Posterior synechiae arise from inflammation, not from a capsulotomy.

  • D. Retinal detachment (correct)

    Correct. Retinal detachment is the feared late complication, especially in high myopes.

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 D, Retinal detachment. Capsulotomy opens the barrier between anterior and posterior segments, and retinal detachment is a recognised delayed complication, especially in axial myopia.

Why is "Phacolytic glaucoma" not the answer?

Phacolytic glaucoma needs a leaking hypermature lens, which is no longer present.

Why is "Expulsive haemorrhage" not the answer?

Expulsive haemorrhage occurs during open intraocular surgery, not with a laser opening.

Why is "Posterior synechiae" not the answer?

Posterior synechiae arise from inflammation, not from a capsulotomy.

What concept does this question test?

It tests Lens and cataract: Nd:YAG capsulotomy risk in Ophthalmology. Transient IOP spikes and IOL pitting also occur. Expulsive haemorrhage and phacolytic glaucoma belong to other settings.

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 Lens and cataract: Nd:YAG capsulotomy risk?

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.