Uvea: dengue maculopathy: 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 · Uvea: dengue maculopathy

Sample item

Ten days after dengue haemorrhagic fever with a platelet count of 20,000, a young man has central blurring and perifoveal haemorrhages with macular oedema. What is the appropriate approach?

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

The answer and the reasoning

D. Supportive care and observation, as most recover

Dengue maculopathy results from vasculopathy and thrombocytopenia and generally recovers with observation as platelets rise. Steroids are debated and are not routine. Surgery, laser and antibiotics have no role.

Option by option

  • A. Panretinal photocoagulation

    Panretinal photocoagulation treats proliferative ischaemic retinopathy, which is not present.

  • B. Intravitreal antibiotics

    Intravitreal antibiotics treat endophthalmitis, which this is not.

  • C. Immediate vitrectomy

    Vitrectomy is for non-clearing vitreous haemorrhage or traction.

  • D. Supportive care and observation, as most recover (correct)

    Correct. Most cases recover spontaneously with supportive care.

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, Supportive care and observation, as most recover. Dengue maculopathy results from vasculopathy and thrombocytopenia and generally recovers with observation as platelets rise.

Why is "Panretinal photocoagulation" not the answer?

Panretinal photocoagulation treats proliferative ischaemic retinopathy, which is not present.

Why is "Intravitreal antibiotics" not the answer?

Intravitreal antibiotics treat endophthalmitis, which this is not.

Why is "Immediate vitrectomy" not the answer?

Vitrectomy is for non-clearing vitreous haemorrhage or traction.

What concept does this question test?

It tests Uvea: dengue maculopathy in Ophthalmology. Steroids are debated and are not routine. Surgery, laser and antibiotics have no role.

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 Uvea: dengue maculopathy?

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.