Retina: choroidal rupture: 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: choroidal rupture

Sample item

After blunt trauma with a ball, a boy has vision of 6/60 and a curved yellow-white subretinal streak concentric to the disc. Which late complication should be watched for?

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

The answer and the reasoning

B. Choroidal neovascularisation

Choroidal rupture breaks Bruch membrane, and choroidal neovascularisation can arise months to years later and threaten the macula. Follow-up with OCT or angiography is advised. The other options are not typical sequelae.

Option by option

  • A. Angle-closure glaucoma

    Angle closure is not a consequence of a posterior choroidal break.

  • B. Choroidal neovascularisation (correct)

    Correct. A break in Bruch membrane allows later neovascular membranes.

  • C. Optic atrophy from the rupture

    Optic atrophy follows optic nerve injury, not a choroidal rupture.

  • D. Iris atrophy

    Iris atrophy follows sphincter injury or ischaemia and is not linked.

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 B, Choroidal neovascularisation. Choroidal rupture breaks Bruch membrane, and choroidal neovascularisation can arise months to years later and threaten the macula.

Why is "Angle-closure glaucoma" not the answer?

Angle closure is not a consequence of a posterior choroidal break.

Why is "Optic atrophy from the rupture" not the answer?

Optic atrophy follows optic nerve injury, not a choroidal rupture.

Why is "Iris atrophy" not the answer?

Iris atrophy follows sphincter injury or ischaemia and is not linked.

What concept does this question test?

It tests Retina: choroidal rupture in Ophthalmology. Follow-up with OCT or angiography is advised. The other options are not typical sequelae.

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: choroidal rupture?

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.