Eyelids: epiblepharon: 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 · Eyelids: epiblepharon

Sample item

An 18-month-old child has tearing and lower lashes turned up against the cornea because of a horizontal skin fold, with the lid margin in normal position. What is the management?

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

The answer and the reasoning

A. Observation, as it often resolves with age

Epiblepharon is a congenital skin fold that pushes lashes against the eye, and it often resolves as the face grows. Surgery is considered if there is corneal damage. Probing and antibiotics do not correct it.

Option by option

  • A. Observation, as it often resolves with age (correct)

    Correct. Many cases improve with growth if there is no corneal damage.

  • B. Immediate surgery

    Surgery is reserved for corneal staining or persistent symptoms.

  • C. Nasolacrimal duct probing

    Probing treats nasolacrimal obstruction, not this lash problem.

  • D. Prolonged antibiotic drops

    Antibiotics do not correct the lid fold.

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 A, Observation, as it often resolves with age. Epiblepharon is a congenital skin fold that pushes lashes against the eye, and it often resolves as the face grows.

Why is "Immediate surgery" not the answer?

Surgery is reserved for corneal staining or persistent symptoms.

Why is "Nasolacrimal duct probing" not the answer?

Probing treats nasolacrimal obstruction, not this lash problem.

Why is "Prolonged antibiotic drops" not the answer?

Antibiotics do not correct the lid fold.

What concept does this question test?

It tests Eyelids: epiblepharon in Ophthalmology. Surgery is considered if there is corneal damage. Probing and antibiotics do not correct it.

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 Eyelids: epiblepharon?

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.