Ocular pharmacology: intravitreal triamcinolone: 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 · Ocular pharmacology: intravitreal triamcinolone

Sample item

A diabetic patient receives intravitreal triamcinolone for macular oedema. Which two adverse effects should be monitored?

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

The answer and the reasoning

B. Raised intraocular pressure and cataract

Intravitreal steroids commonly cause ocular hypertension and cataract progression, so IOP is monitored. Endophthalmitis is a rarer risk. The other pairs are not typical steroid effects.

Option by option

  • A. Corneal haze and scleral melt

    Corneal haze and scleral melt are not steroid effects after injection.

  • B. Raised intraocular pressure and cataract (correct)

    Correct. Steroids raise IOP and accelerate cataract.

  • C. Hyphaema and iris atrophy

    Hyphaema and iris atrophy do not follow intravitreal triamcinolone.

  • D. Retinal vasculitis and optic neuritis

    Vasculitis and optic neuritis are not typical steroid effects.

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.

More Ophthalmology questions

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is B, Raised intraocular pressure and cataract. Intravitreal steroids commonly cause ocular hypertension and cataract progression, so IOP is monitored.

Why is "Corneal haze and scleral melt" not the answer?

Corneal haze and scleral melt are not steroid effects after injection.

Why is "Hyphaema and iris atrophy" not the answer?

Hyphaema and iris atrophy do not follow intravitreal triamcinolone.

Why is "Retinal vasculitis and optic neuritis" not the answer?

Vasculitis and optic neuritis are not typical steroid effects.

What concept does this question test?

It tests Ocular pharmacology: intravitreal triamcinolone in Ophthalmology. Endophthalmitis is a rarer risk. The other pairs are not typical steroid effects.

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 Ocular pharmacology: intravitreal triamcinolone?

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.