Try it
Ophthalmology · Ocular pharmacology: interferon retinopathy
Sample itemA man on pegylated interferon for hepatitis C has asymptomatic cotton wool spots and a few retinal haemorrhages. What is the usual course?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Often transient, with observation and follow-up
Interferon retinopathy is often asymptomatic and resolves, so careful follow-up is usually enough, with the drug continued unless it threatens vision. Laser and anti-VEGF are not required.
Option by option
A. Often transient, with observation and follow-up (correct)
Correct. Most cases are self-limiting and are observed.
B. Urgent panretinal photocoagulation
Laser is for proliferative ischaemic disease, which is not present.
C. Stop all antiviral treatment permanently
Stopping antiviral treatment permanently is not required for mild findings.
D. Intravitreal bevacizumab
Anti-VEGF injection is not routine for cotton wool spots.
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
- GlaucomaWhich topical glaucoma medicine lowers intraocular pressure mainly by increasing uveoscl…
- Ocular oncologyA 2-year-old child has a white pupillary reflex (leukocoria). The gene commonly involved…
- UveaA patient has a painful red eye with photophobia, ciliary congestion, a small irregular…
- GlaucomaWhich drug is given systemically to reduce intraocular pressure in acute angle-closure g…