Board Certified Ophthalmologist Board Certified Ophthalmologist Lens and Cataract Questions and Answers 3

Question 1

A newborn is found to have bilateral white pupillary reflexes.
After ruling out retinoblastoma, lens examination reveals dense bilateral cataracts.
Which inherited metabolic disorder should be evaluated first?

Accepted Answer

Galactosemia

Answer

Marfan syndrome

Answer

Wilson disease

Answer

Fabry disease

Question 2

Which IOL material has the lowest rate of posterior capsule opacification (PCO)?

Accepted Answer

Hydrophobic acrylic

Answer

Hydrophilic acrylic

Answer

Silicone

Answer

PMMA

Question 3

A patient who underwent uneventful cataract surgery 3 weeks ago presents with decreased vision and a hypopyon. What is the most likely diagnosis?

Accepted Answer

Acute postoperative endophthalmitis

Answer

Toxic anterior segment syndrome

Answer

Retained lens fragment

Answer

Iris prolapse

Question 4

In a patient with pseudoexfoliation syndrome undergoing cataract surgery, which intraoperative complication is the surgeon most likely to encounter?

Accepted Answer

Zonular dialysis

Answer

Posterior capsule rupture from phaco energy

Answer

Suprachoroidal hemorrhage

Answer

Corneal endothelial decompensation

Question 5

What is the primary advantage of femtosecond laser-assisted cataract surgery (FLACS) compared to conventional phacoemulsification?

Accepted Answer

More precise and reproducible capsulotomy

Answer

Significantly shorter operative time

Answer

Elimination of all surgical complications

Answer

Lower overall cost per procedure

Question 6

A 55-year-old patient presents with progressive painless vision loss and examination reveals a sunflower cataract. Which systemic condition is most commonly associated with this finding?

Accepted Answer

Wilson disease

Answer

Diabetes mellitus

Answer

Myotonic dystrophy

Answer

Atopic dermatitis