Board Certified Ophthalmologist FREE Board Certified Ophthalmologist Retina and Vitreous Diseases Questions and Answers 2

Question 1

A 62-year-old diabetic patient presents with tractional retinal detachment involving the macula. What is the most appropriate surgical intervention?

Accepted Answer

Pars plana vitrectomy with membrane peeling

Answer

Scleral buckle alone

Answer

Intravitreal anti-VEGF injection only

Answer

Pneumatic retinopexy

Question 2

Which finding on OCT is most characteristic of central serous chorioretinopathy?

Accepted Answer

Neurosensory retinal detachment with subretinal fluid

Answer

Intraretinal cystoid spaces with hard exudates

Answer

Full-thickness macular hole with operculum

Answer

Epiretinal membrane with retinal folds

Question 3

A patient with acute retinal necrosis syndrome should be treated initially with which antiviral agent?

Accepted Answer

Intravenous acyclovir

Answer

Oral valacyclovir alone

Answer

Topical ganciclovir

Answer

Intravitreal foscarnet alone

Question 4

What is the most common cause of vitreous hemorrhage in adults in the United States?

Accepted Answer

Proliferative diabetic retinopathy

Answer

Posterior vitreous detachment with retinal tear

Answer

Retinal vein occlusion

Answer

Trauma

Question 5

Which visual field defect is classically associated with a branch retinal artery occlusion affecting the superior temporal arcade?

Accepted Answer

Inferior nasal scotoma

Answer

Superior altitudinal defect

Answer

Homonymous hemianopia

Answer

Central scotoma

Question 6

In a patient with retinitis pigmentosa, which electroretinography finding is expected?

Accepted Answer

Markedly reduced or extinguished rod and cone responses

Answer

Normal a-wave with reduced b-wave

Answer

Supranormal b-wave amplitude

Answer

Electronegative ERG with preserved a-wave

A 62-year-old diabetic patient presents with tractional retinal detachment involving the macula.What is the most appropriate surgical intervention?