Board Certified Ophthalmologist Glaucoma Diagnosis and Management 4

Question 1

A young myopic man has Krukenberg spindle, mid-peripheral radial iris transillumination defects, and a concave peripheral iris. The underlying mechanism is:

Accepted Answer

Reverse pupillary block with iris-zonule rubbing

Answer

In pigment dispersion syndrome, reverse pupillary block bows the iris posteriorly against zonules, releasing pigment.

Question 2

In neovascular glaucoma secondary to proliferative diabetic retinopathy, the most important step addressing the underlying cause is:

Accepted Answer

Panretinal photocoagulation with anti-VEGF therapy

Answer

Anti-VEGF gives rapid regression and PRP reduces the ischemic VEGF drive long term.

Question 3

An elderly patient with a hypermature cataract presents with acute IOP elevation, an open angle, and iridescent particles in the anterior chamber. Definitive treatment is:

Accepted Answer

Cataract extraction

Answer

Phacolytic glaucoma results from high-molecular-weight lens proteins obstructing the meshwork and is cured by removing the lens.

Question 4

Recurrent unilateral episodes of markedly elevated IOP with mild anterior chamber cells and fine KPs in an otherwise healthy adult have been associated with which pathogen?

Accepted Answer

Cytomegalovirus

Answer

Posner-Schlossman syndrome (glaucomatocyclitic crisis) is frequently associated with CMV in aqueous samples.

Question 5

A middle-aged woman with unilateral corneal edema, 'beaten-metal' endothelium, high peripheral anterior synechiae, and minimal iris changes most likely has:

Accepted Answer

Chandler syndrome

Answer

Chandler syndrome is the ICE variant dominated by corneal edema with mild iris findings.

Board Certified Ophthalmologist Practice Test

Board Certified Ophthalmologist Practice Test

Board Certified Ophthalmologist Glaucoma Diagnosis and Management 4