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Ophthalmology · Uvea: uveitic cystoid macular oedema
Sample itemThe commonest cause of visual loss in chronic uveitis is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Cystoid macular oedema
Cystoid macular oedema results from breakdown of the blood-retinal barrier by inflammatory mediators and is the commonest cause of reduced vision in uveitis. OCT confirms it. Treatment is with periocular or intravitreal steroids, and acetazolamide.
Option by option
A. Corneal scarring
Corneal scarring is uncommon in uveitis.
B. Optic atrophy
Optic atrophy is less frequent.
C. Cystoid macular oedema (correct)
Correct. CME is the commonest cause of visual loss in uveitis.
D. Choroidal neovascularisation
CNV is rare in uveitis.
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.
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