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Ophthalmology · Ocular surface
Sample itemWhat is the main mechanism of dry-eye disease in aqueous tear deficiency?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Reduced lacrimal tear production
Aqueous-deficient dry eye results from inadequate lacrimal secretion, producing irritation, fluctuating vision, and corneal surface damage.
Option by option
A. Increased lens opacity
Lens opacity is cataract.
B. Excess retinal fluid
Retinal fluid affects posterior segment.
C. Loss of vitreous gel
Vitreous loss is not dry eye.
D. Reduced lacrimal tear production (correct)
Correct: low tear volume causes aqueous deficiency.
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.