Refraction: pathological myopia: practice question

A Ophthalmology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Ophthalmology · Refraction: pathological myopia

Sample item

A patient with 14 D axial myopia has a sudden loss of central vision with a small dark subretinal haemorrhage at the macula. What is the likely cause?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Myopic choroidal neovascularisation

High myopia leads to lacquer cracks and Fuchs spot, with choroidal neovascularisation as a major cause of central vision loss. It is treated with intravitreal anti-VEGF agents.

Option by option

  • A. Myopic choroidal neovascularisation (correct)

    Correct. A dark macular lesion in a high myope suggests CNV.

  • B. Vitreous haemorrhage from proliferative disease

    Vitreous haemorrhage does not give a localised subretinal haemorrhage.

  • C. Optic neuritis

    Optic neuritis shows pain and RAPD, not a retinal haemorrhage.

  • D. Central retinal artery occlusion

    Artery occlusion gives a cherry red spot.

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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Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is A, Myopic choroidal neovascularisation. High myopia leads to lacquer cracks and Fuchs spot, with choroidal neovascularisation as a major cause of central vision loss.

Why is "Vitreous haemorrhage from proliferative disease" not the answer?

Vitreous haemorrhage does not give a localised subretinal haemorrhage.

Why is "Optic neuritis" not the answer?

Optic neuritis shows pain and RAPD, not a retinal haemorrhage.

Why is "Central retinal artery occlusion" not the answer?

Artery occlusion gives a cherry red spot.

What concept does this question test?

It tests Refraction: pathological myopia in Ophthalmology. It is treated with intravitreal anti-VEGF agents.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Refraction: pathological myopia?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.