Contact lenses: complications: 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.

Try it

Ophthalmology · Contact lenses: complications

Sample item

A long-term soft contact lens wearer has itching, mucus and large papillae on the upper tarsal conjunctiva. What is the diagnosis?

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

The answer and the reasoning

A. Giant papillary conjunctivitis

Giant papillary conjunctivitis is a hypersensitivity reaction to protein deposits on lenses or to exposed sutures and prostheses. Treatment includes stopping lens wear and mast cell stabilisers.

Option by option

  • A. Giant papillary conjunctivitis (correct)

    Correct. Lens wear with giant papillae is classic.

  • B. Ligneous conjunctivitis

    Ligneous conjunctivitis forms woody pseudomembranes.

  • C. Trachoma

    Trachoma shows follicles and scarring.

  • D. Adenoviral conjunctivitis

    Adenoviral disease shows follicles with a preauricular node.

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.

More Ophthalmology questions

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is A, Giant papillary conjunctivitis. Giant papillary conjunctivitis is a hypersensitivity reaction to protein deposits on lenses or to exposed sutures and prostheses.

Why is "Ligneous conjunctivitis" not the answer?

Ligneous conjunctivitis forms woody pseudomembranes.

Why is "Trachoma" not the answer?

Trachoma shows follicles and scarring.

Why is "Adenoviral conjunctivitis" not the answer?

Adenoviral disease shows follicles with a preauricular node.

What concept does this question test?

It tests Contact lenses: complications in Ophthalmology. Treatment includes stopping lens wear and mast cell stabilisers.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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 Contact lenses: complications?

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.