Lens: lens-induced uveitis: 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 · Lens: lens-induced uveitis

Sample item

A patient develops granulomatous inflammation after cataract extraction with retained cortical material. What is the cause?

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

The answer and the reasoning

A. Autoimmune reaction to lens protein

Phacoanaphylactic uveitis is an immune response to exposed lens protein, usually after trauma or surgery. Management is removal of the retained lens material with steroids.

Option by option

  • A. Autoimmune reaction to lens protein (correct)

    Correct. The reaction is to lens antigens that were previously sequestered.

  • B. Bacterial infection

    Bacterial infection gives endophthalmitis with a different time course.

  • C. Toxic reaction to viscoelastic

    Toxic anterior segment syndrome presents within 24 hours without lens retention.

  • D. Viral reactivation

    No viral process is involved.

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, Autoimmune reaction to lens protein. Phacoanaphylactic uveitis is an immune response to exposed lens protein, usually after trauma or surgery.

Why is "Bacterial infection" not the answer?

Bacterial infection gives endophthalmitis with a different time course.

Why is "Toxic reaction to viscoelastic" not the answer?

Toxic anterior segment syndrome presents within 24 hours without lens retention.

Why is "Viral reactivation" not the answer?

No viral process is involved.

What concept does this question test?

It tests Lens: lens-induced uveitis in Ophthalmology. Management is removal of the retained lens material with steroids.

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 Lens: lens-induced uveitis?

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.