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Ophthalmology · Aphakia: optical features
Sample itemA patient with uncorrected aphakia has an unusually deep anterior chamber and an iris that trembles on movement. What is this sign called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Iridodonesis
Without the lens to support it, the iris shakes with eye movement and is called iridodonesis. A tremulous lens in subluxation shows phacodonesis.
Option by option
A. Hippus
Hippus is spontaneous pupil oscillation.
B. Iridodonesis (correct)
Correct. Trembling of the iris is iridodonesis.
C. Phacodonesis
Phacodonesis is trembling of the lens.
D. Argyll Robertson pupil
Argyll Robertson pupil is a light-near dissociation.
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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