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Ophthalmology · Retina: rhegmatogenous detachment
Sample itemA myopic man reports flashes, a shower of floaters and then a curtain across his vision. What is the likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Rhegmatogenous retinal detachment
Vitreous traction on the retina causes photopsia, and a tear then lets liquefied vitreous enter the subretinal space. Urgent repair by retinopexy, scleral buckle or vitrectomy is needed.
Option by option
A. Central retinal artery occlusion
Artery occlusion causes sudden painless total loss.
B. Rhegmatogenous retinal detachment (correct)
Correct. Photopsia, floaters and a curtain are classic.
C. Acute angle closure
Angle closure is painful with halos.
D. Optic neuritis
Optic neuritis has pain on movement and central loss.
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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