Lens and cataract: cataract surgery in 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 and cataract: cataract surgery in uveitis

Sample item

A child with juvenile idiopathic arthritis and uveitis has a visually significant complicated cataract. When is surgery best undertaken?

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

The answer and the reasoning

C. After a period of quiescence with perioperative steroid cover

Operating on a quiet eye with perioperative steroid and immunosuppressive cover lowers the risk of postoperative inflammation and macular oedema. Operating during active uveitis leads to synechiae and membranes. Stopping immunosuppression invites flare.

Option by option

  • A. Only after stopping all immunosuppression

    Withdrawing immunosuppression before surgery provokes flare-ups.

  • B. Never, because surgery always fails

    Surgery can be done with good results in controlled uveitis, so refusal is wrong.

  • C. After a period of quiescence with perioperative steroid cover (correct)

    Correct. Control inflammation first and cover surgery with steroids.

  • D. Immediately during active inflammation

    Operating during active inflammation causes severe postoperative reaction and membranes.

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 C, After a period of quiescence with perioperative steroid cover. Operating on a quiet eye with perioperative steroid and immunosuppressive cover lowers the risk of postoperative inflammation and macular oedema.

Why is "Only after stopping all immunosuppression" not the answer?

Withdrawing immunosuppression before surgery provokes flare-ups.

Why is "Never, because surgery always fails" not the answer?

Surgery can be done with good results in controlled uveitis, so refusal is wrong.

Why is "Immediately during active inflammation" not the answer?

Operating during active inflammation causes severe postoperative reaction and membranes.

What concept does this question test?

It tests Lens and cataract: cataract surgery in uveitis in Ophthalmology. Operating during active uveitis leads to synechiae and membranes. Stopping immunosuppression invites flare.

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 and cataract: cataract surgery in 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.