Board Certified Ophthalmologist FREE Retina and Vitreous Disorders Questions and Answers 2

Question 1

A 62-year-old diabetic patient presents with neovascularization of the disc (NVD) covering more than one-third of the disc area.
According to the Early Treatment Diabetic Retinopathy Study (ETDRS), what is the most appropriate next step?

Accepted Answer

Prompt panretinal photocoagulation

Answer

Observation with follow-up in 3 months

Answer

Intravitreal anti-VEGF monotherapy

Answer

Pars plana vitrectomy

Question 2

Which finding on optical coherence tomography (OCT) is most characteristic of central serous chorioretinopathy (CSC)?

Accepted Answer

Subretinal fluid with a neurosensory detachment and possible pigment epithelial detachment

Answer

Intraretinal cystic spaces with petaloid pattern

Answer

Hyperreflective foci within the outer nuclear layer

Answer

Disruption of the ellipsoid zone with subretinal fibrosis

Question 3

A patient with a history of retinal detachment repair presents with decreased vision and an epiretinal membrane causing significant macular distortion. Which surgical intervention is most appropriate?

Accepted Answer

Pars plana vitrectomy with membrane peeling

Answer

Scleral buckle revision

Answer

Pneumatic retinopexy

Answer

Intravitreal corticosteroid injection

Question 4

What is the most common cause of vitreous hemorrhage in adults over age 50?

Accepted Answer

Posterior vitreous detachment with retinal tear

Answer

Trauma

Answer

Terson syndrome

Answer

Valsalva retinopathy

Question 5

A 45-year-old woman presents with sudden painless vision loss and fundoscopy reveals a cherry-red spot at the macula with surrounding retinal whitening. Which condition is most likely?

Accepted Answer

Central retinal artery occlusion

Answer

Central retinal vein occlusion

Answer

Anterior ischemic optic neuropathy

Answer

Optic neuritis

Question 6

In a patient with wet age-related macular degeneration, which OCT finding most strongly indicates active choroidal neovascularization requiring treatment?

Accepted Answer

Subretinal and intraretinal fluid with pigment epithelial detachment

Answer

Drusen without subretinal fluid

Answer

Geographic atrophy of the RPE

Answer

Vitreomacular traction without fluid

A 62-year-old diabetic patient presents with neovascularization of the disc (NVD) covering more than one-third of the disc area.According to the Early Treatment Diabetic Retinopathy Study (ETDRS), what is the most appropriate next step?

A 62-year-old diabetic patient presents with neovascularization of the disc (NVD) covering more than one-third of the disc area.
According to the Early Treatment Diabetic Retinopathy Study (ETDRS), what is the most appropriate next step?