Glaucoma · NEET PG Preparation Ophthalmology

A 55-year-old male is evaluated for chronic open-angle glaucoma. Slit-lamp examination reveals fine, white, flaky dandruff-like material deposited on…

Practice question from Glaucoma (NEET PG Preparation Ophthalmology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-AA803F

A 55-year-old male is evaluated for chronic open-angle glaucoma. Slit-lamp examination reveals fine, white, flaky dandruff-like material deposited on the pupillary margin, anterior lens capsule, and trabecular meshwork. A transillumination defect of the iris pupillary ruff is also noted. What is the diagnosis?

  1. A.Pseudoexfoliation syndromeCorrect answer
  2. B.Pigment dispersion syndrome
  3. C.Fuchs heterochromic iridocyclitis
  4. D.Primary angle-closure glaucoma

Solution

Pseudoexfoliation (PXF) syndrome is a systemic systemic microfibrillopathy characterized by the accumulation of white fibrillar material on anterior segment structures, including the lens capsule and trabecular meshwork, leading to secondary open-angle glaucoma that is often refractory to medical therapy.

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