EENT and Sleep Disorders Q 29 - Gyan Darpan : Learning Portal
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Wednesday 23 March 2022

EENT and Sleep Disorders Q 29

Cataract surgery results in aphakia. Which of the following statements best describes this term?
     A. Absence of the crystalline lens.
     B. A “keyhole” pupil.
     C. Loss of accommodation.
     D. Retinal detachment.

Correct Answer: A. Absence of the crystalline lens

Aphakia means without a lens. Aphakia is a condition that involves not having an eye lens. The lens of the eye is a clear, flexible structure that allows the eye to focus. This condition is most common in adults with cataracts, but it can also affect infants and children.

Option B: A keyhole pupil results from iridectomy. Coloboma of the iris is a hole or defect of the iris of the eye. Most colobomas are present since birth (congenital). A cat-eye is a type of coloboma. Any defect in the iris that allows light to enter the eye, other than through the pupil, is called a coloboma.
Option C: Loss of accommodation is a normal response to aging. Loss of accommodation is a normal process of aging, called presbyopia. However, premature or acute accommodation loss in a child or young adult necessitates systemic evaluation and laboratory work-up to determine the etiology.
Option D: A retinal detachment is usually associated with retinal holes created by vitreous traction. Retinal detachments constitute a serious ocular condition and can lead to permanent vision loss. When the retina, the neurosensory layer, detaches from the back of the eye, it loses its oxygen and nutrient supply leading to the death of the tissue.

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