Three months after blunt trauma to the left eye, gonioscopy reveals an abnormally wide ciliary body band with bare radial fibres of the ciliary muscle visible over more than 180 degrees. The principal long-term concern in this patient is:
- A Late-onset open-angle glaucoma ✓
- B Recurrent hyphaema
- C Acute angle closure glaucoma
- D Corneal endothelial decompensation
Correct answer: A. Late-onset open-angle glaucoma
Explanation
The findings describe angle recession, a tear between the longitudinal and circular fibres of the ciliary muscle caused by blunt compression forcing aqueous against the angle. Eyes with recession exceeding 180 degrees have a significant lifetime risk of delayed open-angle glaucoma, often appearing years later, so they warrant periodic tonometry and optic disc assessment. Hyphaema is an immediate event, not a late sequela.
Reference: Parsons' Diseases of the Eye, 23rd ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.