Q:

A 28 year old woman has been on treatment for RA (rheumatoid arthritis) for 3 years. She has gradual loss of vision in both eyes. Her IOP (intra-ocular pressure) is normal. Red reflex is absent in both eyes. What is the single most likely diagnosis?

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A 28 year old woman has been on treatment for RA (rheumatoid arthritis) for 3 years. She has gradual loss of vision in both eyes. Her IOP (intra-ocular pressure) is normal. Red reflex is absent in both eyes. What is the single most likely diagnosis?


  1. Cataract
  2. DM retinopathy
  3. Hypermetropia
  4. Macular degeneration
  5. HTN retinopathy

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The key is A. Cataract. [Prolonged use of steroid (here in RA) is a known cause of cataract].

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