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Hordeolum Externum (Stye) — MRCGP AKT MCQ

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HardOphthalmologyHordeolum Externum (Stye)MRCGP AKTUKMLAPARA

A 78-year-old reports new central distortion and a dark patch in one eye. Visual acuity has declined over 1 week. What should the GP arrange?

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Correct answer: D — Urgent macular referral for rapid central visual loss

The best answer is “Urgent macular referral for rapid central visual loss”. New metamorphopsia and rapid central visual loss are suspicious for wet active AMD. Urgent macular assessment permits OCT and anti-VEGF treatment when indicated. Delaying for refraction or cataract review risks permanent central visual loss.

Reference: NICE NG82: Age-related macular degeneration: https://www.nice.org.uk/guidance/ng82/chapter/recommendations