Certified Ophthalmic Medical Technologist (COMT) Practice Exam

In what situation should a patient be referred immediately when concerning intraocular pressure?

1. If documented intraocular pressure is below normal

2. If intraocular pressure exceeds 20 mmHg

3. If there are symptoms of visual disturbance

4. If intraocular pressure is combined with severe eye pain

The correct answer is: If intraocular pressure is combined with severe eye pain

A referral should be made immediately in the situation where intraocular pressure is accompanied by severe eye pain because this combination of symptoms may indicate an acute condition, such as acute glaucoma or another urgent ocular emergency. Severe eye pain could suggest increased intraocular pressure due to a blockage in the drainage system of the eye, leading to a rapid rise in pressure that can cause irreversible damage to the optic nerve if not addressed quickly. While documented intraocular pressure below normal or exceeding 20 mmHg may warrant evaluation, they do not necessarily indicate an immediate need for referral without accompanying symptoms. Similarly, visual disturbances alone also do not dictate an urgent referral unless they are combined with other concerning symptoms. The presence of severe eye pain is a critical red flag that requires prompt medical intervention to prevent potential vision loss.