Certified Ophthalmic Medical Technologist (COMT) Practice Exam

What is one potential result of prolonged use of corticosteroids in ophthalmic practice?

1. Decreased ocular pressure

2. Cataracts

3. Increased sensitivity to light

4. Improved retinal health

The correct answer is: Cataracts

Prolonged use of corticosteroids in ophthalmic practice can lead to cataracts, which is a clouding of the lens of the eye. Corticosteroids can interfere with lens metabolism and promote the formation of lens opacities, leading to the development of cataracts over time. This effect is particularly significant in individuals who may be predisposed to cataract development due to other risk factors such as age, diabetes, or other ocular conditions. In contrast, decreased ocular pressure is not typically associated with long-term corticosteroid use; rather, corticosteroids are known to potentially increase intraocular pressure, which can lead to glaucoma in susceptible individuals. Increased sensitivity to light is not a directly noted consequence of corticosteroid use, and improved retinal health is unlikely since corticosteroids do not have a protective or restorative effect on retinal conditions, and excessive use is often associated with adverse ocular effects instead.