Certified Ophthalmic Medical Technologist (COMT) Practice Exam

What is the most common ocular complication associated with rheumatoid arthritis?

1. Conjunctivitis

2. Keratoconjunctivitis sicca

3. Corneal ulceration

4. Retinal vascular occlusion

The correct answer is: Keratoconjunctivitis sicca

Keratoconjunctivitis sicca, commonly known as dry eye syndrome, is indeed the most common ocular complication associated with rheumatoid arthritis. This condition arises due to the autoimmune nature of rheumatoid arthritis, which can affect the lacrimal glands and lead to a decrease in tear production. Patients with rheumatoid arthritis often experience inflammation that can disrupt the normal functioning of these glands, leading to dryness of the eye surface. The symptoms of keratoconjunctivitis sicca may include a sensation of grittiness or sand in the eyes, redness, and a feeling of irritation. It can significantly affect a patient's quality of life, as dry eyes may lead to difficulties with visual tasks, discomfort, and even increased risk of corneal damage if left untreated. Understanding the relationship between rheumatoid arthritis and keratoconjunctivitis sicca is essential for comprehensive patient care, as early recognition and management can help alleviate symptoms and prevent further ocular complications.