Certified Ophthalmic Medical Technologist (COMT) Practice Exam

Which is NOT an ocular finding associated with congenital glaucoma?

1. Enlarged corneal diameter

2. Vitreous hemorrhage

3. Possible blepharospasm

4. Mild corneal edema

The correct answer is: Vitreous hemorrhage

Congenital glaucoma is characterized by a range of ocular findings resulting from increased intraocular pressure, which affects the development and function of the eye. An enlarged corneal diameter is a classic sign of congenital glaucoma; the cornea may become distended due to the pressure. Possible blepharospasm can occur as a reflex response to discomfort or pain associated with the elevated intraocular pressure. Mild corneal edema can also be present as the cornea suffers from the effects of increased pressure, which can lead to fluid accumulation. Vitreous hemorrhage, on the other hand, is typically not associated with congenital glaucoma. It is more commonly linked to other conditions, such as retinal vascular diseases, trauma, or certain eye disorders that aren't primarily related to the obstruction of aqueous humor outflow characteristic of congenital glaucoma. Thus, recognizing that vitreous hemorrhage does not fit within the common ocular findings related to congenital glaucoma highlights its exclusion from this list.