Certified Ophthalmic Medical Technologist (COMT) Practice Exam

What is one potential outcome of chronic inflammation affecting the pupil?

1. Increased sensitivity to light

2. Formation of posterior synechiae

3. Increased size of the pupil

4. Decreased responsiveness to accommodation

The correct answer is: Formation of posterior synechiae

Chronic inflammation in the eye can lead to the formation of posterior synechiae, which are adhesions that develop between the posterior surface of the iris and the anterior surface of the lens. This condition can be a significant consequence of ongoing inflammatory processes, such as in cases of uveitis or other ocular inflammatory diseases. When these adhesions form, they restrict the normal movement of the pupil and can cause complications such as changes in pupil shape and size, as well as increased intraocular pressure. The development of posterior synechiae is particularly concerning because it can lead to further issues, such as glaucoma or cataract formation, ultimately affecting vision. Understanding this outcome highlights the importance of managing chronic inflammation effectively to preserve ocular health. While increased sensitivity to light, increased pupil size, and decreased responsiveness to accommodation can also occur due to various ocular or neurological conditions, they do not specifically result from chronic inflammation in the same way that posterior synechiae do. Thus, the formation of these adhesions stands out as a direct and specific consequence of chronic inflammatory processes affecting the pupil.