Certified Ophthalmic Assistant Practice Exam

Which condition is classified as an urgent situation requiring same-day treatment?

1. Chronic glaucoma

2. Optic neuritis

3. Corneal ulcer

4. Retinal degeneration

The correct answer is: Corneal ulcer

A corneal ulcer is classified as an urgent situation that requires same-day treatment due to its potential to lead to severe complications, including vision loss. Corneal ulcers are often caused by infections, trauma, or underlying ocular surface diseases, and they can progress rapidly if not addressed promptly. Symptoms may include redness, pain, decreased vision, and increased sensitivity to light. Immediate evaluation and treatment are necessary to prevent the spread of infection and to preserve vision. This typically involves antimicrobial therapy, possible cycloplegic agents to relieve pain, and careful monitoring of the condition. Patients with corneal ulcers are often at risk for perforation of the cornea or the development of more severe infections, making timely intervention crucial. In contrast, while chronic glaucoma, optic neuritis, and retinal degeneration can lead to significant vision issues, they generally do not require same-day treatment. Chronic glaucoma may be managed with medications over time, optic neuritis typically requires monitoring rather than immediate treatment, and retinal degeneration progresses slowly and is usually addressed over a longer timeline with various therapeutic options.