Certified Paraoptometric (CPO) Practice Exam 2025

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What might be a contraindication for using Atropine?

  1. Known allergy to tropicamide

  2. Increased sensitivity to light

  3. Glaucoma or certain other eye conditions

  4. Previous cataract surgery

The correct answer is: Glaucoma or certain other eye conditions

Atropine is an anticholinergic medication often used in ophthalmology for various purposes, such as inducing cycloplegia and managing certain eye conditions. However, one significant contraindication for its use is glaucoma or specific other eye conditions. In patients with glaucoma, especially angle-closure glaucoma, the use of Atropine can cause pupil dilation and increase intraocular pressure, potentially leading to an acute glaucoma attack. This makes it crucial to avoid Atropine in patients who have a history of glaucoma or certain other ocular conditions that could be exacerbated by increased intraocular pressure. Understanding the implications of using Atropine in these cases is vital for maintaining patient safety and ensuring effective management of eye health.