RRB Optometrist Previous Year MCQs on Contact Lenses
Master High-Yield RRB Optometry PYQs & Answer for CBT Success Welcome back to Smart Optometry Academy. Perfecting your contact lens fitting and complication management skills is essential for securing a top rank in the Railway Recruitment Board paramedical examination. This focused set of RRB Optometrist Previous Year MCQs zeroes in on core contact lens materials, fitting protocols, and clinical pathology directly mapped to the official syllabus.
Key Clinical Concepts Covered in These RRB PYQs
- Pre-fitting tear assessment techniques and the Schirmer test
- Contact lens disinfection chemistry and corneal safety protocols
- Indications for hydrophilic toric contact lenses in active patients
- Managing post-refractive surgery RGP intolerance using piggyback systems
- Identifying “steep lens syndrome” in hybrid contact lenses
- Differentiating corneal versus conjunctival complications
Review each authentic RRB Optometry PYQs & Answer below. Every question includes a concise rationale designed to strengthen your conceptual clarity in contact lens management, prevent negative marking, and boost your CBT performance.
Practice RRB Optometrist Previous Year MCQs on “Contact Lens”:
Q-1: Which of the following are not the effects of contact lenses? (RRB Optometrist Previous Year MCQs 2019)
A. Epithelial thinning
B. Thickenings in Descemet’s membrane
C. Decreased number of keratocytes
D. Stromal thinning
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Answer: B. Thickenings in Descemet’s membrane
Contact lenses primarily induce changes in the epithelium and stroma due to hypoxia and mechanical stress, but they do not cause thickening of Descemet’s membrane. Descemet’s membrane thickening is typically associated with endothelial pathology such as Fuchs’ dystrophy or chronic corneal edema, not contact lens wear.
Q-2: Select the incorrect statement regarding contact lens disinfection methods. (RRB Optometrist Year Question & Answer 2019)
A. Thermal disinfection with a used saline solution: mild keratitis
B. Chemical disinfection with thermal treatment of lenses: discolors the polymer
C. Thimerosal: clouds the lens or the case
D. Thermal disinfection of high-water content hydrophilic lenses: opaque or wrinkled lenses
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Answer: A. Thermal disinfection with a used saline solution: mild keratitis
Thermal disinfection itself does not cause mild keratitis when proper sterile saline is used; keratitis results from contaminated solutions or improper lens care. The other options correctly describe known complications: chemical/thermal combination discolors polymers, thimerosal causes deposits/clouding, and high-water lenses can opacify or wrinkle under heat.
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Q-3: Select the correct statement regarding toric hydrophilic contact lenses. (RRB Optometrist Previous Year MCQs 2019)
A. Toric hydrophilic contact lenses are not prescribed for astigmatism between -1.00 and -3.00 D.
B. Toric contact lenses are prescribed for astigmatism less than 0.75 D.
C. Hydrophilic toric contact lenses are appropriate to be used by sports persons.
D. Disposable hydrophilic toric contact lenses are prescribed for the correction of high astigmatism.
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Answer: C. Hydrophilic toric contact lenses are appropriate to be used by sports persons.
Hydrophilic toric lenses offer stable vision, excellent comfort, and reduced risk of dislocation, making them highly suitable for active individuals and sports participants. Toric lenses are typically indicated for astigmatism above 0.75D, while high astigmatism often requires rigid or custom-designed lenses rather than standard disposables.
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Q-4: Which type of contact lens should be used by a patient with RGP intolerance after refractive surgery? (RRB Optometrist Year Question & Answer 202519)
A. Piggyback system
B. Hybrid contact lens
C. Hydrophilic contact lens
D. Rigid gas permeable contact lens
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Answer: A. Piggyback system
A piggyback system combines a soft hydrogel lens underneath an RGP lens, providing the comfort of a soft lens with the superior optics of an RGP for post-refractive surgery patients. This approach cushions the sensitive postsurgical cornea while delivering crisp, stable vision that standalone soft or hybrid lenses may not achieve in such cases.
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Q-5: The “steep lens syndrome” is associated with _______. (RRB Optometrist Previous Year MCQs 2019)
A. Rigid gas permeable lens
B. Piggyback system
C. Hybrid lens
D. Hydrophilic contact lens
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Answer: C. Hybrid lens
Steep lens syndrome occurs when the central rigid gas permeable component of a hybrid lens is fitted too steeply, leading to poor tear exchange, corneal bearing, and patient discomfort. This condition manifests as reduced vision, lens adherence, or corneal staining, necessitating a flatter central curve or an alternate lens design.
Q-6: Which of the following is a “conjunctiva” type of complication associated with contact lenses? (RRB Optometrist Year Question & Answer 2019)
A. Acute red eye
B. Corneal distortion
C. Blepharitis
D. Opacities
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Answer: A. Acute red eye
Acute red eye is a classic conjunctival complication linked to contact lens wear, often resulting from hypoxia, toxic reactions, or papillary conjunctivitis. Corneal distortion and opacities are corneal rather than conjunctival issues, while blepharitis affects the eyelid margins and is not a conjunctiva-specific complication.
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Q-7: Which test assesses dry eyes before fitting contact lenses? (RRB Optometrist Previous Year MCQs 2025)
A. Bruckner test
B. Retinoscopy
C. Cover test
D. Schirmer test
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Answer: D. Schirmer test
The Schirmer test quantitatively measures aqueous tear production using a filter paper strip, and inadequate wetting (<10 mm in 5 minutes) indicates dry eye syndrome, a critical contraindication for contact lens wear. Proper pre-fitting tear assessment ensures optimal lens comfort, wettability, and corneal health while minimizing the risk of epithelial complications.
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RRB Optometrist 2026
Complete Previous Year MCQs (All Subjects Solved)
Master Your Govt Job Preparation
Join our most successful flagship course on the Optometry Notes & MCQs App. Follow our proven 4-step sequence to crack the Railway Recruitment Board CBT exam.
Our Proven Success Sequence
Theory Notes
Build your foundation with subject-wise clinical & optical theory.
Premium Lectures
Deepen understanding with fundamental optometry video lectures.
Subject-wise MCQs
Test accuracy and speed by practicing topic-specific question banks.
Previous Year MCQs
Master actual CBT exam patterns with completely solved PYQs.
The RRB Optometrist recruitment conducted under the Ministry of Railways offers a prime opportunity for eye care professionals targeting a secure RRB Optometry Govt Job. Candidates preparing for an upcoming RRB Optometrist Vacancy can review the standardized eligibility norms, pay scale, and exam structure below to streamline their preparation for this sought-after RRB Optometrist govt job.
Key Job Parameters
- Post Title: Optometrist.
- Pay Scale: Level 4 of the 7th CPC Pay Matrix, featuring an initial basic pay of ₹25,500 plus applicable allowances.
- Educational Qualification: B.Sc in Optometry or a Diploma in Ophthalmic Technique/Technician (with a course duration of 3 to 4 years) from a recognized university or institution, along with valid registration with the relevant Council or Licensing body.
- Age Limit: 18 to 33/36 years, with standard category-based upper age relaxations applicable for OBC, SC, ST, PwBD, and Ex-Servicemen.
- Medical Fitness Standard: B-1 Standard, which requires sound distance and near vision along with intact colour, binocular, night, and mesopic vision. Candidates who have undergone LASIK or any other refractive surgery are not eligible for posts with the B-1 medical standard.
CBT Examination Pattern & Scheme The selection process consists of a Single-Stage Computer Based Test (CBT), followed by Document Verification (DV) and the Railway Medical Examination.
- Exam Duration and Structure: The CBT lasts for 90 minutes (120 minutes for eligible PwBD candidates using a scribe) and consists of 100 objective-type multiple-choice questions (MCQs) for a total of 100 marks.
- Marking Scheme: Each correct response earns 1 mark, with a strict negative marking deduction of 1/3 mark for every incorrect answer.
- Professional Ability (70 Marks): This core technical segment consists of 70 questions and tests optometry domains such as Physical & Visual Optics, Ocular Anatomy & Physiology, Refraction, Contact Lenses, Binocular Vision, Dispensing Optics, Optometric Instruments, and Ocular Pathology.
- General Awareness (10 Marks): Comprises 10 questions covering current affairs, history, polity, and related topics.
- General Arithmetic, Intelligence & Reasoning (10 Marks): Comprises 10 questions testing quantitative and analytical aptitude.
- General Science (10 Marks): Comprises 10 questions covering basic Physics, Chemistry, and Life Sciences.



