I guess user is in fact a dictionary [String: Any] and what you really do with if let comment = user["comment"] as? String { ... } is not just unwrapping the optional but a conditional type casting (and then unwrapping an optional result of it):
Use the conditional form of the type cast operator (as?) when you are not sure if the downcast will succeed. This form of the operator will always return an optional value, and the value will be nil if the downcast was not possible. This enables you to check for a successful downcast.
Now, to answer your question, if user["comment"] isn't a String then the result will be that commentTextView.text will be assigned nil value, which is bad because its type is String! (implicitly unwrapped optional) about which we hold a promise that it will never be nil. So, yes, there will be an error, an exception actually, but not at the place you would like it to be but at the moment your application will try to access its value assuming that it's not going to be nil.
What you should really do depends on a particular case.
E.g. if you can make user to be a dictionary like [String: String], then you would be able to truly get to unwrapping the optionals and use something like if let comment = user["comment"] { ... }. Or, if you are totally sure that the value for "comment" key will always be there, then you could just do let comment = user["comment"]!.
But if that's not possible then you have to stick with down-casting and the only other thing you can do is to use forced form of it, that is commentTextView.text = user["comment"] as! String. This one at least will produce an exception right at the spot in case if the value at "comment" happens to be not a String but something else.