Step 2

Ophthalmology 1

A 70-year-old man presents to the clinic for decreased visual acuity in both eyes. The patient has been having problems driving at night over the past 6-8 months and has noticed “haziness” in his vision as well. He denies any diplopia (double vision), dizziness, headache, or vertigo. Patient also denies any eye pain, tenderness or sensitivity to light. Patient has not notice any eye “floaters” or “flashing lights”. His other medical problems are hypertension and benign prostatic hypertrophy. Patient does regularly see an optometrist for presbyopia (age-related farsightedness) and gets screened annually for glaucoma with non-contact tonometry.

What is the most likely diagnosis based on this history?

  • A) Anterior uveitis
  • B) Open-angle glaucoma
  • C) Retinal Detachment
  • D) Cataracts
  • E) Closed-angle glaucoma

Authors

Marina Tawadrous

Editor

Dr. Raj Dasgupta