An elderly male with a gradual loss of his vision over the past 12 months.
RF: He has smoked 1 pack of cigarettes per day for the past 60 years.
No other sig. PMH.
On Amsler grid testing he notes distorted grid lines.
Diagnosis
Risk factors: Smoking, Age, …
Treatment
Counsel to stop smoking to prevent further vision loss
Refer to an ophthalmologist for further evaluation and management.
“Vitamin supplements with Age-Related Eye Disease (AREDS) and AREDS2 formulations have been shown to delay visual loss in patients with age-related macular degeneration (SOR A).
Age-related macular degeneration is not reversible but treatment can delay progression or stabilize the changes.” ABFM
Reference / Further Reading
Vision loss in older adults. Am Fam Physician 2016;94(3):219-226.