Mrs Alfiero, a 72 YO female with a history of diabetes, osteoporosis, and migraine headaches comes to your office for her yearly physical exam. When asked if she has had any interim problems, she indicates that she has had some mild transient problems with blurred vision. This began a number of months ago, but she knew that she had a yearly exam "coming up" and also thought it might just be from "eye strain" and would go away.
In addition to the rest of your exam, you'll obviously pursue this eye problem, completing a full eye exam.
Question 1: What components of the eye exam are especially crucial?
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Physical exam revealed the following view:
Question 2: What is your diagnosis?
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Question 3: What are some of the complaints that a patient with this might have?
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Question 4: What else do you need to check or rule out?
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Question 5: What causes cataracts?
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Question 6: How quickly do they develop?
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Question 7: What part of her PMH influences the type or severity of her cataract?
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Question 8: What other associations/causes exist for cataracts?
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Question 9: How common/serious are cataracts?
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Question 10: When would you consider surgery?
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