A 68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been having trouble reading the paper, sewing, and even seeing the faces of her grandchildren. On examination, the nurse notes that

she has some loss of central vision but her peripheral vision is normal. These findings suggest that she may have:
a.
Macular degeneration.
b.
Vision that is normal for someone her age.
c.
The beginning stages of cataract formation.
d.
Increased intraocular pressure or glaucoma.


ANS: A
Macular degeneration is the most common cause of blindness. It is characterized by the loss of central vision. Cataracts would show lens opacity. Chronic open-angle glaucoma, the most common type of glaucoma, involves a gradual loss of peripheral vision. These findings are not consistent with vision that is considered normal at any age.

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