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Lenny Kravitz is a 85 year-old Caucasian man who lives with his daughter in a two-story home next to Mrs. Channel and Mr. Lucas. They have been neighbors for years and Mr. Kravitz’s daughter heard of your thorough and caring approach. He is here in the office today complaining of increasing difficulty with his vision. He states it has been progressively worse over the past year. Reading and seeing faces when people are speaking with him are particularly troublesome. His daughter pays the bills and pre-fills his medication box, as he can no longer read small print. He denies eye pain, HA, and sudden loss of vision. He says he stopped driving seven months ago because he couldn’t see the road signs.
           Mr. Kravitz had successful bilateral cataract surgery four years ago. He has been treated for chronic glaucoma with eye drops, but intraocular pressure has been normal, as measured by the ophthalmologist six months ago. He denies history of DM, but is being treated for “bladder problems” and HTN. He is currently taking: oxybutynin and losartan. He also takes eye drops, which he cannot name and a regimen of antioxidant vitamins prescribed by his eye doctor. Lenny has fallen several times at home, often while trying to make it to the restroom at night. His daughter is quite worried because her father insists on walking outside unaccompanied and without his cane. She is worried he may have a serious fall and injure himself severely.Â
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What eye conditions could be causing this patient’s poor vision? (Differential and rationale please).
How can his condition be managed?
How might his medications be affecting his vision? His physical function?
Current research on this diagnosis. Summarize in your words.
SCIENCE
HEALTH SCIENCE
NURSING
