Abstract
An 85-year-old Latin American female presents for evaluation after an increased intraocular pressure was detected at a community screening for glaucoma. She has a past medical history of severe degenerative arthritis in her hands and suffers from stable angina. Though widowed, she lives independently near her family; she has declined previous suggestions to move in with them or to the local retirement center. On examination the patient has 20/20 visual acuity OU, an increased intraocular pressure (IOP) of 28 mmHg OU, glaucomatous cupping of 0.6 OU, and a superior arcuate glaucomatous defect OU. At that point, her eye doctor begins a one-eyed trial in the right eye (OD) of timolol GFS 0.5% each morning.
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Beers MH, Fink A, Beck J. Screening recommendations for the elderly. Am J Public Health. 1991;81(9):1131–1140.
Alliance for Aging Research and the National Alliance for Eye and Vision Research. The Silver Book: Vision Loss. Washington, DC: Alliance for Aging Research; 2008. Available at http://www.silverbook.org/visionloss.
Quillen DA. Common causes of vision loss in elderly patients. Am Fam Phys. 1999;60:99–108.
Varma R, Ying-Lai M, Farncis BA, et al. Prevalence of open-angle glaucoma and ocular hypertension in latinos. The Los Angeles Latino Eye Study. Ophthalmology. 2004;111:1439–1448.
Long CA, Holden R, Mulkerrin E, Sykes D. Opportunistic screening of visual acuity of elderly patients attending outpatient clinics. Age Ageing. 1991;20:392–395.
Watson GR. Low vision in the geriatric population: Rehabilitation and management. J Am Geriatr Soc. 2001;49:317–330.
Screening for Glaucoma, Topic Page. U.S. Preventive Services Task Force. Agency for Healthcare Research and Quality, Rockville, MD; March 2005. http://www.ahrq.gov/clinic/uspstf/uspsglau.htm Accessed 5-25-08.
O.N.E. Network. Clinical Statement: Glaucoma: American Academy of Ophthalmology, January 23, 2007. San Francisco, USA. Available at http://one.aao.org/CE/PracticeGuidelines/ClinicalStatements_Content.aspx?cid=4bd6e118-87d5-4545-afc3-88c91e8e8a9c, Accessed 5-25-08.
Haymes SA, LeBlanc RP, Nicolela MT, Chiasson LA, Chauban BC. Risk of falls and motor vehicle collisions in glaucoma. Invest Ophthalmol Vis Sci. 2007;48:1149–1155.
Freeman, EE, Munoz B, Rubin G, West S. Visual field Loss increases the risk of falls in older adults: The aalsibury eye evaluation. Invest Ophthalmol Vis Sci. 2007;48:4445–4450.
Rubin GS, Ng ES, Bandeen-Roche K, et al. A prospective, population-based study of the role of visual impairment in motor vehicle crashes among older drivers: The SEE study. Invest Ophthalmol Vis Sci. 2007;48:1483–1491.
Vision 2020: The Right to Sight. Global Initiative for the Elimination of Avoidable Blindness: action plan 2006–2011 [electronic resource]. Geneva, Switzerland: World Health Organization; 2007. Available at http://www.who.int/blindness/Vision2020%20-report.pdf.
Noecker RJ. Brimonidine 0.2% as a replacement for beta blockers in geriatric patients with glaucoma. Adv Ther. 2002;19(2):91–97.
Rhee DJ, Rapuano CJ, Papaliodid GN, et al. Physician's Desk Reference for Ophthalmic Medicines, 36 ed. Montvale, NJ: Thomson PDR; 2007.
Fundamentals and Principles of Ophthalmology. Section 2. Basic and Clinical Science Course 2007–2008. San Francisco: American Academy of Ophthalmology; 2007:Chapter 18, 393–457.
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Beaver, H. (2009). Glaucoma in the Elderly. In: Lee, A.G., Beaver, H. (eds) Geriatric Ophthalmology. Springer, New York, NY. https://doi.org/10.1007/b137372_4
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DOI: https://doi.org/10.1007/b137372_4
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