- •Geriatric Ophthalmology
- •Foreword
- •Preface
- •Contents
- •Contributors
- •Medical Knowledge
- •Case Vignette
- •Practice-Based Learning and Improvement
- •Patient Care
- •Medical Knowledge
- •Interpersonal and Communication Skills
- •Professionalism
- •Systems-Based Practice
- •Case Resolution
- •References
- •Refractive Error in the Geriatric Population
- •Case Vignette
- •Patient Care
- •Medical Knowledge
- •Interpersonal and Communication Skills
- •Professionalism
- •Systems-Based Practice
- •Scenario Resolution
- •References
- •Cataracts and Cataract Surgery
- •Case Vignette
- •Patient Care
- •Medical Knowledge
- •Interpersonal and Communication Skills
- •Professionalism
- •Practice-Based Learning and Improvement
- •Systems-Based Practice
- •Case Resolution
- •References
- •Glaucoma in the Elderly
- •Case Vignette
- •Patient Care
- •Medical Knowledge
- •Interpersonal and Communication Skills
- •Professionalism
- •Practice-Based Learning and Improvement
- •Systems-Based Practice
- •Case Resolution
- •References
- •Diabetic Retinopathy and Its Management
- •Case Vignette
- •Systems-Based Competency
- •Communication Skills and Professionalism
- •Management of Diabetic Retinopathy in Older People: Medical Knowledge and Patient Care
- •Management of Diabetic Macular Edema
- •Practice-Based Learning
- •Management of the Level of Diabetic Retinopathy
- •Case Resolution
- •References
- •Case Vignette
- •Patient Care
- •Management of AMD in Older People
- •Management of Intermediate and Often Large Drusen
- •Management of the Neovascular Stage
- •Impact on Patient’s Perception of Quality of Life Because of Vision
- •Case Resolution
- •References
- •Low Vision: When Vision Fails
- •Case Report
- •Practice-Based Learning and Improvement
- •Medical Knowledge
- •Patient Care
- •Interpersonal and Communication Skills
- •Professionalism
- •Systems-Based Practice
- •Case Resolution
- •References
- •Visual Loss and Depression
- •Case Vignette
- •Introduction
- •Practice-Based Learning
- •Communication Skills
- •Systems-Based Learning
- •Professionalism
- •Patient Care Summary
- •References
- •Visual Loss and Dementia
- •Case Vignette
- •Introduction
- •Perimetry
- •Neuroimaging
- •Practice-Based Learning
- •Communication Skills and Professionalism
- •Systems-Based Practice
- •Patient Resolution
- •References
- •Visual Loss and Hearing Loss
- •Case Vignette
- •Introduction
- •Practice-Based Learning
- •Communication Skills
- •Professionalism
- •Systems-Based Care
- •Summary
- •References
- •Visual Loss and Falls
- •Case Vignette
- •Introduction
- •Practice-Based Learning
- •Practice-Based Improvement
- •Systems-Based Learning
- •Communication Skills
- •Patient Care Summary
- •References
- •Elder Abuse
- •Case Vignette
- •Patient care
- •Five Common Manifestations of Adult Maltreatment (Adapted from. Lachs et al.3)
- •Medical Knowledge
- •Eight Red Flags for Elder Abuse (Adapted from Purdy10)
- •Interpersonal Skills and Communication
- •Nine Questions to Ask a Suspected Victim of Adult Mistreatment2
- •Professionalism
- •Practice-Based Learning and Improvement
- •Systems-Based Practice
- •Elder Abuse Resources (Adapted from Aravanis2 and Kleinschmidt 7)
- •Case Resolution
- •References
- •Functional Impairment and Visual Loss
- •Case Vignette
- •Practice-Based Learning and Improvement
- •Patient Care
- •Medical Knowledge
- •Interpersonal and Communication Skills
- •Professionalism
- •Approach to the Visually Impaired Patient
- •Systems Based Practice
- •Case Resolution: System-Based Practice
- •References
- •The Research Agenda-Setting Project (RASP)
- •Screening for Comorbidities
- •Case Vignette
- •Introduction
- •Practice-Based Learning
- •Communication Skills
- •System-Based Learning
- •Professionalism
- •Patient Care Summary
- •References
- •Refer Comorbidities
- •Case Vignette
- •Introduction
- •Practice-Based Learning
- •Communication Skills
- •System-Based Learning
- •Professionalism
- •Patient Care Summary
- •References
- •Index
Refer Comorbidities |
119 |
It is important to refer patients for comorbidities. In this case, the patient was sent to his primary care physician the day after the diagnosis was made. His blood sugar level was in the 300s. He was started on insulin for better management of his diabetes. He was also found to have elevated cholesterol and triglyceride levels and was started on appropriate medications and dietary modifications. The patient is much more compliant with medications at this time and checks his finger sticks daily. He states that he had quite a scare with the double vision and his retinopathy has also improved. It is very important to refer for possible or even known comorbidites. In this case, it was known that the patient had both diabetes and hypertension; yet, he was placed on a better treatment program after this incident. In addition, he decreased smoking, modified his diet, and started an exercise regimen. In conclusion, referring him to his primary care physician for better control of his diabetes and hypertension will aid him in having a better quality of life.
References
1.Asbury AK, Aldridge H, Hersberg R, Fisher CM. Oculomotor palsy in diabetes mellitus: A clinicopathologic study. Brain. 1970;93:555–566.
2.Lee AG, Brazis PW. Clinical pathways in neuro-ophthalmology: An evidence-based approach. New York, NY: Thieme; 1998:185–204.
3.Goldstein JE, Cogan DG. Diabetic ophthalmoplegia with special reference to the pupil. Arch Opththalmol. 1960;64:592–600.
4.Bondenson J, Asman P. Giant cell arteritis presenting with oculomotor nerve palsy. Scand J Rheumatol. 1997;26:327–328.
5.Bever CT Jr, Aquino AV, Penn AS, et al. Prognosis of ocular myasthenia gravis. Ann Neurol. 1983;14:516–519.
6.Trobe JD. Managing oculomotor nerve palsy. Arch Ophthalmol. 1998;116:798.
7.Jacobson DM, McCanna TD, Layde PM. Risk factors for ischemic ocular motor nerve palsies. Arch Ophthalmol. 1994 Jul;112(7):961–966.
8.Keane JR. Aneurysms and third nerve palsies. Ann Neurol. 1983 Dec;14(6):696–697.