Case 2

  • 78yo white female with hypertension, hypercholesterolemia, cardiovascular disease (stents and bypass), recurrent bladder cancer, Parkinson’s disease, and diet-controlled diabetes. All systemic conditions are stable and controlled.
    • (+)Family history  –  mother had vision loss due to AMD (unsure wet vs dry)
    • Never a smoker
    • Not obese
    • Cardiovascular disease, hypertension, hypercholesterolemia are risk factors

VA was easily correctable to 20/20 in each eye at initial exam in 2014. She was already diagnosed with intermediate AMD (large, soft drusen OU) and was compliant with AREDS2 supplement, walking daily, and heavy plant-based diet.