August consultation #3

This case of a 62-year-old man, who presents with nuclear cataracts, irregular astigmatism, a history of tamsulosin use, and a strong desire for spectacle independence, raises a number of issues we encounter in daily practice. A few red flags in his history tell us that he might have a difficult personality with unrealistic expectations: he is a poor historian, he is difficult to examine, and he refuses the physician's recommendation of a contact lens trial for monovision. By his own admission, he is “phobic” regarding his eyes.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation Section: Cataract Source Type: research