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Ophthaproblem. Vitamin supplementation.

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464 Canadian Family Physician • Le Médecin de famille canadien VOL 48: MARCH • MARS 2002 VOL 48: MARCH • MARS 2002 Canadian Family Physician • Le Médecin de famille canadien 467 clinical challenge

 défi clinique

clinical challenge

 défi clinique

Dr Sharma is an Associate Professor in the Department of Ophthalmology and an Assistant Professor in the Department of Epidemiology at Queen’s University in Kingston, Ont, and is Director of the Cost-Effective Ocular Health Policy Unit at the Hotel Dieu Hospital. Dr Shah is an Assistant Professor of Ophthalmology at Washington University and a retinal specialist at the Barnes Eye Institute in St Louis, Mo.

Ophthaproblem

Sanjay Sharma, MD, MSC, MBA, FRCSC Gaurav K. Shah, MD

Answer on page 477

clinical challenge défi clinique

A

64-year-old man presents complaining of mild visual changes in his right eye. His visual acuity is recorded at 6/9 in this eye. He is otherwise healthy.

The patient should consider having which of the following?

1. Vitamin supplementation 2. Thermal laser photocoagulation

3. Photodynamic therapy with verteporfin for injection 4. No treatment

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