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Can you identify this condition?

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Vol 54: december • décembre 2008 Canadian Family PhysicianLe Médecin de famille canadien

1699

Ophthaproblem

Can you identify this condition?

Alysia Zhou Nataly Weizblit Jason Noble

MD

A 

73-year-old man presents to your office complaining of a gradual decrease in vision in both eyes  over the past 1 to 2 years. His vision is particularly worse at nighttime. Distance visual acuity is  20/50 OD and 20/40 OS. Slit-lamp examination after dilation is shown in the above image.

The appropriate management is

1. Nonurgent referral to an ophthalmologist for surgery 2. Smoking cessation

3. Use of sunglasses 4. All of the above

Answer on page 1700

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