What do you think is wrong with the patient?

Colleagues can provide fresh ideas and invaluable advice and guidance on dealing with patients.

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Published: Spring 2014

I had a colleague phone me a while ago asking whether to refer one of her patients. The patient, in his 60s, who had diabetes, attended for a routine check up, having been seen by the retinal clinic a couple of months earlier. The optometrist was not sure whether the patient had had any treatment for diabetic retinopathy, but the patient was due to be seen again by the hospital about four months later. The optometrist had conducted a full eye examination and the only features of note were that he had slight distortion of the Amsler chart in both eyes and was not very good at visual fields.

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