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A clear vision of our finances

BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b129 (Published 28 July 2009) Cite this as: BMJ 2009;339:b129
  1. Peter Phelan, consultant ophthalmologist, Sunderland Eye Infirmary
  1. psphelan{at}doctors.org.uk

    A 74 year old diabetic patient of mine came to see me yesterday for her annual ophthalmic review. She said her right eye had become blurry again over the past two months. She has mature onset diabetes of 15 years standing and had macular oedema in her right eye last year with vision down to 6/60. I had given her intravitreal triamcinolone at that time as I couldn’t see any obvious areas to laser and she had surprisingly had an improvement to 6/9 for about nine months. Now her vision in this eye was blurry again due to macular oedema.

    To help me, she had copied a sentence out of the Daily Mail as she saw it with her right eye and her left eye (figure).

    Figure1

    Sentence as copied by patient using only her right eye (top) and her left eye (bottom)

    I told her that neither of these statements made any sense and have sent her for a psychiatric consultation. She agreed with me and quietly left.

    Notes

    Cite this as: BMJ 2009;339:b129

    Footnotes

    • Patient consent obtained.

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