Visual Loss and Dementia

摘要: A 75-year-old tenured college professor is brought in by his wife with a chief complaint of “inability to read.” The already physically disabled and wheelchair relies on her husband for many activities daily living. He has been five ophthalmologists given dozen pair new glasses which the doctor brown paper bag. She states that he used do checkbook household but now cannot seem balance account properly. gotten lost grocery store three times this year she would not drive him anymore because “he can’t see road signs.” patient well groomed, articulate, soft spoken. makes several substitution errors during conversation however quickly corrects himself (e.g., stated drove car airport today when meant say office visit). His students have complaining dean rambles lecture often seems disorganized class full tenure Chair department so no one wants tell about problems.