gradual progressive decline in peripheral vision. bothered by driving at night. She can't read the road signs and is bothered by glare. clouding in lense of eye- perform visual acuity testing* Risk factors: Diabetes Smoking Alcohol Sunlight exposure BIGGEST ONE IS AGE! {Ans: cataracts}bright red well demarcated area in the white of eye. Asymptomatc CONCERNS- from coughing vomittingf sneezing, baring down , having a baby WHAT WILL WE TELL PT- re assure patient, will go away on its own after it turns funny colors, is bp ? recurrent von willdebrands Concerns- if on coumadin or bleeding disorder or on anticoag. {Ans: subconjunctivial hemmorhage}sudden onset of blurred vision and floaters in his left eye and also tells you that he has had flashes of light in his peripheral vision in that eye. NEED TO BE SEEN RIGHT AWAY! {Ans: retinal detachment}cataracts Surgery needed: mature cataract Immature cataract: {Ans: complete opacity of the lense-loss of red reflex red reflex can still be illicited, darkened areas on exam}who is at increase risk for developing open angle glaucoma? (4) {Ans: older age, African americans, positive family hx of the disease, intensely nearsighted}an ophthalmic dye used for diagnostic purposes. The