Over the past few years, we have run many of these distance learning interactive exercises. The aim was to demonstrate evidence of a good working knowledge of a topic and then to show further evidence of a discussion about the topic with a colleague. The discussions in some topics, such as obesity and smoking, have been interesting and shown some variation of opinion. In more clinical matters, however, the discussions have tended to show a greater consensus of viewpoint. Not so with this exercise, one which addressed the initial optical correction of a reluctant presbyope who has already expressed a hatred for glasses. Indeed, as the case study exactly reflects my own experience as a presbyope, I confess to some surprise at the discussion outcomes many of you expressed. For this reason, I though it might be interesting to offer a little more detail of the responses.
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