Some patients once they are referred into the hospital eye service continue to need care for many years. This penultimate case report by Lynne Speedwell is about a woman who, even though she moved away from London and was discharged from the hospital, still kept being referred back for further treatment
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A 62-year-old female patient, whom I first saw when I was working part-time in private practice in 1991, came in complaining that her eyes were uncomfortable and her vision was poor both for distance and near. This varied during the day. She had a family history of cataract but nothing else of note and her general health was good. Refraction did not improve her acuity beyond right 6/36 (pinhole (PH) 6/18) and left 6/24 (PH 6/12). Slit-lamp examination revealed extensive corneal guttata and lens opacities.
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