Systemic disease: Acromegaly and its diagnosis

A 63-year-old male patient,  had been under my care for routine diabetic screening as far back as 2003. His diabetes was best controlled with metformin and glimepiride. His other medications included doxazosin, amlodipine, and enalapril, (for hypertension) and lipitor for hyperlipidaemia. In late 2003 he was referred to an eye specialist with a central serous retinopathy (CSR) in the left eye. Subsequent recurrent CSRs left him with reduced vision in the left eye.

His spectacle prescription had been unchanged for 10 years and it was as follows:

R -0.75DS / -1.00DC X 105 (6/6) Near N6 unaided

L -0.75DS / -1.25DC X 85 (6/18) Near N12 unaided