There was an excellent response to this exercise which suggested that not only are most readers familiar with patients with hearing impairment, but recognise its significance upon the lives of sufferers.
You were asked about the following case:
An elderly patient (82 years of age) has been diagnosed as having longstanding atrophic (dry) age-related macular degeneration. They are pseudophakic. They have rheumatoid arthritis but otherwise claim full health. They achieve a distance acuity as follows;
R +0.50/-0.50 x 175 (0.8)
L +0.75/-0.75 x 180 (0.84)
Pinhole reduces acuity
With a +4.00DS addition, they manage N 24 at 25cm
Their main demand is to be able to read the Guardian again – they have this as an electronic subscription and read it on their tablet (a gift from their son). They would also like to be able to read other magazines and books and do not like audio books (they are quite definite about this).
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