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presbyopia

The physiologic loss of accomodation in the eyes with advancing age. It begins when the near point has receded beyond 22 cm (9 inches). Pathology: - loss of deformability of the lens? Clinical manifestations: 1) difficulty focusing on near objects 2) onset is insidious 3) generally begins in midlife (50's) 4) disorder is progressive 5) patients often require a change in corrective lenses every 2-3 years Management: - corrective lenses - pilocarpine ophthalmic 1,3% (Vuity) FDA-approved

General

eye disease (ophthalmopathy) sign/symptom

References

  1. Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999
  2. Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 159
  3. UCLA Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
  4. Greater Los Angeles, GRECC, optometry