Okay, people, time to see how good you are at being armchair neurologists.
This is an unusually challenging case I saw yesterday, involving a 54 year-old lady. Her internist had referred her to me because of some recent changes in her vision. The following is quoted verbatim from my chart note:
"She has 2 glasses prescriptions, one for near and another for distance. 1 month ago she had an annual optometry check-up, and was told she needed a new near-vision prescription. She ordered the new glasses, and picked them up last week.
Since then she finds that when she puts on the new glasses things look “funny and unclear.” This resolves with taking them off, and doesn’t occur with the distance-glasses on, or using her previous prescription."
This case really has me stumped. So if any you are able to figure out what the problem is, please write in.
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