| Summary: | When treating geriatric patients, physicians must keep a differential of systemic diseases that could manifest with ocular symptoms. This is especially crucial when treating elderlies with multiple comorbidities and vasculopathic risk factors. For example, when assessing diplopia patients, one must first attempt to localize the lesion with a thorough motility examination. In addition, clinicians must keep in mind the risk factors such as diabetes, heart disease, hypertension, hypercholesteremia, and compressive lesions. Of these, diabetes is the most common etiology account for 46% of pupils sparing third nerve palsy. Other pathology that must be excluded include giant cell arteritis and myasthenia gravis. Patients must be cared for competency-based aspect of dealing with multidisciplinary clinical problem, and refer patient to appropriate physicians for adequate care. This video covers the unique aspects of all of these things as seen in the aging eye, which physicians across specialties may not have been trained to do.
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