Functional Impairment and Visual Loss in the Aging Eye

  • Andrew G. Lee
  • Mariam Hussain
  • T. Ashwini Kini
  • Bayan Al Othman

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Functional visual loss can be exacerbated by environmental changes as well as worsening of eye disease, and depression. It is the duty of the ophthalmologist to make sure patients receive low vision care, either by referral or on site care. Visual deficits are divided into cloudy media, central deficit, and peripheral field deficit. Cloudy media may be described as generalized blurry vision, and recent vitreous hemorrhage patients or dense cataract may complain of blurry vision or glare.


This video covers all of these topics, particularly the special considerations for the aging patient.

About the Author

Andrew G. Lee

Andrew G. Lee, M.D. is a graduate of the University of Virginia undergraduate school and the School of Medicine. He completed his ophthalmology residency and was the chief resident at Baylor College of Medicine in Houston, Texas in 1993. Following residency, Dr. Lee completed a fellowship in neuro-ophthalmology with Neil R. Miller MD at the Wilmer Eye Institute and was a post-doctoral Fight for Sight fellow at the Johns Hopkins Hospital in Baltimore, Maryland from 1993-1994. He was formerly an Associate Professor at Baylor College of Medicine and Adjunct Associate Professor at the M.D. Anderson Cancer Center in Houston from 1994-2000. He has published over 240 peer reviewed articles, 40 book chapters, and two full textbooks in ophthalmology. Dr. Lee serves on the Editorial Board of 12 journals including the American Journal of Ophthalmology, the Canadian Journal of Ophthalmology, and Eye. He has received the American Academy of Ophthalmology (AAO) Honor Award, the AAO Secretariat Award, and the AAO Senior Achievement Award.

Dr. Lee is currently Professor of Ophthalmology, Neurology, and Neurosurgery in the H. Stanley Thompson Neuro-ophthalmology Clinic at the University of Iowa Hospitals and Clinics. Dr. Lee is the Associate Program Director of Ophthalmology and is the Director of Graduate Medical Education (GME) new educational initiatives at the University of Iowa. Dr. Lee’s interest in geriatrics stems from his belief that ophthalmologists should strive to be physicians first and ophthalmologists second. He has served as the chair of the AAO Committee on Aging and on the Council of the Section of Surgical and Related Medical Specialties at the American Geriatrics Society.

Mariam Hussain

Mariam Hussain Texas A&M College of Medicine

T. Ashwini Kini

T. Ashwini Kini, MD Neuro-ophthalmology fellow 2018-2019, Houston Methodist

Bayan Al Othman

Bayan Al Othman, MD Neuro-ophthalmology fellow 2018-2019, Houston Methodist


About this video

Andrew G. Lee
Mariam Hussain
T. Ashwini Kini
Bayan Al Othman
Online ISBN
Total duration
10 min
Springer, Cham
Copyright information
© The Author(s) 2019

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Video Transcript


Hi, I’m Mariam Hussain, I’m a third-year medical student in Texas A&M College of Medicine and we’re going to be talking about functional impairment and vision loss. Especially in the elderly population, it’s particularly important to be aware what particular patient needs are when they have vision loss. When they’re coming to the clinic, what they need once they leave, and these are things Dr. Lee will talk to us about.