Screening for Comorbidities in Aging Patients Implications for Vision Care

  • Andrew G. Lee
  • Carmel B. Dyer
  • Yi-Hsien Renee Yeh
  • T. Ashwini Kini
  • Bayan Al Othman

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Most major eye diseases occur more often in the elderly population, yet the quality of their care is reduced if the patient is unable to communicate due to other health considerations. As with other patients who struggle to communicate—children, for example—this barrier does not mean the patient should not receive quality care. Instead, physicians should do a thorough physical exam first to determine common and treatable issues, such as refractive error. Since aging patients struggle with comorbidities more than any other demographic, taking their unique needs into consideration while screening for comorbidities is essential to optimal care.


This video covers the unique challenges physicians may encounter with aging patients as it relates to vision care and other comorbidities, the implications of these comorbidities in screening for visual diseases, and tips for quality care in the largest population in the world.

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.

Carmel B. Dyer

Carmel B. Dyer, MD, AGSF, FACP Ranked one of the nation’s top geriatricians, Carmel Bitondo Dyer, MD, has served as a clinician, researcher, educator, and administrator for more than 25 years. As executive director of the Consortium on Aging at The University of Texas Health Science Center at Houston (UTHealth) and executive vice chair of the Department of Internal Medicine at McGovern Medical School at UTHealth, Dyer promotes a circle of care concept to deliver comprehensive, age-appropriate care to older adults. Her areas of expertise include preventing elder abuse, developing innovative models of health care, and building interprofessional teams that work together on behalf of vulnerable patients. In addition to her executive leadership roles, Dyer is the Roy M. and Phyllis Gough Huffington Chair in Gerontology, Vincent F. and Nancy P. Guinee Distinguished Chair, and Professor in the Division of Geriatric and Palliative Medicine at UTHealth. She cares for patients at UT Physicians Center for Healthy Aging-Bellaire.

Yi-Hsien Renee Yeh

Yi-Hsien Renee Yeh Texas A&M College of Medicine

T. Ashwini Kini

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

Bayan Al Othman

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


About this video

Andrew G. Lee
Carmel B. Dyer
Yi-Hsien Renee Yeh
T. Ashwini Kini
Bayan Al Othman
Online ISBN
Total duration
16 min
Springer, Cham
Copyright information
© Producer 2019

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Video Transcript


Hi. My name is Renee Yeh from Texas A&M College of Medicine. Today, we have Dr. Lee from Blanton Eye Institute in Houstin Methodist Hospital and Dr. Dyer from UT Houston, professor of geriatric and palliative care.

So today, we’re going to be talking about, how do ophthalmologists or geriatricians screen for comorbidities in elderly population?