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Ophthalmologist

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JOB OUTLOOK

Stable

Real-Life Activities

Real-Life Decision Making

You are an ophthalmologist. You are working with an elderly patient named Esther. She is having great difficulty with her vision. You can see that Esther has both a cataract and macular degeneration.

You know that cataracts can be removed, but not much can be done about macular degeneration.

It is difficult to tell what portion of her vision loss is from the cataract and what is from macular degeneration. You do several tests on Esther's eyes. You focus an eye chart through the clear part of her eye directly on the retina. You also test her reading vision.

In most cases, these tests help determine what vision loss is due to macular degeneration. But in Esther's case, you can't tell if the cataract or the macular degeneration is causing the vision loss. If you decide to operate, which will be stressful on an elderly woman, it's possible that her vision won't improve.

What do you do?