
Dr. Cole presented for initial low vision consultation accompanied by his wife. His chief complaint was the considerable difficulty he was experiencing in continuing with his profession. He had stopped driving, and had problems doing many activities of daily living such as setting dials, shaving, and money management. He was concerned he would no longer be able to provide as well for his family. He desired to continue his professional practice.
Preliminary assessment determined that his general physical condition was not a limiting factor in his daily activities, although there was a mild peripheral neuropathy in his fingertips. He ambulated independently, but experienced difficulty when descending stairs and with surface changes underfoot. Bilateral hand grasps were strong and without tremor.