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I have a habit of perseverating on patients that present as clinical oddities.

Patient whose clinical diagnostic puzzles may not be particularly pathological or emergent, just out of the box, keeping me interested. One particular patient, I see every year, and every year I interrogate him about his health history. Every visit I expect him to tell me he is diabetic. He had nuclear sclerotic cataracts at 40 and had surgery at 45. He is not diabetic, no history of steroid use, no medical illnesses reported and he grew up in the Midwest, not Florida. Every year I try to explain his early cataracts, and can’t.

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Tracy Swartz
Consultative Optometrist Laser Eye Center in Huntsville & Decatur, AL specializing in anterior segment. President, Optometric Corneal, Cataract, and Refractive Society (OCCRS)