I recently had a 55-year-old patient complaining of blurred distance vision, glare, and halos. When discussing the complaint, he reported it had been an issue for many years. I was skeptical of cataracts. Best visual acuity was 20/40 in each eye. Retina was clear. Mild ocular surface disease was present, but it did not account for the reduced visual acuity. How do you document a cataract when it does not appear significant upon biomicroscopy?
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