29th April 2024

A 70-year-old woman presents with a gradual decline in her vision over the past two years.

A 70-year-old woman presents with a gradual decline in her vision over the past two years. She reports increasing difficulty with reading and driving, especially at night, due to glare. There is no associated pain or redness in either eye. On examination, her visual acuity is reduced. Her intraocular pressures are normal, and fundoscopy shows no abnormalities of the retina or optic nerve.

Which is the most likely diagnosis?