13th August 2020

You are a GP ST1, and an 80-year-old lady with a background of COPD presents to you with concerns about her mental health

You are a GP ST1, and an 80-year-old lady with a background of COPD presents to you with concerns about her mental health. She is worried because she is seeing shapes of people in her room, the shelves melting or flashing lights over the past week or so. Her husband is also in attendance, and he reports that she has been walking into things a lot recently. When prompted, the patient reveals that she has been experiencing increasing metamorphopsia alongside central vision loss bilaterally over the past few months, but she didn’t want to bother anyone. What is the most likely diagnosis?

For the patient above, please select the most appropriate diagnosis. Select ONE option from the list above.