77 year old female HPI: CC: Decreased Vision OU. Since Last Visit: worsening. Location: central vision. Context nset/Aggravation: while reading. Modifying Factors: when closes one of her eyes notices letters are missing. Duration of Problem: couple of months. Associated Symptoms: foggy circle temporal when driving OU. Severity: moderate. Course: intermittent . HPI obtained by Steven M. Cohen, MD, FACS Medical Hx: Hypertension, Systemic. Hyperlipidemia. Depression. Spinal Stenosis. Psoriasis. Osteopenia Systemic Meds: TIZANIDINE HCL. TRAMADOL HCL prn. ZOLPIDEM. HYDROCORTISONE. TRAZODONE HCL, Clobex 0.05 % Topical Spray. VA OD 20/32, OS 20/20 IOP 13 OU