Geriatric Ophthalmology A Competency-based Approach

The elderly patient is not simply an "older adult." Geriatric patients have unique responses to treatment and disease: they often harbor co-morbidities that can impact evaluation, treatment, and prognosis. Often elderly patients may require specialized ex

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Andrew G. Lee

l

Hilary A. Beaver

Editors

Geriatric Ophthalmology A Competency-based Approach

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Editors Andrew G. Lee Department of Ophthalmology Weill Cornell Medical College The Methodist Hospital Houston, TX 77030 USA [email protected]

ISBN 978-1-4419-0009-8 DOI 10.1007/b137372

Hilary A. Beaver Department of Ophthalmology Weill Cornell Medical College The Methodist Hospital Houston, TX 77030 USA [email protected]

e-ISBN 978-1-4419-0014-2

Springer Dordrecht Heidelberg London New York Library of Congress Control Number: 2009929377 # Springer ScienceþBusiness Media, LLC 2009 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer ScienceþBusiness Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Dr. Andrew Lee would like to dedicate this book to his parents, Alberto C. Lee, M.D. and Rosalind L. Go Lee, M.D who taught him that wisdom comes with age and that it is not the years in your life that count but the life in your years.

Foreword

Trends in the make-up of the population, however major, tend to be ignored at first. However, eventually, such trends are recognized and accorded the importance they deserve. So is it with the exploding size of the over-65 cohort of the American population, a trend whose handwriting has been on the wall since the early 1970s. Now, finally, it is perfectly obvious to health care planners that the next frontier for all disciplines of medicine except pediatrics and obstetrics is to improve the availability, efficiency, and quality of health care for older Americans and older people in most other countries as well. Many studies of the current quality of health care provided to older people have produced convincing evidence that quality is far below what it should be and that older patients are particularly vulnerable to adverse health consequences that stem from poor quality of care. Thus, it is clearly time for action and the first step is enhanced educational materials. This book, Geriatric Ophthalmology: A Competency-Based Approach, is a