Question

. Which patient scenario warrants urgent glaucoma evaluation based on risk factors and presentation?
A. A 32-year-old Hispanic patient with seasonal allergies and blurry vision
B. A 67-year-old Black patient with diabetes and gradual peripheral vision loss
C. A 45-year-old Black patient with conjunctivitis and eye redness for 1 day
D. A 70-year-old White patient with stable cataracts and no visual complaints

Answer 1

B.

A 67-year-old Black patient with gradual peripheral vision loss is most concerning for glaucomatous optic neuropathy (open‑angle glaucoma is more common in older Black patients and causes peripheral field loss). This scenario warrants urgent glaucoma evaluation (IOP check, optic nerve exam/OCT, visual fields) and prompt ophthalmology referral.