A 65-year-old man presented to the retina service for a preoperative cataract surgery evaluation after being followed for years for presumed retinitis pigmentosa.
His medical history included developmental disability, schizophrenia, Parkinson’s disease, asthma, heart failure with reduced ejection fraction, atrial fibrillation, neurogenic bladder, prediabetes and hyperlipidemia. His medications included albuterol, atorvastatin, budesonide, carbidopa-levodopa, apixaban, metoprolol, omeprazole, thioridazine and trimethoprim-sulfamethoxazole. He was a long-term group home resident.
His ocular