86 year old female is a reader and does the daily puzzles and needs to put her finger on a word to keep track of the puzzles. She also gets blurred vision and some sentences will go up or down. She has been using her finger for about a month or so. The left eye is worse than the right. Her distance vision is pretty good. Reading regular print is also difficult. Myelofibrosis with HgB 8 and very low platelets VA OD: Dcc20/32 PHNI NccJ1 VA OS: Dcc20/40+1 PH20/32 NccJ6