77 year old female Blurred Vision OU. Severity: worsening. Context Onset/Aggravation: comes and goes. Quality: distorted "wavy lines" while watching TV. Duration of Problem: many years, since 2017. Modifying Factors: worse in bright light. Associated Symptoms: longstanding floaters OU, intermittent. Associated Symptoms: no flashes. The patient was on elmifor her chronic cystitis but stopped it 2 years ago. Medical Hx: Bladder cystitis. Influenza Immunization Received. Pneumococcal Vaccine Received. Asthma. Dysmetria. Surgical Hx: cataract surgery OU. Left shoulder replaced. Back Surgery. AVM brain surgery. Systemic Meds: Synthroid 112 MCG Oral Tablet qam. Lamictal 300 MG Oral Tablet qam. Lamictal 150 MG Oral Tablet qhs. Cymbalta 60 MG (duloxetine hydrochloride 67.3 MG) Enteric Coated Capsule. Wellbutrin 00 MG Oral Tablet qam. Wellbutrin 300 MG Oral Tablet qhs. Ativan 2 MG Oral Tablet 1 tablet qhs. atorvastatin (as atorvastatin calcium) 20 MG Oral Tablet qam. Singulair 10 MG Oral Tablet qam. Abilify 15 MG Oral Tablet qhs. ropinirole 0.50 MG (as ropinirole hydrochloride) Oral Tablet qhs. pantoprazole 10 MG (as pantoprazole sodium sesquihydrate 22.56 MG) Delayed Release Oral Tablet qam. Albuterol Sulfate 90 mcg prn. Meloxicam 15 MILLIGRAM In 1 TABLET ORAL TABLET prn. Zofran 4 MG Oral Tablet 1 tablet prn. Fish Oil. Colace. Omega 3. Calcium Carbonate. VA OD: Dcc20/63 OS: Dcc20/32 IOP: TP: OD:12 OS:14 She had been on elmiron for 20 years and has been progressing since stopping the medication.