CC: 51 year old woman referred for consideration of cataract surgery. HPI: 51 year old woman referred for consideration of cataract surgery. Poor vision OS since childhood, and patient having more difficulty with distance vision. PMH: hypertension, ?borderline? diabetes, bipolar disorder, schizophrenia, "glaucoma" . MEDS: seroquel, sonata, trazodone, lexapro, valium, furosemide, zaroxylyn, travoprost. ALLERGIES: none. FH: cataracts, arthritis, diabetes, thyroid disease. EXAM Best corrected visual acuities: 20/40 OD (20/60 before mRx) (mRx -6.00+3.50X115), HM OS. Pupils: 2.7 log unit RAPD OS; VF: full to CF OD, LP OS all quadrants EOM: large left exotropia IOP: normal OU DFE: see below. SLE: anterior segments normal with 1+ nuclear sclerosis cataracts OU (mild). Stereo photos of the right optic nerve. Stereo photos of the left optic nerve. Feel free to discuss the following: What tests should you order (I'll post labs when asked for them)? What's the differential diagnosis? What's the diagnosis? What is the treatment of choice, surgically and/or medically?