Review Question - QID 210753

A 70-year-old woman presents to an ophthalmology clinic for bilaterally blurred vision. Her symptoms have progressed gradually over several years, but she recently became concerned when she noticed that she could no longer read her newspaper without the help of a magnifying glass. She also mentions that her eyes have been “playing tricks on her,” pointing out that the edges of the examination table appear curved when she knows they are usually straight. Her past medical history is significant for hyperlipidemia and hypertension. She takes lisinopril and atorvastatin. Her temperature is 98.7°F (37°C), blood pressure is 137/88 mmHg, pulse is 91/min, respirations are 12/min, and oxygen saturation is 98% on room air. Physical exam is unremarkable. Fundoscopic exam (shown in Figure A) is similar in both eyes. Which of the following is the most likely diagnosis?