Ophthalmologymiddle twist
A 74-year-old man attends for a repeat prescription. He drives himself and his wife to the shops and to church each week. He has had dry age-related macular degeneration for four years. Wearing his current spectacles and with both eyes open he attempts the 6/12 line and gets three of its five letters wrong, then reads the whole 6/18 line correctly; a pinhole makes no difference. Confrontation fields are full and he has no other medical condition. He says he only drives short distances on quiet roads and asks you not to put anything in writing. Which one of the following actions best discharges your responsibility at this consultation?