I am writing on behalf of a friend. She has macular degeneration, is approximately 78, and has lived in a nursing home for 3 years. She is ambulatory, though with a walker. She is lucent and plays bridge but loses track of the status of things (contract, what hand she s in, e.g.). I have suggested her nervousness as a cause of this and she has said she agrees. Specifically, she has, for awhile, had extreme difficulty distinguishing between red suits, i.e. diamonds and hearts. Surprisingly, she has now told that she believes she is having trouble with the black suits, i.e. clubs and spades. She is not content with her pc doctor nor eye doctor. Since we are close to Phila.Pa. I presume if there is help to be found, that is the place to go. My own pc doctor could give me a referral but I would much appreciate a referral with a very specific definition which might match her symtoms and from an eye specialist. Your help is appreciated. To all doctors: I have a friend who has macular degeneration and I would appreciate as specific a referral as you could give me. She can read books and signs of about 3 in. tall at a distance of approximately 20 feet. Where her particular weakness shows when we are playing cards and she cannot distinguish between red suits, i.e. diamonds and hearts. She believes she is now having trouble distinguishing between the black suits, i.e. clubs and spades. She suggested she might be getting color blind. She also loses her focus when we are playing and forgets whats going on . I believe she is about 78 years old and for three years has been in assisted living center. We are near Phila. which is a great place for doctors and research but I m looking for as specific a referral as possible. Though I could (and might) ask my PC doctor for a referral I would to get a consensus referral from all of you based on the data I have given you nearness to Phila. if you would agree. Thank you again for your help. I just received some nice confirmation of how to handle my sinusitis from Dr. Michelle Gibson.