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75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. When he woke up he noticed a cloud in the vision. Previous to this, the vision was good in both eyes. He does have a history in the left eye of endophthalmitis, treated in August of 2009 for which he recovered excellent vision, with a macular pucker. VISUAL ACUITY: Vision OU is 20/20. IOP: 11 OU. The posterior chamber intraocular lens is in good position in both eyes with open capsules. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There is whitening of the superior half of the retina inside the macula. OS: Vertical C/D ratio is 0.0. There is a 2+ epiretinal membrane. OCT SCAN: The OCT scan of the right eye shows thickening of the nerve fiber layer in the macula, as you would expect with an artery occlusion. The left eye has slight irregularities from a macular pucker. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows very slow filling of the superotemporal branch retinal arteriole in the right eye. The left eye shows some telangiectasia. The vessels are consistent with the macular pucker. IMPRESSION: 1. BRANCH RETINAL ARTERY OCCLUSION – RIGHT EYE 2. MACULAR PUCKER – LEFT EYE DISCUSSION: I explained to the patient that he has had a branch retinal artery occlusion in the right eye which does count as a minor stroke. I will ask Dr. Neifeld to evaluate him for this. In the meantime, I asked the patient to start taking baby aspirin every day. He does not need to return here unless you or he note further problems.

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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day340 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day215 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day179 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day136 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day152 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day206 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day142 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day107 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day98 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day138 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day109 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day110 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day84 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day92 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day82 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day69 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day68 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day86 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day85 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day62 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day90 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day93 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day85 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day84 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day59 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day60 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day68 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day77 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day65 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day63 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day68 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day150 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day125 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day122 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day203 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. When he woke up he noticed a cloud in the vision. Previous to this, the vision was good in both eyes. He does have a history in the left eye of endophthalmitis, treated in August of 2009 for which he recovered excellent vision, with a macular pucker. VISUAL ACUITY: Vision OU is 20/20. IOP: 11 OU. The posterior chamber intraocular lens is in good position in both eyes with open capsules. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There is whitening of the superior half of the retina inside the macula. OS: Vertical C/D ratio is 0.0. There is a 2+ epiretinal membrane. OCT SCAN: The OCT scan of the right eye shows thickening of the nerve fiber layer in the macula, as you would expect with an artery occlusion. The left eye has slight irregularities from a macular pucker. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows very slow filling of the superotemporal branch retinal arteriole in the right eye. The left eye shows some telangiectasia. The vessels are consistent with the macular pucker. IMPRESSION: 1. BRANCH RETINAL ARTERY OCCLUSION – RIGHT EYE 2. MACULAR PUCKER – LEFT EYE DISCUSSION: I explained to the patient that he has had a branch retinal artery occlusion in the right eye which does count as a minor stroke. I will ask Dr. Neifeld to evaluate him for this. In the meantime, I asked the patient to start taking baby aspirin every day. He does not need to return here unless you or he note further problems.