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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 Day333 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day214 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 Day151 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day203 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day139 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day97 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day96 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day134 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day106 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 Day106 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 Day79 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 Day89 views00000
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day78 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 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 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 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 Day61 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 Day88 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 Day91 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 Day81 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 Day58 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 Day57 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 Day67 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 Day74 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 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 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 Day149 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 Day123 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 Day119 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 Day195 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.