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BRAO Fresh 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 Day420 views (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day449 views (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day473 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day431 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 (0 votes)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day434 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day437 views (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day401 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day384 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 (0 votes)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day419 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day409 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day404 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day389 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 (0 votes)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day425 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day471 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day398 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day389 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 (0 votes)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day396 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day389 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day374 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day435 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 (0 votes)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day382 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day408 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day435 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day566 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 (0 votes)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day526 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day501 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day647 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 (0 votes)
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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.