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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 Dayvu 634 fois (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvu 685 fois (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvu 559 fois (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvu 537 fois (0 votes)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvu 536 fois (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvu 575 fois (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvu 568 fois75-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 Dayvu 514 fois75-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 Dayvu 525 fois75-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 Dayvu 534 fois (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvu 504 fois75-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 Dayvu 496 fois75-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 Dayvu 511 fois75-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 Dayvu 499 fois75-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 Dayvu 510 fois75-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 Dayvu 490 fois75-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 Dayvu 501 fois75-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 Dayvu 582 fois75-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 Dayvu 497 fois75-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 Dayvu 513 fois75-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 Dayvu 500 fois75-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 Dayvu 501 fois75-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 Dayvu 473 fois75-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 Dayvu 541 fois75-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 Dayvu 475 fois75-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 Dayvu 492 fois75-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 Dayvu 561 fois75-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 Dayvu 673 fois75-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 Dayvu 642 fois75-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 Dayvu 620 fois75-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 Dayvu 759 fois75-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.