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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 Dayvista 557 veces (0 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 599 veces (0 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 588 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 530 veces75-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 votos)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 540 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 548 veces (0 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 520 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 512 veces75-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 votos)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 529 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 514 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 536 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 508 veces75-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 votos)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 519 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 598 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 513 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 530 veces75-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 votos)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 522 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 519 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 493 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 560 veces75-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 votos)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 487 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 513 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 572 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 688 veces75-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 votos)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 661 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 645 veces75-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 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 791 veces75-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 votos)
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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.