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Last additions - 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.
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day752 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day617 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day637 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day668 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 Feb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day557 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day487 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day468 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day536 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 Feb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day469 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day497 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day497 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day508 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 Feb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day493 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day574 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day499 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day488 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 Feb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day507 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day496 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day509 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day492 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 Feb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day502 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day528 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day518 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day506 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 Feb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day561 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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day568 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day531 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day535 viewsFeb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day553 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day679 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day630 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day687 viewsFeb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day664 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day770 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day881 viewsFeb 19, 2011
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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.