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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 Day687 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 Day547 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 Day606 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 Day436 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 Day411 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 Day466 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 Day413 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 Day429 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 Day430 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 Day429 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 Day433 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 Day503 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 Day452 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 Day426 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 Day444 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 Day439 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 Day457 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 Day420 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 Day448 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 Day479 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day465 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 Day458 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 Day477 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day448 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day474 viewsFeb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day511 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day622 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day563 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day636 viewsFeb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day591 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day694 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day819 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.