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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 Day757 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 Day618 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 Day639 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 Day670 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 Day558 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 Day490 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 Day472 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 Day539 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 Day498 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 Day498 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 Day510 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 Day495 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 Day580 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 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 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 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 Day494 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 Day532 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day522 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 Day512 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 Day565 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 Day573 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day533 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 Day557 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day683 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day631 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day692 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 Day771 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day882 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.