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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 Day506 views (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day538 views (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day540 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 (0 votes)	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 (0 votes)
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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day507 views (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day482 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day470 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 (0 votes)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day484 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day471 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day477 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 (0 votes)	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 (0 votes)
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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day551 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 (0 votes)	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 (0 votes)	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 (0 votes)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day475 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day482 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day447 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day511 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 (0 votes)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day446 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 (0 votes)	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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day535 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day652 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 (0 votes)
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day614 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day598 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 (0 votes)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day726 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 (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.