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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 444 veces (0 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 474 veces (0 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 504 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 454 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 460 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 470 veces (0 votos)	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Dayvista 436 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 417 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 453 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 436 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 438 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 422 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 449 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 500 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 428 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 425 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 428 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 426 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 409 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 461 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 409 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 432 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 467 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 603 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 570 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 543 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 679 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.