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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 Day681 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 Day544 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 Day571 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 Day603 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 Day467 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 Day432 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 Day409 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 Day461 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 Day409 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 Day428 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 Day425 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 Day428 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 Day500 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 Day450 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 Day422 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 Day438 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 Day453 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 Day417 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 Day440 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 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day460 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 Day454 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 Day504 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 Day474 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day444 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day468 viewsFeb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day507 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day619 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day560 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 Day589 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day691 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day815 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.