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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 Day773 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 Day629 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 Day648 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 Day683 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 Day567 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 Day480 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 Day549 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 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 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 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 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 Day505 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 Day591 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 Day501 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 Day525 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 Day520 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 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 Day541 viewsFeb 19, 2011	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 Feb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day521 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 Day578 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 Day588 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day547 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day544 viewsFeb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day571 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 Day647 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day702 viewsFeb 19, 2011
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day674 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day780 viewsFeb 19, 2011	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day898 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.