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Most viewed - 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 Day898 views	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day780 views	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	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day700 views
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day693 views	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	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day674 views	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day647 views
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day647 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	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day628 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	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day590 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	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day587 views
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day577 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	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day568 views	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day566 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	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day548 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
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day546 views	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day543 views	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day540 views	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day534 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
Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day524 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	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	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	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day519 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
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	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	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	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day506 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
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	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	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	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
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	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	Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day479 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
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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.