Established patient returns to the eye clinic for a visual field and DFE 
secondary to BRVO follow up in the left eye ^

CC: Patient states no changes in vision at all. No blurred vision, diplopia, 
flashes, floaters, sudden vision loss. Patient states here for follow up 

Ocular Medications:
-OTC ATs PRN OU 

The patient was last seen/last complete exam 07/18/2017 with Dr. Stronz

The patient is being followed for:
1. Branched retinal vein occlusion OS without macular edema; new
2. Diabetes without retinopathy OU; no macular edema OU; stable
3. Hypertension with mild angiopathy OU; stable
4. Mild mixed cataracts OU; stable
5. Refractive error with presbyopia OU; stable

REVIEW OF SYSTEMS
[-]Constitutional 
[+]ENT: hearing loss 
[+]Cardiovascular: CAD, HTN, paroxysmal atrial fibrillation, s/p MI 2013
[+]Respiratory: COPD
[+]Gastrointestinal: GERD 
[-]Genitourinary
[-]Musculoskeletal
[-]Integumentary 
[+Neurologic: peripheral neuropathy
[-]Psychiatric
[-]Endocrine 
[-]Hematologic/Lymphatic
[-]Autoimmune/Allergic

PAST OCULAR HX: 
[-]Trauma: 
[-]Surgery: 
[-]Strabismus: 
[-]Other:

FAM. OC HX: 
[-]Glaucoma [-]Macular Degeneration 
[-]Blindness [-]Retinal Detachment 
Other: 

PSHX:
[+]Tobacco: 1 ppd 
[+]ETOH: 2 beers/day

Current Medications Reviewed
Allergies - MEDROL, CEPHALEXIN, LOVASTATIN, BENADRYL, SIMVASTATIN, ROSUVASTATIN

ORIENTATION: Time/Person/Place
MOOD AND AFFECT: Appropriate

CURRENT SPECTACLE RX: 
OD: +2.25 sphere 
OS: +2.00 -0.25 x 040 
ADD: +2.50 OU

VISUAL ACUITY: With Correction
DIST 
OD: 20/20
OS: 20/20

EOM: Smooth and full w/o Diplopia/Pain 
Hirschberg Alignment: no apparent tropia OD/OS
PUPILS: PERRL: Yes; (-)APD

SLIT LAMP EXAM: 
Ocular Adnexa: Clear OU 
Lids/Lashes: Clear OU
Sclera/Conjunctiva: Clear and quiet OU
Cornea: (Epithelium, Stroma, Endothelium, Tear film): Arcus OU
Anterior Chamber: Deep and quiet OU; no cells or flare OU
Iris: Flat and intact OU; no rubeosis OU

TONOMETRY: 
OD: 13 mmHg 
OS: 13 mmHg
TIME: 9:35

DILATION: 
1 GTT Tropicamide (1.0%) OU 
1 GTT Phenylephrine (2.5%) OU 

INTERNAL (78/90, 20D BIO):

LENS: (anterior/posterior capsule, cortex, nucleus)
OD: 2 cortical, 1+ NS
OS: 2 cortical, 1+ NS

VITREOUS: 
OD: syneresis
OS: syneresis

NERVE: (-) NVD OU
OD: 0.15/0.15 cup/disc ratio (horiz/vert) 
Normal Color/Margins 
OS: 0.20/0.20 cup/disc ratio (horiz/vert) 
Normal Color/Margins 

MACULA: (-) clinically significant macular edema OU
OD: Flat and intact; no blood, fluid or exudates
OS: Flat and intact; no blood, fluid or exudates

BLOOD VESSELS: (-) NVE OU
OD: tortuosity and crossing changes
OS: tortuosity and crossing changes; several hemorrhages inferior 
arcades/temporal arcades, operculum inferior temporal to macula with no hole

PERIPHERY: 
OD: No holes, tears or detachments 
OS: No holes, tears or detachments

ADDITIONAL TESTS:

(+) VISUAL FIELD EVALUATION: Octopus 32/TOP
OD: Reliability - reliable, pos 0/4, neg 0/4, 76/0
Indices: 
MD: 0.4 LV: 4.0
Pattern of defect: none, few scattered spots
Quadrants involved: 2
Central four points involved: 0
Crosses midline (horizontal / vertical): no/yes
Repeatability (comparing to baseline and last) - baseline

OS: Reliability - reliable, pos 0/4, neg 0/4, 74/0
Indices: 
MD: 6.5 LV: 46.6
Pattern of defect: superior nasal quadrantanopsia with nasal defects, 
corresponds with inferior temporal BRVO 
Quadrants involved: 3
Central four points involved: 3
Crosses midline (horizontal / vertical): yes/yes
Repeatability (comparing to baseline and last) - baseline

(+) GONIOSCOPY: Disposable 3/4-Mirror
OD: Open to CBB 360, Gr 1+ pigment, (-)NVA/PAS/Recession
OS: Open to CBB 360, Gr 1+ pigment, (-)NVA/PAS/Recession

ASSESSMENT:
1. Branched retinal vein occlusion OS; no macular edema; stable
-patient said he noticed cloud across vision OS sometime about 3 months 
ago, lasted for 1 month
-patient currently taking aspirin daily
-Carotid ultrasound: OD 0-49% blockage, OS 50-69% blockage. Radiologist 
wants to repeat carotid ultrasound in 6 months

PLAN:
1. Educated patient on today's findings. Discussed importance of continued 
follow up care and testing to ensure no further progression. Patient voiced 
understanding. Advised patient to call 911 or go to the emergency room ASAP 
if any sudden painless transient monocular loss of vision, jaw pain, 
temple/scalp pain, sudden muscle weakness or confusion. Monitor 3 months with 
DFE/photos.

RTC 12/2017 for DFE/photos
RTC 07/2018 for complete/photos