Thanks for the image. I have never seen a version of Visual Studio with a File menu that looks like that. Normally we see "File>Open" with a sub menu below containing "open Project", "Open File" etc. and below that is where Visual Micro puts an "Open Sketch" menu item. I expect Visual Micro fails to create the item because the File>Open menu does not exist. File>Open might be an option in your "Customisation" list via "Tools>Customise".

If not, as long as Visual Micro has loaded correctly there are other ways to open a sketch.

First let's ensure Visual Micro is installed okay and running. I can't see from the image if you have a tool bar with Arduino boards?

Thanks

ps: We will alter Visual Micro to cater for this menu layout in a future version

Okay great. I usually pick general layout simply because I switch between c# for windows and c++ for arduino and web development. We should add the "new sketch" option to the file menu if File>Open is missing. 

You have lots of options, here are a few ideas

1) You should have a tool bar called "New project"? If so then Visual Micro should have added "New Sketch" as an option.

2) Visual Micro creates a macro for each command. So you can use the standard Visual Studio "Customise" option to add your own file menu. If you get into the Visual Studio customisation system all commands created by addins are easily identifiable in their own "Addins" group. So the Visual.Micro ones should be easy to spot. Can't say the macro names are perfect

3) You file new to create a new text file in a new folder. Give the folder and the text file the same name. Then rename the text file to .ino. Close it and then open it as a normal Arduino sketch. That's all a sketch really is.

4) Create a new empty/blank Win32 C++ .exe project using the standard Visual Studio "New Project" wizard. Ensure the name of the project is the same name as the folder that contains it. When the new project opens rename the main.cpp to [sketchname].ino and Visual Micro should kick in and do the Arduino stuff

Hope that helps

Great, thanks for the update and the comments

It is good to see someone make use of the Customisation and Macros.

If you or anyone else adds more than a couple of menu items it is always worth taking a few moments to open tools>options and save your VS settings to a file. 

This can sometimes be useful if ever you need to reset VS or Visual Micro. It makes it easy to restore your customisations without setting them up again.