Hypertensive retinopathy and choroidopathy

(A) Fundus photo of the right eye of a 23-year-old man, showing disc swelling, splinter hemorrhages, cotton-wool spots along the superotemporal vascular arcade (arrowhead), and hard exudates (asterisk) tracking toward the fovea. There is accumulation of subretinal fluid at the macula (note the fine retinal striae, indicated by the black arrows), which is a feature of hypertensive choroidopathy. (B) Fundus photo of the patient’s left eye shows similar but less severe changes.