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Retinal examination showing severe hypertensive retinopathy I

Retinal examination showing severe hypertensive retinopathy I
Retinal examination in a patient with papilledema due to severe hypertension. There is blurring of the margins of the optic disc, distension of the retinal veins, two cotton wool spots inferior to the disc, and a flame-shaped hemorrhage at a venous bifurcation (arrow).
Reproduced by permission from: Gallasch G, Ritz E. The fundus in malignant hypertension. Nephrol Dial Trans 1997; 12:1518.
Graphic 78225 Version 7.0