Retinopathy in Malignant Hypertension

A 55-year-old man presented with a 1-week history of headache and blurred vision. His blood pressure was 250/170 mm Hg. Funduscopic examination revealed disk edema in both eyes, flame-shaped hemorrhages, hard exudates, and cotton-wool spots, findings that were consistent with malignant hypertensive retinopathy.