All of the following can be seen in patients with accelerated hypeension which can lead to visual loss, EXCEPT:: (A) Vitreous haemorrhage, (B) Glaucoma, (C) Cotton wool spots, (D) Retinal detachment
Answer is B. In young patients with accelerated malignant hypeension, an extensive retinopathy is seen, with hemorrhages, retinal infarcts (cotton-wool spots), choroidal infarcts, and occasionally serous detachment of the retina. Severe disk edema is a prominent feature and may be accompanied by a macular star of hard exudates. Vision may be impaired and may deteriorate fuher if blood pressure is reduced too quickly. Ref: Pringle E., Graham E.M. (2011). Chapter 15. Ocular Disorders Associated with Systemic Diseases. In P. Riordan-Eva, E.T. Cunningham, Jr. (Eds), Vaughan & Asbury's General Ophthalmology, 18e.