A case of malignant hypertension and retinal signs

This man was referred to see me by a colleague .
He had reduced vision in the left eye to 6/24 and unable to be refracted.
A thoughtful optometrist , queried a previous diagnosis of ?amblyopia and referred him on.
Although he did not appear to have any co-morbid disease such as hypertension or diabetes , his fundus examination showed otherwise.

The colour photo of the left eye shows a picture similar to diabetic retinopathy – mild . The FFA showed evidence of multiple choroidal infarcts – likely from once acute ( malignant) hypertension .