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72 year old woman. She was in for a checkup (her friend said she needed an eye checkup-because she was driving funny). She has a very old car that pulls to the left. She notices no visual problem. She can read with her reading glasses and she reads a lot. She does not notice a decline in her vision recently. She has not seen a physician since her kids were born. VA 20/32 OD, 20/50 OS. She has grade 4 htn retinopathy with optic nerve edema and cotton wool spots. The OCT scans show subretinal fluid and macular edema. She was sent to the emergency room.

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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 427 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema00000
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 454 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema00000
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 465 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema00000
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 417 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema00000
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 420 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema00000
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 426 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema00000
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 413 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema00000
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 415 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema00000
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 430 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema00000
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 418 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema00000
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72 year old woman. She was in for a checkup (her friend said she needed an eye checkup-because she was driving funny). She has a very old car that pulls to the left. She notices no visual problem. She can read with her reading glasses and she reads a lot. She does not notice a decline in her vision recently. She has not seen a physician since her kids were born. VA 20/32 OD, 20/50 OS. She has grade 4 htn retinopathy with optic nerve edema and cotton wool spots. The OCT scans show subretinal fluid and macular edema. She was sent to the emergency room.