The patient with hypertensive retinopathy, as expected, suffers from hypertension. However, the hypertension may be unknown to th e patient and the eye exam may yield the first clue to this relative asymptomatic systemic disease. Most commonly, the patient is middle age or older. In addition, hypertension is more common in African-Americans than Caucasians. Patients with only hypertensive retinopathy are nearly always visually asymptomatic. It must be reiterated, however, that th.

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