Malignant hypertension. A, The color fundus photograph shows typical features of hypertensive retinopathy and choroidopathy. The hypertensive retinopathy manifests as a shallow detachment of the macula with striae of the internal limiting membrane (ILM), splinter hemorrhages in the radial peripapillary net, slight hyperemia of the optic nerve, and a few lipid exudates in the macula. The hypertensive choroidopathy is evident as multiple tan patches at the level of the RPE and inner choroid. The fluorescein angiogram shows numerous abnormalities of the retinal and choroidal circulation. B, Early in the angiographic study, areas of retinal capillary nonperfusion and microaneurysm formation are seen, as well as a dendritic pattern of choroidal filling defects. C, Late in the angiographic study, intense leakage of dye from the retinal vessels as well as from some, but not all, of the yellowish tan patches shown in part A can be seen. D, Early in the corresponding indocyanine green (ICG) angiogram, a “moth-eaten” appearance of the choriocapillaris is demonstrated.