The prognosis for vision is best when hypertensive chorioretinopathy is detected early (less than 2 weeks).

• A. Unknown
• B. Guarded
• C. Grave
• D. Good

Answer: (D)

Detecting hypertensive chorioretinopathy early means we can rapidly lower blood pressure and reduce retinal and choroidal stress before permanent damage occurs. When the eye changes from high pressure—like microinfarcts, edema, and exudates—are identified soon, the retina has a better chance to recover once perfusion is restored. This prompt management often leads to reversal of swelling and leakage, with vision returning toward normal, hence a good prognosis with early detection within the observed two-week window. If detection is delayed, ongoing ischemia and edema can cause lasting structural changes, increasing the risk of permanent vision loss and a guarded or grave prognosis.