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A 67 year old man presented with a one month history of headache and one week of decreased visual acuity. Examination showed blood pressure of 180/125 mm Hg and grade three hypertensive retinopathy. Treatment with metoprolol, furosemide, spironolactone, and doxazosin brought his blood pressure to 146/68 mm Hg. Subsequent retinal photography showed complete resolution of the retinal changes. Retinal photography can also be used to show patients that an otherwise asymptomatic condition has improved.improved.