Hypertension, a silent yet pervasive systemic condition, can wreak havoc on the eyes by causing distinct vascular pathologies. Here's a case highlighting two different ocular complications caused by high blood pressure: Right Eye: Retinal Artery Macroaneurysm with Subretinal Bleed In this case, the aneurysm has ruptured, resulting in a subretinal bleed. Such hemorrhages can threaten vision depending on their proximity to the macula and degree of involvement. Left Eye: Compensated Branch Retinal Vein Occlusion (BRVO) In this eye, the BRVO appears compensated, due to collateral vessels that have developed, allowing partial restoration of venous drainage and minimizing ischemia.