What are two ocular findings of hypertensive choroidopathy often found in young patients with acute hypertension?

Hypertensive choroidopathy is associated with specific ocular findings that reflect changes in the choroid due to elevated blood pressure. Young patients with acute hypertension can exhibit prominent changes, particularly Elschnig spots and Siegrist streaks.

Elschnig spots are localized, creamy white lesions that occur in the retinal pigment epithelium (RPE) and are indicative of rupture of choroidal vessels leading to ischemia and exudation. These spots are characteristic of hypertensive choroidopathy and are a direct result of sustained high blood pressure.

Siegrist streaks are linear, pigmented lesions that can develop along the vessels in the choroid, representing areas of atrophy of the RPE associated with prior vascular events. These findings are directly linked to the long-term effects of hypertension on the choroidal blood supply and the consequent alterations in the RPE.

In the context of the question, both Elschnig spots and Siegrist streaks are direct manifestations of the underlying pathology in the setting of acute hypertension, making them the appropriate choice among the options provided.