All of the following are clinical findings in chronic uncontrolled hypertension except:

Chronic uncontrolled hypertension is associated with characteristic changes in the blood vessels of the retina and can lead to distinct clinical findings. AV nicking, copper wire arterioles, and flame-shaped hemorrhages are all recognized manifestations of long-standing hypertension.

AV nicking refers to the appearance of narrowed arterioles that cross over the veins in the retina, causing an indentation or “nicking” of the vein where the arterioles cross. Copper wire arterioles are indicative of arteriolar narrowing and are characterized by a change in the appearance of the arterioles to a brighter, coppery hue due to thickening of the vessel walls. Flame-shaped retinal hemorrhages are linear splashes of blood that occur from the rupture of small retinal blood vessels, which are often observed in hypertensive retinopathy.

Microaneurysms, on the other hand, are small outpouchings that occur in the walls of retinal blood vessels and are typically associated with diabetic retinopathy rather than hypertension. Therefore, while the other findings are linked to chronic uncontrolled hypertension, microaneurysms are not a characteristic finding of this condition, making the distinction clear.