Malignant hypertension may be the first manifestation of systemic hypertension.We report a clinical case of Wellbeing a Caucasian 41-year-old man with no previous history of blood hypertension seen at casualty because of blurred vision.Fundus examination disclosed optic disk swelling, retinal hemorrhages and infarcts.
The blood pressure was 220/130 mmHg.After the appropriate management of hypertension, optic disk and retinal edema resolved, leaving minor changes as mild optic disk pallor massage and hard exudates.