Malignant Hypertension: Importance of the Fundus in Emergency Services

In this article, we highlight the importance of the ophthalmologist in the diagnosis of hypertensive emergencies. It is crucial to know how to make the correct diagnosis and correctly refer the patient. We report a case of a 23-year-old female patient with a history of undocumented nephropathy since the age of 10 years that was admitted for a sudden decrease in visual acuity and persistent headaches that did not respond to pain medication. Diagnosis is often difficult and delayed, the role of the ophthalmologist remains crucial, as our case illustrates. It underlines the urgent need to reduce blood pressure, and highlights the importance of regular follow-up and compliance with treatment to prevent serious complications.