Malignant hypertension Sleeveless Romper may be the first manifestation of systemic hypertension.We report a clinical case of 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 Apparel changes as mild optic disk pallor and hard exudates.