It is very high blood pressure and hypertensive retinopathy (fundus grade III or IV). Its prevalence is low, and it can appear in any form of both essential and secondary hypertension. Symptoms are blurred vision, changes in mental status: anxiety, confusion, decreased alertness, reduced ability to concentrate, fatigue, restlessness, drowsiness or stupor, chest pain (crushing or pressure sensation), cough, headache, nausea or vomiting, numbness in the arms, legs, face or other areas, decreased urine output, seizures, and shortness of breath.

Treatment: You will need to stay in the hospital until your severe hypertension is under control, if there is fluid in the lungs, medications called diuretics will be given to help the body eliminate fluid, medications to protect the heart will also be given if there are signs of heart damage.