Spontaneous hyphaema in hereditary haemorrhagic telangiectasia

Editor,—Hereditary haemorrhagic telangiectasia (HHT) is characterised by multiple dilatations of capillaries and venules in the skin, mucous membranes, and viscera that have a tendency to bleed. Although a relatively rare condition, ocular involvement is common in these patients (45-65%).1 Intraocular involvement is however extremely rare. We report a patient with HHT with spontaneous bilateral hyphaemas ### CASE REPORT A 69 year old man presented with sudden onset of blurred vision in the left eye associated with a “red streak” under his left pupil. There was no history of any trauma. He had suffered from intermittent epistaxis, haematuria, gastrointestinal bleeds, and post-coital penile bleeding associated with telangiectasia on his face, external ear, chest, and glans penis. Past medical history included HHT, iron deficiency anaemia, and hypertension. Current medication …