Dr.MANASAVEENA N T

DR. KSHEERAJA Y, DR.DR SIRISHA VINZAMURI

Abstract

INTRODUCTION: Hereditary hemorrhagic telangiectasia (HHT) also called Osler-Rendu-Weber syndrome is a multisystem autosomal dominant hereditary vascular disorder,characterized by epistaxis, muco-cutaneous telangiectasias, AV malformations.

CASE REPORT: A 25 year old male patient came to ophthalmology department with recurrent episodes of redness of both eyes which was previously misdiagnosed and mistreated as episcleritis. Has been diagnosed as HHT by dermatologist as patient had multiple petechial lesions over palate,tongue,palms, soles,leg.Both eyes had vision 6/6.on slit lamp examination had dilated tortuous conjunctival vessels which mimicked conjunctival congestion/episcleritis. On fundus examination RE showed AV malformations as racemose angioma.LE showing mild tortuosity of vessels.

CONCLUSION:This ia a rare case involving both conjunctival and retinal vessels in HHT.Prompt systermic and ocular evaluation is required to avoid misdiagnosis.