The relatively rare syndrome of Rendu-Osler-Weber and the associated hemorrhagic telangiectasia present with various ocular signs, such as telangiectases of the lids, conjunctiva, and retina. This syndrome also presents with non-ocular hemorrhagic telangiectases and is of a hereditary origin. As a primary care provier, the optometrist may be the first health care professional to examine the patient with Rendu-Osler-Weber syndrome or hereditary hemorrhagic telangiectasia. Although this syndrome is relatively rare, the eye care practitioner should be aware of specific complaints as well as ocular manifestations since these can mimic several other ocular diseases and abnormalities. This paper discusses ocular and systemic manifestations, differential diagnoses, and management. The goal of this paper is to provide a comprehensive report of Rendu-Osler-Weber syndrome.
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