Sir,

General examination showed no other signs of capillary fragility, and findings from a systemic examination, including transoesophageal echocardiography, cranial, orbital, and carotid magnetic resonance imaging, lumbar puncture, abdominal ultrasound, and serial blood pressure measurements, were unremarkable. Blood tests for and including complete blood count, erythrocyte sedimentation rate, fasting blood glucose, C reactive protein, autoimmune screen, clotting screen, angiotensin converting enzyme, glucose, treponema, human immunodeficiency virus, blood, and urine culture were normal. After 4 months, visual acuity remained 2/60 OD and the fundal haemorrhages had resolved.

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