Editor,—Orbital haemorrhage occurs most commonly following trauma, retrobulbar injection, or orbital surgery. Spontaneous orbital haemorrhage is a rare condition usually associated with vascular anomalies, lymphangiomas, or systemic haematological disorders.1-3 Rarely, it has been reported in pregnant females being treated with subcutaneous heparin.4 In this case report, we describe a woman who developed a spontaneous orbital haemorrhage in the perioperative period following cardiac angioplasty.