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HaNDL with bilateral central venous occlusions. Background: The syndrome of Headache and focal Neurological Deficits with cerebrospinal fluid Lymphocytosis (HaNDL) is considered a rare, idiopathic and self-limited condition. Methods: We present a patient with HaNDL who had unique findings of florid optic disc haemorrhages from bilateral central retinal vein occlusions. Results: Our patient made a full recovery with conservative management. Conclusion: It is important for medical attendants to recognise that HaNDL syndrome can be associated with neuro-ophthalmic complications.