One case controlled retrospective study of 50 patients with ARMD showed an odds ratio of 11.6 that a patient with a massive intraorbital haemorrhage would also be on anticoagulants (warfarin or aspirin). In another study, the antiplatelet odds ratio (aspirin) was smaller at 2.1. Whether these risks can be extrapolated to myopic eyes is unknown. This rare case illustrates how high myopia associated with choroidal vasculature fragility exacerbated by hypertension could cause spontaneous haemorrhage. This was further aggravated by the presence of aspirin in this patient.