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First described in 1936, Lemierre's syndrome is an oropharyngeal infection characterised by septic thrombophlebitis of head and neck veins, complicated by dissemination of septic emboli to pulmonary and systemic sites. 1 Ophthalmic involvement in this syndrome is extremely uncommon, having been reported previously in a patient with retro-orbital involvement and proptosis, 2 and more recently as a case of endogenous endophthalmitis. 3 Here, we describe a case of bilateral intraocular involvement in this interesting and rare disease. Initial ophthalmic examination was significant for visual acuity of light perception in the right eye and 20/150 in the left with normal pupillary responses, intraocular pressure, and anterior segments.