Hypocomplementaemic urticarial vasculitis syndrome (HUVS) is rare and diagnostically challenging, with poten-tially severe multi-organ sequelae. To our knowledge this is the first report of HUVS presenting with dacryoadenitis. A 55-year-old Caucasian ex-tradesman presented to Emergency with a 12-day history of redness, swelling and blurred vision of his right eye. There was no history of trauma, foreign body, recent illness or overseas travel. He had a background of depression and migraines. Past ocular history was unremarkable. He smoked cigarettes, denied intravenous drug usage or venereal disease.