Polymyalgia rheumatica is an increasingly common disease in older people, which gives rise to arthralgia and is mainly treated with corticosteroids. Patients in this age group also have a higher incidence of other symptoms including visual changes .Ophthalmic involvement in polymyalgia rheumatica can manifest in a number of ways. Central retinal artery occlusion is one of the common causes of visual loss in polymyalgia rheumatica. On the contrary, bilateral retinal vein occlusion is rarely associated with the latter. We report an 63-year-man with oculus uterque bilateral central retinal vein occlusion on a background of progressive decline in vision over a 6-month .Subsequent investigation confirmed polymyalgia rheumatica. This is the first reported case of bilateral retinal vein occlusion in polymyalgia rheumatica, and highlights the various ocular presentations that can occur in polymyalgia rheumatica.