Purpose: To determine the presence and characterize location of retinal vascular lesions in patients with hereditary hemorrhagic telangiectasia. Design: Prospective cross-sectional pilot descriptive study. Participants: Eighteen patients (age 22 to 65) with a clinical diagnosis of hereditary hemorrhagic telangiectasia. Methods: Patients completed the Visual Function Questionnaire-25 and underwent a single study visit with dilated ophthalmic examination, optical coherence tomography angiography (OCTA) and fluorescein angiography (FA) with widefield imaging. Main Outcome Measures: Presence of retinal vascular abnormalities in 1 or more quadrants identified on widefield FA, VFQ-25 scores, retinal vessel architecture on FA and OCTA, and dilated ophthalmic exam findings. Results: Of the 18 patients recruited, fine telangiectatic vessels with capillary dilation and tortuosity were identified in 78% by FA imaging. Conclusions: In the first FA and OCTA analysis of the retina of unrelated HHT subjects, we found a high rate of temporal and nasal telangiectasias. These telangiectasias were more apparent