A 26-year-old African-American male with a history of retinal detachment presented with no light perception in the right eye and BCVA of 20/400 in the left. On examination, the patient’s right eye had a dense membrane at the pupil with no view posteriorly, while the aphakic left eye was quiet. At age 10, the patient’s progressive left-eye visual deterioration from exudative and tractional retinal detachment was treated with lensectomy, vitrectomy, membrane peeling, scleral buckling, fluid gas exchange and endolaser. Composite fundus photography of the left eye now shows extensive retinal and subretinal scarring and retinal pigment epithelial changes, subretinal scarring over the indentation of the scleral buckle, an inferotemporal atrophic cyst and an area of retinoschisis with an atrophic inner wall.
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