Dr. Burton J. Kushner describes a difficult case that has yet to be resolved. Patient is a 17-year-old boy who was born with an unusual aberrant innervation to his densely amblyopic left eye. The upshoot and downshoot were so great that the eye disappeared behind the lower lid. Dr Kushner describes a series of surgeries that left him with a huge left esotropia and left hypotropia, while the left eye has essentially no movement in any direction.