Ferenc Kuhn, MD, PhD (Birmingham, AL)

SYNOPSIS

An 11-year-old boy ruptured an eye that was abandoned after the first, unsuccessful reconstruction. He had LP vision, no pupil (dragged iris), extensive anterior scarring, total retinal detachment with subretinal strands, and severe hypotony. Surgery at 4 months included irido-plasty, ciliary body debulking and reattachment, removal of subretinal scars, laser, and silicone oil implantation. At week one, vision is CF, the IOP normal, the iris diaphragm in place, and the retina attached.