A year previously he had lost vision in the right eye from a total retinal detachment with a horseshoe tear in the upper temporal quadrant. He underwent a cryo-buckle surgery using a segmental circumferential silicone tyre(277) explant. His retina re-detached 4 weeks later requiring buckle exchange for a segmental silicone sponge(506). Two months later he developed aggressive proliferative vitreoretinopathy resulting in recurrence of retinal detachment requiring vitrectomy, encirclement and silicone oil tamponade . When cataract surgery was performed 6 months later, there was recurrent inferior retinal detachment requiring retinectomy and further oil tamponade. Eventually oil was removed and the eye became pthisical and blind requiring evisceration.