A 78-year old man was referred to the emergency eye clinic with a 3-month history of pain, discharge, and redness from the right upper eyelid. He had attended the ophthalmic emergency department 7 times in the past year, having been diagnosed with recurrent infective conjunctivitis. He had a history of right retinal detachment surgery that was repaired with scleral buckle and cryotherapy over 10 years ago with subsequent vitrectomy and silicone oil insertion. Of note, the scleral buckle was left in situ at the time of his second operation.
