62-year-old man had retinal detachment repair in the left eye with vitrectomy for an inferior retinal detachment on December 19th. He noticed a shadow a week ago. VISUAL ACUITY: Vision OS is 20/60. IOP: 18. The posterior intraocular lens is in good position. EXTENDED OPHTHALMOSCOPY: OS: Vertical C/D ratio is 0.3. There is a retinal detachment extending from 12:00 o’clock around to 8:00 o’clock. The macula is on but there is chorioretinal scarring inferotemporally where the cryotherapy and laser was. IMPRESSION: 1. RECURRENT RETINAL DETACHMENT – LEFT EYE DISCUSSION: I explained to the patient unfortunately she has a recurrent retinal detachment. With vitrectomy and buckle there is about a 90% chance of successfully reattaching his retina. We talked some about the refractive shifting and I told him it is unpredictable but basically it is necessary to get the retina attached as it is important to preserve the visual potential of the eye. He can probably get a correction with glasses, contacts or LASIK in the future. I am scheduling him for surgery today.