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Case of PPV combined with scleral buckle (240 Encircling band) for a 4 years 9 months old boy with severe PVR retina detachment in the only eye. Child has features of Autism or ADHD. Other eye has an inoperable old RD detachment. Parents were unaware. Parents bought the child because they noticed one eye was not okey. This ADHD or Autism child was difficult to examine. However, B Scan confirmed an old RD in the non seeing eye. The child was booked for EUA. Unfortunately they did not come for the EUA 4 months later the parents came with new complaint, this time the child is unable to see at all. The EUA revealed RD with severe PVR in the only eye. They only came back for the surgery after 2 weeks.