Aqueous Misdirection

A 48-year-old man was hit with a bungee cord 23 years previously. He had undergone an anterior chamber wash-out for hyphema and subsequently had corneal transplants in 1980 and 1999. When we saw him in 2001 he had been having pain in this eye for 2.5 years. He was on two glaucoma medications. One can see this anterior chamber is completely flat and in fact his IOL is embedding into his cornea. His pressure was 80 mm of mercury (checked on the sclera).