A 25-year-old white man was initially seen with a 1-week history offloaters and decreased vision in his left eye. The patient had been diagnosedwith Tourette syndrome at age 7 years, obsessive-compulsive disorder at age11 years, and depression at age 24 years. His motor tics involved excessiveblinking, blepharospasm, clapping, jabbing his fingers into his eyes, andpunching himself in the periorbital area. The patient was taking buspironehydrochloride (10 mg twice a day) and clomipramine hydrochloride (25 mg twicea day). On examination, the patient was alert and oriented, and he had noevidence of cognitive impairment. Visual acuity was 20/200 OD and hand motionOS. There was no afferent pupillary defect. Intraocular pressures were 18OD and 16 OS. Slitlamp examination findings of the right eye demonstratedpigment deposits on the corneal endothelium, moderate (2+) aqueous pigmentedcells, and posterior subcapsular cataract. The left eye had a less than 1-mmhyphema and many (4+) circulating red blood cells in the anterior chamber,as well as a dense posterior subcapsular cataract. Funduscopy results revealeda retinal dialysis from the 1:30 to the 4:30 clock position with a macula-on-retinaldetachment in the right eye. Vitreous hemorrhage was present centrally inthe left eye, and there were nasal and temporal giant retinal tears. The righteye was repaired with a scleral buckling procedure. The left eye underwentanterior segment washout, pars plana lensectomy, pars plana vitrectomy, endolaser,and silicone oil injection. Intraoperatively, the giant retinal tears werefound to extend from the 12:30 to the 4:30 clock position with 4 long radialextensions to the temporal macula and from the 6-o'clock to the 11-o'clockposition with 1 long radial extension to the optic disc. There was an additionalradially oriented posterior retinal break. Postoperatively, the retinas wereattached in both eyes. One month later, the left eye developed proliferativevitreoretinopathy with retinal detachment and underwent reoperation. At 6months, the retinas remained attached and the visual acuity was 20/100 OU.