Editor,—Sympathetic ophthalmia is a rare complication of intraocular surgery. We report a patient in whom inadvertent scleral perforation at the time of buckle placement was complicated by sympathetic ophthalmia. ### CASE REPORT A 58-year-old myope with a 4 day history of floaters in the right eye was found on examination to have a temporal retinal detachment involving the macula. The visual acuity at presentation was 6/24 R and 6/6 L. There was no history of ocular trauma or inflammation. A superotemporal retinal tear was identified and, since this was very peripheral, non-drainage surgery was planned. Cryotherapy was applied and a 5 mm radial sponge, positioned under the tear, was secured with two 5/0 Ethibond sutures. The globe was inadvertently perforated with the posterior suture, resulting in subretinal fluid drainage. At the end …