Secondary glaucoma following central retinal artery occlusion is a distinct clinicopathologic entity.3-6 There have been 34 eyes affected with this condition reported in the world literature. Approximately four fifths of these eyes were surgically enucleated; the remainder-with the improbable exception of two-had no light perception. The outcome of treatment has been universally unsuccessful in this condition. A case was presented in which there was a central retinal artery occlusion with macular sparing due to a unilateral cilioretinal artery. A second catastrophe was then visited upon the "spared" eye in the form of a secondary glaucoma, the prognosis of which type of glaucoma has been universally and extremely bad. Treatment has been surgical and medical. To date, the affected eye still retains useful central vision.