Fig. 3. A 16-year-old aphakic white girl with juvenile rheumatoid arthritis. A. Up-drawn, fibrotic pupil, with dense cyclitic membrane in a hypotonous eye. B. After pupilloplasty and membranectomy/ vitrectomy, a large, round pupil is restored, along with normal ocular tension. Vision improved from counting fingers to 20/40\+ (6/12\+) with contact lens.