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This patient had developed a giant retinal tear with macular hole. moreover the edges of the tear were situation quite posterior. Vitrectomy was carried out using 25 gauge MIVS system. PVD creation was difficult. inferiorly the hyaloid admixed with haemorrhage was gradually detached from the mobile retina avoiding a tear. Once the vitreous was removed. After that brilliant blue dye was used to stain the posterior pole and gradually the ILM was removed around the macular hole Perfluorocarbon heavy liquid was gradually injected to unroll the edges of the giant tear. Retina was flattened. 360 degrees of barrage endo laser was carried out to secure the retinal periphery. After that PFCL air exchange was carried out taking care that there is no slippage of the flap. After that silicon oil was injected | Dr Manish Nagpal | Retina Foundation | www.retinafoundation.com