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Giant retinal tear in high myopic patient

High myopic phakic patient with a temporal giant retinal tear with other horse-shoe retinal break nasally,, The axial legnth was 35.3 There was a difficulty to reach the posterior pole so,,I removed the upper temporal trocar to gain access to the macula,, -ILM peeling was done,, -Trimming of edges of GRT,, -Retinectomy for the anterior flap -Air fluid exchange to enjoy peripheral view during laser with meticulous fluid aspiration to avoid retinal slippage -laser for posterior edge of the GRT and lateral horns,,also to the other break,,and 360 laser -Finally Silicone oil injection