Dr.Sarang Lambat, Dr.Nangia Vinay Kumar B, tuhina kunwar, Dr. NEHA KHANNA
Giant Retinal Tears (GRT) are tears that extend circumferentially for more than 3 clock hours in the presence of posteriorly detached vitreous. These cases develop rapid and extensive retinal detachment with a high chances of PVR and recurrence. Classically the posterior flap of a GRT gets folded on itself which makes the surgery more cumbersome. In the initial era of Vitrectomy unrolling the flap of GRT was a herculean task as the patient had to be strapped to a special table which was rotated to make the patient prone and then the surgeon used to go below the table to evert the flap with the help of intravitreal air injection. With the availability of Perfluorocarbon heavy liquid (PFCL) all these steps have become obsolete. We would be discussing a case of GRT in a young myopic patient. He was taken up for a Vitrectomy. We have highlighted various key steps in management of GRT and the immense role of PFCL which makes the herculean surgery an achievable task.