In this video, Sengul Ozdek presents a step-by-step surgical solution to optic pit-related macular detachment. First-line treatment for recurrent macular detachments includes vitrectomy with posterior hyaloid removal, internal limiting membrane (ILM) peeling, laser penetrating keratoplasty temporal to the optic nerve head, and gas. Second line: ILM flaps around the optic nerve head to seal over the pit. Third: autologous fibrin to seal the pit. Postoperative images are included.