In this presentation from the Retinaws symposium at the 2011 Annual Meeting, Dr. Ehab El Rayes shares a case of traumatic double perforation and choroidal hole. When assessing the choroidal break, the surgeon is unable to confirm whether the sclera is intact. Dr. El Rayes chooses to close the choroid by passing a purse-string suture through the choroidal edges and then administering silicone oil. While the technique is technically impressive, the panel contends that a similar outcome may be achieved by plugging the hole with an autologous plasma-fibrin sealant.