Dr. Chirag Shah manages a patient with a dislocated IOL and capsular tension ring (CTR) and a subsequent retinal detachment. The lens and CTR are removed through a 6-mm scleral tunnel, taking care to protect the anterior chamber and endothelium with liberal visoelastic. In turning his attention to the retina, Dr. Shah performs a pars plana vitrectomy and removes the horseshoe tear to alleviate traction. Endolaser photocoagulation is applied for 360 degrees under BSS, and the retina is flattened down under air. The case is completed with air-fluid exchange using 15% octafluoropropane (C3F8).