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    7th Annual Global Video Contest - 3rd Place Winner
    04:03
    Pediatric Ophth/Strabismus, Retina/Vitreous

    This is a case of a 360-degree giant retinal tear in a one-eyed ten-year-old boy. In young patients, the vitreous is extremely adherent to the retinal surface. Being a 360-degree giant retinal tear, the retina is totally mobile making it extremely difficult to remove this vitreous. PFCL heavy liquid also tends to overflow from the edges because of this reason. A 25 gauge chandelier is inserted to allow bimanuality and use an araumatic massager in one hand to keep the mobile retina at bay whilst peeling the adherent vitreous with the cutter. This maneuver seems like a tug of war between the cutter and the giant retinal tear. With patience, we are able to detach this hyaloid and trim it to the minimum allowing the retina to flatten with PFCL. Retina has also rotated itself and we need to gently iron its folds and rotate it back to its normal position. After this 360-degree endolaser is carried out to the edges of the tear followed by an Air PFCL exchange which is patiently done by keeping the edges of the tear dry so as to avoid slippage. In the end, there is a complete flattening of the retina in an air-filled eye and silicon oil is injected as a post-operative tamponade.