THE TRIPLE THREAT

Surgical video demonstrating pars plana vitrectomy for a combined retinal detachment with a full-thickness macular hole. Following meticulous vitrectomy and vitreous base shaving, selected peripheral tractional membranes were preserved to avoid iatrogenic retinal breaks. The macular hole was repaired using a temporal inverted ILM flap, with silicone oil tamponade. Following oil removal, the retina remained attached with successful hole closure and good visual recovery.