This 15YO male presented with sudden vision loss in his right eye. Vision was hand motion. Pseudocolor SLO imaging shows a giant retinal tear extending from 7:30 to 12 o’clock, with the macular retina folded onto itself nasal to the nerve. Emergent pars plana vitrectomy with silicone oil, followed by removal of the oil 7 months later, successfully repaired the detachment with vision improving to 20/200.

