Patient presented with BCVA of CFCF in his RE and 6/9 in LE. He was diagnosed as RE dense VH and LE NPDR. B scan showed vitreous hemorrhage without PVD. Core vitrectomy was started, layers of dense altered blood was cleared, still there was no sign of the retina. After meticulous clearing of the dense vitreous haemorrhage, we again reached another layer of altered blood only . There was a taut whitish glistening membrane with an additional layer of adherent altered blood. The challenge was to separate the altered blood from the taut membrane without inducing any iatrogenic break. Retinal pick was used to nick the taut membrane and a pale pink fluid of altered blood oozed out. Finally, a yellowish lesion one disc diameter was seen in the macula leading us to the diagnosis of a breakthrough vitreous haemorrhage due to cnvm. What was supposed to have been a simple vitrectomy for a vitreous haemorrhage, turned into a tricky and intricate surgery, but with a successful outcome.
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