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Macular hole and retinal detachment surgery has become routine. However, if the patient is a 7 year old boy, the management present some challenges. The presentation will cover the issues of choosing with the family what to do, how to choose the surgical strategy, the possible results of common surgery in an uncommon patient. Furthermore, more unique cases of pediatric pathology with be presented such as a suspect retinal traction associated with congenital glaucoma operated in a 6 months boy, and retinal lesion in the macula with uncertain diagnosis and management in a 4 years old boy.