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Pediatric vitreoretinal surgery is completely different from adult surgery because of the anatomical considerations. These differences start with the sclerotomy construction since the pars plana is not well developed. Here I will talk about the tricks of the sclerotomy construction in vitrectomy for ROP and PFV syndromes specifically to avoid scletotomy related complications like lens trauma, vitreous and retina incarceration and retinal break formation. Additionally closure of the sclerotomies have also some specific considerations in pediatric eyes which will be emphasized on.