MH surgery remains one of the most frequently performed surgery. It is usually successful when performed earlier and when MH diameter does not exceed 500 um. There are several techniques used to ensure the success after MH surgery in long standing cases or big macular holes. There are techniques which use the instrument to put the edges of the hole closer. There are techniques of IOL flap implantation, which remain technically very difficult. I would like to present the technique of vitrectomy with no TA, broad IOL peeling and gas tamponade with “no face up” posturing as the primary technique. As for failures just proper gas tamponade as the alliterative to other complicated techniques.

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