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A then 6 yr old girl presented with a bilateral optic pit and a severe retinal detachment with PVR in her left eye. Pars plana vitrectomy with silicone oil could only temporarily restore anatomical attachment. 10 years later visual acuity deteriorated also in the right eye from 0.6 to 0.2 due to a central serous detachment and an increasing vitreomacular traction. Pars plana vitrectomy with ILM-peeling, SF6 tamponade and a gentle laser coagulation along the rim of the optic disc was performed, followed by a complete anatomical reattachment and a functional recovery of visual acuity to 0.7 again. The eye is now stable for three years. Pars plana vitrectomy with ILM-peeling, SF6 tamponade and a gentle laser coagulation along the rim of the optic disc has been my standard of care for more than 10 years now in 6 cases, with an anatomical success in all cases and a significant functional recovery in the majority of cases.