**5. To summarise**

Step 1: After placing sclerotomy ports using valved cannulas, perform anterior and core vitrectomy.

Step 2: Relieve antero-posterior traction—identify areas of posterior hyaloid separation and complete the truncation of cone. If unable to identify, can inject triamcinolone acetonide for better identification. The leading edge of the posterior hyaloid should be held as a bucket handle and the separation should be continued circumferentially, thus separating the posterior hyaloid from the peripheral vitreous base.

Step 3: Relieve tangential traction—identify the site of initiating membrane dissection by identifying the cleavage plane and second membrane. Membranes can be dissected using segmentation or one of the delamination techniques mentioned above.

Step 4: Achieve haemostasis—vascular nails during membrane dissection can be severed using one of the above techniques. Smaller oozes can be dealt later at the end of membrane dissection, while large bleeders which would hamper visualisation should be dealt immediately during membrane dissection.

Step 5: Complete peripheral vitreous clearing.

Step 6: BBG assisted ILM peeling if planned.

Step 7: Endolaser photocoagulation—panretinal and surrounding the retinal breaks.

Step 8: Fluid air exchange and injection of endotamponade.

Step 9: Injection of anti-VEGF or steroid implant.

Step 10: Removal of ports with or without suturing the sclerotomies.
