This video describes the surgical repair of cyclodialysis clefts.  These cases are particularly challenging to manage due to their complex nature.  The surgeon provides a step-by-step instruction of each of the parts of the surgery, elucidating valuable insights to making the procedure safer and more effective. The subsequent discussion further explores the practical aspects to optimise outcomes. The hypotony can be resolved in many cases, even in longstanding clefts, however the limiting factor for vision ultimately will be the maculopathy.