Front Range Retina examined a patient that was referred to Dr Steven M. Christiansen at our Castle Rock office for an inferior macula-involving retinal detachment. The patient is 61 years old, has had cataract surgery in both eyes about two years ago. In the last few days he noticed some central vision changes. On his exam his retinal detachment extends from about 2 o’clock all the way clockwise until about 10 o’clock with a single moderate-sized horseshoe-tear at about 6 o’clock. This finding is consistent with Lincoff’s Rules – given that the fluid is on both sides and extends to about the same height on both sides, the break would most likely be located directly inferiorly. At the time of this exam, Dr. Christiansen was leaning towards repairing this retinal detachment with a combined scleral buckle vitrectomy, endolaser, and gas tamponade.