GRT is a full-thickness break in the neurosensory retina that extends circumferentially for three or more clock hours (90 degrees or more) associated with a PVD. GRTs are relatively rare, accounting for about 1.5% of all retinal detachments. GRTs are frequently idiopathic, more common in middle aged men, and risk factors include high myopia, trauma, and hereditary vitreoretinopathies. Patients with a GRT will experience symptoms like those with an RRD. Symptoms can vary depending on the extent of the retinal detachment and macular involvement. Ultrasonography (US) is an essential tool in cases of vitreous hemorrhage, which occurs in about 20% of GRT cases. Wide field retinography can help to confirm a GRT diagnosis and determine its size and location. The main differential diagnosis is with giant retinal dialysis (GRD). Vitrectomy is the procedure of choice for GRT. As a temporary replacement for the vitreous, gas or silicone oil can be used. Early diagnosis and treatment of GRT is important to improve visual outcomes. Retinal slippage is a frequent per operatory complication. Performing laser with PFC in the vitreous cavity and careful fluid-air exchange can help to avoid slippage. RRD surgery has PVR as the main fear and leading cause for re-detachment. The incidences vary according to the extent of the detachment, surgical technique, and age, among other risk factors. Modern vitrectomy tools and techniques, including wide-angle viewing systems, chandelier illumination, and PFCLs, have increased the success rates of GRT-associated RD repair.