A 43-year-old female patient, a known case of Diabetes Mellitus and Hypertension for the past 8 years with poor control, presented with blurred vision in both eyes for 1 year.

Her best-corrected visual acuity (BCVA) at presentation was Counting Fingers at ½ metre in both eyes.

On examination, both eyes revealed advanced diabetic retinopathy with chronic combined retinal detachment.

The patient was advised and subsequently underwent minimally invasive vitrectomy surgery with silicone oil injection in both eyes.

Following surgery, the patient showed significant visual and anatomical improvement:

• Right Eye: BCVA improved to 6/18.
• Left Eye: BCVA improved to 6/36.
• Retina: Attached in both eyes.

A challenging case successfully managed with advanced vitreoretinal surgery, resulting in retinal reattachment and meaningful visual improvement in both eyes.