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We agree with Dr MacKay that noninvasive modalities should be initially tried in patients with cyclodialysis clefts. She feels that making a scleral flap, directly visualizing the entire length of the ciliary body in the area of the cleft, and then directly suturing the ciliary body back to the sclera is the best invasive surgical treatment in her hands.As a surgeon, we are sure that Dr MacKay understands that there are many ways to solve a surgical problem, and there are certain risks and benefits from each one. We are very comfortable placing gas bubbles in the vitreous cavity and are now doing pneumatic cyclopexy without a vitrectomy. It works in a similar way to a pneumatic retinopexy. The gas bubble pushes the ciliary body into place, and the cryopexy permanently adheres it. This procedure does not involve multiple sutures through a very vascularized tissue like the