Case Report: Foldable capsular buckle scleral buckling for complex retinal detachment: a case series of three patients
- 1Department of Fundus Diseases, Weifang Eye Hospital, National key Clinical Specialty, Zhengda Guangming Eye Group, Weifang, China
Abstract
Complex retinal detachment (RD) is characterized by diverse tear types and extensive detachment, often complicated by proliferative vitreoretinopathy, posing significantly greater therapeutic challenges than simple cases. Conventional scleral buckling often fails to provide adequate support for such tears, and pars plana vitrectomy (PPV), although the current standard for most complex cases, requires intraocular entry with attendant cataract progression in phakic eyes and silicone-oil-related reoperation, as well as prolonged postoperative positioning. This article reports three patients with different types of complex RD (giant retinal tear, horseshoe tear > 60°, and 1PD tear with total detachment), all treated with a foldable capsular buckle (FCB)-based internal-external combined strategy — FCB scleral buckling combined with gas tamponade and laser photocoagulation, with minimally invasive vitrectomy added in Case 3. Postoperative follow-up showed retinal reattachment in all three eyes, visual improvement, and absence of serious complications. These outcomes should be interpreted as the result of an individualized internal–external combined strategy rather than that of FCB alone; the appropriate boundary between this approach and PPV with silicone oil tamponade remains to be defined prospectively. Combined with previously reported cases, the potential role and limitations of FCB within an individualized internal-external combined strategy for complex RD are discussed, to provide a reference for clinical practice.
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BibTeX
@article{liu2026case,
title = {{Case Report: Foldable capsular buckle scleral buckling for complex retinal detachment: a case series of three patients}},
author = {Xiaojing Liu and Wei Wang and Jie Zhang},
journal = {Frontiers in Medicine},
year = {2026},
month = oct,
doi = {10.3389/fmed.2026.1945579},
url = {https://doi.org/10.3389/fmed.2026.1945579},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Case Report: Foldable capsular buckle scleral buckling for complex retinal detachment: a case series of three patients
AU - Xiaojing Liu
AU - Wei Wang
AU - Jie Zhang
PY - 2026
DA - 2026/10/21
JO - Frontiers in Medicine
DO - 10.3389/fmed.2026.1945579
UR - https://doi.org/10.3389/fmed.2026.1945579
AB - Complex retinal detachment (RD) is characterized by diverse tear types and extensive detachment, often complicated by proliferative vitreoretinopathy, posing significantly greater therapeutic challenges than simple cases. Conventional scleral buckling often fails to provide adequate support for such tears, and pars plana vitrectomy (PPV), although the current standard for most complex cases, requires intraocular entry with attendant cataract progression in phakic eyes and silicone-oil-related reoperation, as well as prolonged postoperative positioning. This article reports three patients with different types of complex RD (giant retinal tear, horseshoe tear > 60°, and 1PD tear with total detachment), all treated with a foldable capsular buckle (FCB)-based internal-external combined strategy — FCB scleral buckling combined with gas tamponade and laser photocoagulation, with minimally invasive vitrectomy added in Case 3. Postoperative follow-up showed retinal reattachment in all three eyes, visual improvement, and absence of serious complications. These outcomes should be interpreted as the result of an individualized internal–external combined strategy rather than that of FCB alone; the appropriate boundary between this approach and PPV with silicone oil tamponade remains to be defined prospectively. Combined with previously reported cases, the potential role and limitations of FCB within an individualized internal-external combined strategy for complex RD are discussed, to provide a reference for clinical practice.
SN - 2296-858X
ER -