A 28-year-old female patient who was 36 weeks pregnant reported experiencing floaters. Fundus examination revealed a horseshoe tear at 10 o’clock position, a resultant retinal detachment extending through 2 clock hours and macular unaffected. Typically, scleral buckle is suggested but the surgical procedure - pulling of the rectus muscle - may increase the oculo-cardiac reflex as well as intraoperative and postoperative pain1. Thus, for this late pregnancy female, we implant a foldable capsular buckle (VESBER, Guangzhou, China)2. Under topical anesthesia, the subretinal fluid was drained. The FCB was tri-folded, implanted under the Tenon’s capsule, injected with saline to inflate the FCB and create a scleral impression. It was then fixed under the lateral rectus muscle. The entire procedure was completed within 10 minutes. The patient did not claim any discomfort during or after the surgery. Next day, the retina is attached and the laser retinopexy was performed. The BCVA was 20/20 after the surgery. There was no significant change in refraction (pre-surgery: -8.5 + -0.25 × 105; post-surgery: -8.75 + -0.5 × 15). Follow-up examinations confirmed a fully attached retina with no signs of recurrence over the next 4 weeks and received a natural childbirth program. Three months later, the retina remained attached, and the FCB was subsequently removed. Three months after the removal (6 months later), no signs of recurrence were observed This video shows the procedure of FCB implantation. To our knowledge, this represents the first reported use of an FCB to successfully manage retinal detachment in a pregnant patient, demonstrating its potential as a pregnancy-friendly surgical option.
