After 3 years, more than 40% of eyes operated for ROP stage 4B in this series had a visual acuity compatible for near reading or better. Eyes undergoing LSV and with prior peripheral retinal ablation had better visual outcomes.

Suprachoroidal buckling using a specially designed cannula is a safe and effective procedure for the management of rhegmatogenous retinal detachment secondary to peripheral retinal breaks.

The indentation effect achieved by supra choroidal approach can be used as a method of managing myopic foveoschisis and myopic macular hole with detachment even in eyes with failed primary vitrectomy, counteracting the role of posterior staphyloma in the role of the disease. The indentation effect is sufficient for first year of follow-up.

T he use of scleral buckles in conjunction with chorioretinal adhesions around the break forms the basis of therapy for many uncomplicated rhegmatogenous retinal detachment (RD). Other techniques for repair include vitrectomy and a gas tamponade or repair by pneumatic retinopexy. Rhegmatogenous RD is repaired by preventing access of intravitreal fluid to the subretinal space via retinal breaks. 1 Fulfilling this base scleral buckling brings retina into contact with treated choroid around retinal tears. 2 This is done by indenting both the sclera and the choroid to the retina, with some potentials of mechanical ocular motility disturbance depending on the size and location of the buckle placement. Based on indenting the choroid alone to close the retinal tear through the suprachoroidal space, we show a novel technique using a special designed catheter to inject and place a suprachoroid filler (long-lasting hyaluronic acid [HA]) in the suprachoroidal space. This filler indent the choroid and creates a suprachoroidal buckling effect to close the tears or support the retina. This is done by a small 3-mm incision and guide the catheter to the tear avoiding all potential difficulties of placing scleral buckles (Video, Supplemental Digital Content; http://links.lww.com/IAE/A144).

The indentation effect achieved by the suprachoroidal approach can be used as a method for managing myopic foveoschisis and myopic macular hole with detachment even in eyes with failed primary vitrectomy, counteracting the role of posterior staphyloma in the role of the disease. This technique is also feasible for treating retinal tears, supporting the retina, and treating selected forms of retinal detachment including subsilicone inferior recurrent retinal detachment. It can be done separately or in association with vitrectomy procedures. It adds to our surgical options in treating selected cases of rhegmatogenous retinal detachment and avoids some potential problems of episcleral buckles as well as vitrectomy in selected cases of rhegmatogenous retinal detachment.