Shandong First Medical University Affiliated Eye Hospital (Shandong Eye Hospital) Introduces FCB Surgery for Large-Break Retinal Detachment
Release time: May 19,2025
On April 9, President Yuan Gongqiang of Shandong First Medical University Affiliated Eye Hospital successfully performed a Foldable Capsular Buckle (FCB) implantation for a patient with rhegmatogenous retinal detachment, restoring the detached retina and improving vision. The minimally invasive FCB procedure requires no intraocular environment changes, shortens operation time, and allows free positioning post-surgery for enhanced patient comfort.
Case Details A 49-year-old male presented with a half-month history of superior shadow obstruction in the left eye, diagnosed locally as "left rhegmatogenous retinal detachment." With bilateral high myopia (1,300 degrees), his left eye showed vitreous opacity, pigmentation, inferior retinal detachment approaching the macula, and a large inferotemporal tear. Traditional external surgery posed low success rates for such a large hole, while internal vitrectomy carried higher risks. FCB, an innovative external approach, offered a minimally invasive, safe, and removable solution with a broad indentation range.
(Preoperation)
Considering the patient's ocular condition—bilateral high myopia and a large tear in the left eye—traditional external approach surgery would have a low success rate. In such cases, traditional treatment typically involves internal vitrectomy, which may increase surgical risks and complications. As an innovative external approach, the Foldable Capsular Buckle(FCB) implantation offers advantages of ultra-minimally invasive operation, safety, high efficiency, broad tamponade range, removability, and no intraocular foreign body residue, providing an alternative external surgical option for some patients with large retinal tears. President Yuan fully communicated with the patient, who was willing to try this latest minimally invasive retinal reattachment procedure—FCB implantation.
Surgical Success After thorough pre-op evaluation, President Yuan’s team implanted the FCB, precisely locating the large tear via indirect ophthalmoscopy without subretinal fluid drainage. Post-op day 1 showed accurate tamponade with partial laser closure of the tear. By day 27, full laser closure and optimal retinal reattachment were achieved, exceeding expectations.
(Post-operative day 1)
(Post-operative day 27)
This case highlights the team’s expertise and patient trust, showcasing FCB’s potential as a safe, efficient option for large-hole retinal detachment.
Postoperative examination showed that the retinal holes in the right eye were located on the indentation position and attached well, and the rest of the examination results were basically the same as before.
