Yuzhou Guangming Hospital in Xuchang Successfully Performs Ultra-minimally Invasive and Rapid FCVB Surgery for Retinal Detachment
Release time: Nov 05,2025
Postoperative examinations showed that the retinal break of the right eye was well-apposed on the scleral ridge, with other examination results remaining basically unchanged. The patient and her family expressed great satisfaction with the surgical outcome and extended their gratitude to the medical team.
On October 22, Yuzhou Guangming Hospital successfully carried out external scleral buckling surgery with the Foldable Capsular Vitreous Body (FCVB) for rhegmatogenous retinal detachment (RRD). The FCVB can be applied in internal surgery to treat retinal detachment, preserving the eyeballs of patients with severe ocular trauma and silicone oil-dependent eyes. One specific type, the Foldable Capsular Buckle (FCB), is also capable of ultra-minimally invasive and rapid external treatment of RRD, which is referred to as FCB for short in this report.
Under the guidance of President Zhu Laiyong, Executive President Ge Huarui successfully invited Professor Du Liping from the First Affiliated Hospital of Zhengzhou University to perform the FCB implantation. The procedure was smoothly conducted on a 75-year-old patient with RRD, achieving successful retinal reattachment. As an innovative surgical approach for RRD, FCB implantation is a specialized form of scleral buckling characterized by minimal invasiveness and fewer complications. Postoperatively, patients can maintain a free posture, significantly enhancing the overall surgical experience and providing a safer and more efficient treatment option.
Patient Condition Overview
The patient was a 75-year-old female who visited Yuzhou Guangming Hospital accompanied by her family due to recent blurred vision. The medical team led by Executive President Ge Huarui diagnosed her with RRD at the 10 o'clock temporal position of her right eye, accompanied by cataracts. The urgent priority was to address both the RRD and cataracts. Given the patient's advanced age, President Ge formulated several treatment plans and conducted in-depth consultations with the patient and her family. The patient ultimately opted to undergo FCB surgery first, as it offers painless, ultra-minimally invasive and rapid treatment for retinal detachment, features quick postoperative recovery, and does not require prone positioning—making it particularly suitable for elderly patients.
(Preoperative Examination)
President Ge specially invited Professor Du Liping, who has extensive experience in FCB surgery, from the First Affiliated Hospital of Zhengzhou University to guide the operation. On October 22, Professor Du's team performed the right-eye FCB implantation, successfully achieving retinal reattachment. Two days later, laser photocoagulation was administered to the retinal break of the right eye. Postoperative examinations showed that the retinal break of the right eye was well-apposed on the scleral ridge, with other examination results remaining basically unchanged. The patient and her family expressed great satisfaction with the surgical outcome and extended their gratitude to the medical team.
(Postoperative Examination)
Ultra-minimally Invasive and Rapid FCB Treatment for Retinal Detachment
Traditional surgical procedures for retinal detachment repair are categorized into internal and external approaches.
Internal vs. External Surgery
Internal surgery, namely pars plana vitrectomy (PPV), is associated with significant and irreversible trauma, slow recovery, and high costs. Patients are required to maintain a prone position for 2–3 weeks after surgery. If silicone oil tamponade is used, a second surgery is needed to remove the silicone oil after 1–3 months. Vitrectomy disrupts the oxygen gradient of the vitreous body, potentially leading to irreversible complications such as cataracts and optic nerve damage.
External surgery is more widely recommended by ophthalmologists. It does not involve entering the eye cavity, thus preserving the eye's natural oxygen balance. The conventional external procedure, scleral buckling, causes less trauma than PPV but has a relatively lower success rate. Once successful, it eliminates the need for repeated surgeries, reducing patient suffering.
Foldable Ciliary Body Buckling (FCB) Surgery
FCB retinal reattachment surgery is a type of external approach. Compared with traditional external retinal detachment surgery, FCB offers notable advantages: the surgical duration is shortened from 50 minutes to just 10 minutes; it does not require retrobulbar anesthesia, muscle traction, scleral fluid drainage, intraoperative lesion localization, or retinal break cryopexy. Surgeons only need to implant the folded FCB onto the outer wall of the eye at the detachment site and then inject normal saline to inflate the balloon. Acting like a jack, the inflated balloon pushes the detached retina back into place. FCB enables rapid postoperative recovery, greatly alleviates patient discomfort, avoids various postoperative complications, and significantly improves the treatment experience of retinal detachment patients. The surgery adopts 3D reconstruction technology to accurately determine the location of retinal breaks, effectively enhancing the accuracy and success rate of retinal reattachment.
During the postoperative review, Xiao Z’s left-eye retinal break was completely closed, the symptoms of photopsia and floaters disappeared, and his corrected visual acuity improved. "We didn't expect such a quick recovery. The child only missed a few classes and returned to campus soon. We are truly grateful to the medical team!" the parents said, expressing their deep thanks to the president and Professor Zhou.
Postoperative examinations showed that the retinal break of the right eye was well-apposed on the scleral ridge, with other examination results remaining basically unchanged. The patient and her family expressed great satisfaction with the surgical outcome and extended their gratitude to the medical team.
