In today’s video we will show you how to treat a retinal detachment with a minimally-invasive radial sponge. The case is presented by guest surgeon Dr. Michael Mikhail from the Kabgayi Eye Unit in Rwanda. The patient is a phakic individual with a PVD-associated retinal tear in the superotemporal quadrant of the left eye. You can see that subretinal fluid has extended into the macula and the fovea is detached. The patient does not have any other peripheral retinal breaks or peripheral pathology such as lattice degeneration. While multiple approaches including pneumatic retinopexy and vitrectomy can be employed to treat this detachment, a buckle is a great choice. Since this break is in the superotemporal quadrant it makes for easy access to place either a segmental circumferential buckle or a radial element. In this case Dr. Mikhail has opted to place a radial element and at the end of the case we will discuss some of the pros and cons of this approach.
