Today’s second case from Dr. Alberto La Mantia in Palermo, Italy, demonstrates another ab‑externo approach to subretinal membrane removal. His patient is an elderly pseudophakic gentleman with a macula‑involving retinal detachment who could not posture after surgery, so Dr. La Mantia chose a scleral buckle instead of a vitrectomy. There is an inferior macular subretinal band that he removes externally, allowing the macula to settle while preserving the advantages of a buckle‑only repair. At the end of the case, we step back and talk about how often subretinal bands truly need to be removed, and we’ll walk through a practical framework for deciding when to leave them alone and when to enter the subretinal space to take these membranes out.
