Foldable capsular buckle scleral buckling as an approach to retinal detachment in a pregnant patient

BACKGROUND: Reports on RRD surgery in pregnant women remain limited, highlighting the need for a safe, effective technique that does not compromise pregnancy or fetal health. CASE PRESENTATION: This report presents a 36-year-old, 28-week pregnant myopic female with macular-involved RRD in the left eye (best-corrected visual acuity [BCVA] 20/40). Due to the risks of prolonged supine positioning and anesthesia with traditional scleral buckling (SB), we performed foldable capsular buckle (FCB) scleral buckling under subconjunctival anesthesia. The retina was reattached, and BCVA recovered to 20/20. Intraocular pressure and refractive status remained stable throughout follow-up. The patient delivered a healthy female via Cesarean section at 38 weeks. CONCLUSION: FCB scleral buckling may represent a promising alternative in selected pregnant patients with uncomplicated RRD; however, larger studies are needed to establish safety and efficacy.