Fig. 1

Step-by-step illustration of the suprachoroidal buckling procedure. a Under direct visualization using a wide-angle viewing system, the extent of the detachment and the localization of the breaks is assessed. b Subretinal fluid drainage is done under direct visualization using a 26-gauge needle mounted on a 3-ml syringe (without plunger). c–e A pressure on the sclera is carried using a scleral depressor at the same time of drainage to avoid ocular hypotony. f, g An olive-tipped 20-gauge cannula is used to inject the viscoelastic material. The cannula is guided through the suprachoroidal space and directed posteriorly towards the site of the break under visualization through the wide-field viewing system. The viscoelastic is injected to create the desired dome effect. h Under direct visualization, endolaser retinopexy is performed around the identified breaks