Bilateral Release of Falciform Retrolental Adhesion by Scleral Buckling in Familial Exudative Vitreoretinopathy

Familial exudative vitreoretinopathy (FEVR) can often present with retinal falciform folds, and rarely with retrolenticular adhesive radial retinal folds. Management of advanced FEVR-associated tractional falciform folds with retrolenticular adhesion to the peripheral retina in the literature has been limited to vitrectomy with or without lensectomy. The authors describe a unique surgical management of a case of bilateral FEVR-associated tractional radial folds with nonaxial retrolenticular adhesion treated with scleral buckling with deferred laser, avoiding the complications associated with vitrectomy and lensectomy on ocular development. [ Ophthalmic Surg Lasers Imaging Retina . 2019;50:594–596.]