Nd:YAG laser vitreolysis has been used as a noninvasive approach to treat visually significant vitreous strands and floaters. However, severe vision-threatening complications may occur. The authors describe a rare case of a 60-year-old woman who had suffered rupture of the posterior lens capsule with subsequent cataract formation 1 week post-Nd:YAG laser vitreolysis in the right eye. The authors performed phacoemulsification, pars plana vitrectomy, and intraocular lens implantation at the ciliary sulcus. At 1 month post-surgery, the patient's visual acuity had not recovered well and optical coherence tomography showed epiretinal membrane (ERM) formation. Thus, she underwent secondary pars plana vitrectomy for ERM removal. [ Ophthalmic Surg Lasers Imaging Retina. 2018;49:e214–e217.]

The authors describe a modified technique for scleral buckling by which a wide retinal tear can be closed with a relatively narrow buckle. An incomplete cut on the silicone sponge can be made so that the halves are connected to each other by a narrow strip of material and opened like a book when buckling. Using this open-book technique, silicone sponges can be used to close horseshoe-shaped retinal tears of one to two times the width of available silicone sponges. This technique was used in four eyes with excellent anatomical results, and no complications could be attributed to the surgical technique. This technique provides an alternative treatment strategy for retinal detachment with relatively wide retinal tears.