Abstract
Forty-five out of 50 selected retinal detachments were successfully reattached by the D-ACE surgical sequence, that is, initial drainage of subretinal fluid followed by air injection into the vitreous, transcleral cryopexy, and definitive scleral buckling. The D-ACE sequence is recommended for difficult bullous detachments as a simple, safe, and effective alternative to non-drainage techniques.