MAI, a new hydrophilic implant designed by Refojo for scleral buckling, is soft and elastic (thus preventing erosion) and offers versatility in interconvertible degrees of softness. MAI has no dead spaces. Its ability to absorb and gradually release antibiotics and to stimulate the production of a fibrous capsule around the implant increases safety and minimizes morbidity associated with the scleral buckling operation. This review summarizes the works published to date on MAI.