Introducing a Customized Low-Cost Macular Buckle.

Abstract

To demonstrate a novel surgical technique that is a low-cost alternative to commercial implants for macular buckling in high myopia. A silicon encircling band serves as the anchor. A second silicon circling band is employed, with a 10-mm silicon strip to widen the posterior scleral indentation. This band is inserted posteriorly into the lateral and inferior rectus muscles and pushed behind the globe, orienting it in a superior-temporal to inferior-nasal position with the silicone strip directly under the macula. For better visualization, the placement of the macular buckle is done under the microscope. The placement of the macular buckle led to reattachment of the central retina in treated patients during long-term follow-up. This technique eliminates the need for detaching a rectus muscle. Visual acuity remained stable throughout the follow-up period. This customized macular buckle technique can improve the anatomical outcome in patients with central retinal detachment due to high myopia.