The described technique is remarkably accurate and does not require any specially designed implants. It is highly recommended for cases of myopic macular hole retinal detachment with atrophic background and deep posterior staphyloma and for recurrent cases after vitrectomy with or without silicone oil.
The horizontal meridian (foveal horizontal meridian), defined by the entry site and course of the long posterior ciliary arteries, serves as an important surgical landmark if precise external scleral buckling of the fovea is the objective. For practical purposes, foveal horizontal meridian, geometrical horizontal meridian, and optic nerve horizontal meridian need to be distinguished.
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