Macular Buckling for Myopic Macular Hole Retinal Detachment

Abstract

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.

A New L-Shaped Design of Macular Buckle to Support a Posterior Staphyloma in High Myopia

“…In fact, no intraoperative complications were encountered, in contrast to other recent publications. 24 This technique can be performed without the need of specially designed buckles, which are not commercially available in all countries. The Ando plomb is made of steel.…”

A New Sutureless Illuminated Macular Buckle Designed for Myopic Macular Hole Retinal Detachment

“…In all cases, the macular buckle was easily positioned without the need for subsequent procedures such as repositioning or replacement. Extraocular muscle cutting which was a mandatory step in the macular buckle developed by Siam et al was not needed [12]. The surgical technique described in their study involved cutting the superior oblique as well as placing two posterior sutures as close as possible to the optic nerve without causing damage to the posterior ciliary vessels.…”

Illuminated Ando Plombe for Optimal Positioning in Highly Myopic Eyes With Vitreoretinal Diseases Secondary to Posterior Staphyloma

“…4,9 Macular indentation can be achieved through various techniques and devices, but correct and safe positioning of the exoplant is still an issue. 1,2,5,6,8,10 To enhance visualization and to avoid excessive manipulation, we suggest a new amendment to the use of the Ando plombe during its surgical placement. AsSiametal 7 reported,knowingtheanatomicaltopographyofthe posterior aspect of the globe is crucial to making a proper indentation in the macular area.…”