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MACULAR SLING: A CUSTOMIZABLE METHOD FOR MACULAR BUCKLING USING AVAILABLE ELEMENTS
Andrew Clark1, Erik A Souverein2, Daniel B Rootman3
1Department of Ophthalmology, Keck School of Medicine, Roski Eye Institute, University of Southern California, Los Angeles, California.
Retinal Cases & Brief Reports
|May 24, 2023
Summary
A novel macular sling technique creates an effective posterior buckle for myopic traction maculopathy using readily available materials. This approach successfully treated a complex retinal detachment without specialized equipment.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Macular buckling surgery is an effective treatment for myopic traction maculopathy.
- Its use in the United States is limited due to the unavailability of commercial buckling elements.
Purpose of the Study:
- To describe a novel technique for creating a macular buckle using accessible materials.
- To address the limitations of current macular buckling procedures.
Main Methods:
- A novel macular sling technique was developed using a 41 band for globe anchoring and a 240 band for posterior orientation.
- A grooved sponge was guided under the macula to achieve a customizable tamponade effect.
- The technique was applied to a patient with recurrent, complex tractional retinal detachment.
Main Results:
- The macular sling successfully resolved the recurrent retinal detachment.
- Visual acuity returned to the patient's preoperative baseline.
- A significant hyperopic shift was the only adverse effect noted.
Conclusions:
- The described macular sling technique provides an effective posterior buckle without specialized materials.
- This method is comparable in complexity to standard scleral buckling procedures.
