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Introducing a Customized Low-Cost Macular Buckle
Friederike C Kortuem1, Focke Ziemssen1,2, Jonas Neubauer1
1Center for Ophthalmology, University Eye Hospital Tübingen, Tübingen, Germany ; and.
Purpose:
To demonstrate a novel surgical technique that is a low-cost alternative to commercial implants for macular buckling in high myopia.
Methods:
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.
Results:
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.
Conclusion:
This customized macular buckle technique can improve the anatomical outcome in patients with central retinal detachment due to high myopia.
