SUCCESSFUL CLOSURE OF MYOPIC MACULAR HOLE WITH THE TITANIUM MACULAR BUCKLE ALONE

Area of Science:

• Ophthalmology
• Retinal Surgery
• Biomaterials in Medicine

Background:

• Myopic macular holes (MHs) present a significant challenge in retinal surgery.
• Traditional surgical approaches often involve complex procedures like vitrectomy.
• The development of novel implants aims to simplify MH treatment.

Purpose of the Study:

• To evaluate the efficacy of a newly designed titanium macular buckle (TMB) for myopic MH repair.
• To assess TMB as a standalone surgical option, avoiding vitrectomy.
• To present a case study of a patient undergoing TMB surgery for a myopic MH.

Main Methods:

• Case presentation of an 80-year-old pseudophakic female with a large myopic MH.
• Surgical implantation of the titanium macular buckle (TMB) without concomitant vitrectomy.
• Postoperative assessment of anatomical closure (OCT) and functional outcomes (BCVA).

Main Results:

• The patient presented with a large, full-thickness myopic MH and severely reduced visual acuity.
• Following TMB surgery, the macular hole successfully closed anatomically.
• Best corrected visual acuity improved significantly, with no surgical complications reported.

Conclusions:

• Titanium macular buckling (TMB) is a viable standalone surgical option for select cases of myopic MH.
• This technique offers a less invasive approach to MH repair.
• TMB shows promise in improving visual outcomes for myopic macular hole patients.