Macular buckling for myopic macular hole retinal detachment: a new approach.

PURPOSE

To evaluate the efficacy and safety of a new technique of macular buckling in the treatment of myopic macular hole retinal detachment.

METHODS

Twenty-six consecutive cases of myopic macular hole retinal detachment were included in the study. For 20 cases, the macular buckling was the primary procedure. The other six cases were recurrent after vitrectomy and silicone oil tamponade. The technique is described in detail.

RESULTS

Retinal attachment occurred in all cases with improvement of vision. The postoperative vision ranged from counting fingers to 6/36 depending on the degree of atrophy of the retinal pigment epithelium in the background. Only one case developed submacular hemorrhage with deterioration of vision to counting fingers close to the eye. Other complications were recorded.

CONCLUSION

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.