Abstract
Purpose. To report the anatomic and visual results of a new sutureless illuminated macular buckle designed for patients with macular hole retinal detachment related to high myopia (MMHRD). Design. Prospective nonrandomized comparative interventional trial. Methods. Twenty myopic eyes of 20 patients (mean age, 51.4 years; range, 35–65 years) presenting with MMHRD with a posterior staphyloma, in whom the new buckle was used, were evaluated. The buckle used was assembled from a 5 mm wide sponge and a 7 mm wide silicone tire; it was fixed utilizing the sterile topical adhesive Histoacryl Blue (B Braun, TS1050044FP) which polymerizes in seconds upon being exposed to water-containing substances. The primary outcomes measured included aided visual acuity (BCVA) and optical coherence tomography (OCT) findings. The mean follow-up period was 6 months. Results. Postoperatively, the MH closure was identified by OCT in 8 (40%) eyes. The mean BCVA increased from 0.11 to 0.21 (p < 0.005). The axial length of the eyes included decreased from 30.5 mm preoperatively to 29.8 mm (p = 0.002) postoperatively. Conclusion. Preparation of the new sutureless macular buckle is simple and easy. Illumination of the terminal part of the buckle ensures proper placement. Histoacryl Blue is effective in fixing the buckle in its place for at least 6 months with no reported intra- or postoperative complications.
Highlights
Progressive myopia is a relatively frequent condition affecting all ocular structures, including the vitreous, the retina, the choroid, and the sclera
Globe elongation with subsequent development of posterior staphyloma represents the hallmark of the disease and can be complicated by myopic foveoschisis and myopic macular hole with secondary retinal detachment [1]
Other factors implicated in the pathogenesis are anteroposterior traction caused by the vitreous cortex, tangential forces due to the epiretinal membranes (ERMs) or the internal limiting membrane (ILM), and the stretched retinal arteries [2]
Summary
Progressive myopia is a relatively frequent condition affecting all ocular structures, including the vitreous, the retina, the choroid, and the sclera. Globe elongation with subsequent development of posterior staphyloma represents the hallmark of the disease and can be complicated by myopic foveoschisis and myopic macular hole with secondary retinal detachment [1]. Other factors implicated in the pathogenesis are anteroposterior traction caused by the vitreous cortex, tangential forces due to the epiretinal membranes (ERMs) or the internal limiting membrane (ILM), and the stretched retinal arteries [2]. With the revival of macular buckling as a noninvasive surgical solution for these cases, several published reports describe a success rate comparable to or even higher than that of pars plana vitrectomy which was considered the preferred surgical procedure for this relatively complicated type of detachment [3, 4].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
