Introducing a customized low-cost macular buckle

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 10mm silicon strip to widen the posterior scleral indentation. This band is inserted posteriorly the lateral and inferior rectus muscles and pushed behind the globe, orienting it in a superior-temporal to inferio-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.