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. 2025 Jan 1;45(1):159-163.
doi: 10.1097/IAE.0000000000004107.

Introducing a Customized Low-Cost Macular Buckle

Friederike C Kortuem  1 , Focke Ziemssen  1   2 , Jonas Neubauer  1 , Karl Ulrich Bartz-Schmidt  1 , Spyridon Dimopoulos  1
Affiliations

Introducing a Customized Low-Cost Macular Buckle

Friederike C Kortuem et al. Retina. .

Abstract

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.

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