MACULAR BUCKLE
The Macular Buckle is indicated for :
• Myopic macular retinoschisis with posterior staphyloma.
• Retinal detachment associated with a myopic macular hole with posterior staphyloma.
It is manufactured with PMMA (Polymethyl Methacrylate) that is coated with medical grade silicone, which increases its biocompatibility. It has an indented surface with a spherical shell at the top and an arm whose length varies depending on the axial length of the patient's eye. The silicone strap inserted in the arm of the implant facilitates the incorporation of a lighting probe that uses reflection for correct positioning of the indentation in the desired location.
This is a custom-made device, and the dimensions of the implant will depend on the axial length of the patient's eye.
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In an article from Retina Today (July/August 2013) , Carlos Mateo, MD, details his surgical technique for macular buckling in highly myopic patients with retinal detachment due to macular hole.