Purpose:

To evaluate the efficacy of a modified Adjustable Macular Buckling Device in the treatment of myopic macular hole retinal detachment with posterior staphyloma.

Methods:

Two patients with myopic macular detachment and macular hole were operated using the macular buckling procedure. An adjustable Macular Buckling device was utilized in both cases and it was modified by adding a 29-g optical fiber to illuminate its macular plate.

Results:

Optical coherence tomography showed successful retinal reattachment and closure of the macular hole after the buckling procedure. The macular plate of the buckling device was properly positioned in both patients. No complications were observed.

Conclusion:

Macular buckling is an effective approach to treat highly myopic macular hole retinal detachment with posterior staphyloma. Moreover modification of the macular buckle device by adding illumination to its terminal plate allows the visualization of the macular area and improves accuracy of its positioning.