The purpose would be to describe and evaluate a novel technique of episcleral macular buckling in postvitrectomy recurrent macular hole retinal detachment in highly myopic eyes. A 7 mm silicone sponge strengthened with a U-shaped 0.5 mm orthodontics stainless steel wire fed along its length and hand-bent to produce L-shaped buckle of appropriate shape and length, is used. The episcleral macular has been performed on 15 highly myopic eyes (axial length > 30 mm) with recurrent macular hole retinal detachment following silicone oil removal. Buckle localization has been performed by manipulating the long arm of the explant, under direct internal visualization, scleral marking and suturing. Successful retinal reattachment with improvement in visual acuity was achieved in all 15 eyes. Closure of the macular holes was confirmed with OCT. The anatomical and functional outcomes of this new technique of macular buckling appears to provide an effective and feasible means of retinal reattachment and hole closure in postvitrectomy recurrent macular hole detachment in highly myopic eyes.