Hussein Wafapoor, MD (Jackson, MS), Michael L Palmer, MD (Jackson, MS), Jassica D. McCluskey, MD (Jackson, MS)


The surgical technique begins with incising the conjunctiva directly over the encircling Miragel buckle (MB) in 2 or 3 quadrants between the rectus muscles. Peri MB capsule is also incised. A cotton tipped applicator is then placed directly on the MB in one of the quadrants and firm pressure applied. MB is then expressed from the incision in the adjacent quadrant. These steps are repeated for a complete removal of MB without fragmentation.