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Double-blind Macular Indentation: Doctor & Patient «The Force Will Guide You»

We present 2 cases of myopic macular indentation with different complexity but similar anatomical and functional outcomes: 1) 70-year-old female with posterior staphyloma and macular detachment who underwent 23 g vitrectomy to peel the posterior hyaloid membrane, placing a silicone rail over the macular region and leaving 1300 cs silicone oil as tamponade to prevent the enlargement of a small choroidal detachment. 1 year later, silicone...

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29 G Chandelier Light for Optimal Positioning of Adjustable Macular Buckling in High Myopic MH

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...

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Suprachoroidal Macular Buckling for Myopic Traction Maculopathy

Advantages: Myopic traction maculopathy (MTM), also known as myopic foveoschisis, describes the schisis-like thickening in the outer layers of highly myopic eyes with posterior staphyloma. Other findings may also include inner retinal fluid, foveal detachment, and lamellar or full-thickness macular holes followed by progressive retinal detachment. Suprachoroidal buckling (SCB) procedure is a new approach for treating MTM by creating...

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Macular Buckle for MTM: Retinoschisis and Macular RD with and Without MH

Myopic traction maculopathy is a pool of clinical pictures secondary to the posterior staphyloma, such as retinoschisis, macular detachment with macular hole or macular detachment without macular hole. Vitrectomy is often linked to relapse of retinal detachment or to iatrogenic macular holes. I present the alternative of using macular buckle, not only when the detachment is accompanied to a macular hole but also in cases of retinoschisis...

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How to Seal a MH with a Scleral Buckle?

RETINA PHOTO_Janusz Michalewski We illustrate the case of a 76-year-old woman with rhegmatogenous retinal detachment (RRD) and coexisting full-thickness macular hole (FTMH). On admission, the patient presented counting fingers vision in her left eye. Fundus evaluation revealed RRD with peripheral tear, involving three quadrants of the retina and the macula. Spectral Domain optical coherence tomography (SD-OCT) confirmed FTMH (Figure 1a, b)....

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