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 and macular detachments without hole. Also, I present the results of using the macular buckle as the first approach and not combined to vitrectomy.