Myopic traction maculopathy associated with posterior staphyloma is not successfully treated with endobulbar approach. In fact vitrectomy is linked to a high rate of iatrogenic macular holes or to unsuccessful surgery. Macular buckle can be successfully used to treat not only macular detachment with macular hole, but also macular detachment without macular hole and macular foveoschisis. The presentation will show how a simpler and faster surgery can better aim to the pathogenesis of posterior staphyloma complications.