MODIFICATION of ADJUSTABLE MACULAR BUCKLING with 29-G CHANDELIER LIGHT for OPTIMAL POSITIONING in HIGHLY MYOPIC EYES with MACULAR HOLE

Purpose: To evaluate the efficacy of the modification of Adjustable Macular Buckling device in the treatment of myopic macular hole retinal detachment with posterior staphyloma. Methods: Four consecutive patients suffering from myopic macular detachment with macular hole were treated using the macular buckling procedure. An Adjustable Macular Buckling device was used in all four cases and was modified using a 29-gauge optical fiber to illuminate its macular plate. Results: Optical coherence tomography showed successful retinal reattachment and closure of the macular hole after the buckling procedure. The macular plate of the buckling device was properly positioned in all four patients. No complications were observed. Conclusion: The modification of the macular buckling device improves the accuracy of its positioning by illuminating its macular plate.