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This work is licensed under a Creative Commons Attribution 4.0 International License.
© Abhishek Anand, Lalit Agarwal, Nisha Agrawal, Atul Kumar Anand, 2020
AIIMS Patna India
Affiliation not stated
Biratnagar Eye Hospital
Atul Kumar Anand
Affiliation not stated
How to Cite
Macular buckle with Morin–Devin T implant for pathological myopia with macular hole
Vol 17 No 1 (2019): Asian Journal of Ophthalmology
Submitted: Jun 7, 2017
Published: Jan 17, 2020
Introduction: Pathological myopia is commonly associated with myopic traction maculopathy, which includes foveoschisis, foveal retinal detachment, macular hole (MH) and/or macular detachment (MD). Macular buckling is a rarely practiced extraocular surgical modality these days. The purpose of this study was to investigate the efficacy of primary buckling with Morin–Devin T implant for MD with MH and posterior staphyloma.
Case description: A 52-year-old female presented with light perception vision in her right eye with posterior staphyloma, localized neurosensory detachment, and MH. She underwent primary macular buckling with Morin–Devin T implant. During the immediate postoperative day the wedge indentation was found misaligned to the fovea. A revision surgery was done after 2 weeks for repositioning of the macular wedge. Spectral domain optical coherence tomography confirmed indentation at the MH with resolution of subretinal fluid and hole closure. Her BCVA was 2/60 at 3 months postoperative and it remained the same even at 6 months of follow-up.
Conclusions: Primary macular buckling can be an effective procedure in eyes with MH with detachment and posterior staphyloma with or without associated foveoschisis. Morin–Devin T implant placement is a relatively simple procedure with short surgical time and excellent outcome.