Successful closure of myopic macular hole with the titanium macular buckle alone

Abstract

Purpose:To present a case that underwent macular buckling with the newly designed titanium macular buckle (TMB) as a stand-alone surgery for a myopic macular hole (MH).Methods:This case presentation examines and discusses the anatomical and functional outcomes of the procedureResults:An 80-year-old female presented with gradual visual loss in his left eye over the past few months. She was pseudophakic and her axial length measurements were 32.09 mm in the left eye. Her best corrected visual acuity (BCVA) was counting fingers at 1 meter. Optical coherence tomography (OCT) revealed that the patient had a dome-shaped posterior pole and a full-thickness MH, with an apical diameter measuring less than 400 µm and a base diameter slightly exceeding 2000 µm. The patient underwent TMB surgery, no vitrectomy was performed. In the postoperative follow-up, BCVA improved to counting fingers at 3 meters at 1 month, with no complications related to the TMB implant or the surgical technique. Postoperative OCT showed that the macular hole had closed.Conclusion:TMB can be used in the management of myopic MHs in selected cases as a standalone surgery.