Episcleral macular buckling by semirigid shaped-rod exoplant for recurrent retinal detachment with macular hole in highly myopic eyes

Purpose: To evaluate the effects of episcleral macular buckling in highly myopic eyes with postvitrectomy recurrent retinal detachment with macular hole. Design: Interventional case study. Methods: Episcleral macular buckling with a shaped-rod silicone plastic exoplant, facilitated by episcleral tissue removal and intraocular pressure reduction, was performed at Tokyo Medical University Hospital for postvitrectomy recurrent retinal detachment due to macular hole in three highly myopic eyes with axial length of >27 mm. Results: Optical coherence tomography showed successful retinal reattachment after the buckling procedure in all three eyes and closure of the macular hole in two of the three, and visual acuity improved to 20/200, 20/200, and 20/63 from preoperative values of 20/320, 20/250, and 20/320, respectively. Conclusions: The anatomic and functional results of the macular buckling procedure used in these three cases were favorable, suggesting that this procedure can provide an effective means of retinal reattachment particularly in cases of retinal detachment recurrence after vitrectomy and therefore warrants further study.