SUCCESSFUL CLOSURE OF MYOPIC MACULAR HOLE WITH THE TITANIUM MACULAR BUCKLE ALONE.

PURPOSE: To present a case that underwent macular buckling with the newly designed titanium macular buckle as a stand-alone surgery for a myopic macular hole.

METHODS

This case presentation examines and discusses the anatomical and functional outcomes of the procedure.

RESULTS

An 80-year-old woman presented with gradual visual loss in her left eye for the past few months. She was pseudophakic and her axial length measurements were 32.09 mm in the left eye. Her best corrected VA was counting fingers at 1 m. Optical coherence tomography revealed that the patient had a dome-shaped posterior pole and a full-thickness macular hole, with an apical diameter measuring <400 μm and a base diameter slightly exceeding 2000 μm. The patient underwent titanium macular buckle surgery, no vitrectomy was performed. In the postoperative follow-up, best corrected VA improved to counting fingers at 3 m at 1 month, with no complications related to the titanium macular buckle implant or the surgical technique. Postoperative optical coherence tomography showed that the macular hole had closed.

CONCLUSION

Titanium macular buckle can be used in the management of myopic macular holes in selected cases as a standalone surgery.