Macular buckle with Morin–Devin T implant for pathological myopia with macular hole

  • Abhishek Anand AIIMS Patna India
  • Lalit Agarwal
  • Nisha Agrawal Biratnagar Eye Hospital
  • Atul Kumar Anand
Keywords: macular buckling, Morin–Devin T implant, myopic foveoschisis


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.

Author Biographies

Abhishek Anand, AIIMS Patna India

Consultant Ophthalmologist

Vitreo-retina consultant

Lalit Agarwal

MD Ophthalmology,

 Assistant Professor, National Institute of Medical Sciences

Head, Vitreo retina department, Biratnagar Eye Hospital

Biratnagar, Nepal

Atul Kumar Anand

Consultant Ophthalmologist



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How to Cite
Anand, A., Agarwal, L., Agrawal, N., & Anand, A. (2020). Macular buckle with Morin–Devin T implant for pathological myopia with macular hole. Asian Journal of Ophthalmology, 17(1), 78-85.
Case Reports/Case Series