DR.ABHISHEK ANAND, Dr.AASTHA SINGH, Dr.Bhawesh chandra saha
Posterior Pole Ectasia or Staphyloma with Macular hole and Retinal detatchment is a relatively precarious situation with Pars Plana vitrectomy due to curvatural and anatomical mismatch between the sclera and the retina at posterior pole, thin and taut retina and contrast desaturaton at posterior pole making ILM peeling a challenge. Morin Devin “T” shaped Macular wedge buckling addresses these challenges with relative surgical ease. 52 yr female with Posterior Staphyloma and macular hole retinal detatchment limited to staphylomatous area underwent Macular buckling with Morin-Devin “T” shaped Macular Wedge. SD-OCT pointed the indentation with macular wedge, anatomical restoration of RCS complex, and resolution of retinal detatchment. Morin-Devin “T” shaped Macular Wedge is a relatively less invasive and easy procedure to carry out macular bucking in absolutely indicated cases.