{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:03:36Z","timestamp":1783382616292,"version":"3.54.6"},"reference-count":16,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T00:00:00Z","timestamp":1719964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vision"],"abstract":"<jats:p>Myopic traction maculopathy (MTM) affects 20% of eyes with pathologic myopia (PM). The MTM Staging System (MSS), published in 2020, describes the nomenclature of MTM as well as a proposal of pathogenesis, natural evolution, and prognosis. A study of customized treatment for each stage of MTM has been published previously and suggested to treat maculoschisis and detachment by placing a macular buckle (MB) behind the macula to push the sclera towards the retina, selecting pars plana vitrectomy (PPV) only in cases where a macular hole is associated with MTM. We hereby describe a new model of a macular buckle, known as NPB, and an NPB loading device, with the aim to standardize the surgical technique and render it more user friendly, efficient, and safe. Macular buckle is an effective and safe procedure to treat maculoschisis and macular detachment in MTM. We recommend using it as a unique and first-line treatment.<\/jats:p>","DOI":"10.3390\/vision8030042","type":"journal-article","created":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T12:28:48Z","timestamp":1720009728000},"page":"42","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["A New Model of a Macular Buckle and a Refined Surgical Technique for the Treatment of Myopic Traction Maculopathy"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7838-6834","authenticated-orcid":false,"given":"Barbara","family":"Parolini","sequence":"first","affiliation":[{"name":"Eyecare Clinic, Via Cefalonia 70, 25124 Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1001\/archopht.122.10.1455","article-title":"Optical coherence tomography findings in myopic traction maculopathy","volume":"122","author":"Panozzo","year":"2004","journal-title":"Arch. Ophthalmol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1016\/S0002-9394(02)01937-2","article-title":"Prevalence and characteristics of foveal retinal detachment without macular hole in high myopia","volume":"135","author":"Baba","year":"2003","journal-title":"Am. J. Ophthalmol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1177\/1120672120930590","article-title":"The new Myopic Traction Maculopathy Staging System","volume":"31","author":"Parolini","year":"2021","journal-title":"Eur. J. Ophthalmol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"153","DOI":"10.3928\/23258160-20230217-01","article-title":"International Validation of Myopic Traction Maculopathy Staging System","volume":"54","author":"Parolini","year":"2023","journal-title":"Ophthalmic Surg. Lasers Imaging Retin."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"3265","DOI":"10.1177\/1120672120980943","article-title":"Proposal for the management of myopic traction maculopathy based on the new MTM staging system","volume":"31","author":"Parolini","year":"2021","journal-title":"Eur. J. Ophthalmol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1097\/IAE.0b013e31828e69ea","article-title":"A New L-Shaped Design of Macular Buckle to Support a Posterior Staphyloma in High Myopia","volume":"33","author":"Parolini","year":"2013","journal-title":"Retina"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2469","DOI":"10.1097\/IAE.0000000000000613","article-title":"Indications and results of a new l-shaped macular buckle to support a posterior staphyloma in high myopia","volume":"35","author":"Parolini","year":"2015","journal-title":"Retina"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1097\/ICB.0000000000000261","article-title":"Macular buckling with ANDO PLOMBE may increase choroidal thickness and mimic serous retinal detachment seen in the tilted disk syndrome","volume":"10","author":"Mateo","year":"2016","journal-title":"Retin. Cases Brief. Rep."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1007\/s00417-018-3947-3","article-title":"Macular buckle technique in myopic traction maculopathy: A 16-year review of the literature and a comparison with vitreous surgery","volume":"256","author":"Alkabes","year":"2018","journal-title":"Graefe\u2019s Arch. Clin. Exp. Ophthalmol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1097\/00006982-200502000-00005","article-title":"Episcleral macular buckling by semirigid shaped-rod exoplant for recurrent retinal detachment with macular hole in highly myopic eyes","volume":"25","author":"Tanaka","year":"2005","journal-title":"Retina"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1097\/IAE.0b013e3182550648","article-title":"A new adjustable macular buckle designed for highly myopic eyes","volume":"32","author":"Stirpe","year":"2012","journal-title":"Retina"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.1097\/IAE.0000000000001376","article-title":"Gore-tex vascular graft for macular buckling in high myopia eyes","volume":"37","author":"Wu","year":"2017","journal-title":"Retina"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Ripa, M., Motta, L., Matello, V., Frisina, R., and Parolini, B. (2024). Long-Term results of macular buckle for MTM stage 3\u20134 With maculoschisis and macular detachment without and with lamellar macular hole. Eur. J. Ophthalmol., 11206721241234958.","DOI":"10.1177\/11206721241234958"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1097\/IAE.0000000000004094","article-title":"Evaluation of macular atrophy in patients treated with macular buckle for myopic traction maculopathy (MTM): Mid and long-term follow-up","volume":"44","author":"Parolini","year":"2022","journal-title":"Retina"},{"key":"ref_15","unstructured":"Kortuem, F.C., Ziemssen, F., Neubauer, J., Bartz-Schmidt, K.U., and Dimopoulos, S. (2022). Introducing a customized low-cost macular buckle. Retina, 10\u20131097."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/ICB.0000000000001349","article-title":"A titanium macular buckle implant designed for an easy placement in myopic macular holes","volume":"18","author":"Akduman","year":"2024","journal-title":"Retin. Cases Brief Rep."}],"container-title":["Vision"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2411-5150\/8\/3\/42\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:09:53Z","timestamp":1760108993000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2411-5150\/8\/3\/42"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,3]]},"references-count":16,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["vision8030042"],"URL":"https:\/\/doi.org\/10.3390\/vision8030042","relation":{},"ISSN":["2411-5150"],"issn-type":[{"value":"2411-5150","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,3]]}}}