Myopia Support Device (Titanium Macular Buckle) for Posterior Pole Retinal Detachment With or Without Myopic Maculoschisis

<b>Purpose:</b> To describe 4 cases of posterior pole retinal detachment (RD) in patients with pathologic myopia that were repaired with a prototype myopia support device. <b>Methods:</b> A case series was evaluated. <b>Results:</b> Four cases of posterior pole RD were treated, 3 of which were accompanied by myopic maculoschisis and 1 that was accompanied by a choroidal neovascular membrane and a macular hole (MH). Preoperative and postoperative assessments included visual acuity, optical coherence tomography and fluorescein angiography findings, and axial lengths when available. Three patients had vitrectomy and device placement, while the other patient received device placement alone. All cases had successful repair of the RD, with complete resolution of maculoschisis and MH when present. The myopia support device provided the desired indentation, aiding in the repair. Follow-up ranged between 2 months and 17 months. <b>Conclusions:</b> The myopia support device is a valuable addition for repair of posterior pole RDs in patients with pathologic myopia, with or without maculoschisis or MH. It can be used in conjunction with vitrectomy or as a standalone technique.