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  Indian J Med Microbiol
 

Figure 4: Surgical steps of the placement of Morin–Devin T-shaped macular buckle. (a) Threading of Morin band into the Devin wedge. (b) Passing the band under the lateral rectus. (c) Passing one end of band under inferior rectus muscle. (d) Tagging the superior rectus and oblique muscle together and passing the other of band underneath it. (e) The flatter end of wedge is adjusted under lateral rectus with wedge toward the macula. (f) Insertion of 25-G Chandelier light. (g) Adjusting the macular indention under direct visualization. (h) Finalizing the suture of plate end under lateral rectus on either side. (i) The nasal end of bands is marked on sclera after adjusting the indentation and sutured, and the free edges trimmed. (j) Conjunctiva is liberally mobilized. (k) Suturing of conjunctiva and tenon in two layers carefully. In combined cases with vitrectomy, the Morin–Devin wedge is passed in similar manner followed by (l) 25-G sclerotomies made 3.5 mm from limbus. (m) Vitrectomy is performed with posterior vitreous detachment followed by fluid gas exchange. (n) ILM peeling using forceps, followed by adjustment of buckle under air. (o) Finalizing the sutures of MB. (p) Silicone oil infusion and buckle indent appreciated at posterior pole

Figure 4: Surgical steps of the placement of Morin–Devin T-shaped macular buckle. (a) Threading of Morin band into the Devin wedge. (b) Passing the band under the lateral rectus. (c) Passing one end of band under inferior rectus muscle. (d) Tagging the superior rectus and oblique muscle together and passing the other of band underneath it. (e) The flatter end of wedge is adjusted under lateral rectus with wedge toward the macula. (f) Insertion of 25-G Chandelier light. (g) Adjusting the macular indention under direct visualization. (h) Finalizing the suture of plate end under lateral rectus on either side. (i) The nasal end of bands is marked on sclera after adjusting the indentation and sutured, and the free edges trimmed. (j) Conjunctiva is liberally mobilized. (k) Suturing of conjunctiva and tenon in two layers carefully. In combined cases with vitrectomy, the Morin–Devin wedge is passed in similar manner followed by (l) 25-G sclerotomies made 3.5 mm from limbus. (m) Vitrectomy is performed with posterior vitreous detachment followed by fluid gas exchange. (n) ILM peeling using forceps, followed by adjustment of buckle under air. (o) Finalizing the sutures of MB. (p) Silicone oil infusion and buckle indent appreciated at posterior pole