Abstract: Macular buckle surgery involves implanting a buckle at the posterior pole of the sclera that corresponds to the macular area in order to shorten the axial length of the eye, prevent the advancement of posterior staphyloma, and relieve vitreous traction on the macula. This surgery can serve as an iatrogenic dome-shaped macula, with a high anatomical success rate and strong visual function recovery. It is especially beneficial for patients with myopic traction maculopathy complicated with a posterior staphyloma. Overcoming the shortcomings of early macular buckle surgery, the design of macular buckles has been continuously improved in recent years thanks to advancements in artificial intelligence, 3D printing, and buckle materials. Macular buckle surgery has shown special benefits in improving vision function and anatomical repositioning, whether it is done alone or in combination with vitrectomy. (Int Rev Ophthalmol, 2025, 49:  119-123)

Key words: macular buckle, myopic traction maculopathy, pathologic myopia