Macular Hole in Myopic Eyes: A Narrative Review of the Current Surgical Techniques

Figure 1

Different myopic macular hole (MH) patterns. (a) Full-thickness MH with intraretinal cysts in deep posterior staphyloma. (b) Full-thickness MH with perilesional foveoschisis. (c) Vitreomacular separation with vitreofoveal adhesion which causes the dehiscence of the inner retinal layers and the formation of inner foveal cysts. (d) Vitreomacular traction with impending macular hole associated with diffuse macular schisis and foveal detachment which results in outer retinal layers disruption. Note: the important traction exerted by the thickened posterior hyaloid undetached from the fovea and the consequential retinal split due to the deep posterior staphyloma. (e) Complete disruption of the inner and outer retinal layers resulting in macular retinal detachment.