Figure 1

A 57-year-old woman with high-myopia macular hole retinal detachment (axial length, 30.71 mm; META-PM classification, C1) underwent PPV combined with ILM flap insertion (A–C). One week after the operation, the OCT image presented a small amount of medium and high reflectors (the filled ILM flap) in the macular hole (D). One month after the operation, a tissue equivalent to the surrounding retinal reflector increased (gliosis), which sealed the hole together with the medium and high tissue reflectors (E). Twelve months after the operation, gliosis and diffuse distribution of medium and high reflectance were observed (F).