Figure 2

A 42-year-old man with high-myopia macular hole retinal detachment (axial length, 32.76 mm; META-PM classification, C2) underwent PPV combined with ILM flap insertion (A–C). One week after surgery, the macular hole was not closed, and a "W" shape was observed (D). One month after surgery, high-reflector tissue was found in the macula, and the MH was still partially open (E). The hole was closed by high-reflector tissue 3 months after surgery (F). Hyperreflective bridging tissue with gliosis at 6 (G) and 12 months postoperatively (H).