To present the anatomic and functional results of vitrectomy with the “Inverted ILM Flap Technique” in myopic macular holes without retinal detachment.


A prospective, interventional study of 19 myopic eyes with a spherical equivalent greater than -6D with macular holes in 18 consecutive patients. Pre- and postoperative evaluation of visual acuity and SD-OCT images was performed. The main outcome measure was visual outcome and macular hole closure rate.


Mean visual acuity improved from 1.2 to 0.56 LogMAR. We confirmed closure of the macular hole with SD-OCT in all cases. The closure of the macular hole began in the inner retinal layers; closure was achieved in 3 cases by inverted ILM flap only and the architecture gradually filled with tissue. Photoreceptor and external limiting membrane defects improved during the first 12 months after surgery. We propose expanding the indications for vitrectomy with the Inverted ILM Flap Technique to include myopic macular holes. SD-OCT images confirm that the process of normalization of foveal architecture after surgery for myopic macular holes lasts at least 12 months.