To evaluate the outcomes of macular hole (MH) surgery with 3 and 1 day postoperative positioning in highly myopic eyes and to compare these results with those from controls.


The study design was a matched, case-control, retrospective chart review of consecutive eyes that underwent surgery for a MH between 2002 and 2010. Forty-seven eyes were included in the high myopic group and were matched for MH size and duration of symptoms with 47 control eyes.


The mean axial length was 28.5 +/- 2.2 mm in highly myopic eyes and 23.3 +/- 1.1 mm in controls (p<0.001). There was no significant difference in the mean duration of symptoms, size of the MH and preoperative BCVA between the two groups. Closure of the MH was achieved in 39 (83%) of 47 eyes with high myopia and in 45 (95.7%) of 47 eyes without high myopia (p=0.045). Mean BCVA improved in both groups (0.41 +/- 0.39 LogMAR versus 0.68 +/- 0.34 LogMAR) but was significantly lower in highly myopic eyes.