We report on a 50 years-old female patient who underwent pars plana vitrectomy for a dropped nucleus and developed thereafter a myopic macular hole. The hole closed spontaneously during follow up. The patient had been referred to our clinic for a dropped nucleus on both eyes, and she underwent subsequent pars plana vitrectomy. We did not implant an intraocular lens because of the high myopic refraction. After surgery her visual acuity was 0.4 in the right eye. Ophthalmoscopy showed myopic fundus changes. During follow-up we a macular hole developed. Visual acuity dropped to 0.3, and a full thickness hole was proven by optical coherence tomography. No further surgery was scheduled, but observation only. We found that the hole spontaneously closed within one month.