Removal of internal limiting membrane for recurrent myopic traction maculopathy

A 63-year-old man presented with a foveal detachment and retinoschisis associated with myopic traction maculopathy of his left eye with a refractive error of -12.0 dioptres. Both the retinoschisis and foveal detachment were initially successfully treated with vitreous surgery that was limited to the induction of a posterior vitreous detachment beyond the areas of retinoschisis over the posterior staphyloma. Three years later, the macula re-detached and further surgery was performed, which involved peeling the internal limiting membrane (ILM). Following the second vitreous surgery the macula reattached within one month of the surgery and this success has been sustained for 2 years, suggesting that peeling the ILM may be an effective treatment for recurrent myopic traction maculopathy.