Delayed Spontaneous Closure of a Full Thickness Macular Hole with Foveoschisis after Failed Primary Vitrectomy

Background Myopic traction maculopathy (MTM) affects 9 – 34% of highly myopic eyes and represents a major cause of central vision loss among these patients [ 1 ], [ 2 ]. Although MTM can remain stable over long periods of time, progression sometimes occurs and is often associated with the appearance of subretinal fluid, indicating the need for surgical intervention to prevent the development of full-thickness macular holes (FTMH) or retinal detachment [ 3 ], [ 4 ]. Various approaches have been described in the literature, including episcleral macular [ 5 ] and suprachoroidal scleral buckling [ 6 ], pars plana vitrectomy (PPV) with gas or silicone oil tamponade combined with internal limiting membrane (ILM) peeling – more recently modified with various peeling and ILM-flap techniques [ 7 ]. Although high anatomical success rates have been achieved with these procedures, repeated surgeries are sometimes necessary to achieve closure of the macular hole [ 8 ]. Here, we report a rare case of spontaneous FTMH closure after an initially failed surgical attempt. Publication History Received: 24 September 2025 Accepted: 19 November 2025 Article published online: 04 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 14, 70469 Stuttgart, Germany