title: Spontaneous closure of a myopic macular hole with retinal reattachment in an eye with high myopia and staphyloma: a case report.
abstract: BACKGROUND
  Macular hole related retinal detachment is a common entity with poor surgical prognosis in highly myopic eyes. We describe the first case of spontaneous closure of a macular hole with complete retinal reattachment in a highly myopic eye with posterior staphyloma.
  
  
  METHODS
  A 64-year-old Chinese woman with high myopia was diagnosed as having a macular hole-related retinal detachment with vitreo-retinal traction in her right eye by optical coherence tomography. Thirty-three months later, the macular hole closed, with formation of a lamellar hole and decreased retinal detachment. Twelve months later, retinal reattachment was found to have occurred, accompanied by the development of macular retinoschisis. Fifty-four months after initial examination, the retina remained attached with a lamellar hole and retinoschisis in the macular area. The vitreo-retinal traction persisted during the follow-up period.
  
  
  CONCLUSIONS
  As evidenced by the current case, in highly myopic eyes, the vitreoretinal traction force, which contributes to a macular hole and retinal detachment, could be partially released by the development of a lamellar hole or foveal schisis. This reduction of traction might contribute to retinal reattachment.
authors.forename: Jia
authors.initials: J
authors.lastname: Yu
authors.affiliation: Department of Ophthalmology, Eye & ENT Hospital of Fudan University, 83 Fenyang Road, Shanghai 200031, People's Republic of China. chhjiang70@163.com.
authors.forename: Chunhui
authors.initials: C
authors.lastname: Jiang
authors.forename: Gezhi
authors.initials: G
authors.lastname: Xu
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications* / Q000175:diagnosis; D012075:Remission, Spontaneous; D012163:Retinal Detachment / Q000175:diagnosis* / Q000209:etiology; D012167:Retinal Perforations / Q000175:diagnosis* / Q000209:etiology; D012189:Retrospective Studies; D015422:Scleral Diseases / Q000150:complications* / Q000175:diagnosis; D041623:Tomography, Optical Coherence / Q000379:methods*