A 47-year-old female with history of high myopia − 10 diopters presented with acute visual field defect for 2 days. Best-corrected visual acuity of right eye was counting finger in front of 10 cm distance. Both eyes were phakic. Indirect ophthalmoscopy of right eye showed a superotemporal RRD with a tear at 11 o’clock. OCT showed compatible result of a bullous macular off RD. The 23 gauge pars plana VT, endolaser and gas temponade with 25% SF6 were performed. The patient was instructed to maintain prone position for 7 postoperative days. Two weeks after surgery, OCT revealed focal ellipsoid zone disruption at macular area. Two months afterward, OCT showed intraretinal cyst formation. Visual acuity remained 4/60 over the right eye for four months postoperatively. Progression of juxtafoveal intraretinal cyst was noted after 4 months and increased cystoid change was found at the 5th month. Topical ketorolac, a kind of Non-Steroidal Anti-Inflammatory Drug was given to the patient three times a day since then. Lamellar hole developed about half year later. Finally, OCT and fundus exam demonstrated through MH formation with halo and adjacent lamellar hole at the 10th month. Her visual acuity of right eye remained 5/60 since the fifth month and dropped to 3/60 at the tenth. Thus, patient received 23 gauge pars plana VT, internal limiting membrane peeling, and gas tamponade with 20% SF6 10 months after previous surgery. Successful hole closure was revealed by OCT and fundus exam on the 10th day after second operation. Two years after macular hole surgery, her recent visual acuity recovered to 6/30.