case_images: PMC9954153_01
case_images: Widefield fundus imaging of the (A) right eye and (B) left eye shows a
  myopic-appearing fundus with tilted discs and peripapillary atrophy
  extending into the nasal macula in both eyes. The vessels in both eyes
  appear normal. The macula shows attenuated pigmentation consistent with
  posterior staphyloma as well as discrete foci of chorioretinal atrophy with
  some pigment clumping nasal to the disc in both eyes, suggestive of myopic
  degeneration.
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case_images: Fundus examination showed bilateral macular posterior staphyloma with tilted discs and peripapillary atrophy in both eyes (Figure 1, A and B).
case_images: Spectral-domain optical coherence tomography line scans through the macula at
  initial presentation, confirming the presence of posterior staphyloma and
  myopic foveoschisis as well as epiretinal membranes in the (A) right eye and
  (B) left eye. No vitreomacular traction was present in the left eye.
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case_images: Spectral-domain OCT of the macula confirmed the presence of a posterior staphyloma, myopic foveoschisis, and a mild epiretinal membrane (ERM) in both eyes (Figure 2, A and B).
case_images: Spectral-domain optical coherence tomography line scans through the macula in
  the left eye 1 month after initial presentation show (A) evidence of
  subfoveal fluid extending into the nasal parafovea as well as a shallow
  underlying pigment epithelial detachment with subretinal hyperreflective
  material corresponding to the submacular hemorrhage. These findings are
  characteristic of myopic choroidal neovascularization. (B) This scan shows a
  stage 2 full-thickness macular hole with underlying subretinal
  hyperreflective material.
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case_images: Subretinal fluid and hemorrhage were identified on examination, and fluid as well as subretinal hyperreflective material (SHRM) was seen on OCT imaging of the left eye (Figure 3A). A small full-thickness MH (diameter 86 microm) was also noted on OCT (Figure 3B).
case_images: Spectral-domain optical coherence tomography of the macula in the left eye 1
  month after 2 intravitreal aflibercept injections shows resolution of the
  subretinal hyperreflective material and a larger stage 3 full-thickness
  macular hole with progressed foveal dehiscence.
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case_images: However, interval enlargement to a medium full-thickness MH (diameter 287 microm) and worsening foveal dehiscence were now seen (Figure 4).
case_images: Spectral-domain optical coherence tomography macula of the left eye 1 month
  after the second procedure (pars plana vitrectomy with internal limiting
  membrane autologous transplantation) shows successful closure of the
  full-thickness macular hole.
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case_images: BCVA was 20/150 and there was a visually significant cataract (Figure 5). By 3 months postoperatively, the MH had not reopened and the CNV had not recurred.