Current Treatment Approaches for Full-Thickness and Non-Thickness Macula Hole in Pathological Myopia

Full-thickness and non-full-thickness macular holes seen in pathological myopia constitute a special subgroup in terms of vitretoretinal surgery with their formation mechanisms, progression and response to treatment. Compared to idiopathic macular holes, it has different features in that more complex tractional components are involved in its pathogenesis and tissue degeneration and atrophy play a role in pathological myopia. The determination of surgical indications, timing, and the choice of treatment for these cases should be tailored based on the pathology’s characteristics and the potential benefits of the surgery. The aim of surgical treatment is to eliminate tractional forces and restore the anatomical structure. This article aims to evaluate the treatment approaches for full-thickness and non full-thickness macular holes in pathological myopia by reviewing the current literature, thereby contributing to clinical practices in this field.