黄斑裂孔性视网膜脱离是高度近视的常见并发症,引起黄斑裂孔的主要原因是黄斑前玻璃体或视网膜表面膜的过度牵拉,内界膜表面M(u|¨)llier细胞肌成纤维细胞收缩、后巩膜葡萄肿的反向牵拉能让黄斑裂孔继续扩大。因此,和特发性黄斑裂孔相比,高度近视黄斑裂孔闭合率较低~([1])。一旦发生视网膜脱离,可导致病理性近视眼失明或中心视力丧失,临床治疗难度较大。玻璃体切除联合内界膜剥除及惰性气体或 Macular hole retinal detachment is a common complication of high myopia, macular hole caused by the main reason is the macular anterior vitreous or retinal surface membrane excessive traction, the inner limiting membrane surface M (u | ¨) llier cells myofibroblasts, Post-scleral staphyloma reverse pull allows the macular hole to continue to expand. Therefore, compared with idiopathic macular holes, macular hole closure in high myopia is low ~ ([1]). In the event of retinal detachment, can lead to pathological myopia blindness or loss of central vision, clinical treatment more difficult. Vitrectomy combined with the removal of the inner limiting membrane and inert gas or