The sequence of events in six years of a myopic traction maculopathy.

Purpose: To describe the sequence of events in a case of high myope with myopic traction maculopathy.

Methods: Our female patient who is a high myope developed myopic choroidal neovascular membrane (CNVM), for which she received three anti-vascular endothelial growth factor injections (VEGF). It was scarred for a while. Later she developed myopic foveoschisis with macular detachment which progressed over a period with deterioration of vision.

Results: She underwent pars plana vitrectomy with silicone oil tamponade. Oil removal was done eight months later. At the last follow up visit, her macula was flat with stable vision.

Conclusion: Myopic traction maculopathy (MTM) is a challenging case to manage with its myriad of presentations and complex pathology.