In this issue, Cheung et al¹ (see page 719) report successful surgery for myopic macular hole with retinal detachment using high-density silicone oil (Oxane HD, Bausch & Lomb, Feldkirchen, Germany) as an endotamponade. Myopic macular hole with a central retinal detachment represents a special therapeutic challenge. For this condition, vitrectomy with various endotamponades, retinopexy, photocoagulation and removal of the inner limiting membrane is still under discussion. Several surgical approaches have been described, including vitrectomy with gas tamponade,² additional laser photocoagulation to the hole margin³ and episcleral buckling of the macular area.⁴ The success rate of vitrectomy with gas endotamponade for myopic eyes with central retinal detachments ranges between 45% and 68%.^5–8 Success rates up …