We read with interest the article by Zhu and colleagues.1 The authors reported that following posterior sclera reinforcement surgery, myopic foveoschisis resolved completely in 20 out of 24 cases; and the remaining 4 eyes experiencing partial resolution. The surgical success was quantified by optical coherence tomography.In our experience we have not achieved such successful outcomes, and as a result limit posterior sclera reinforcement to those cases of myopic foveoschisis without prem-acular pathologies such as a thickened hyaloid or epi-retinal membrane formation.2 Similarly, we would not advocate posterior sclera reinforcement for cases of myopic foveoschisis complicated by a premacular structure, because vitreo-retinal fraction is typically present in these eyes. Instead we support the notion that vitrectomy surgery is the most reliable method to remove vitreo-retinal traction and this is best achieved with an internal limiting membrane peel.3"5
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