Myopic traction maculopathy is a high-myopia–related complication in which 2 different entities can be distinguished: myopic foveoschisis and macular hole–related retinal detachment, considered to be the final stage of progressive foveoschisis. In all cases, release of all vitreous and epiretinal tractions is essential to achieve surgical success. The posterior hyaloid, epiretinal membrane and internal limiting membrane must be peeled prior to an air-fluid exchange. Moreover, for the surgical treatment of the macular hole–related retinal detachment (a controversial issue), autologous fibrin is proposed for treating it, as seen in this video.