Takahashi H, et al. - In this retrospective, observational case series, 768 eyes of 448 highly myopic (HM) cases and 54 eyes of 52 non-HM subjects were assessed to examine the morphological alterations of posterior vitreous in HM eyes of subjects older than 50 years. They observed asymmetrical posterior vitreous detachments (PVDs) when compared to fovea in the HM eyes than in the non-HM eyes (94% vs 44%) in eyes with vitreofoveal adhesions. They noted a thickened vitreous which adhered to the retinal vessels at various locations and supplemented with paravascular abnormalities including lamellar holes in HM eyes. They reported macular retinoschisis (MRS) in 54 eyes. They also found the vitreal traction onto retinal vessels as compared to HM eyes without MRS. They suggested myopic traction maculopathy due to vitreous traction spanning.