OBJECTIVE:The study was undertaken to evaluate the clinical effects of an improved posterior seleral reinforcement procedure for retinal detachment(RD)with macular hole in high myopic patients. METHODS:Twenty high myopic eyes with RD and macular hole were treated in our hospital from March 1993 to November 1995 with posterior scleral reinforcement surgery and were retrospectiv- ely analysed. RESULTS:The average length of ocular axis was 28.22 mm on admission and 26.87 mm on discharge in 14 comparable eyes. The retinas were reattached in 17 eyes with corrected vision of 0. 02~0.2. The surgery was failed in 3 eyes and the PVR got worse. CONCLUSION :The improved pro- cedure can efficiently treat high myopic patients with RD and macular hole without severe PVR,and might be better for preserving the survival central vision than choroiretinal adhesive methods. （Chin J Ocul Fundus Dis,1996,12: 214-216）