High Myopia plus Lamellar Macular Hole High Myopia plus Lamellar Macular Hole. 45-year-old woman with high myopia (-15 diopters). In such cases, macular schisis can be detected with or without an overlying epiretinal membrane. Unlabelled OCT Labelled OCT Want to be able to interpret OCTs like an expert? We can show you how!