Myopic retinoschisis in the macular fovea is a rare eye condition that affects individuals with high myopia. The article describes the case of a 41-year-old patient with a significantly elongated axial length of the eyeball and a rich history of eye diseases and multiple ophthalmic procedures, The patient underwent successful cataract extraction with monofocal IOL implantation, demonstrating significant visual improvement without postoperative complications. Special attention was given during the procedure to avoid worsening the existing astigmatism. The procedure required precise execution to avoid further corneal damage and to ensure optimal visual quality. In cases of myopic traction maculopathy, surgical intervention remains a cornerstone of effective management, particularly when paired with OCT imaging to accurately diagnose and track retinal changes.