Macular fracture mostly refers to macular cleft, patients can standardize the treatment under doctor’s guidance, the severity of the disease is different, the treatment is also different, patients can be treated through observation and follow-up, surgical treatment and other ways of treatment. Macular tear refers to the tissue defect that occurs from the inner border membrane of the retina to the photoreceptor cell layer in the macula, which seriously impairs the central vision of patients, and patients often complain of blurred vision, central dark spot, distorted vision, etc. Macular tear can be classified into four stages. Macular lentigines can be categorized into four stages. Stage 1 macular lentigines are precursor macular lentigines, which have the possibility of self-healing, and patients can be observed and followed up. Patients with stage 2 or above macular lentigines may experience obvious discomfort, and surgical treatments, such as vitrectomy combined with retinal endothelial membrane peeling, are feasible to promote the healing of the lentigines and alleviate the discomfort. It is recommended that patients with macular lentigines should consult a doctor promptly to assess their condition and follow the doctor’s instructions for treatment.