Objective To assess the surgical outcomes of L-shaped macular buckle (with silicone sponge and titanium) and par plana vitrectomy for myopic traction maculopathy. Methods This perspective study involved 7 eyes of 7 patients with myopic traction maculopathy who underwent L-shaped macular buckle (with silicone sponge and titanium) and par plana vitrectomy in Xiangya Hospital of Central South University from August 2015 to November 2015. Main outcome measures included change of macular morphology on OCT (pre- and postoperative splitting chamber size of macula), changes of best-corrected visual acuity (BCVA), ocular axial length, and intraocular pressure (IOP). Measurement data were analyzed using t test. Results The follow-up period was 4-6 months. Total resolution of foveoschisis occurred in 2 eyes and great improvement of foveoschisis happened in 5 eyes. At the last follow-up, the postoperative BCVA improved compared with the preoperative BCVA [logMAR (0.87 ± 0.32) vs. logMAR (1.50 ± 0.50), P < 0.05]. The postoperative ocular axis decreased compared with the preoperative one[(27.72 ± 1.75) mm vs. (28.72 ± 1.97) mm, P < 0.05]. One week after operation, 1 patient had high IOP that reached 41 mmHg, but the IOP became normal by using two kinds of intraocular pressure-lowering eye drops which were stopped 1.5 months after operation. Conclusions The L-shaped macular buckle (with silicone sponge and titanium) combined with par plana vitrectomy is a safe and effective surgical approach in the treatment of myopic traction maculopathy.