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University of Health Sciences, Ankara Etlik City Hospital, Department of Ophthalmology, Ankara, Türkiye DOI : 10.37845/ret.vit.2025.34.10 Excentric macular hole (EMH) is a rare complication following epiretinal membrane (ERM) and macular hole surgery. The most common factor implicated in the development of EMH is mechanical damage to the retina during internal limiting membrane (ILM) peeling. In this article, we present two cases of extrafoveal EMH detected in the macula following ERM surgery without ILM peeling. The aim is to highlight the possible reasons for the development of two EMH cases solely after ERM peeling, along with 24-month follow-up results, emphasizing attention to this rare complication. Keywords : Excentric macular hole, epiretinal membrane, vitreoretinal surgery