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This pilot case series explores repeated low-level red light (RLRL) therapy for PM. Two adult patients underwent twice-daily home-based RLRL sessions for 6\u2009months. Preliminary observations revealed functional improvement in visual acuity for one patient, while the other demonstrated modest anatomical recovery, including reduced macular retinoschisis and slightly decreased axial length. These hypothesis-generating findings suggest RLRL might offer structural and functional benefits. 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