Internal Limiting Membrane Peeling For Primary Rhegmatogenous Retinal Detachment Repair
The formation of macular pucker (MP) can limit functional visual recovery after rhegmatogenous retinal detachment (RRD) repair. The internal limiting membrane (ILM), composed of the footplate of Muller glia, has been considered a scaffold for proliferation of retinal glia, hyalocytes, and metaplastic retinal pigment epithelium after operative MP removal, contributing to recurrent MP. Peeling the ILM removes the posterior hyaloid and vitreous cortex, epiretinal membrane, and can relieve tractional forces, improve macular hole closure rate, and reduce secondary MP formation. We report a nonrandomized, multisurgeon, retrospective, 2-arm clinical trial evaluating (Read more...)