CHICAGO — Peeling the internal limiting membrane may not always be necessary in diabetic vitrectomy, according to an expert at Retina Subspecialty Day at the American Academy of Ophthalmology meeting.
Stanley Chang, MD, said he has seen many presentations in which surgeons will peel the internal limiting membrane (ILM) either for diabetic macular edema or proliferative diabetic retinopathy, but he does not always understand the reasoning.
“I was wondering, ‘What am I missing?’” he said. “I began to look at the role of Müller cells in the ILM in diabetic