Evaluation of internal limiting membrane maculorlexis in the management of macular hole

ABSTRACT

In this study, 12 eyes with full thickness macular holes with ILM peeling [group 1] were compared with another 12 eyes with the same pathology and without ILM peeling. All eyes underwent simple pars plana vitrectomy with [group 1] or without [group 2] ILM peeling with intra-vitreous gas [C3F8] or silicone oil 5000 and face down positioning for 5 days. No adjunctive therapy was used in any group. The closure and/or reopening rate, prognosis, VA and complications in both groups were compared. With good surgical skills and a relatively short follow up period, ILM peeling may not make a difference in retinal reattachment rate; however, it significantly improves the post surgical BCVA