This article is more than 5 years old. Information may no longer be current.

ILM removal not always necessary in stage 3 macular holes

Add topic to email alerts

Receive an email when new articles are posted on

Please provide your email address to receive an email when new articles are posted on .

Subscribe

Added to email alerts

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

Back to Healio

We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.

Back to Healio

Anatomic closure of stage 3 idiopathic macular holes can be achieved in some cases by creating a posterior vitreous detachment without the need for removal of the internal limiting membrane, a study found.

Tetsushi Kimura, MD, and colleagues retrospectively studied 19 patients with stage macular holes, with and without focal posterior vitreous detachment (PVD) at the rim of macular hole. All eyes underwent pars plana vitrectomy and creation of a posterior vitreous detachment. Some eyes underwent a subsequent surgery to remove the interior limiting membrane.

Nine eyes had no preoperative PVD. In all these cases the macular hole was closed after the creation of a PVD without subsequent ILM peeling. Ten eyes had a focal PVD preoperatively. Of this group, half the eyes had macular hole closure by making the PVD complete without ILM peeling, and half required a second surgery for ILM removal.

The study is published in the January issue of Retina.