ILM peeling a vital intervention for many vitreoretinal disorders.
نویسندگان
چکیده
The internal limiting membrane (ILM) is the structural interface between the vitreous and retina. As the basement membrane of retinal Müller cells, it serves as a protective barrier and provides biomechanical strength for the central retina.1-3 It also acts as a scaffold for cellular proliferation for myofibroblasts, fibrocytes, and retinal pigmented epithelial cells. ILM removal ensures separation of the posterior hyaloid from the macular surface, which can relieve macular traction4,5 and prevent postoperative epiretinal membrane formation.6,7 Thus, vitrectomy with ILM peeling has become an increasingly utilized and vital component in surgical intervention for various vitreoretinal disorders.
منابع مشابه
Retinal Damage Induced by Internal Limiting Membrane Removal
The internal limiting membrane (ILM), the basement membrane of the Müller cells, serves as the interface between the vitreous body and the retinal nerve fiber layer. It has a fundamental role in the development, structure, and function of the retina, although it also is a pathologic component in the various vitreoretinal disorders, most notably in macular holes. It was not until understanding o...
متن کاملChromovitrectomy and the vitreoretinal interface.
It still remains unclear to which extent the presence and the amount of retinal debris seen in internal limiting membrane (ILM) specimens harvested during macular surgery for macular holes or epiretinal membranes are related to the procedure of ILM peeling itself or to modifications of the surgical technique, such as application of vital dyes for visualization of the ILM, or to pathological con...
متن کاملUltrastructural changes of the vitreoretinal interface during long-term follow-up after removal of the internal limiting membrane.
PURPOSE To investigate long-term ultrastructural changes in the retina after internal limiting membrane (ILM) peeling through the examination of morphologic changes 3 years after vitrectomy in cynomolgus monkeys. DESIGN Laboratory investigation. METHODS Pars plana vitrectomy was performed, followed by ILM peeling, in 2 primate eyes. Ultrastructural changes were investigated using light micr...
متن کاملComplications of Macular Peeling
Macular peeling refers to the surgical technique for the removal of preretinal tissue or the internal limiting membrane (ILM) in the macula for several retinal disorders, ranging from epiretinal membranes (primary or secondary to diabetic retinopathy, retinal detachment…) to full-thickness macular holes, macular edema, foveal retinoschisis, and others. The technique has evolved in the last two ...
متن کاملFull-Thickness Macular Hole Formation after Internal Limiting Membrane Peeling: Beware the “Omega Sign”
Purpose. To introduce a clinical sign on spectral domain optical coherence tomography (SDOCT), which may indicate high risk for full-thickness macular hole formation after internal limiting membrane (ILM) peeling. Methods. The preoperative SDOCT images of two patients-one with multilaminar hemorrhage from ruptured retinal artery macroaneurysm and one with serous retinal detachment and severe ma...
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عنوان ژورنال:
- Ophthalmic surgery, lasers & imaging retina
دوره 45 2 شماره
صفحات -
تاریخ انتشار 2014