Abstract
To peel or not to peel the internal limiting membrane (ILM) is a continuous matter of discussion among macula surgery practitioners.Undoubtedly to remove ILM, which is responsible off the 50% of retina rigidity, turns neurosensorial retina more flexible, allows an easiest removal of the vitreous remnants on the posterior pole, inhibits further relapses of epiretinal membranes, and promotes closure of the retinal holes when they exist by activating a glial proliferation.Nevertheless as any other surgical manoeuvre, peeling of the ILM can produce complications such as haemorrhages, harm to the retina, vascular capillaries of the internal plexus, and even macular holes. Transitory degree of fibre layer oedema, displacement of the macula towards the disk and sometimes thinning of the nerve fibre layer can occur.Beneficial effects of ILM peeling in ERM regarding improving vision or reducing relapses, has not been proved, but peeling is routinely made by many surgeons, and many times when intentionally not peeled, the ILM is peeled following the ERM.
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