12th Vitreoretinal Symposium Frankfurt – Marburg 2009

Scientific programm: Abstract

4th scientific session: Follow ups on Strategies

28. ILM Peeling under Perfluocabon in Retinal Detachment

Anselm Jünemann (Erlangen)

Purpose: Epiretinal membrane formation occurs in 15% to 20% of eyes after successful vitreous surgery for retinal detachment that is complicated by proliferative vitreoretinopathy (PVR). Epiretinal membranes limit the functional outcome and usually require additional surgical intervention.
Approach: The aim is the prevention of epiretinal membrane formation by ILM peeling during primary vitrectomy. After triamcinolone-assisted posterior vitreous detachment and vitreous base shaving under scleral indentation staining of ILM is done using indocyanine green. ILM peeling is performed under perfluorocarbon liquids.
Advantage: The fixation of the detached retina using perfluorocarbon liquids allows a controlled peeling of the ILM. Further studies are needed to settle the question, if ILM peeling should be recommended in all cases or under certain conditions (i.e. age, duration of retinal detachment).