title: Current Trends about Inner Limiting Membrane Peeling in Surgery for Epiretinal Membranes.
abstract: The inner limiting membrane (ILM) is the basement membrane of the Müller cells and can act as a scaffold for cellular proliferation in the pathophysiology of disorders affecting the vitreomacular interface. The atraumatic removal of the macular ILM has been proposed for treating various forms of tractional maculopathy in particular for macular pucker. In the last decade, the removal of ILM has become a routine practice in the surgery of the epiretinal membranes (ERMs), with good anatomical results. However many recent studies showed that ILM peeling is a procedure that can cause immediate traumatic effects and progressive modification on the underlying inner retinal layers. Moreover, it is unclear whether ILM peeling is helpful to improve vision after surgery for ERM. In this review, we describe the current understanding about ILM peeling and highlight the beneficial and adverse effects associated with this surgical procedure.
authors.affiliation: Department of Medical and Surgical Specialties, Radiological Specialties and Public Health, Ophthalmology Clinic, University of Brescia, 25123 Brescia, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Semeraro
authors.affiliation: Department of Medical and Surgical Specialties, Radiological Specialties and Public Health, Ophthalmology Clinic, University of Brescia, 25123 Brescia, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Morescalchi
authors.affiliation: Department of Medical and Surgical Specialties, Radiological Specialties and Public Health, Ophthalmology Clinic, University of Brescia, 25123 Brescia, Italy.
authors.forename: Sarah
authors.initials: S
authors.lastname: Duse
authors.affiliation: Department of Medical and Surgical Specialties, Radiological Specialties and Public Health, Ophthalmology Clinic, University of Brescia, 25123 Brescia, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Gambicorti
authors.affiliation: Department of Medical and Surgical Specialties, Radiological Specialties and Public Health, Ophthalmology Clinic, University of Brescia, 25123 Brescia, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Russo
authors.affiliation: Department of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy ; I.R.C.C.S. Neuromed, Località Camerelle, Pozzilli, 86077 Isernia, Italy.
authors.forename: Ciro
authors.initials: C
authors.lastname: Costagliola