Internal Limiting Membrane Peeling for Primary Rhegmatogenous Retinal Detachment

This video demonstrates internal limiting membrane (ILM) peeling for primary rhegmatogenous retinal detachment repair (RRD). Macular pucker (MP) can limit functional visual recovery after RRD repair. The ILM, composed of the footplate of Müller glia, is a scaffold for formation of MP and contributes to secondary MP following RRD repair. We review previous reports describing MP incidence following RRD repair and highlight our recent study that links ILM removal during primary RRD repair to decreased secondary MP formation.