Surgical treatment of rheumatogenic retinal detachment with peeling of the internal limiting membrane
The development of proliferative vitreoretinopathy (PVR) is considered to be the main cause of complications after regma-togenous retinal detachment (RRD) surgery. The formation of fibrous membrane on the surface of retina leads to its mechanical shortening and thickening. Removing the internal limiting membrane (ILM) can prevent the development of epiretinal fibrosis, cystic macular edema. Removal of ILM during vitrectomy leads to an improvement of the primary and final anatomical success of the operation, as well as to the prevention of the appearance of epiretinal membranes (ERM) in the macular area. In addition, this will reduce the likelihood of ERM / PVR formation and subsequent retreatment of retinal detachment and thereby improve central vision.