To peel or not to peel the internal limiting membrane: a question finally answered?

摘要

For the surgical treatment of idiopathic thickness macular hole, the question of whether to peel or not to peel the internal limiting membrane (ILM) has been asked repeatedly since at least 2002. Most surgeons carry out ILM peeling routinely. Many are already convinced of its benefit. Is it worthwhile conducting a randomised trial when the clinical practice of ILM peel has already been widely adopted? Is the answer simply academic?