Retinal internal limiting membrane peeling surgery.doc

 PAGE \* MERGEFORMAT 16 Retinal internal limiting membrane peeling surgery Vitreoretinal surgery combined with internal limiting membrane peeling is the emergence of new technologies in recent years, its traction is mainly used in the treatment of macular diseases, especially macular epiretinal membrane, macular hole, and become a standard treatment. Surgery aims to completely lift the lesion area vitreoretinal interface in the tangential traction in order to restore a normal macula foveal shape. Retinal vascular disease also lead to vitreous hemorrhage of the vitreous surgery, preventive internal limiting membrane peeling line. Removal of the proliferation of new blood vessel stent, to prevent secondary purpose resulting from macular degeneration. Although the internal limiting membrane peeling surgery for the feasibility, reasonableness, necessity, indications and prognosis of such issues as far and wide in basic research and clinical practice is still at the exploratory stage, has not yet reached a consensus, but the technique is currently in clinical more adopted, and the results actually achieved. A retinal internal limiting membrane peeling surgical techniques proposed Internal limiting membrane (ILM) is located in the innermost retina is a layer of 1 ~ 2μ m thick structureless homogeneous membranes, from Mǔ ller cell basement membrane, a small amount of glial cells and vitreous fibers, whose inner surface is smooth, and the vitreous cortex contact. Appearance appear before waveform, with the fibrous skeleton of foot Mǔ ller cells coincide. ILM from the edge of the surrounding disc cover the entire surface of the retina. Macular retinal region surrounded by the thickest thinnest region, where the ILM thick vitreous cortex with strong adhesion, but also the very thin foveal and the lack of fibro-foot affixed. On the other hand, in pathological cases, ILM can also become a pigment cell and fibroblast proliferation stand. This interface for ILM in the vit