Advances of internal limiting membrane peeling in the treatment of myopic traction maculopathy

The internal limiting membrane(ILM) is located in the innermost layer of the retinal neuroepithelium, which is the basement membrane of Muller cells.In myopic retinopathy, ILM forms forward traction to the retina and causes the myopic traction maculopathy (MTM). In previous clinical studies, MTM is treated with pars plana vitrectomy(PPV) combined with ILM peeling, reversal and tamping, etc. The rate of retinal reattachment, macular hole closure and visual acuity improvement are different in different treatments. In this paper the pathological changes of the ILM in MTM, and the treatment methods of ILM during vitrectomy will be reviewed. Key words: Maculopathy, traction, myopic; Vitrectomy; Peeling, membrane, limiting, internal; Tamp, membrane, limiting, internal