http://www.dailymotion.com/video/xudwbs

The author will describe tricks to make the ILM Peeling easier, faster and less traumatic:

  • The use of the ILM blue allows to differentiate the plaque of adherent posterior hyaloid from the “nude” ILM. According to the respective distribution of these two configurations, the peeling can be done differently:
    • If the surface of “nude” ILM is too small, we must start in removing the posterior hyaloid before removing the ILM.
    • If the plaque of hyaloid is small enough, we can start with the ILM peeling trying to remove both structures altogether in the same ablation movement.
  • The ILM rhexis can be done in an easier way if we perform first a transversal ILM removal (similar to the first incision of a capsular rhexis) so that a large flap is offered to remove a large piece of ILM.
  • Some traps will be shown as:
    • The illusion of having removed the ILM when the astrocytic proliferation is very large.
    • The case of spontaneous tearing of the ILM, which can be diagnosed by the use of ILM blue.