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Clinical Minute Retina

ILM Peeling for Small Macular Hole

Maria Berrocal, MD and Francesco Boscia, MD

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Do small idiopathic macular holes always require ILM peeling? In this Clinical Minute: Retina episode, host Maria Berrocal, MD, sits down with Francesco Boscia, MD, to unpack a 2024 study of vitrectomy for “small” (<250 µm) holes. They compare outcomes of peeling vs no-peel strategies across anatomic closure, 6-12 month vision, and closure morphology, and explore how coexisting vitreomacular traction may influence decisions. Come for the evidence; leave with a practical framework for case selection, counseling, and planning.

Posted: 11/03/2025

Keywords:

Clinical Minute Retina

•

ILM Peeling

•

Small Macular Hole

•

vitrectomy

•

anatomic closure

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Back to All Videos

ILM Peeling for Small Macular Hole

Maria Berrocal, MD and Francesco Boscia, MD

Do small idiopathic macular holes always require ILM peeling? In this Clinical Minute: Retina episode, host Maria Berrocal, MD, sits down with Francesco Boscia, MD, to unpack a 2024 study of vitrectomy for “small” (<250 µm) holes. They compare outcomes of peeling vs no-peel strategies across anatomic closure, 6-12 month vision, and closure morphology, and explore how coexisting vitreomacular traction may influence decisions. Come for the evidence; leave with a practical framework for case selection, counseling, and planning.

Posted: 11/03/2025

Keywords:

Clinical Minute Retina

•

ILM Peeling

•

Small Macular Hole

•

vitrectomy

•

anatomic closure

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