Spare some internal limiting membrane for later: free ILM patch and neurosensory retina graft

  • Francesco Pichi
  • Emad B. Abboud
Perspectives or Expert Opinions



Editorial to De Giacinto et al case report on free autologous neurosensory retina patch.


Literature review and experts’ opinion


In the present issue, De Giacinto et al describe a free autologous neurosensory retina patch to close a chronic macular hole. This new technique was made necessary by an extended internal limiting membrane peeling during the first surgery, that prevented grafting a patch of internal limiting membrane when the hole did not close. We hereby review pros and cons of patching a chronic macular hole with an internal limiting membrane patch, as well as the importance of not over-enlarging a peeling.


Internal limiting membrane patch can be considered in chronic macular holes. It may not be an option in cases of over-enlargement of a previous peel; free autologous neurosensory retina patch may be a valid alternative in such cases.


ILM peeling ILM patch Chronic macular hole Neuroretina graft 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest to disclose.

Human rights

This article does not contain any studies with human participants performed by any of the authors.


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Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Cleveland Clinic Abu DhabiEye InstituteAbu DhabiUnited Arab Emirates

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