الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Our study was conducted on patients attending our ophthalmology clinic at Suez canal university hospital who were known to be diabetic for more than 10 years. Patients who were diagnosed with tractional retinal detachment meeting the criteria for surgical intervention in the period from august 2020 to February 2022 were enrolled in our study.
Patients with advanced diabetic eye disease such as tractional retinal detachment have strong proproliferative environment with increased incidence of epiretinal membrane formations and post operative recurrences. The internal limiting membrane acts as a scaffold for proliferating astrocytes along with its thicker nature, more expression of epiretinal membranes precursors and being more adhesive to the posterior hyaloid in diabetic patients. Thus ILM removal or peeling as a adjuvant step during vitrectomy is suggested to ensure removal of remnants of posterior hyaloid, epiretinal membranes and preventing long term post operative complications that might expose the patients to further surgical interventions.
The international Diabetes Federation ‘IDF’ has listed Egypt countries in the world with diabetes. To achieve our aim of the study in maintaining better macular anatomical and visual outcome after vitrectomy for diabetic TRD our objectives were to compare between these parameters in theas one of the top 1ILM peeling and non-ILM peeling groups in patients undergoing vitrectomy for diabetic TRD