Perfluorocarbon liquid assists in stripping the ILM to treat detached retina caused by macular hole.

Stripping the internal limiting membrane (ILM) is supposed to be beneficial in attaching the retina in retinal detachment because of macular hole. However, it is difficult to lift up and strip the ILM over extensively detached retinas because such retinas are very mobile. To evade this difficulty, we flattened the detached retina with perfluorocarbon liquid (PFCL) and peeled the ILM in the presence of PFCL. The ILM flap was easily turned up and enlarged with the posterior counter traction by PFCL. Intraoperative flattening of the retina with PFCL is useful in peeling the ILM from detached retinas.