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ficantly lower among patients who received PPV with ILM peel (0.88%) compared to patients without ILM peel (1.48%; p=0.007). In 2008, PPV without ILM peel represented 70% of ERM procedures, but PPV with ILM peeling accounted for 52% and 70% of ERM procedures in 2013 (P less then 0.001) and 2016 (P less then 0.001), respectively. The rates of retinal detachment were similar between patients who had an ILM peel (0.79%) and patients who did not receive an ILM peel (0.92%) during their primary ERM surgery (p=0.474) CONCLUSION The increasing u