Macular holes are either myopic, traumatic or idiopathic. In this study, we evaluated peeling of the internal limiting membrane of the retina in all types of macular hole. We compared the results in two groups the first with ILM peeling and the second without peeling. We fond that ILM peeling significantly improves the visual outcome and decreases the incidence of recurrence in all types of macular hole regardless of the vitreous substitute used after pars plana vitrectomy.