Retinotomies and retinectomies: A review of indications, techniques, results, and complications

Srishti Raksheeth Ramamurthy; Vivek Pravin Dave; Hung-Da Chou; Sengul Ozdek; Barbara Parolini; Felipe Dhawahir-Scala; Wei-Chi Wu; Francesc March de Ribot; Andrew Chang; Paisan Ruamviboonsuk; Avinash Pathengay; Rajeev Reddy Pappuru

doi:10.1016/j.survophthal.2023.06.012

Retinotomies and retinectomies: A review of indications, techniques, results, and complications

Surv Ophthalmol. 2023 Nov-Dec;68(6):1038-1049. doi: 10.1016/j.survophthal.2023.06.012. Epub 2023 Jul 3.

Affiliations

¹ Anant Bajaj Retina Institute, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, India; Standard Chartered-LVPEI Academy for Eye Care Education, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, India.
² Anant Bajaj Retina Institute, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, India. Electronic address: vivekoperates@yahoo.co.in.
³ Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Main Branch, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
⁴ Department of Ophthalmology, Gazi University School of Medicine, Ankara, Turkey.
⁵ Department of Ophthalmology, Eyecare Clinic, Brescia, Italy.
⁶ Manchester Royal Eye Hospital, Manchester, U.K.
⁷ University of Otago, Dunedin, New Zealand; University of Girona, Girona, Spain.
⁸ Sydney Retina Clinic & Sydney Eye Hospital, Sydney, NSW, Australia; The University of Sydney, Camperdown, NSW, Australia.
⁹ College of Medicine, Rangsit University, Lak Hok, Thailand; Center of Excellence for Vitreous and Retinal Disease, Rajavithi Hospital, Bangkok, Thailand.
¹⁰ GMR Varalakshmi Campus, Retina and Uveitis Service, Anant Bajaj Retina Institute, Visakhapatnam, Andhra Pradesh, India.
¹¹ Anant Bajaj Retina Institute, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, India.

PMID: 37406778
DOI: 10.1016/j.survophthal.2023.06.012

Abstract

Retinotomy refers to "cutting" or "incising" the retina, whereas retinectomy denotes "excising" the retina. Retinotomies and retinectomies aid in tackling traction and retinal shortening that persist following membrane dissection and scleral buckling. We performed a literature search using Google Scholar and PubMed, followed by a review of the references procured. All relevant literature was studied in detail and summarized. We discuss the indications of retinotomies and retinectomies for relaxing retinal stiffness, accessing the subretinal space for choroidal neovascular membrane, hemorrhage and abscess clearance, drainage retinotomies to allow retinal flattening, radial retinotomies to release circumferential traction, harvesting free retinal grafts, and prophylactic chorioretinectomies in trauma.

Keywords: Circumferential traction; Intrinsic contraction; Proliferative vitreoretinopathy; Retinal detachment; Retinal traction; Retinectomy; Retinotomy; Review.

Publication types

Review

MeSH terms

Humans
Retina / surgery
Retinal Detachment* / surgery
Retrospective Studies
Scleral Buckling
Vitrectomy / methods