Our Summary

This research paper is a review of existing literature on retinotomies and retinectomies, two types of eye surgeries that involve cutting and removing parts of the retina. These procedures are often used to address problems like retinal stiffness and shortening, which can still persist after other types of eye surgery. The paper discusses various situations in which these procedures can be used, such as to access certain areas of the eye for treatment of conditions like a membrane in the eye’s blood vessels, internal bleeding, or an abscess. They can also be used to allow the retina to flatten, to release tension, to harvest retinal grafts, and as a preventative measure in cases of trauma. The paper concludes with a summary of the information found in the literature.

FAQs

  1. What are the indications for retinotomies and retinectomies?
  2. How do retinotomies and retinectomies assist in managing retinal stiffness and shortening?
  3. What are prophylactic chorioretinectomies in relation to trauma?

Doctor’s Tip

One helpful tip a doctor might tell a patient about retinal surgery is to follow all post-operative instructions carefully, including taking prescribed medications, attending follow-up appointments, and avoiding activities that could strain the eyes or increase the risk of complications. It is important to communicate any changes in vision or symptoms to your doctor immediately. Proper post-operative care can help ensure the best possible outcome and recovery after retinal surgery.

Suitable For

Patients who may be recommended for retinal surgery include those with conditions such as proliferative vitreoretinopathy, retinal detachment, choroidal neovascular membrane, retinal hemorrhage, abscess clearance, retinal flattening, circumferential traction, free retinal graft harvesting, and traumatic injuries. Retinal surgery may be indicated to address traction and retinal shortening that persist following membrane dissection and scleral buckling.

Timeline

Before retinal surgery:

  1. Initial consultation with an ophthalmologist to discuss the need for retinal surgery.
  2. Pre-operative testing such as visual acuity, intraocular pressure, and imaging studies to assess the condition of the retina.
  3. Discussion of the risks and benefits of the surgery, as well as potential outcomes and recovery time.
  4. Scheduling the surgery and making necessary preparations such as arranging for transportation and post-operative care.

After retinal surgery:

  1. Post-operative care instructions provided by the surgeon, including medications, eye drops, and follow-up appointments.
  2. Recovery period at home, with restrictions on activities such as driving and heavy lifting.
  3. Monitoring for any signs of infection or complications, such as increased pain or vision changes.
  4. Follow-up appointments with the surgeon to assess healing progress and adjust treatment as needed.
  5. Rehabilitation and vision therapy if necessary to improve visual function after surgery.

What to Ask Your Doctor

  1. What are the specific reasons for recommending retinal surgery in my case?
  2. What are the potential risks and complications associated with retinal surgery?
  3. What is the success rate of the procedure in terms of improving my vision?
  4. What is the recovery process like after retinal surgery?
  5. Will I need any follow-up appointments or additional treatments after the surgery?
  6. Are there any alternative treatments or procedures that could be considered instead of retinal surgery?
  7. How experienced are you in performing retinal surgery, and what is your success rate with this procedure?
  8. Can you explain the specific technique or approach you plan to use during the surgery?
  9. How long will the effects of the surgery last, and will I need additional surgeries in the future?
  10. Are there any lifestyle changes or precautions I should take before or after the surgery to optimize the results?

Reference

Authors: Ramamurthy SR, Dave VP, Chou HD, Ozdek S, Parolini B, Dhawahir-Scala F, Wu WC, Ribot FM, Chang A, Ruamviboonsuk P, Pathengay A, Pappuru RR. Journal: Surv Ophthalmol. 2023 Nov-Dec;68(6):1038-1049. doi: 10.1016/j.survophthal.2023.06.012. Epub 2023 Jul 3. PMID: 37406778